Gesamtbeispiel
(Teildokument von Palliativdokumentation)
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= Gesamtbeispiel = | = Gesamtbeispiel = | ||
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+ | |||
+ | |||
+ | {| class="hl7table" | ||
+ | ! Lvl | ||
+ | ! RIM | ||
+ | ! Name | ||
+ | ! DT | ||
+ | ! Kard | ||
+ | ! Conf | ||
+ | ! Beschreibung | ||
+ | |||
+ | |- | ||
+ | |1 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |ClinicalDocument | ||
+ | | | ||
+ | | | ||
+ | |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 | ||
+ | | | ||
+ | |||
+ | |||
+ | |} |
Aktuelle Version vom 10. März 2014, 13:22 Uhr
Dieses Material ist Teil des Leitfadens Palliativdokumentation.
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Gesamtbeispiel
Lvl | RIM | Name | DT | Kard | Conf | Beschreibung |
---|---|---|---|---|---|---|
1 | act | ClinicalDocument | 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 |
|