1.2.276.0.76.10.3006/static-2012-01-09: Unterschied zwischen den Versionen
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− | <table class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="border:1px solid #C0C0C0; width: 107pt;" align="left"><strong>Template </strong></th><td align="left" style="background-color: #F6F3EE">Pflegeziel Section<i> / NursingGoalSection</i></td></tr><tr><th align="left">Id</th><td align="left" style="background-color: #F6F3EE">1.2.276.0.76.10.3006</td></tr><tr><th align="left">Klassifikation</th><td align="left" style="background-color: #F6F3EE">CDA section level template</td></tr><tr><th align="left">Kontext</th><td align="left" style="background-color: #F6F3EE">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3006</td></tr><tr><th align="left"> Version </th><td align="left" style="background-color: #F6F3EE"> gültig ab 2012‑01‑09 Status In Entwicklung</td></tr><tr valign="top"><th align="left">Offen/Geschlossen</th><td style="background-color: #F6F3EE">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr valign="top"><th align="left">Beschreibung</th><td> | + | <table class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="border:1px solid #C0C0C0; width: 107pt;" align="left"><strong>Template </strong></th><td align="left" style="background-color: #F6F3EE">Pflegeziel Section<i> / NursingGoalSection</i></td></tr><tr><th align="left">Id</th><td align="left" style="background-color: #F6F3EE">1.2.276.0.76.10.3006</td></tr><tr><th align="left">Klassifikation</th><td align="left" style="background-color: #F6F3EE">CDA section level template</td></tr><tr><th align="left">Kontext</th><td align="left" style="background-color: #F6F3EE">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3006</td></tr><tr><th align="left"> Version </th><td align="left" style="background-color: #F6F3EE"> gültig ab 2012‑01‑09 Status In Entwicklung</td></tr><tr valign="top"><th align="left">Offen/Geschlossen</th><td style="background-color: #F6F3EE">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr valign="top"><th align="left">Beschreibung</th><td>Dieses template dient dem Transport freitextlicher Pflegeziele. Pflegeziele sind Bestandteil des Pflegeprozesses. Sie drücken aus, welcher Zustand z.B. eines bestimmten Patientenzustands erreicht werden soll. Oftmals wird eine Frist gesetzt, bis wann das Ziel erreicht sein soll. Pflegeziele lösen in der Regel Pflegeinterventionen aus. <br clear="none"> <br clear="none"> </td></tr><tr valign="top"><th align="left">Benutzt von / Benutzt</th><td valign="top" colspan="3"><table class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td class="toggler" colspan="2" height="30px">Benutzt von / Benutzt 2 Templates</td></tr><tr><td colspan="2"><div class="toggle"><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" style="background: transparent;"><tr><th width="20%" align="left">Benutzt von Template-Id</th><th width="60%" align="left">Name</th><th width="20%" align="left">Version</th></tr><tr><td align="left">1.2.276.0.76.10.3003</td><td align="left"><i>Pflegeprozess Section</i></td><td align="left">2013‑01‑09</td></tr><tr><th width="20%" align="left">Benutzt Template-Id</th><th width="60%" align="left">Name</th><th width="20%" align="left">Version</th></tr><tr><td align="left">1.2.276.0.76.10.3010</td><td align="left"><i>NursingInterventionSection</i></td><td align="left">2013‑01‑10</td></tr></table></div></td></tr></table></td></tr><tr class="explabel" valign="top"><td>Beispiel</td><td class="explabelblue"><tt><div><span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span><div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.3006</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><div></div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.5.3.1.3.31</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><div></div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">18776-5</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="ppsign">/</span><span class="ppsign">></span><div></div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span><span class="pptext">Pflegeziele</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span><span class="pptext">verbesserte Mobilisation bis zum 23.08.14</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span><div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.3.999</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">--example only--</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><div></div></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span></div></tt></td></tr><tr><td colspan="2" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" style="background: transparent;"><tr><th align="left" width="1%">Item</th><th align="left" width="1%">DT</th><th align="left" width="1%">Card</th><th align="left" width="1%">Conf</th><th align="left">Desc</th><th align="left" width="1%">Label</th></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:section<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>0 .. *</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:templateId<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>II</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr><tr><td><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td>@<tt><strong>root<br></strong></tt></td></tr></table></td><td></td><td>1 .. 1</td><td>F</td><td colspan="2">1.2.276.0.76.10.3006</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:templateId<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>II</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr><tr><td><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td>@<tt><strong>root<br></strong></tt></td></tr></table></td><td></td><td>1 .. 1</td><td>F</td><td colspan="2">1.3.6.1.4.1.19376.1.5.3.1.3.31</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:code<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>CE</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr><tr><td><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td>@<tt><strong>code<br></strong></tt></td></tr></table></td><td></td><td>1 .. 1</td><td>F</td><td colspan="2">18776-5</td></tr><tr><td><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td>@<tt><strong>codeSystem<br></strong></tt></td></tr></table></td><td></td><td>1 .. 1</td><td>F</td><td colspan="2">2.16.840.1.113883.6.1 (LOINC)</td></tr><tr class="explabel" valign="top"><td style="background-color: white"></td><td>Beispiel</td><td class="explabelblue" colspan="4"><tt><div><span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">18776-5</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Plan of Treatment</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">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><div></div></div></tt></td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:title<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>ST</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr><tr bgcolor="#FFEEEE" valign="top"><td style="background-color: white"></td><td class="conf" valign="top">CONF </td><td colspan="4" style="background-color: white"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr valign="top"><td>Elementinhalt muss "Pflegeziele" sein</td></tr></table></td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:text<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. *</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:component<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. *</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>M</strong></span></td><td>Mögliche Untersektion: <ul> <li>Resource</li> <li>Pflegeinterventionen</li> </ul> </td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:section<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr><tr bgcolor="#FFEEEE" valign="top"><td style="background-color: white"></td><td style="background-color: #FFEEEE">Beinhaltet</td><td style="background-color: #FFEEAA" colspan="3">1.2.276.0.76.10.3010 <i>Pflegeintervention Section</i> (2013‑01‑10) mit überschriebener Kardinalität 1 .. 1 Required</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:templateId<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>II</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. *</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingGoalSection)</td></tr></table></td></tr></table> |