Item | DT | Kard | Konf | Beschreibung | Label |
---|
| | 0 … * | | | (ClinicalInformationSection) |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @classCode
|
| | 0 … 1 | F | DOCSECT |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @moodCode
|
| | 0 … 1 | F | EVN |
| ![Target.png](/images/Target.png) | Ziel der Konzept Id(s): psr-dataelement-40 | klinische Information | PSR |
|
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:templateId
|
| II | 1 … 1 | R | | (ClinicalInformationSection) |
![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @root
|
| | 1 … 1 | F | 2.16.840.1.113883.2.6.60.6.10.5 |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:code
|
| CE | 0 … 1 | | | (ClinicalInformationSection) |
![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @code
|
| | 1 … 1 | F | 22636-5 |
![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @codeSystem
|
| | 1 … 1 | F | 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @displayName
|
| | 1 … 1 | F | Pathology report relevant history |
![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | @codeSystemName
|
| | 1 … 1 | F | LOINC |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:title
|
| ST | 0 … 1 | | | (ClinicalInformationSection) |
| Beispiel | <title>CLINICAL INFORMATION</title> |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:text
|
| SD.TEXT | 0 … 1 | R | | (ClinicalInformationSection) |
| Beispiel | <text> Tissue submitted: left breast biopsy and apical axillary tissue </text> |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:languageCode
|
| CS | 0 … 1 | | | (ClinicalInformationSection) |
| CONF | Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC) |
|
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:author
|
| | 0 … * | | Beinhaltet 1.2.276.0.76.10.90025 CDA Author (Body) (DYNAMIC) | (ClinicalInformationSection) |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:entry
|
| | 0 … * | | Beinhaltet 2.16.840.1.113883.2.6.60.6.10.34 Problem Organizer (DYNAMIC) | (ClinicalInformationSection) |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:component
|
| | 0 … * | | | (ClinicalInformationSection) |
Eingefügt 0 … 1 | von 1.2.276.0.76.10.3002 Grund der Überweisung Section (DYNAMIC) |
![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:section
|
| | 0 … 1 | | | (ClinicalInformationSection) |
| II | 1 … 1 | | | (ClinicalInformationSection) |
| | 1 … 1 | F | 1.2.276.0.76.10.3002 |
| CE | 1 … 1 | M | | (ClinicalInformationSection) |
| | 1 … 1 | F | 42349-1 |
| | 1 … 1 | F | 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
| Beispiel | <code code="42349-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
|
| | 1 … 1 | M | | (ClinicalInformationSection) |
| CONF | Elementinhalt muss "Grund der Überweisung" sein |
|
| SD.TEXT | 1 … 1 | M | Hier wird die eigentliche Fragestellung platziert. | (ClinicalInformationSection) |
![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:component
|
| | 0 … * | | | (ClinicalInformationSection) |
Eingefügt 0 … 1 | von 1.2.276.0.76.10.3022 Jetzige Anamnese (DYNAMIC) |
![Treeblank.png](/images/thumb/Treeblank.png/16px-Treeblank.png) | ![Treetree.png](/images/thumb/Treetree.png/16px-Treetree.png) | hl7:section
|
| | 0 … 1 | | | (ClinicalInformationSection) |
| II | 1 … 1 | | | (ClinicalInformationSection) |
| | 1 … 1 | F | 1.2.276.0.76.10.3022 |
| CE | 1 … 1 | M | | (ClinicalInformationSection) |
| | 1 … 1 | F | 10164-2 |
| | 1 … 1 | F | 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
| ST | 1 … 1 | M | | (ClinicalInformationSection) |
| CONF | Elementinhalt muss "Jetzige Anamnese" sein |
|
| SD.TEXT | 1 … 1 | M | | (ClinicalInformationSection) |