Gesamtbeispiel
(Teildokument von Palliativdokumentation)
| Zeile 3: | Zeile 3: | ||
[[Kategorie:cdapd|Gesamtbeispiel ]] | [[Kategorie:cdapd|Gesamtbeispiel ]] | ||
| + | |||
| + | |||
| + | {| class="hl7table" | ||
| + | ! Lvl | ||
| + | ! RIM | ||
| + | ! Name | ||
| + | ! DT | ||
| + | ! Kard | ||
| + | ! Conf | ||
| + | ! Beschreibung | ||
| + | |||
| + | |- | ||
| + | |1 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |ClinicalDocument | ||
| + | | | ||
| + | |null | ||
| + | |M | ||
| + | |Klasse für die Abbildung der klinischen Dokumentation | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@classCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |DOCCLIN | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@moodCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |Status im Behandlungsprozess. In dem Fall handelt es sich um ein stattgefundenes Ereignis. Fix: „EVN“ | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |id | ||
| + | |II | ||
| + | |1..1 | ||
| + | |R | ||
| + | |Eindeutige ID des Dokuments | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |code | ||
| + | |CD CWE | ||
| + | |1..1 | ||
| + | |R | ||
| + | |Eindeutiger Code des Dokuments. | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |title | ||
| + | |ST | ||
| + | |0..1 | ||
| + | |O | ||
| + | |Titel des Dokuments | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |effectiveTime | ||
| + | |TS | ||
| + | |1..1 | ||
| + | |R | ||
| + | |Erstellungsdatum des Dokuments | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |confidenitalityCode | ||
| + | |CD CWE | ||
| + | |1..1 | ||
| + | |R | ||
| + | |Vertraulichkeitsgrad des Dokuments | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |language | ||
| + | |CD CNE | ||
| + | |0..1 | ||
| + | |O | ||
| + | |Sprache des Dokuments | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |setId | ||
| + | |II | ||
| + | |0..1 | ||
| + | |O | ||
| + | |ID des Dokumenten-Sets | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |versionNumber | ||
| + | |ST | ||
| + | |0..1 | ||
| + | |O | ||
| + | |Version des Dokuments | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |component | ||
| + | | | ||
| + | |1..1 | ||
| + | |R | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |3 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |@typeCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |COMP | ||
| + | |||
| + | |- | ||
| + | |3 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |contextConductionInd | ||
| + | |BL | ||
| + | |1..1 | ||
| + | |R | ||
| + | |true | ||
| + | |||
| + | |- | ||
| + | |3 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |StructuredBody | ||
| + | | | ||
| + | |1..1 | ||
| + | |R | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |4 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@classCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |R | ||
| + | |DOCBODY | ||
| + | |||
| + | |- | ||
| + | |4 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@moodCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |R | ||
| + | |EVN | ||
| + | |||
| + | |- | ||
| + | |4 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |component | ||
| + | | | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |5 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |@typeCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |COMP | ||
| + | |||
| + | |- | ||
| + | |5 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |WichtigeAnmerkungen | ||
| + | | | ||
| + | |0..* | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |6 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@classCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |DOCSECT | ||
| + | |||
| + | |- | ||
| + | |6 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@moodCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |EVN | ||
| + | |||
| + | |- | ||
| + | |6 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |entry | ||
| + | | | ||
| + | |0..* | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |7 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |@typeCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |R | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |7 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |Anmerkung | ||
| + | | | ||
| + | |0..* | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |8 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@classCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |OBS | ||
| + | |||
| + | |- | ||
| + | |8 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@moodCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |R | ||
| + | |EVN | ||
| + | |||
| + | |- | ||
| + | |8 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |code | ||
| + | |CD CWE | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |8 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |text | ||
| + | |ED | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |8 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |effectiveTime | ||
| + | |TS | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |8 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |entry | ||
| + | | | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |9 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |@typeCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |9 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |EintragDaten | ||
| + | | | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |10 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@classCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |OBS | ||
| + | |||
| + | |- | ||
| + | |10 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@moodCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |EVN | ||
| + | |||
| + | |- | ||
| + | |10 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |code | ||
| + | |CD CWE | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |10 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |effectiveTime | ||
| + | |TS | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |10 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |value | ||
| + | |ANY CWE | ||
| + | |0..1 | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |10 | ||
| + | |bgcolor="ccffff"|part | ||
| + | |participant | ||
| + | | | ||
| + | |0..* | ||
| + | |O | ||
| + | | | ||
| + | |||
| + | |||
| + | |} | ||
Version vom 3. März 2014, 10:31 Uhr
Dieses Material ist Teil des Leitfadens Palliativdokumentation.
|
Gesamtbeispiel
| Lvl | RIM | Name | DT | Kard | Conf | Beschreibung |
|---|---|---|---|---|---|---|
| 1 | act | ClinicalDocument | null | M | Klasse für die Abbildung der klinischen Dokumentation | |
| 2 | act | @classCode | CS CNE | 1..1 | M | DOCCLIN |
| 2 | act | @moodCode | CS CNE | 1..1 | M | Status im Behandlungsprozess. In dem Fall handelt es sich um ein stattgefundenes Ereignis. Fix: „EVN“ |
| 2 | act | id | II | 1..1 | R | Eindeutige ID des Dokuments |
| 2 | act | code | CD CWE | 1..1 | R | Eindeutiger Code des Dokuments. |
| 2 | act | title | ST | 0..1 | O | Titel des Dokuments |
| 2 | act | effectiveTime | TS | 1..1 | R | Erstellungsdatum des Dokuments |
| 2 | act | confidenitalityCode | CD CWE | 1..1 | R | Vertraulichkeitsgrad des Dokuments |
| 2 | act | language | CD CNE | 0..1 | O | Sprache des Dokuments |
| 2 | act | setId | II | 0..1 | O | ID des Dokumenten-Sets |
| 2 | act | versionNumber | ST | 0..1 | O | Version des Dokuments |
| 2 | rel | component | 1..1 | R | ||
| 3 | rel | @typeCode | CS CNE | 1..1 | M | COMP |
| 3 | rel | contextConductionInd | BL | 1..1 | R | true |
| 3 | act | StructuredBody | 1..1 | R | ||
| 4 | act | @classCode | CS CNE | 1..1 | R | DOCBODY |
| 4 | act | @moodCode | CS CNE | 1..1 | R | EVN |
| 4 | rel | component | 0..1 | O | ||
| 5 | rel | @typeCode | CS CNE | 1..1 | M | COMP |
| 5 | act | WichtigeAnmerkungen | 0..* | O | ||
| 6 | act | @classCode | CS CNE | 1..1 | M | DOCSECT |
| 6 | act | @moodCode | CS CNE | 1..1 | M | EVN |
| 6 | rel | entry | 0..* | O | ||
| 7 | rel | @typeCode | CS CNE | 1..1 | R | |
| 7 | act | Anmerkung | 0..* | O | ||
| 8 | act | @classCode | CS CNE | 1..1 | M | OBS |
| 8 | act | @moodCode | CS CNE | 1..1 | R | EVN |
| 8 | act | code | CD CWE | 0..1 | O | |
| 8 | act | text | ED | 0..1 | O | |
| 8 | act | effectiveTime | TS | 0..1 | O | |
| 8 | rel | entry | 0..1 | O | ||
| 9 | rel | @typeCode | CS CNE | 1..1 | M | |
| 9 | act | EintragDaten | 0..1 | O | ||
| 10 | act | @classCode | CS CNE | 1..1 | M | OBS |
| 10 | act | @moodCode | CS CNE | 1..1 | M | EVN |
| 10 | act | code | CD CWE | 0..1 | O | |
| 10 | act | effectiveTime | TS | 0..1 | O | |
| 10 | act | value | ANY CWE | 0..1 | O | |
| 10 | part | participant | 0..* | O |
|