Meldung
Die IHE definiert einen Organizer, welcher nur für besondere Mitteilungen im Befund gedacht ist. Dieser Notification Organizer ermöglicht die Kodierung von Notifiable Conditions und Outbreak Identifications. Die Notifiable Condition wird verwendet um etwaige Erreger meldepflichtiger Krankheiten zu codieren. Wenn Probenuntersuchungen unter die besondere Kategorie „Häufung von Beobachtungen oder besonderes Ereignis“ fallen, wird dieses Element zur Präzisierung verwendet. Das Element wird wie nachfolgend beschrieben ausgefüllt (alles fix codiert, keine dynamischen Inhalte). Die eigentliche Präzisierung erfolgt im Freitext im referenzierten Kommentar. Meldungen zu „Häufung von Beobachtungen oder besonderes Ereignis“ dürfen nur dazugehörige Erreger-nachweise enthalten. Für davon unabhängige Erregernachweise sind separate Meldungen zu erstellen.
![Under construction icon-blue.svg](/images/thumb/Under_construction_icon-blue.svg/50px-Under_construction_icon-blue.svg.png) |
ToDO |
Notification Organizer
Id | 1.2.276.0.76.10.4007 | Gültigkeit | gültig ab 2014‑03‑12 10:18:42 |
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Status | Entwurf | Versions-Label | |
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Name | LaboratoryReportNotificationOrganizerNotifiableDiseases | Anzeigename | Laboratory Report Notification Organizer Notifiable Diseases |
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Beschreibung | Notification Organizer |
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Kontext | Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4007 |
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Label | labnond
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Klassifikation | CDA Entry Level Template |
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Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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Benutzt von / Benutzt | Benutzt von 4 Templates, Benutzt 2 Templates | Benutzt von Template-Id | als | Name | Version |
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1.2.276.0.76.10.4005 | Containment | Laboratory Report Data Processing Entry Notifiable Diseases | 2014‑03‑12 10:18:42 | 1.2.276.0.76.10.3035 | ![Link.png](/images/Link.png) | Laboratory Speciality Section Notifiable Diseases | 2014‑03‑09 | 1.2.276.0.76.10.1011 | ![Link.png](/images/Link.png) | Labormeldung nach §7 Abs. 1, 2 und 3 IfSG | 2014‑07‑13 | 1.2.276.0.76.10.1011 | ![Link.png](/images/Link.png) | Labormeldung nach §7 Abs. 1 und 2 IfSG | 2013‑07‑15 | Benutzt Template-Id | als | Name | Version |
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1.2.276.0.76.10.4010 | Containment | NotifiableConditionNotifiableDiseases | DYNAMIC | 1.2.276.0.76.10.4011 | Containment | OutbreakIdentificationNotifiableDiseases | DYNAMIC |
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Beziehung | Spezialisierung: Template 2.16.840.1.113883.10.12.305 (2005‑09‑07) Spezialisierung: Template 1.3.6.1.4.1.19376.1.3.1.1 (DYNAMIC) |
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Beispiel | Beispiel | <organizer classCode="CLUSTER" moodCode="EVN"> <templateId root="1.2.276.0.76.10.4007"/> <templateId root="1.3.6.1.4.1.19376.1.3.1.1"/> <statusCode code="completed"/> <component> <observation classCode="COND" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.3.1.1.1"/> </observation> </component> <component> <observation classCode="OUTB" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.3.1.1.3"/> </observation> </component></organizer> |
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Item | DT | Kard | Konf | Beschreibung | Label |
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| | | | | labnond | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @classCode
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| | 1 … 1 | F | CLUSTER | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @moodCode
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| | 1 … 1 | F | EVN | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
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| | 1 … 1 | M | | labnond | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
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| | 1 … 1 | F | 1.2.276.0.76.10.4007 | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
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| | 1 … 1 | M | | labnond | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
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| | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.1.1 | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:statusCode
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| CS | 1 … 1 | M | | labnond | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @code
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| | 1 … 1 | F | completed | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:component
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| | 0 … * | | Beinhaltet 1.2.276.0.76.10.4010 Notifiable Condition Notifiable Diseases (DYNAMIC) | labnond | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @typeCode
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| | 0 … 1 | F | COMP | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:component
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| | 0 … * | | Beinhaltet 1.2.276.0.76.10.4011 Outbreak Identification Notifiable Diseases (DYNAMIC) | labnond | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @typeCode
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| | 0 … 1 | F | COMP |
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Notifiable Conditions
Id | 1.2.276.0.76.10.4010 | Gültigkeit | gültig ab 2014‑07‑13 15:45:17 |
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Status | Entwurf | Versions-Label | |
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Name | NotifiableConditionNotifiableDiseases | Anzeigename | Notifiable Condition Notifiable Diseases |
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Beschreibung | Erreger meldepflichtiger Krankheiten werden mit Hilfe der "Notifiable Condition" angegeben |
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Kontext | Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4010 |
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Label | ncnd
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Klassifikation | CDA Entry Level Template |
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Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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Benutzt von / Benutzt | Benutzt von 5 Templates, Benutzt 0 Templates | Benutzt von Template-Id | als | Name | Version |
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1.2.276.0.76.10.4007 | Containment | Laboratory Report Notification Organizer Notifiable Diseases | 2014‑03‑12 10:18:42 | 1.2.276.0.76.10.4005 | ![Link.png](/images/Link.png) | Laboratory Report Data Processing Entry Notifiable Diseases | 2014‑03‑12 10:18:42 | 1.2.276.0.76.10.3035 | ![Link.png](/images/Link.png) | Laboratory Speciality Section Notifiable Diseases | 2014‑03‑09 | 1.2.276.0.76.10.1011 | ![Link.png](/images/Link.png) | Labormeldung nach §7 Abs. 1, 2 und 3 IfSG | 2014‑07‑13 | 1.2.276.0.76.10.1011 | ![Link.png](/images/Link.png) | Labormeldung nach §7 Abs. 1 und 2 IfSG | 2013‑07‑15 |
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Beziehung | Spezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07) Adaptation: Template 1.3.6.1.4.1.19376.1.3.1.1.1 (DYNAMIC) |
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Beispiel | Beispiel | <observation classCode="COND" moodCode="EVN"> <templateId root="1.2.276.0.76.10.4010"/> <templateId root="1.3.6.1.4.1.19376.1.3.1.1.1"/> <id extension="SALM" root="1.3.6.1.4.1.19376.1.3.4"/> <code code="170516003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Notification of Disease"> <qualifier> <name code="246087005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Source of Specimen"/> <value code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Patient"/> </qualifier> </code> <statusCode code="completed"/> <effectiveTime value="20140712"/> <value xsi:type="CE" code="27268008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Salmonella"/> </observation> |
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Item | DT | Kard | Konf | Beschreibung | Label |
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| | | | | ncnd | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @classCode
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| | 1 … 1 | F | COND | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @moodCode
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| cs | 1 … 1 | F | EVN | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
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| II | 1 … 1 | R | | ncnd | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
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| | 1 … 1 | F | 1.2.276.0.76.10.4010 | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
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| II | 1 … 1 | R | | ncnd | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
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| | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.1.1.1 | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:code
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| CD | 1 … 1 | R | | ncnd | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @code
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| | 1 … 1 | F | 170516003 | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @codeSystem
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| | 1 … 1 | F | 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @displayName
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| | 1 … 1 | F | Notification of Disease | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:qualifier
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| CR | 1 … 1 | M | | ncnd | | CV | 1 … 1 | M | | ncnd | | | 1 … 1 | F | 246087005 | | | 1 … 1 | F | 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) | | | 1 … 1 | F | Source of Specimen | | | 1 … 1 | F | SNOMED-CT | | CD | 0 … 1 | | | ncnd | | | 1 … 1 | F | 116154003 | | | 1 … 1 | F | 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) | | | 1 … 1 | F | Patient | | | 1 … 1 | F | SNOMED-CT | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:statusCode
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| CS | 1 … 1 | M | | ncnd | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @code
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| | 1 … 1 | F | completed | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:effectiveTime
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| IVL_TS | 0 … 1 | | | ncnd | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:value
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| CE | 1 … 1 | M | Wert aus dem ValueSet "Erreger" | ncnd | | CONF | muss aus der Konzeptdomäne "Erreger" gewählt werden |
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Outbreak Identifications
Id | 1.2.276.0.76.10.4011 | Gültigkeit | gültig ab 2014‑07‑13 15:45:17 |
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Status | Entwurf | Versions-Label | |
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Name | OutbreakIdentificationNotifiableDiseases | Anzeigename | Outbreak Identification Notifiable Diseases |
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Beschreibung | Erreger meldepflichtiger Krankheiten werden mit Hilfe der "Notifiable Condition" angegeben |
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Kontext | Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4011 |
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Label | obind
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Klassifikation | CDA Entry Level Template |
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Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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Benutzt von / Benutzt | Benutzt von 5 Templates, Benutzt 1 Template | Benutzt von Template-Id | als | Name | Version |
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1.2.276.0.76.10.4007 | Containment | Laboratory Report Notification Organizer Notifiable Diseases | 2014‑03‑12 10:18:42 | 1.2.276.0.76.10.4005 | ![Link.png](/images/Link.png) | Laboratory Report Data Processing Entry Notifiable Diseases | 2014‑03‑12 10:18:42 | 1.2.276.0.76.10.3035 | ![Link.png](/images/Link.png) | Laboratory Speciality Section Notifiable Diseases | 2014‑03‑09 | 1.2.276.0.76.10.1011 | ![Link.png](/images/Link.png) | Labormeldung nach §7 Abs. 1, 2 und 3 IfSG | 2014‑07‑13 | 1.2.276.0.76.10.1011 | ![Link.png](/images/Link.png) | Labormeldung nach §7 Abs. 1 und 2 IfSG | 2013‑07‑15 | Benutzt Template-Id | als | Name | Version |
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1.2.276.0.76.10.4015 | Containment | AnnotationComment | DYNAMIC |
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Beziehung | Spezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07) Adaptation: Template 1.3.6.1.4.1.19376.1.3.1.1.3 (DYNAMIC) |
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Beispiel | Beispiel | <observation classCode="OUTB" moodCode="EVN"> <templateId root="1.2.276.0.76.10.4011"/> <templateId root="1.3.6.1.4.1.19376.1.3.1.1.3"/> <id extension="SALM_SPINACH459" root="1.3.6.1.4.1.19376.1.3.4"/> <code code="416534008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Outbreak"/> <statusCode code="completed"/> <effectiveTime value="20140712"/> <value xsi:type="CE" code="79153007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Salmonella tennessee 6,7,14;z29;1,2,7"/> </observation> |
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Item | DT | Kard | Konf | Beschreibung | Label |
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| | | | | obind | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @classCode
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| | 1 … 1 | F | OUTB | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @moodCode
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| | 1 … 1 | F | EVN | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
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| | 1 … 1 | M | | obind | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
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| | 1 … 1 | F | 1.2.276.0.76.10.4011 | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
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| | 1 … 1 | M | | obind | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
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| | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.1.1.3 | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:id
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| II | 0 … * | | | obind | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:code
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| CD | 1 … 1 | R | | obind | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @code
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| | 1 … 1 | F | 416534008 | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @codeSystem
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| | 1 … 1 | F | 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @displayName
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| | 1 … 1 | F | Outbreak | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @codeSystemName
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| | 1 … 1 | F | SNOMED-CT | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:statusCode
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| CS | 1 … 1 | M | | obind | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @code
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| | 1 … 1 | F | completed | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:effectiveTime
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| IVL_TS | 0 … 1 | | | obind | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:value
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| CE | 1 … 1 | M | nullFlavor=NA????? | obind | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:entryRelationship
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| | 0 … * | | Annotation Comment für die Beschreibung zur Häufung Beinhaltet 1.2.276.0.76.10.4015 Annotation Comment (DYNAMIC) | obind | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @typeCode
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| | 1 … 1 | F | SUBJ | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @inversionInd
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| | 1 … 1 | F | true |
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Id | 1.3.6.1.4.1.19376.1.5.3.1.4.2 | Effective Date | valid from 2016‑06‑23 14:21:01 |
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Status | Draft | Version Label | |
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Name | AnnotationCommentIHE | Display Name | Annotation Comment (IHE) |
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Description | This entry is used for Annotation Comments in APSR 2.0 |
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Context | Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.2 |
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Classification | CDA Entry Level Template |
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Open/Closed | Closed (only defined elements are allowed) |
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Used by / Uses | Used by 12 templates, Uses 0 templates | Used by Template id | as | Name | Version |
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1.3.6.1.4.1.19376.1.3.1.6 | Containment | Laboratory Observation (2016) | 2016‑07‑05 | 1.3.6.1.4.1.19376.1.3.1.6 | ![Link.png](/images/Link.png) | Laboratory Observation (2008) | 2008‑08‑08 | 1.3.6.1.4.1.19376.1.8.1.3.6 | ![Link.png](/images/Link.png) | Problem Organizer (2.0) | 2015‑08‑13 10:24:55 | 1.3.6.1.4.1.19376.1.3.10.3.1 | ![Link.png](/images/Link.png) | Additional Specified Observation Section (2.0) | 2016‑11‑13 14:28:08 | 1.3.6.1.4.1.19376.1.8.1.1.1 | ![Link.png](/images/Link.png) | Anatomic Pathology Structured Report (2.0) | 2014‑05‑13 11:57:57 | 1.3.6.1.4.1.19376.1.8.1.2.1 | ![Link.png](/images/Link.png) | Clinical Information Section (2.0) | 2014‑05‑13 14:38:08 | 1.3.6.1.4.1.19376.1.8.1.2.2 | ![Link.png](/images/Link.png) | Intraoperative Observation Section (2.0) | 2014‑05‑13 19:29:16 | 1.3.6.1.4.1.19376.1.8.1.2.3 | ![Link.png](/images/Link.png) | Macroscopic Observation Section (2.0) | 2014‑05‑13 11:57:09 | 1.3.6.1.4.1.19376.1.8.1.2.4 | ![Link.png](/images/Link.png) | Microscopic Observation Section (2.0) | 2014‑05‑13 14:25:17 | 1.3.6.1.4.1.19376.1.8.1.2.5 | ![Link.png](/images/Link.png) | Diagnostic Conclusion Section (2.0) | 2014‑05‑13 19:31:26 | 1.3.6.1.4.1.19376.1.8.1.4.10 | Containment | Embedded Image IHE | 2016‑06‑22 16:08:01 | 1.3.6.1.4.1.19376.1.8.1.4.9 | ![Link.png](/images/Link.png) | AP Observation Entry (2.0) | 2014‑05‑14 17:09:54 |
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Relationship | Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07) Specialization: template 2.16.840.1.113883.10.20.1.40 (DYNAMIC) Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.2 (2009‑12‑04) Adaptation: template 1.2.276.0.76.10.4015 (2014‑11‑15) |
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Item | DT | Card | Conf | Description | Label |
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| | | | The related statement is an event (moodCode='EVN') describing the act (classCode='ACT') of making an arbitrary comment or providing instruction on the related entry. | (AnnotationCommentIHE) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @classCode
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| cs | 1 … 1 | F | ACT | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @moodCode
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| cs | 1 … 1 | F | EVN | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
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| II | 1 … 1 | M | | (AnnotationCommentIHE) | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
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| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.2 | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
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| II | 1 … 1 | M | | (AnnotationCommentIHE) | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.2.6.60.6.10.50 | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:code
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| CD | 1 … 1 | M | The <code> element indicates that this is a comment and shall be recorded as shown above. The codeSystem and code attributes shall use the values specified above. | (AnnotationCommentIHE) | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @code
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| CONF | 1 … 1 | F | 48767-8 | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @codeSystem
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| 1 … 1 | F | 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @displayName
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| 1 … 1 | F | Annotation Comment | ![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @codeSystemName
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| 1 … 1 | F | LOINC | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:text
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| ED | 1 … 1 | M | The <text> element provides a way to represent the <reference> to the text of the comment in the narrative portion of the document. For CDA, this SHALL be represented as a <reference> element that points to the narrative text section of the CDA. The comment itself is not the act being coded, so it appears in the <text> of the <observation>, not as part of the <code>. For HL7 Version 3 Messages, the <text> element SHALL contain the full narrative text. | (AnnotationCommentIHE) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:statusCode
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| CS | 1 … 1 | M | The code attribute of <statusCode> for all comments must be completed. | (AnnotationCommentIHE) | | CONF | |
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