Test89: Unterschied zwischen den Versionen

Aus Hl7wiki
Wechseln zu: Navigation, Suche
Zeile 1: Zeile 1:
 
<table class="ad-template-table"><tr><td style="padding: 7px 7px 7px 7px;"><ol style="padding: 0px !important;">
 
<table class="ad-template-table"><tr><td style="padding: 7px 7px 7px 7px;"><ol style="padding: 0px !important;">
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdadocumentlevel"> Document </div> Emergency medicine Note CDA document ([[1.2.276.0.76.10.1019]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdadocumentlevel"> Document </div> Trauma Summary CDA document ([[1.2.276.0.76.10.1021]])
 
<ol>
 
<ol>
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaheaderlevel"> Header </div> CDA recordTarget (nnar) ([[1.2.276.0.76.10.2032]])
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaheaderlevel"> Header </div> CDA recordTarget (nnar) ([[1.2.276.0.76.10.2032]])
Zeile 10: Zeile 10:
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaheaderlevel"> Header </div> CDA informationRecipient ([[1.2.276.0.76.10.2005]])
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaheaderlevel"> Header </div> CDA informationRecipient ([[1.2.276.0.76.10.2005]])
 
<ol></ol></li>
 
<ol></ol></li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaheaderlevel"> Header </div> CDA participant Kostentraeger ([[1.2.276.0.76.10.2022]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaheaderlevel"> Header </div> Dienstleistung/Behandlung (Trauma) ([[1.2.276.0.76.10.2042]])</li>
−
<ol></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Unfallereignis ([[1.2.276.0.76.10.3068]])
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaheaderlevel"> Header </div> Dienstleistung/Behandlung (Basis) ([[1.2.276.0.76.10.2035]])</li>
+
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaheaderlevel"> Header </div> CDA encompassingEncounter Patientenkontakt (Basis) ([[1.2.276.0.76.10.2036]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Injury Event Detail ([[1.2.276.0.76.10.4088]])
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Transportmittel ([[1.2.276.0.76.10.3045]])
+
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Trauma Injury Observation Organizer ([[1.2.276.0.76.10.4089]])
 +
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Traumatic Injury Observation ([[1.2.276.0.76.10.4092]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Injury Severity Score Body Region Observation ([[1.2.276.0.76.10.4168]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Injury Severity Observation ([[1.2.276.0.76.10.4167]])</li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Injury Cause Observation Organizer ([[1.2.276.0.76.10.4090]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Transportmethode ([[1.2.276.0.76.10.4037]])</li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Primary Injury Cause Observation ([[1.2.276.0.76.10.4095]])</li></ol></li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Zuweisung ([[1.2.276.0.76.10.3046]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Safety Equipment Observation Organizer ([[1.2.276.0.76.10.4091]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Zuweisung mit Zuweiser ([[1.2.276.0.76.10.4038]])</li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Safety Equipment Used Observation ([[1.2.276.0.76.10.4096]])</li></ol></li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Notfallanamnese ([[1.2.276.0.76.10.3053]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Pre-trauma ASA score ([[1.2.276.0.76.10.4169]])</li></ol></li></ol></li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Beschwerden bei Vorstellung ([[1.2.276.0.76.10.3048]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Präklinische Zusammenfassung ([[1.2.276.0.76.10.3069]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Problem Concern Act (Text/CEDIS) ([[1.2.276.0.76.10.4039]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> PreHospital Encounter Entry ([[1.2.276.0.76.10.4097]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Problem Observation (Text/CEDIS) ([[1.2.276.0.76.10.4040]])</li></ol></li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Prehospital Encounter Response Observation Organizer ([[1.2.276.0.76.10.4099]])
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Klinische Basisinformationen ([[1.2.276.0.76.10.3047]])
 
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Status Schwangerschaft ([[1.2.276.0.76.10.4043]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Prehospital Encounter Response Unit Scene Arrival Observation ([[1.2.276.0.76.10.4163]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Immunisierung Clostridium tetani ([[1.2.276.0.76.10.4044]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Prehospital Encounter Response Unit Scene Departure Observation ([[1.2.276.0.76.10.4164]])</li></ol></li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Modified Rankin Scale ([[1.2.276.0.76.10.4045]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Transportation Observation Organizer ([[1.2.276.0.76.10.4100]])
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Problem Concern Act (Multidrug-resistant organism) ([[1.2.276.0.76.10.4072]])
 
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Problem Observation (Multidrug-resistant organism) ([[1.2.276.0.76.10.4073]])</li></ol></li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Alarmierungszeit Rettungsmittel ([[1.2.276.0.76.10.4098]])</li></ol></li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Vitalparameter ([[1.2.276.0.76.10.3044]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Vital Sign Observations Organizer ([[1.2.276.0.76.10.4101]])
 
<ol>
 
<ol>
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Atemfrequenz ([[1.2.276.0.76.10.4030]])</li>
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Atemfrequenz ([[1.2.276.0.76.10.4030]])</li>
Zeile 44: Zeile 48:
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Pupillenreaktion ([[1.2.276.0.76.10.4047]])</li>
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Pupillenreaktion ([[1.2.276.0.76.10.4047]])</li>
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Körperkerntemperatur ([[1.2.276.0.76.10.4035]])</li>
 
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Körperkerntemperatur ([[1.2.276.0.76.10.4035]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Schmerz ([[1.2.276.0.76.10.4036]])</li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Schmerz ([[1.2.276.0.76.10.4036]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Diagnostik ([[1.2.276.0.76.10.3050]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Endtidales CO2 ([[1.2.276.0.76.10.4103]])</li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Glasgow Coma Scale ([[1.2.276.0.76.10.4034]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Intoxications Observations Organizer ([[1.2.276.0.76.10.4102]])
 +
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Intoxication Alcohol Drug Observation ([[1.2.276.0.76.10.4104]])</li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> FAST Befunde ([[1.2.276.0.76.10.4105]])
 +
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> FAST Befunde freie Flüssigkeit ([[1.2.276.0.76.10.4134]])</li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Prehospital procedures performed Organizer ([[1.2.276.0.76.10.4106]])
 +
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> HWS Immobilisation ([[1.2.276.0.76.10.4107]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Endotracheale Intubation ([[1.2.276.0.76.10.4108]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Supraglottische Atemwegshilfe ([[1.2.276.0.76.10.4109]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Chirurgische Atemwegssicherung ([[1.2.276.0.76.10.4110]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Thoraxdrainage ([[1.2.276.0.76.10.4111]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Sauerstoffapplikation ([[1.2.276.0.76.10.4112]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Periphervenöser Zugang ([[1.2.276.0.76.10.4113]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Zentralvenöser Zugang ([[1.2.276.0.76.10.4114]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Arterieller Zugang ([[1.2.276.0.76.10.4115]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Intraossärer Zugang ([[1.2.276.0.76.10.4116]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Herzdruckmassage ([[1.2.276.0.76.10.4117]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Defibrillation ([[1.2.276.0.76.10.4118]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Blutstillung ([[1.2.276.0.76.10.4119]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Frakturbehandlung ([[1.2.276.0.76.10.4120]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Beckengurt ([[1.2.276.0.76.10.4121]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Analgosedierung ([[1.2.276.0.76.10.4122]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Thermoprotektion ([[1.2.276.0.76.10.4123]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Reanimation ([[1.2.276.0.76.10.4124]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Kristalloide Infusionslösungen ([[1.2.276.0.76.10.4125]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Kolloidale Infusionslösungen ([[1.2.276.0.76.10.4126]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Katecholamine ([[1.2.276.0.76.10.4127]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Tranexamsäure ([[1.2.276.0.76.10.4128]])</li></ol></li></ol></li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Schockraum Episode ([[1.2.276.0.76.10.3071]])
 +
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Emergency Room Encounter Entry ([[1.2.276.0.76.10.4129]])
 +
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Emergency Room procedures performed Organizer ([[1.2.276.0.76.10.4130]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Plain chest X-ray ([[1.2.276.0.76.10.4050]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> HWS Immobilisation ([[1.2.276.0.76.10.4107]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Radiography of spine ([[1.2.276.0.76.10.4051]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Endotracheale Intubation ([[1.2.276.0.76.10.4108]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Pelvis X-ray ([[1.2.276.0.76.10.4052]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Supraglottische Atemwegshilfe ([[1.2.276.0.76.10.4109]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Plain radiography limb structure ([[1.2.276.0.76.10.4053]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Chirurgische Atemwegssicherung ([[1.2.276.0.76.10.4110]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Plain radiography ([[1.2.276.0.76.10.4054]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Thoraxdrainage ([[1.2.276.0.76.10.4111]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Computed tomography of entire head ([[1.2.276.0.76.10.4055]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Sauerstoffapplikation ([[1.2.276.0.76.10.4112]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Computed tomography scan - whole body ([[1.2.276.0.76.10.4056]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Periphervenöser Zugang ([[1.2.276.0.76.10.4113]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Laboratory test ([[1.2.276.0.76.10.4057]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Zentralvenöser Zugang ([[1.2.276.0.76.10.4114]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Magnetic resonance imaging ([[1.2.276.0.76.10.4058]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Arterieller Zugang ([[1.2.276.0.76.10.4115]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Blood gas analysis ([[1.2.276.0.76.10.4059]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Intraossärer Zugang ([[1.2.276.0.76.10.4116]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Urinalysis, reagent strip without microscopy ([[1.2.276.0.76.10.4060]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Herzdruckmassage ([[1.2.276.0.76.10.4117]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik 12 lead electrocardiogram ([[1.2.276.0.76.10.4061]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Defibrillation ([[1.2.276.0.76.10.4118]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Diagnostic ultrasonography ([[1.2.276.0.76.10.4062]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Blutstillung ([[1.2.276.0.76.10.4119]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Computerized axial tomography ([[1.2.276.0.76.10.4063]])</li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Frakturbehandlung ([[1.2.276.0.76.10.4120]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Diagnostik Echocardiography ([[1.2.276.0.76.10.4064]])</li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Beckengurt ([[1.2.276.0.76.10.4121]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Allergien und Unverträglichkeiten ([[1.2.276.0.76.10.3051]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Analgosedierung ([[1.2.276.0.76.10.4122]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Thermoprotektion ([[1.2.276.0.76.10.4123]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Reanimation ([[1.2.276.0.76.10.4124]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Kristalloide Infusionslösungen ([[1.2.276.0.76.10.4125]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Kolloidale Infusionslösungen ([[1.2.276.0.76.10.4126]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Katecholamine ([[1.2.276.0.76.10.4127]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Erythrozyten-Konzentrat ([[1.2.276.0.76.10.4131]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Faktor XIII ([[1.2.276.0.76.10.4132]])</li></ol></li></ol></li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Körperliche Untersuchung ([[1.2.276.0.76.10.3072]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Klinik Zusammenfassung ([[1.2.276.0.76.10.3073]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Allergy Concern Act ([[1.2.276.0.76.10.4065]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Hospital Care Episode Encounter ([[1.2.276.0.76.10.4133]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Allergy / Intolerance Observation ([[1.2.276.0.76.10.4066]])</li></ol></li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Inpatient Hospital Encounter Detail Observation Organizer ([[1.2.276.0.76.10.4136]])
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Befunde / Verlauf / durchgeführte Therapie ([[1.2.276.0.76.10.3054]])
 
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Isolation ([[1.2.276.0.76.10.4068]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Relevant Blood Loss ([[1.2.276.0.76.10.4137]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Endtidales CO2 ([[1.2.276.0.76.10.4103]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> FAST Befunde ([[1.2.276.0.76.10.4105]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Isolation Indication ([[1.2.276.0.76.10.4069]])</li></ol></li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> FAST Befunde freie Flüssigkeit ([[1.2.276.0.76.10.4134]])</li></ol></li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Abschlussdiagnosen (Basis) ([[1.2.276.0.76.10.3055]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Bildgebende Befunde ([[1.2.276.0.76.10.4135]])</li></ol></li></ol></li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Aufnahmelabor ([[1.2.276.0.76.10.3074]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Problem Concern Act (Abschlussdiagnosen) ([[1.2.276.0.76.10.4048]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Laboratory Results Organizer ([[1.2.276.0.76.10.4138]])
 +
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> pH ([[1.2.276.0.76.10.4139]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Base Excess ([[1.2.276.0.76.10.4140]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Hb ([[1.2.276.0.76.10.4141]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Thrombozytenzahl ([[1.2.276.0.76.10.4142]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Thrombelastogramm ([[1.2.276.0.76.10.4143]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Quick ([[1.2.276.0.76.10.4144]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> aPTT ([[1.2.276.0.76.10.4145]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> INR ([[1.2.276.0.76.10.4146]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Fibrinogen ([[1.2.276.0.76.10.4147]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Ionisiertes Kalzium ([[1.2.276.0.76.10.4148]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Ethanol (Plasma) ([[1.2.276.0.76.10.4149]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> ROTEM ([[1.2.276.0.76.10.4150]])
 +
<ol>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> ROTEM EXTEM-CT ([[1.2.276.0.76.10.4151]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> ROTEM EXTEM-MCF ([[1.2.276.0.76.10.4152]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> ROTEM A10 FIBTEM ([[1.2.276.0.76.10.4153]])</li></ol></li></ol></li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Antikoagulation ([[1.2.276.0.76.10.3075]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Problem Observation (Abschlussdiagnose) ([[1.2.276.0.76.10.4049]])</li></ol></li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Antikoagulans ([[1.2.276.0.76.10.4154]])</li></ol></li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Ersteinschätzung ([[1.2.276.0.76.10.3049]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Notfalleingriffe ([[1.2.276.0.76.10.3076]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Ersteinschätzung ([[1.2.276.0.76.10.4042]])</li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Hirndruckentlastung ([[1.2.276.0.76.10.4155]])</li>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Weiteres Procedere / Therapieempfehlung / Weiterbehandler ([[1.2.276.0.76.10.3056]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Laminektomie ([[1.2.276.0.76.10.4156]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Thorakotomie ([[1.2.276.0.76.10.4157]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Laparotomie ([[1.2.276.0.76.10.4158]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Revaskularisation ([[1.2.276.0.76.10.4159]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Embolisation ([[1.2.276.0.76.10.4160]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Beckenstabilisierung ([[1.2.276.0.76.10.4161]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Stabilisierung Extremitäten ([[1.2.276.0.76.10.4162]])</li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Imaging Results ([[1.2.276.0.76.10.3078]])</li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Abschlussdiagnosen (Trauma) ([[1.2.276.0.76.10.3077]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Weiterbehandlung Verlegung ([[1.2.276.0.76.10.4067]])</li></ol></li>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Problem Concern Act (Abschlussdiagnosen) ([[1.2.276.0.76.10.4048]])
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Zusatzmodule (weitere Dokumentation) ([[1.2.276.0.76.10.3057]])
 
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Zusätzliche externe Dokumentation ([[1.2.276.0.76.10.4070]])
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Problem Observation (Abschlussdiagnose) ([[1.2.276.0.76.10.4049]])</li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Todesursache ([[1.2.276.0.76.10.4165]])</li></ol></li>
 +
<li class="ad-template"><div class="nowrapinline ad-templatetype cdasectionlevel"> Section </div> Procedere/Weiteres Vorgehen (Trauma) ([[1.2.276.0.76.10.3070]])
 
<ol>
 
<ol>
−
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> External Document Reference ([[1.2.276.0.76.10.4071]])</li></ol></li></ol></li></ol></li></ol></td></tr></table></body></html>
+
<li class="ad-template"><div class="nowrapinline ad-templatetype cdaentrylevel"> Entry </div> Disposition Trauma ([[1.2.276.0.76.10.4166]])</li></ol></li></ol></li></ol></td></tr></table>

Version vom 2. Mai 2017, 20:56 Uhr

  1. Document
    Trauma Summary CDA document (1.2.276.0.76.10.1021)
    1. Header
      CDA recordTarget (nnar) (1.2.276.0.76.10.2032)
      1. Header
        CDA author (1.2.276.0.76.10.2033)
        1. Header
          CDA custodian (1.2.276.0.76.10.2034)
          1. Header
            CDA informationRecipient (1.2.276.0.76.10.2005)
            1. Header
              Dienstleistung/Behandlung (Trauma) (1.2.276.0.76.10.2042)
            2. Section
              Unfallereignis (1.2.276.0.76.10.3068)
              1. Entry
                Injury Event Detail (1.2.276.0.76.10.4088)
                1. Entry
                  Trauma Injury Observation Organizer (1.2.276.0.76.10.4089)
                  1. Entry
                    Traumatic Injury Observation (1.2.276.0.76.10.4092)
                  2. Entry
                    Injury Severity Score Body Region Observation (1.2.276.0.76.10.4168)
                  3. Entry
                    Injury Severity Observation (1.2.276.0.76.10.4167)
                2. Entry
                  Injury Cause Observation Organizer (1.2.276.0.76.10.4090)
                  1. Entry
                    Primary Injury Cause Observation (1.2.276.0.76.10.4095)
                3. Entry
                  Safety Equipment Observation Organizer (1.2.276.0.76.10.4091)
                  1. Entry
                    Safety Equipment Used Observation (1.2.276.0.76.10.4096)
                4. Entry
                  Pre-trauma ASA score (1.2.276.0.76.10.4169)
            3. Section
              Präklinische Zusammenfassung (1.2.276.0.76.10.3069)
              1. Entry
                PreHospital Encounter Entry (1.2.276.0.76.10.4097)
                1. Entry
                  Prehospital Encounter Response Observation Organizer (1.2.276.0.76.10.4099)
                  1. Entry
                    Prehospital Encounter Response Unit Scene Arrival Observation (1.2.276.0.76.10.4163)
                  2. Entry
                    Prehospital Encounter Response Unit Scene Departure Observation (1.2.276.0.76.10.4164)
                2. Entry
                  Transportation Observation Organizer (1.2.276.0.76.10.4100)
                  1. Entry
                    Alarmierungszeit Rettungsmittel (1.2.276.0.76.10.4098)
                3. Entry
                  Vital Sign Observations Organizer (1.2.276.0.76.10.4101)
                  1. Entry
                    Atemfrequenz (1.2.276.0.76.10.4030)
                  2. Entry
                    Sauerstoffsättigung (1.2.276.0.76.10.4031)
                  3. Entry
                    Blutdruck systolisch (1.2.276.0.76.10.4032)
                  4. Entry
                    Herzfrequenz (1.2.276.0.76.10.4033)
                  5. Entry
                    Glasgow Coma Scale (1.2.276.0.76.10.4034)
                  6. Entry
                    Pupillenweite (1.2.276.0.76.10.4046)
                  7. Entry
                    Pupillenreaktion (1.2.276.0.76.10.4047)
                  8. Entry
                    Körperkerntemperatur (1.2.276.0.76.10.4035)
                  9. Entry
                    Schmerz (1.2.276.0.76.10.4036)
                  10. Entry
                    Endtidales CO2 (1.2.276.0.76.10.4103)
                4. Entry
                  Glasgow Coma Scale (1.2.276.0.76.10.4034)
                5. Entry
                  Intoxications Observations Organizer (1.2.276.0.76.10.4102)
                  1. Entry
                    Intoxication Alcohol Drug Observation (1.2.276.0.76.10.4104)
                6. Entry
                  FAST Befunde (1.2.276.0.76.10.4105)
                  1. Entry
                    FAST Befunde freie Flüssigkeit (1.2.276.0.76.10.4134)
                7. Entry
                  Prehospital procedures performed Organizer (1.2.276.0.76.10.4106)
                  1. Entry
                    HWS Immobilisation (1.2.276.0.76.10.4107)
                  2. Entry
                    Endotracheale Intubation (1.2.276.0.76.10.4108)
                  3. Entry
                    Supraglottische Atemwegshilfe (1.2.276.0.76.10.4109)
                  4. Entry
                    Chirurgische Atemwegssicherung (1.2.276.0.76.10.4110)
                  5. Entry
                    Thoraxdrainage (1.2.276.0.76.10.4111)
                  6. Entry
                    Sauerstoffapplikation (1.2.276.0.76.10.4112)
                  7. Entry
                    Periphervenöser Zugang (1.2.276.0.76.10.4113)
                  8. Entry
                    Zentralvenöser Zugang (1.2.276.0.76.10.4114)
                  9. Entry
                    Arterieller Zugang (1.2.276.0.76.10.4115)
                  10. Entry
                    Intraossärer Zugang (1.2.276.0.76.10.4116)
                  11. Entry
                    Herzdruckmassage (1.2.276.0.76.10.4117)
                  12. Entry
                    Defibrillation (1.2.276.0.76.10.4118)
                  13. Entry
                    Blutstillung (1.2.276.0.76.10.4119)
                  14. Entry
                    Frakturbehandlung (1.2.276.0.76.10.4120)
                  15. Entry
                    Beckengurt (1.2.276.0.76.10.4121)
                  16. Entry
                    Analgosedierung (1.2.276.0.76.10.4122)
                  17. Entry
                    Thermoprotektion (1.2.276.0.76.10.4123)
                  18. Entry
                    Reanimation (1.2.276.0.76.10.4124)
                  19. Entry
                    Kristalloide Infusionslösungen (1.2.276.0.76.10.4125)
                  20. Entry
                    Kolloidale Infusionslösungen (1.2.276.0.76.10.4126)
                  21. Entry
                    Katecholamine (1.2.276.0.76.10.4127)
                  22. Entry
                    Tranexamsäure (1.2.276.0.76.10.4128)
            4. Section
              Schockraum Episode (1.2.276.0.76.10.3071)
              1. Entry
                Emergency Room Encounter Entry (1.2.276.0.76.10.4129)
                1. Entry
                  Emergency Room procedures performed Organizer (1.2.276.0.76.10.4130)
                  1. Entry
                    HWS Immobilisation (1.2.276.0.76.10.4107)
                  2. Entry
                    Endotracheale Intubation (1.2.276.0.76.10.4108)
                  3. Entry
                    Supraglottische Atemwegshilfe (1.2.276.0.76.10.4109)
                  4. Entry
                    Chirurgische Atemwegssicherung (1.2.276.0.76.10.4110)
                  5. Entry
                    Thoraxdrainage (1.2.276.0.76.10.4111)
                  6. Entry
                    Sauerstoffapplikation (1.2.276.0.76.10.4112)
                  7. Entry
                    Periphervenöser Zugang (1.2.276.0.76.10.4113)
                  8. Entry
                    Zentralvenöser Zugang (1.2.276.0.76.10.4114)
                  9. Entry
                    Arterieller Zugang (1.2.276.0.76.10.4115)
                  10. Entry
                    Intraossärer Zugang (1.2.276.0.76.10.4116)
                  11. Entry
                    Herzdruckmassage (1.2.276.0.76.10.4117)
                  12. Entry
                    Defibrillation (1.2.276.0.76.10.4118)
                  13. Entry
                    Blutstillung (1.2.276.0.76.10.4119)
                  14. Entry
                    Frakturbehandlung (1.2.276.0.76.10.4120)
                  15. Entry
                    Beckengurt (1.2.276.0.76.10.4121)
                  16. Entry
                    Analgosedierung (1.2.276.0.76.10.4122)
                  17. Entry
                    Thermoprotektion (1.2.276.0.76.10.4123)
                  18. Entry
                    Reanimation (1.2.276.0.76.10.4124)
                  19. Entry
                    Kristalloide Infusionslösungen (1.2.276.0.76.10.4125)
                  20. Entry
                    Kolloidale Infusionslösungen (1.2.276.0.76.10.4126)
                  21. Entry
                    Katecholamine (1.2.276.0.76.10.4127)
                  22. Entry
                    Erythrozyten-Konzentrat (1.2.276.0.76.10.4131)
                  23. Entry
                    Faktor XIII (1.2.276.0.76.10.4132)
            5. Section
              Körperliche Untersuchung (1.2.276.0.76.10.3072)
            6. Section
              Klinik Zusammenfassung (1.2.276.0.76.10.3073)
              1. Entry
                Hospital Care Episode Encounter (1.2.276.0.76.10.4133)
                1. Entry
                  Inpatient Hospital Encounter Detail Observation Organizer (1.2.276.0.76.10.4136)
                  1. Entry
                    Relevant Blood Loss (1.2.276.0.76.10.4137)
                  2. Entry
                    Endtidales CO2 (1.2.276.0.76.10.4103)
                  3. Entry
                    FAST Befunde (1.2.276.0.76.10.4105)
                    1. Entry
                      FAST Befunde freie Flüssigkeit (1.2.276.0.76.10.4134)
                  4. Entry
                    Bildgebende Befunde (1.2.276.0.76.10.4135)
            7. Section
              Aufnahmelabor (1.2.276.0.76.10.3074)
              1. Entry
                Laboratory Results Organizer (1.2.276.0.76.10.4138)
                1. Entry
                  pH (1.2.276.0.76.10.4139)
                2. Entry
                  Base Excess (1.2.276.0.76.10.4140)
                3. Entry
                  Hb (1.2.276.0.76.10.4141)
                4. Entry
                  Thrombozytenzahl (1.2.276.0.76.10.4142)
                5. Entry
                  Thrombelastogramm (1.2.276.0.76.10.4143)
                6. Entry
                  Quick (1.2.276.0.76.10.4144)
                7. Entry
                  aPTT (1.2.276.0.76.10.4145)
                8. Entry
                  INR (1.2.276.0.76.10.4146)
                9. Entry
                  Fibrinogen (1.2.276.0.76.10.4147)
                10. Entry
                  Ionisiertes Kalzium (1.2.276.0.76.10.4148)
                11. Entry
                  Ethanol (Plasma) (1.2.276.0.76.10.4149)
                12. Entry
                  ROTEM (1.2.276.0.76.10.4150)
                  1. Entry
                    ROTEM EXTEM-CT (1.2.276.0.76.10.4151)
                  2. Entry
                    ROTEM EXTEM-MCF (1.2.276.0.76.10.4152)
                  3. Entry
                    ROTEM A10 FIBTEM (1.2.276.0.76.10.4153)
            8. Section
              Antikoagulation (1.2.276.0.76.10.3075)
              1. Entry
                Antikoagulans (1.2.276.0.76.10.4154)
            9. Section
              Notfalleingriffe (1.2.276.0.76.10.3076)
              1. Entry
                Hirndruckentlastung (1.2.276.0.76.10.4155)
              2. Entry
                Laminektomie (1.2.276.0.76.10.4156)
              3. Entry
                Thorakotomie (1.2.276.0.76.10.4157)
              4. Entry
                Laparotomie (1.2.276.0.76.10.4158)
              5. Entry
                Revaskularisation (1.2.276.0.76.10.4159)
              6. Entry
                Embolisation (1.2.276.0.76.10.4160)
              7. Entry
                Beckenstabilisierung (1.2.276.0.76.10.4161)
              8. Entry
                Stabilisierung Extremitäten (1.2.276.0.76.10.4162)
            10. Section
              Imaging Results (1.2.276.0.76.10.3078)
            11. Section
              Abschlussdiagnosen (Trauma) (1.2.276.0.76.10.3077)
              1. Entry
                Problem Concern Act (Abschlussdiagnosen) (1.2.276.0.76.10.4048)
                1. Entry
                  Problem Observation (Abschlussdiagnose) (1.2.276.0.76.10.4049)
              2. Entry
                Todesursache (1.2.276.0.76.10.4165)
            12. Section
              Procedere/Weiteres Vorgehen (Trauma) (1.2.276.0.76.10.3070)
              1. Entry
                Disposition Trauma (1.2.276.0.76.10.4166)
          Abgerufen von „https://wiki.hl7.de/index.php?title=Test89&oldid=35465“