1.2.276.0.76.10.4042/static-2015-09-18T000000: Unterschied zwischen den Versionen

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<table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.2.276.0.76.10.4042</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;"> gültig ab 2015‑09‑18<p></p>Es gibt Versionen von Templates mit dieser Id:<ul><li>Acuityobservation vom 2015‑09‑18</li><li>Acuityobservation vom 2015‑03‑03</li></ul></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kgreen.png|16px]] Aktiv</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;"></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">Acuityobservation</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Ersteinschätzung</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beschreibung</th><td style="text-align: left;" colspan="3">Ersteinschätzung</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4042</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Entry Level Template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Offen/Geschlossen</th><td style="text-align: left;" colspan="3">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Assoziiert mit</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Assoziiert mit 4 Konzepte</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Id</th><th style="width: 60%; text-align: left;">Name</th><th style="width: 20%; text-align: left;">Datensatz</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">aktin-data&#8203;element2015(1)-</span>23</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Ersteinschätzung</td><td style="text-align: left; vertical-align: top;">AKTIN-Datensatz v2015.1</td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">aktin-data&#8203;element2015(1)-</span>770</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Zeitpunkt der Ersteinschätzung</td><td style="text-align: left; vertical-align: top;">AKTIN-Datensatz v2015.1</td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">aktin-data&#8203;element2015(2)-</span>23</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Ersteinschätzung</td><td style="text-align: left; vertical-align: top;">Datensatz Notaufnahmeprotokoll v2015.2</td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">aktin-data&#8203;element2015(2)-</span>770</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Zeitpunkt der Ersteinschätzung</td><td style="text-align: left; vertical-align: top;">Datensatz Notaufnahmeprotokoll v2015.2</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Benutzt von / Benutzt</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt von 3 Templates, Benutzt 0 Templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Benutzt von Template-Id</th><th style="width: 1%; text-align: left;"> als </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.2.276.0.76.10.3049</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|16px]] Ersteinschätzung</td><td style="text-align: left;">2015‑01‑10</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.1015</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kgreen.png|16px]] Emergency medicine Note CDA document (v1)</td><td style="text-align: left;">2014‑09‑18</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.1019</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kgreen.png|16px]] Emergency medicine Note CDA document (v2)</td><td style="text-align: left;">2016‑06‑01</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beziehung</th><td style="text-align: left;" colspan="3">Spezialisierung: Template 2.16.840.1.113883.10.12.303 (<i>2005‑09‑07</i>)<br />Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.1.13.3.1 (<i>DYNAMIC</i>)</td></tr><tr class="explabel" style="vertical-align: top;"><td style="width: 20em; text-align: left;">Beispiel</td><td colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;"><span class="expcaption">Beispiel</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">observation</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">OBS</span><span class="ppsign">"</span> <span class="ppattribute">moodCode</span><span class="ppsign">="</span><span class="ppcontent">EVN</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.4042</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.4.17.9814184919</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">f6c00464-3551-460a-bea7-299d26dda8bc</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">11283-9</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Acuity assessment</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">text</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">reference</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">#acuity</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">statusCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">completed</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">effectiveTime</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">low</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20150304</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">effectiveTime</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">value</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent">CE</span><span class="ppsign">"</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">3</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.5.438</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">dringend - gelb - 30 Minuten</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">observation</span><span class="ppsign">&gt;</span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Kard</th><th style="width: 2em; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:observation<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr><td style="vertical-align: top;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">OBS</td></tr><tr><td style="vertical-align: top;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@moodCode<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">EVN</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr><td style="vertical-align: top;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@root<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.276.0.76.10.4042</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">11283-9</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:text<br /></strong></tt></td></tr></table></td><td><strong>ED</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td>Lediglich reference in den Text der zugehörigen Section</td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:reference<br /></strong></tt></td></tr></table></td><td><strong>URL</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:statusCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">completed</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:effectiveTime<br /></strong></tt></td></tr></table></td><td><strong>IVL_TS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td>effectiveTime wird auch als "biologisch relevante Zeit" bezeichnet und ist der Zeitpunkt oder Zeitraum, für den die Beobachtung für den Patienten gilt.<br /> Beispiel: Für Gesundheitsdienstleister, die einen Patienten heute in der Klinik sehen anamenstisch einen Herzinfarkt erheben, der vor fünf Jahren stattgefunden hat, ist effectiveTime: vor fünf                        Jahren.<br /> Die effectiveTime hier ist die definitive Angabe, ob die zugrunde liegende Erkrankung behoben ist. effectiveTime.low ist der Beginn des Problems für den Patienten. Wenn das Problem noch nicht gelöst ist, wird effectiveTime.high nicht gesetzt. Wenn bekannt ist, dass das Problem gelöst werden kann, dann ist effectiveTime.high vorhanden. Wenn der genaue Zeitpunkt                        der Lösung des Problems nicht bekannt ist, dann ist effectiveTime.high vorhanden und auf nullFlavor "UNK" gesetzt. </td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Ziel der Konzept Id(s): <table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">aktin-data&#8203;element2015(1)-</span>770</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Zeitpunkt der Ersteinschätzung</td><td style="width: 35%; vertical-align: top;">AKTIN-Datensatz v2015.1</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">aktin-data&#8203;element2015(2)-</span>770</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Zeitpunkt der Ersteinschätzung</td><td style="width: 35%; vertical-align: top;">Datensatz Notaufnahmeprotokoll v2015.2</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:low<br /></strong></tt></td></tr></table></td><td><strong>TS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:high<br /></strong></tt></td></tr></table></td><td><strong>TS</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr class="choice"><td style="font-style: italic;" colspan="2">Auswahl</td><td><span style="color: black;"><strong> … 1</strong></span></td><td></td><td colspan="2">Elemente in der Auswahl:<ul><li>hl7:value[not(@nullFlavor)]</li><li>hl7:value</li></ul></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:value<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong> … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td>Ersteinschätzung, kodiert</td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.44 <i>Manchester-Triage-System </i>(DYNAMIC)</td></tr><tr style="vertical-align: top;"><td>oder</td></tr><tr style="vertical-align: top;"><td>Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.45 <i>Emergency Severity Index </i>(DYNAMIC)</td></tr></table></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Ziel der Konzept Id(s): <table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">aktin-data&#8203;element2015(1)-</span>23</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Ersteinschätzung</td><td style="width: 35%; vertical-align: top;">AKTIN-Datensatz v2015.1</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">aktin-data&#8203;element2015(2)-</span>23</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Ersteinschätzung</td><td style="width: 35%; vertical-align: top;">Datensatz Notaufnahmeprotokoll v2015.2</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:value<br /></strong></tt></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong> … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td>Ersteinschätzung, textliche Wiedergabe und Erläuterung, ggf. mit Kode</td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr></table></td></tr></table>
+
<table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.2.276.0.76.10.4042</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;"> gültig ab 2015‑09‑18<p></p>Es gibt Versionen von Templates mit dieser Id:<ul><li>Acuityobservation vom 2015‑09‑18</li><li>Acuityobservation vom 2015‑03‑03</li></ul></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kgreen.png|16px]] Aktiv</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;"></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">Acuityobservation</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Ersteinschätzung</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beschreibung</th><td style="text-align: left;" colspan="3">Ersteinschätzung</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4042</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Entry Level Template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Offen/Geschlossen</th><td style="text-align: left;" colspan="3">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Assoziiert mit</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Assoziiert mit 4 Konzepte</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Id</th><th style="width: 60%; text-align: left;">Name</th><th style="width: 20%; text-align: left;">Datensatz</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">aktin-data&#8203;element2015(1)-</span>23</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Ersteinschätzung</td><td style="text-align: left; vertical-align: top;">AKTIN-Datensatz v2015.1</td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">aktin-data&#8203;element2015(1)-</span>770</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Zeitpunkt der Ersteinschätzung</td><td style="text-align: left; vertical-align: top;">AKTIN-Datensatz v2015.1</td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">aktin-data&#8203;element2015(2)-</span>23</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Ersteinschätzung</td><td style="text-align: left; vertical-align: top;">Datensatz Notaufnahmeprotokoll v2015.2</td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">aktin-data&#8203;element2015(2)-</span>770</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Zeitpunkt der Ersteinschätzung</td><td style="text-align: left; vertical-align: top;">Datensatz Notaufnahmeprotokoll v2015.2</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Benutzt von / Benutzt</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt von 3 Templates, Benutzt 0 Templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Benutzt von Template-Id</th><th style="width: 1%; text-align: left;"> als </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.2.276.0.76.10.3049</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|16px]] Ersteinschätzung</td><td style="text-align: left;">2015‑01‑10</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.1015</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kgreen.png|16px]] Emergency medicine Note CDA document (v1)</td><td style="text-align: left;">2014‑09‑18</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.1019</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kgreen.png|16px]] Emergency medicine Note CDA document (v2)</td><td style="text-align: left;">2016‑06‑01</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beziehung</th><td style="text-align: left;" colspan="3">Spezialisierung: Template 2.16.840.1.113883.10.12.303 (<i>2005‑09‑07</i>)<br />Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.1.13.3.1 (<i>DYNAMIC</i>)</td></tr><tr class="explabel" style="vertical-align: top;"><td style="width: 20em; text-align: left;">Beispiel</td><td colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;"><span class="expcaption">Beispiel</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">observation</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">OBS</span><span class="ppsign">"</span> <span class="ppattribute">moodCode</span><span class="ppsign">="</span><span class="ppcontent">EVN</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.4042</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.4.17.9814184919</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">f6c00464-3551-460a-bea7-299d26dda8bc</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">11283-9</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Acuity assessment</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">text</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">reference</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">#acuity</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">statusCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">completed</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">effectiveTime</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">low</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20150304</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">effectiveTime</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">value</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent">CE</span><span class="ppsign">"</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">3</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.5.438</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">dringend - gelb - 30 Minuten</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">observation</span><span class="ppsign">&gt;</span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Kard</th><th style="width: 2em; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:observation<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr><td style="vertical-align: top;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">OBS</td></tr><tr><td style="vertical-align: top;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@moodCode<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">EVN</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr><td style="vertical-align: top;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@root<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.276.0.76.10.4042</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td rowspan="2" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">11283-9</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:text<br /></strong></tt></td></tr></table></td><td><strong>ED</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td>Lediglich reference in den Text der zugehörigen Section</td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:reference<br /></strong></tt></td></tr></table></td><td><strong>URL</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:statusCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td rowspan="1" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">completed</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:effectiveTime<br /></strong></tt></td></tr></table></td><td><strong>IVL_TS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td>effectiveTime wird auch als "biologisch relevante Zeit" bezeichnet und ist der Zeitpunkt oder Zeitraum, für den die Beobachtung für den Patienten gilt.<br /> Beispiel: Für Gesundheitsdienstleister, die einen Patienten heute in der Klinik sehen anamenstisch einen Herzinfarkt erheben, der vor fünf Jahren stattgefunden hat, ist effectiveTime: vor fünf                        Jahren.<br /> Die effectiveTime hier ist die definitive Angabe, ob die zugrunde liegende Erkrankung behoben ist. effectiveTime.low ist der Beginn des Problems für den Patienten. Wenn das Problem noch nicht gelöst ist, wird effectiveTime.high nicht gesetzt. Wenn bekannt ist, dass das Problem gelöst werden kann, dann ist effectiveTime.high vorhanden. Wenn der genaue Zeitpunkt                        der Lösung des Problems nicht bekannt ist, dann ist effectiveTime.high vorhanden und auf nullFlavor "UNK" gesetzt. </td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Ziel der Konzept Id(s): <table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">aktin-data&#8203;element2015(1)-</span>770</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Zeitpunkt der Ersteinschätzung</td><td style="width: 35%; vertical-align: top;">AKTIN-Datensatz v2015.1</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">aktin-data&#8203;element2015(2)-</span>770</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Zeitpunkt der Ersteinschätzung</td><td style="width: 35%; vertical-align: top;">Datensatz Notaufnahmeprotokoll v2015.2</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:low<br /></strong></tt></td></tr></table></td><td><strong>TS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:high<br /></strong></tt></td></tr></table></td><td><strong>TS</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr class="choice"><td style="font-style: italic;" colspan="2">Auswahl</td><td><span style="color: black;"><strong> … 1</strong></span></td><td></td><td colspan="2">Elemente in der Auswahl:<ul><li>hl7:value[not(@nullFlavor)]</li><li>hl7:value</li></ul></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:value<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong> … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td>Ersteinschätzung, kodiert</td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.44 <i>Manchester-Triage-System </i>(DYNAMIC)</td></tr><tr style="vertical-align: top;"><td>oder</td></tr><tr style="vertical-align: top;"><td>Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.45 <i>Emergency Severity Index </i>(DYNAMIC)</td></tr></table></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Ziel der Konzept Id(s): <table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">aktin-data&#8203;element2015(1)-</span>23</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Ersteinschätzung</td><td style="width: 35%; vertical-align: top;">AKTIN-Datensatz v2015.1</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">aktin-data&#8203;element2015(2)-</span>23</td><td style="vertical-align: top;" title="Ersteinschätzung / ">Ersteinschätzung</td><td style="width: 35%; vertical-align: top;">Datensatz Notaufnahmeprotokoll v2015.2</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:value<br /></strong></tt></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong> … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td>Ersteinschätzung, textliche Wiedergabe und Erläuterung, ggf. mit Kode</td><td style="background-color: #FFEEEE;"><span title="">(Acuityobservation)</span></td></tr></table></td></tr></table>

Version vom 9. Dezember 2016, 03:08 Uhr

Id1.2.276.0.76.10.4042Gültigkeit gültig ab 2015‑09‑18

Es gibt Versionen von Templates mit dieser Id:
  • Acuityobservation vom 2015‑09‑18
  • Acuityobservation vom 2015‑03‑03
StatusKgreen.png AktivVersions-Label
NameAcuityobservationAnzeigenameErsteinschätzung
BeschreibungErsteinschätzung
KontextElternknoten des Template-Element mit Id 1.2.276.0.76.10.4042
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit
Assoziiert mit 4 Konzepte
IdNameDatensatz
aktin-data​element2015(1)-23ErsteinschätzungAKTIN-Datensatz v2015.1
aktin-data​element2015(1)-770Zeitpunkt der ErsteinschätzungAKTIN-Datensatz v2015.1
aktin-data​element2015(2)-23ErsteinschätzungDatensatz Notaufnahmeprotokoll v2015.2
aktin-data​element2015(2)-770Zeitpunkt der ErsteinschätzungDatensatz Notaufnahmeprotokoll v2015.2
Benutzt von / Benutzt
Benutzt von 3 Templates, Benutzt 0 Templates
Benutzt von Template-Id als NameVersion
1.2.276.0.76.10.3049ContainmentKgreen.png Ersteinschätzung2015‑01‑10
1.2.276.0.76.10.1015Link.pngKgreen.png Emergency medicine Note CDA document (v1)2014‑09‑18
1.2.276.0.76.10.1019Link.pngKgreen.png Emergency medicine Note CDA document (v2)2016‑06‑01
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.1.13.3.1 (DYNAMIC)
Beispiel
Beispiel
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4042"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="f6c00464-3551-460a-bea7-299d26dda8bc"/>  <code code="11283-9" codeSystem="2.16.840.1.113883.6.1" displayName="Acuity assessment"/>  <text>
    <reference value="#acuity"/>  </text>
  <statusCode code="completed"/>  <effectiveTime>
    <low value="20150304"/>  </effectiveTime>
  <value xsi:type="CE" code="3" codeSystem="1.2.276.0.76.5.438" displayName="dringend - gelb - 30 Minuten"/></observation>
ItemDTKardKonfBeschreibungLabel
hl7:observation
1 … 1(Acuityobservation)
Treetree.png@classCode
1 … 1FOBS
Treetree.png@moodCode
1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1(Acuityobservation)
Treeblank.pngTreetree.png@root
1 … 1F1.2.276.0.76.10.4042
Treetree.pnghl7:id
II1 … *M(Acuityobservation)
Treetree.pnghl7:code
CE1 … 1M(Acuityobservation)
Treeblank.pngTreetree.png@code
CONF1 … 1F11283-9
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
Treetree.pnghl7:text
ED0 … 1Lediglich reference in den Text der zugehörigen Section(Acuityobservation)
Treeblank.pngTreetree.pnghl7:reference
URL1 … 1(Acuityobservation)
Treetree.pnghl7:statusCode
CS1 … 1M(Acuityobservation)
Treeblank.pngTreetree.png@code
CONF1 … 1Fcompleted
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1ReffectiveTime wird auch als "biologisch relevante Zeit" bezeichnet und ist der Zeitpunkt oder Zeitraum, für den die Beobachtung für den Patienten gilt.
Beispiel: Für Gesundheitsdienstleister, die einen Patienten heute in der Klinik sehen anamenstisch einen Herzinfarkt erheben, der vor fünf Jahren stattgefunden hat, ist effectiveTime: vor fünf Jahren.
Die effectiveTime hier ist die definitive Angabe, ob die zugrunde liegende Erkrankung behoben ist. effectiveTime.low ist der Beginn des Problems für den Patienten. Wenn das Problem noch nicht gelöst ist, wird effectiveTime.high nicht gesetzt. Wenn bekannt ist, dass das Problem gelöst werden kann, dann ist effectiveTime.high vorhanden. Wenn der genaue Zeitpunkt der Lösung des Problems nicht bekannt ist, dann ist effectiveTime.high vorhanden und auf nullFlavor "UNK" gesetzt.
(Acuityobservation)
 Target.pngZiel der Konzept Id(s):
aktin-data​element2015(1)-770Zeitpunkt der ErsteinschätzungAKTIN-Datensatz v2015.1
aktin-data​element2015(2)-770Zeitpunkt der ErsteinschätzungDatensatz Notaufnahmeprotokoll v2015.2
Treeblank.pngTreetree.pnghl7:low
TS1 … 1R(Acuityobservation)
Treeblank.pngTreetree.pnghl7:high
TS0 … 1R(Acuityobservation)
Auswahl … 1Elemente in der Auswahl:
  • hl7:value[not(@nullFlavor)]
  • hl7:value
Treeblank.pngTreetree.pnghl7:value
CE … 1MErsteinschätzung, kodiert(Acuityobservation)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.44 Manchester-Triage-System (DYNAMIC)
oder
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.45 Emergency Severity Index (DYNAMIC)
 Target.pngZiel der Konzept Id(s):
aktin-data​element2015(1)-23ErsteinschätzungAKTIN-Datensatz v2015.1
aktin-data​element2015(2)-23ErsteinschätzungDatensatz Notaufnahmeprotokoll v2015.2
Treeblank.pngTreetree.pnghl7:value
ST … 1RErsteinschätzung, textliche Wiedergabe und Erläuterung, ggf. mit Kode(Acuityobservation)