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| | =Beispieldokument= | | =Beispieldokument= |
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| − | <syntaxhighlight lang="xml">
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| − | <?xml version="1.0" encoding="UTF-8"?>
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| − | <?xml-stylesheet type="text/xsl" href="rki-cda-v3.xsl"?>
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| − | <ClinicalDocument xmlns="urn:hl7-org:v3"
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| − | xmlns:sciphox="urn::sciphox-org/sciphox"
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| − | xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
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| − | xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
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| − | <typeId root="2.16.840.1.113883.1.3"
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| − | extension="POCD_HD000040"/>
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| − | <id extension="60467,36049" root="1.2.276.0.58"/>
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| − | <code code="11488-4" codeSystem="2.16.840.1.113883.6.1"
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| − | displayName="Consultation note"/>
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| − | <title>Meldeformular für RKI auf CDA Rel.2 Basis</title>
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| − | <effectiveTime value="20060924"/>
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| − | <confidentialityCode code="N"
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| − | codeSystem="2.16.840.1.113883.5.25"/>
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| − | <languageCode code="de"/>
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| − | <setId extension="D1" root="2.16.840.1.113883.3.933"/>
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| − | <versionNumber value="1"/>
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| − | <recordTarget>
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| − | <!--- Patienten-Daten -->
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| − | <patientRole>
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| − | <id extension="6" root="2.16.840.1.113883.3.933"/>
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| − | <telecom use="WP" value="tel:040-555-12345"/>
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| − | <telecom use="HP" value="tel:040-222-76543"/>
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| − | <addr>
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| − | <streetName>Steinstr.</streetName>
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| − | <houseNumber/>
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| − | <postalCode>30156</postalCode>
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| − | <city>Hamburg</city>
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| − | </addr>
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| − | <patient>
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| − | <name>
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| − | <prefix>Dr.</prefix>
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| − | <given>Alfred</given>
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| − | <family>Hafer</family>
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| − | </name>
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| − | <administrativeGenderCode code="M"
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| − | codeSystem="2.16.840.1.113883.5.1"/>
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| − | <birthTime value="19450601"/>
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| − | </patient>
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| − | <providerOrganization>
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| − | <telecom use="WP" value="tel:061511111111"/>
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| − | <telecom use="WP" value="fax:061512222222"/>
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| − | <addr>
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| − | <streetName>Musterstr.</streetName>
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| − | <houseNumber>1</houseNumber>
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| − | <postalCode>64283</postalCode>
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| − | <city>Darmstadt</city>
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| − | </addr>
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| − | </providerOrganization>
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| − | </patientRole>
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| − | </recordTarget>
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| − | <author>
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| − | <!--- author -->
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| − | <time value="20060924"/>
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| − | <assignedAuthor>
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| − | <id extension="6319123" root="2.16.840.1.113883.3.933"/>
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| − | <assignedPerson>
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| − | <name>
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| − | <prefix>Dr.med. Hans</prefix>
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| − | <given/>
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| − | <family>Topp-Glücklich</family>
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| − | </name>
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| − | </assignedPerson>
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| − | <representedOrganization>
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| − | <name>Dr.med. Hans Topp-Glücklich </name>
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| − | <telecom use="WP" value="tel:061511111111"/>
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| − | <telecom use="WP" value="fax:061512222222"/>
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| − | <addr>
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| − | <streetName>Musterstr.</streetName>
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| − | <houseNumber>1</houseNumber>
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| − | <postalCode>64283</postalCode>
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| − | <city>Darmstadt</city>
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| − | </addr>
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| − | </representedOrganization>
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| − | </assignedAuthor>
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| − | </author>
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| − | <custodian>
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| − | <!--- Organisation von der das Dokument stammt -->
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| − | <assignedCustodian>
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| − | <representedCustodianOrganization>
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| − | <id extension="M345" root="1.2.276.0.58"/>
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| − | <name>Dr.med. Hans Topp-Glücklich </name>
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| − | <telecom nullFlavor="UNK"/>
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| − | <addr>
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| − | <streetName>Musterstr.</streetName>
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| − | <houseNumber>1</houseNumber>
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| − | <postalCode>64283</postalCode>
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| − | <city>Darmstadt</city>
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| − | </addr>
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| − | </representedCustodianOrganization>
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| − | </assignedCustodian>
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| − | </custodian>
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| − | <informationRecipient typeCode="PRCP">
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| − | <!--- Empfaenger -->
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| − | <intendedRecipient>
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| − | <id extension="21233445"
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| − | root="2.16.840.1.113883.3.933"/>
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| − | <receivedOrganization>
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| − | <telecom use="WP" value="fax:02431/901-6210"/>
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| − | <name>
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| − | Landeshauptstadt Kiel<delimiter/>
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| − | Amt für Gesundheit<delimiter/>
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| − | Infektionsschutz/Umwelthygiene
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| − | </name>
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| − | <addr>
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| − | <postBox>11 52</postBox>
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| − | <postalCode>24099</postalCode>
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| − | <city>Kiel</city>
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| − | </addr>
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| − | </receivedOrganization>
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| − | </intendedRecipient>
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| − | </informationRecipient>
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| − | <legalAuthenticator>
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| − | <!--- legalAuthenticator -->
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| − | <time value="20060721"/>
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| − | <signatureCode code="S"/>
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| − | <assignedEntity>
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| − | <id extension="6319123" root="2.16.840.1.113883.3.933"/>
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| − | <assignedPerson>
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| − | <name>
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| − | <prefix>Dr.med. Hans</prefix>
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| − | <given/>
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| − | <family>Topp-Glücklich</family>
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| − | </name>
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| − | </assignedPerson>
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| − | <representedOrganization>
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| − | <name>Dr.med. Hans Topp-Glücklich </name>
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| − | <telecom use="WP" value="fax:061512222222"/>
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| − | <addr>
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| − | <streetName>Musterstr.</streetName>
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| − | <houseNumber>1</houseNumber>
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| − | <postalCode>64283</postalCode>
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| − | <city>Darmstadt</city>
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| − | </addr>
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| − | </representedOrganization>
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| − | </assignedEntity>
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| − | </legalAuthenticator>
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| − | <component>
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| − | <structuredBody>
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| − | <component>
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| − | <!-- meldepflichtige Krankheiten auf CDA Level 2 -->
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| − | <section>
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| − | <templateID root="1.2.276.0.76.3.1.81.1.4.1"/>
| |
| − | <code code="08"
| |
| − | codeSystem="1.2.276.0.76.3.1.81.1.3.1"
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| − | codeSystemName="RKI meldepflichtige Krankheiten"/>
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| − | <title>Botulismus</title>
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| − | <text><content ID="ND_200801"/></text>
| |
| − | </section>
| |
| − | <section>
| |
| − | <templateID root="1.2.276.0.76.3.1.81.1.4.1"/>
| |
| − | <code code="48"
| |
| − | codeSystem="1.2.276.0.76.3.1.81.1.3.1"
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| − | codeSystemName="RKI meldepflichtige Krankheiten"/>
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| − | <title>Cholera</title>
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| − | <text ><content ID="ND_200802"/></text>
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| − | </section>
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| − | <section>
| |
| − | <templateID root="1.2.276.0.76.3.1.81.1.4.1"/>
| |
| − | <code code="34"
| |
| − | codeSystem="1.2.276.0.76.3.1.81.1.3.1"
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| − | codeSystemName="RKI meldepflichtige Krankheiten"/>
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| − | <title>Masern</title>
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| − | <text>
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| − | <list>
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| − | <item>Respiratorsiche Symptomatik
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| − | <content ID="ND_200803"/>
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| − | </item>
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| − | </list>
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| − | </text>
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| − | <!-- Laborwert auf Level 3 -->
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| − | <entry>
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| − | <act classCode="ACT" moodCode="EVN">
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| − | <code code="B05.9" codeSystem="2.16.840.1.?????"
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| − | codeSystemName="ICD"
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| − | displayName="Respiratische Symptomatik"/>
| |
| − | <statusCode code="completed"/>
| |
| − | <entryRelationship typeCode="COMP">
| |
| − | <observation classCode="OBS" moodCode="EVN">
| |
| − | <code code="B05.9"
| |
| − | codeSystem="2.16.840.1.????"
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| − | codeSystemName="ICD"
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| − | displayName="Masern ohne komplikationen">
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| − | <originalText>
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| − | <reference value="#ND_200803"/>
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| − | </originalText>
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| − | </code>
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| − | <statusCode code="completed"/>
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| − | <effectiveTime>
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| − | <center value="200801241025"/>
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| − | </effectiveTime>
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| − | <interpretationCode code="H"
| |
| − | codeSystem="2.16.840.1.113883.5.83"/>
| |
| − | </observation>
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| − | </entryRelationship>
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| − | </act>
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| − | </entry>
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| − | </section>
| |
| − | <section>
| |
| − | <templateID root="1.2.276.0.76.3.1.81.1.4.3"/>
| |
| − | <code code="M"
| |
| − | codeSystem="1.2.276.0.76.3.1.81.1.3.4"
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| − | codeSystemName="working place"/>
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| − | <title>Epidemiologische Situation</title>
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| − | <text>Patient ist im medizinischen Bereich tätig.
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| − | <content ID="ND_200804"/>
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| − | </text>
| |
| − | </section>
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| − | </component>
| |
| − | </structuredBody>
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| − | </component>
| |
| − | </ClinicalDocument>
| |
| − | </syntaxhighlight >
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| − |
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| | [[Kategorie:cdamik|Beispieldokument]] | | [[Kategorie:cdamik|Beispieldokument]] |
