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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><th style="border:1px solid #C0C0C0; width: 107pt; text-align: left;"><strong>Template </strong></th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Problem Observation (Abschlussdiagnose)<i> / Problemobservationeddiagnosis</i></td></tr><tr><th style="text-align: left;">Id</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">1.2.276.0.76.10.4049</td></tr><tr><th style="text-align: left;"> Version </th><td xmlns="" style="text-align: left; background-color: #F6F3EE"> gültig ab 2015‑03‑03 Status <img xmlns="http://www.w3.org/1999/xhtml" alt="draft" src="https://art-decor.org/ADAR/rv/assets/kyellow.png" class="tipsz" title="draft" /> In Entwicklung</td></tr><tr><th style="text-align: left;">Klassifikation</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">CDA entry level template</td></tr><tr><th style="text-align: left;">Kontext</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4049</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Offen/Geschlossen</th><td xmlns="" style="background-color: #F6F3EE">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Beschreibung</th><td xmlns="">Beschwerden, Symptome, Diagnose, Probleme etc., hier: Abschlussdiagnose ggf. mit ICD10-Kode</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Assoziiert mit</th><td xmlns="" style="vertical-align: top;" colspan="3"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td xmlns="" style="height: 30px;" colspan="2">Assoziiert mit 10 Konzepte</td></tr><tr><td xmlns="" colspan="2"><div><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" 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 xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10012</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 1</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>44</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 1</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10013</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 2</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>45</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 2</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10019</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 3</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>756</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 3</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10020</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 4</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>758</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 4</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10021</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 5</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>760</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 5</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Benutzt von / Benutzt</th><td xmlns="" style="vertical-align: top;" colspan="3"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td xmlns="" style="height: 30px;" colspan="2">Benutzt von / Benutzt 3 Templates</td></tr><tr><td xmlns="" colspan="2"><div><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" 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 xmlns="" style="text-align: left;">1.2.276.0.76.10.4048</td><td xmlns="" style="text-align: left;">Containment</td><td xmlns="" style="text-align: left;">Problemconcernacteddiagnoses <i xmlns="http://www.w3.org/1999/xhtml">Problem Concern Act (Abschlussdiagnosen)</i></td><td xmlns="" style="text-align: left;">2015‑03‑03</td></tr><tr><td xmlns="" style="text-align: left;">1.2.276.0.76.10.3055</td><td xmlns="" style="text-align: left;">[[Datei:Link.png|15px]]</td><td xmlns="" style="text-align: left;">Eddiagnosis <i xmlns="http://www.w3.org/1999/xhtml">Abschlussdiagnosen</i></td><td xmlns="" style="text-align: left;">2015‑01‑10</td></tr><tr><td xmlns="" style="text-align: left;">1.2.276.0.76.10.1015</td><td xmlns="" style="text-align: left;">[[Datei:Link.png|15px]]</td><td xmlns="" style="text-align: left;">EmergencymedicineNoteCDAdocument <i xmlns="http://www.w3.org/1999/xhtml">Emergency medicine Note CDA document</i></td><td xmlns="" style="text-align: left;">2014‑09‑18</td></tr></table></div></td></tr></table></td></tr><tr><th style="text-align: left;">Beziehung</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Spezialisierung: Template 2.16.840.1.113883.10.12.303 (<i xmlns="http://www.w3.org/1999/xhtml">2005‑09‑07</i>)<br xmlns="http://www.w3.org/1999/xhtml" />Adaptation: Template 2.16.840.1.113883.10.20.22.4.4 (<i xmlns="http://www.w3.org/1999/xhtml">DYNAMIC</i>)</td></tr><tr class="explabel" style="vertical-align: top;"><td xmlns="">Beispiel</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><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">1.2.276.0.76.10.4049</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></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">8764b7c0-2111-43f2-a784-9a5fdfaa67f0</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></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">282291009</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.96</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Diagnosis</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></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">#compl-1</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></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><br /></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><br /></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">A05.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.5.413</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Botulismus</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">observation</span><span class="ppsign">&gt;</span></span></tt></td></tr><tr><td xmlns="" colspan="2" class="tabtab"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" style="background: transparent;"><tr><th style="width: 1%; text-align: left;">Item</th><th style="width: 1%; text-align: left;">DT</th><th style="width: 1%; text-align: left;">Kard</th><th style="width: 1%; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 1%; text-align: left;">Label</th></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:observation<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml"></strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@classCode<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">OBS</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@moodCode<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">EVN</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@negationInd<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">0 .. 1</td><td xmlns=""> </td><td xmlns="" colspan="2"></td></tr><tr><td xmlns="" style="background-color: white"> </td><td xmlns="" style="vertical-align: top; text-align: left;">[[Datei:Target.png|15px]]</td><td xmlns="" colspan="4" style="background-color: #F4FFF4" class="tabtab">Ziel der Konzept Id(s): <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10012</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 1</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10013</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 2</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10019</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 3</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10020</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 4</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10021</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 5</td></tr></table></td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">II</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@root<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">1.2.276.0.76.10.4049</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:id<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">II</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. *</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:code<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">CE</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@code<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">282291009</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">2.16.840.1.113883.6.96 (SNOMED Clinical Terms)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:text<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">ED</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>0 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns="">Textform, enthält hier lediglich reference in den Text der Section</td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:reference<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">URL</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:statusCode<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">CS</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@code<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">completed</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:effectiveTime<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">IVL_TS</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns="">effectiveTime wird auch als "biologisch relevante Zeit" bezeichnet und ist der Zeitpunkt oder Zeitraum,                        für den die Beobachtung für den Patienten gilt.<br xmlns="http://www.w3.org/1999/xhtml" />                        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 xmlns="http://www.w3.org/1999/xhtml" />                        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 xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:low<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">TS</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>R</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:high<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">TS</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>0 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>R</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:value<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">CE</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>R</strong></span></td><td xmlns="">ICD-10 Kode</td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td xmlns="" style="background-color: white"> </td><td xmlns="" class="conf">Constraint</td><td xmlns="" style="background-color: #FAFAD2" colspan="4">Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme (ICD), 10. Revision, German Modification, jeweils aktuelle Fassung</td></tr><tr><td xmlns="" style="background-color: white"> </td><td xmlns="" style="vertical-align: top;" class="conf">CONF </td><td xmlns="" colspan="4"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td xmlns="">muss aus der Konzeptdomäne "ICD-10 GM" gewählt werden</td></tr></table></td></tr><tr><td xmlns="" style="background-color: white"> </td><td xmlns="" style="vertical-align: top; text-align: left;">[[Datei:Target.png|15px]]</td><td xmlns="" colspan="4" style="background-color: #F4FFF4" class="tabtab">Ziel der Konzept Id(s): <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>44</td><td xmlns="" style="vertical-align: top;">ICD10 1</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>45</td><td xmlns="" style="vertical-align: top;">ICD10 2</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>756</td><td xmlns="" style="vertical-align: top;">ICD10 3</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>758</td><td xmlns="" style="vertical-align: top;">ICD10 4</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>760</td><td xmlns="" style="vertical-align: top;">ICD10 5</td></tr></table></td></tr><tr class="explabel" style="vertical-align: top;"><td xmlns="" style="background-color: white"> </td><td xmlns="">Beispiel</td><td xmlns="" colspan="4"><tt xmlns="http://www.w3.org/1999/xhtml"><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">A05.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.5.413</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Botulismus</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></span></tt></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><th style="border:1px solid #C0C0C0; width: 107pt; text-align: left;"><strong>Template </strong></th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Problem Observation (Abschlussdiagnose)<i> / Problemobservationeddiagnosis</i></td></tr><tr><th style="text-align: left;">Id</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">1.2.276.0.76.10.4049</td></tr><tr><th style="text-align: left;"> Version </th><td xmlns="" style="text-align: left; background-color: #F6F3EE"> gültig ab 2015‑03‑03 Status [[Datei:Kyellow.png]] In Entwicklung</td></tr><tr><th style="text-align: left;">Klassifikation</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">CDA entry level template</td></tr><tr><th style="text-align: left;">Kontext</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4049</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Offen/Geschlossen</th><td xmlns="" style="background-color: #F6F3EE">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Beschreibung</th><td xmlns="">Beschwerden, Symptome, Diagnose, Probleme etc., hier: Abschlussdiagnose ggf. mit ICD10-Kode</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Assoziiert mit</th><td xmlns="" style="vertical-align: top;" colspan="3"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td xmlns="" style="height: 30px;" colspan="2">Assoziiert mit 10 Konzepte</td></tr><tr><td xmlns="" colspan="2"><div><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" 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 xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10012</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 1</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>44</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 1</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10013</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 2</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>45</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 2</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10019</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 3</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>756</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 3</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10020</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 4</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>758</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 4</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10021</td><td xmlns="" style="text-align: left; vertical-align: top;">Abschlussdiagnose 5</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr><tr><td xmlns="" style="text-align: left; vertical-align: top; width: 1%;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>760</td><td xmlns="" style="text-align: left; vertical-align: top;">ICD10 5</td><td xmlns="" style="text-align: left; vertical-align: top;">AKTIN-Datensatz</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Benutzt von / Benutzt</th><td xmlns="" style="vertical-align: top;" colspan="3"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td xmlns="" style="height: 30px;" colspan="2">Benutzt von / Benutzt 3 Templates</td></tr><tr><td xmlns="" colspan="2"><div><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" 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 xmlns="" style="text-align: left;">1.2.276.0.76.10.4048</td><td xmlns="" style="text-align: left;">Containment</td><td xmlns="" style="text-align: left;">Problemconcernacteddiagnoses <i xmlns="http://www.w3.org/1999/xhtml">Problem Concern Act (Abschlussdiagnosen)</i></td><td xmlns="" style="text-align: left;">2015‑03‑03</td></tr><tr><td xmlns="" style="text-align: left;">1.2.276.0.76.10.3055</td><td xmlns="" style="text-align: left;">[[Datei:Link.png|15px]]</td><td xmlns="" style="text-align: left;">Eddiagnosis <i xmlns="http://www.w3.org/1999/xhtml">Abschlussdiagnosen</i></td><td xmlns="" style="text-align: left;">2015‑01‑10</td></tr><tr><td xmlns="" style="text-align: left;">1.2.276.0.76.10.1015</td><td xmlns="" style="text-align: left;">[[Datei:Link.png|15px]]</td><td xmlns="" style="text-align: left;">EmergencymedicineNoteCDAdocument <i xmlns="http://www.w3.org/1999/xhtml">Emergency medicine Note CDA document</i></td><td xmlns="" style="text-align: left;">2014‑09‑18</td></tr></table></div></td></tr></table></td></tr><tr><th style="text-align: left;">Beziehung</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Spezialisierung: Template 2.16.840.1.113883.10.12.303 (<i xmlns="http://www.w3.org/1999/xhtml">2005‑09‑07</i>)<br xmlns="http://www.w3.org/1999/xhtml" />Adaptation: Template 2.16.840.1.113883.10.20.22.4.4 (<i xmlns="http://www.w3.org/1999/xhtml">DYNAMIC</i>)</td></tr><tr class="explabel" style="vertical-align: top;"><td xmlns="">Beispiel</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><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">1.2.276.0.76.10.4049</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></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">8764b7c0-2111-43f2-a784-9a5fdfaa67f0</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></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">282291009</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.96</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Diagnosis</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></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">#compl-1</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></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><br /></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><br /></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">A05.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.5.413</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Botulismus</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">observation</span><span class="ppsign">&gt;</span></span></tt></td></tr><tr><td xmlns="" colspan="2" class="tabtab"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" style="background: transparent;"><tr><th style="width: 1%; text-align: left;">Item</th><th style="width: 1%; text-align: left;">DT</th><th style="width: 1%; text-align: left;">Kard</th><th style="width: 1%; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 1%; text-align: left;">Label</th></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:observation<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml"></strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@classCode<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">OBS</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@moodCode<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">EVN</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@negationInd<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">0 .. 1</td><td xmlns=""> </td><td xmlns="" colspan="2"></td></tr><tr><td xmlns="" style="background-color: white"> </td><td xmlns="" style="vertical-align: top; text-align: left;">[[Datei:Target.png|15px]]</td><td xmlns="" colspan="4" style="background-color: #F4FFF4" class="tabtab">Ziel der Konzept Id(s): <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10012</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 1</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10013</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 2</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10019</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 3</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10020</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 4</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>10021</td><td xmlns="" style="vertical-align: top;">Abschlussdiagnose 5</td></tr></table></td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">II</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@root<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">1.2.276.0.76.10.4049</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:id<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">II</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. *</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:code<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">CE</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@code<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">282291009</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">2.16.840.1.113883.6.96 (SNOMED Clinical Terms)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:text<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">ED</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>0 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns="">Textform, enthält hier lediglich reference in den Text der Section</td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:reference<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">URL</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:statusCode<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">CS</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@code<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">completed</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:effectiveTime<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">IVL_TS</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns="">effectiveTime wird auch als "biologisch relevante Zeit" bezeichnet und ist der Zeitpunkt oder Zeitraum,                        für den die Beobachtung für den Patienten gilt.<br xmlns="http://www.w3.org/1999/xhtml" />                        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 xmlns="http://www.w3.org/1999/xhtml" />                        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 xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:low<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">TS</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>R</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|15px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:high<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">TS</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>0 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>R</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|15px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:value<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">CE</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>R</strong></span></td><td xmlns="">ICD-10 Kode</td><td xmlns="" style="background-color: #FFEEEE">(Problemobservationeddiagnosis)</td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td xmlns="" style="background-color: white"> </td><td xmlns="" class="conf">Constraint</td><td xmlns="" style="background-color: #FAFAD2" colspan="4">Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme (ICD), 10. Revision, German Modification, jeweils aktuelle Fassung</td></tr><tr><td xmlns="" style="background-color: white"> </td><td xmlns="" style="vertical-align: top;" class="conf">CONF </td><td xmlns="" colspan="4"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td xmlns="">muss aus der Konzeptdomäne "ICD-10 GM" gewählt werden</td></tr></table></td></tr><tr><td xmlns="" style="background-color: white"> </td><td xmlns="" style="vertical-align: top; text-align: left;">[[Datei:Target.png|15px]]</td><td xmlns="" colspan="4" style="background-color: #F4FFF4" class="tabtab">Ziel der Konzept Id(s): <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>44</td><td xmlns="" style="vertical-align: top;">ICD10 1</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>45</td><td xmlns="" style="vertical-align: top;">ICD10 2</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>756</td><td xmlns="" style="vertical-align: top;">ICD10 3</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>758</td><td xmlns="" style="vertical-align: top;">ICD10 4</td></tr><tr style="background-color: #F4FFF4"><td xmlns="" style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">aktin-data&#8203;element2015(1)-</span>760</td><td xmlns="" style="vertical-align: top;">ICD10 5</td></tr></table></td></tr><tr class="explabel" style="vertical-align: top;"><td xmlns="" style="background-color: white"> </td><td xmlns="">Beispiel</td><td xmlns="" colspan="4"><tt xmlns="http://www.w3.org/1999/xhtml"><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">A05.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.5.413</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Botulismus</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span><br /></span></tt></td></tr></table></td></tr></table>

Version vom 20. Juni 2015, 16:53 Uhr

Template Problem Observation (Abschlussdiagnose) / Problemobservationeddiagnosis
Id1.2.276.0.76.10.4049
Version gültig ab 2015‑03‑03 Status Kyellow.png In Entwicklung
KlassifikationCDA entry level template
KontextElternknoten des Template-Element mit Id 1.2.276.0.76.10.4049
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
BeschreibungBeschwerden, Symptome, Diagnose, Probleme etc., hier: Abschlussdiagnose ggf. mit ICD10-Kode
Assoziiert mit
Assoziiert mit 10 Konzepte
IdNameDatensatz
aktin-data​element2015(1)-10012Abschlussdiagnose 1AKTIN-Datensatz
aktin-data​element2015(1)-44ICD10 1AKTIN-Datensatz
aktin-data​element2015(1)-10013Abschlussdiagnose 2AKTIN-Datensatz
aktin-data​element2015(1)-45ICD10 2AKTIN-Datensatz
aktin-data​element2015(1)-10019Abschlussdiagnose 3AKTIN-Datensatz
aktin-data​element2015(1)-756ICD10 3AKTIN-Datensatz
aktin-data​element2015(1)-10020Abschlussdiagnose 4AKTIN-Datensatz
aktin-data​element2015(1)-758ICD10 4AKTIN-Datensatz
aktin-data​element2015(1)-10021Abschlussdiagnose 5AKTIN-Datensatz
aktin-data​element2015(1)-760ICD10 5AKTIN-Datensatz
Benutzt von / Benutzt
Benutzt von / Benutzt 3 Templates
Benutzt von Template-Id als NameVersion
1.2.276.0.76.10.4048ContainmentProblemconcernacteddiagnoses Problem Concern Act (Abschlussdiagnosen)2015‑03‑03
1.2.276.0.76.10.3055Link.pngEddiagnosis Abschlussdiagnosen2015‑01‑10
1.2.276.0.76.10.1015Link.pngEmergencymedicineNoteCDAdocument Emergency medicine Note CDA document2014‑09‑18
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Adaptation: Template 2.16.840.1.113883.10.20.22.4.4 (DYNAMIC)
Beispiel<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4049"/>
  <id root="1.2.276.0.76.4.17.9814184919" extension="8764b7c0-2111-43f2-a784-9a5fdfaa67f0"/>
  <code code="282291009" codeSystem="2.16.840.1.113883.6.96" displayName="Diagnosis"/>
  <text>
    <reference value="#compl-1"/>
  </text>
  <statusCode code="completed"/>
  <effectiveTime>
    <low value="20150304"/>
  </effectiveTime>
  <value xsi:type="CE" code="A05.1" codeSystem="1.2.276.0.76.5.413" displayName="Botulismus"/>
</observation>
ItemDTKardKonfBeschreibungLabel
hl7:observation
1 .. 1(Problemobservationeddiagnosis)
Treetree.png@classCode
1 .. 1FOBS
Treetree.png@moodCode
1 .. 1FEVN
Treetree.png@negationInd
0 .. 1 
 Target.pngZiel der Konzept Id(s):
aktin-data​element2015(1)-10012Abschlussdiagnose 1
aktin-data​element2015(1)-10013Abschlussdiagnose 2
aktin-data​element2015(1)-10019Abschlussdiagnose 3
aktin-data​element2015(1)-10020Abschlussdiagnose 4
aktin-data​element2015(1)-10021Abschlussdiagnose 5
Treetree.pnghl7:templateId
II1 .. 1(Problemobservationeddiagnosis)
Treeblank.pngTreetree.png@root
1 .. 1F1.2.276.0.76.10.4049
Treetree.pnghl7:id
II1 .. *M(Problemobservationeddiagnosis)
Treetree.pnghl7:code
CE1 .. 1M(Problemobservationeddiagnosis)
Treeblank.pngTreetree.png@code
1 .. 1F282291009
Treeblank.pngTreetree.png@codeSystem
1 .. 1F2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
Treetree.pnghl7:text
ED0 .. 1Textform, enthält hier lediglich reference in den Text der Section(Problemobservationeddiagnosis)
Treeblank.pngTreetree.pnghl7:reference
URL1 .. 1(Problemobservationeddiagnosis)
Treetree.pnghl7:statusCode
CS1 .. 1M(Problemobservationeddiagnosis)
Treeblank.pngTreetree.png@code
1 .. 1Fcompleted
Treetree.pnghl7:effectiveTime
IVL_TS1 .. 1MeffectiveTime 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.
(Problemobservationeddiagnosis)
Treeblank.pngTreetree.pnghl7:low
TS1 .. 1R(Problemobservationeddiagnosis)
Treeblank.pngTreetree.pnghl7:high
TS0 .. 1R(Problemobservationeddiagnosis)
Treetree.pnghl7:value
CE1 .. 1RICD-10 Kode(Problemobservationeddiagnosis)
 ConstraintInternationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme (ICD), 10. Revision, German Modification, jeweils aktuelle Fassung
 CONF
muss aus der Konzeptdomäne "ICD-10 GM" gewählt werden
 Target.pngZiel der Konzept Id(s):
aktin-data​element2015(1)-44ICD10 1
aktin-data​element2015(1)-45ICD10 2
aktin-data​element2015(1)-756ICD10 3
aktin-data​element2015(1)-758ICD10 4
aktin-data​element2015(1)-760ICD10 5
 Beispiel<value xsi:type="CE" code="A05.1" codeSystem="1.2.276.0.76.5.413" displayName="Botulismus"/>