| Id | 1.2.276.0.76.10.4034 | Gültigkeit | gültig ab 2014‑09‑16 |
|---|
| Status |  Aktiv | Versions-Label | |
|---|
| Name | GlasgowComaScale | Anzeigename | Glasgow Coma Scale |
|---|
| Beschreibung | Glasgow Coma Scale (GCS) als Summe und mit den drei Achsen Augenöffnen, verbale Antwort und motorische Antwort |
|---|
| Kontext | Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4034 |
|---|
| Klassifikation | CDA Entry Level Template |
|---|
| Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
|---|
| Benutzt von / Benutzt | | Benutzt von 0 Transactions und 8 Templates, Benutzt 0 Templates | | Benutzt von | als | Name | Version |
|---|
| 1.2.276.0.76.10.3044 | Containment | Vitalparameter | 2015‑09‑18 | | 1.2.276.0.76.10.1015 |  | Emergency medicine Note CDA document (v1) | 2014‑09‑18 | | 1.2.276.0.76.10.1019 | | Emergency medicine Note CDA document (v2) | 2016‑06‑01 | | 1.2.276.0.76.10.3044 | Containment | Vitalparameter | 2014‑09‑16 | | 1.2.276.0.76.10.4101 | Containment |  Vital Sign Observations Organizer | 2017‑02‑01 | | 1.2.276.0.76.10.4097 | | PreHospital Encounter Entry | 2017‑02‑01 | | 1.2.276.0.76.10.3069 | | Präklinik (Episode) | 2017‑01‑10 | | 1.2.276.0.76.10.1021 | | Trauma Summary CDA document (v1) | 2016‑11‑01 |
|
|
|---|
| Beziehung | Spezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07) |
|---|
| Beispiel | | Beispiel | <observation classCode="OBS" moodCode="EVN">
<templateId root="1.2.276.0.76.10.4034"/> <id root="1.2.276.0.76.4.17.9814184919" extension="98c1eb7e-dc2d-4d1f-806a-2ad65eba0351"/> <code code="9269-2" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score total"/> <statusCode code="completed"/> <effectiveTime value="20141019"/> <value xsi:type="PQ" value="9" unit="{score}"/> <entryRelationship typeCode="COMP" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<code code="9267-6" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score eye opening"/> <statusCode code="completed"/> <value xsi:type="PQ" value="4" unit="{score}"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<code code="9270-0" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score verbal"/> <statusCode code="completed"/> <value xsi:type="PQ" value="3" unit="{score}"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<code code="9268-4" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score motor"/> <statusCode code="completed"/> <value xsi:type="PQ" value="2" unit="{score}"/> </observation> </entryRelationship></observation> |
|
| Item | DT | Kard | Konf | Beschreibung | Label |
|---|
| | | | | (Gla…ale) |  | @classCode
|
| | 1 … 1 | F | OBS | | @moodCode
|
| | 1 … 1 | F | EVN | | hl7:templateId
|
| II | 1 … 1 | M | | (Gla…ale) |  | | @root
|
| | 1 … 1 | F | 1.2.276.0.76.10.4034 | | hl7:id
|
| | 0 … 1 | R | | (Gla…ale) | | hl7:code
|
| CE | 1 … 1 | M | | (Gla…ale) | | | @code
|
| CONF | 1 … 1 | F | 9269-2 | | | @codeSystem
|
| 1 … 1 | F | 2.16.840.1.113883.6.1 | | hl7:text
|
| ED | 0 … 1 | | Lediglich reference in den Text der zugehörigen Section | (Gla…ale) | | | hl7:reference
|
| URL | 1 … 1 | | | (Gla…ale) | | hl7:statusCode
|
| CS | 1 … 1 | M | | (Gla…ale) | | | @code
|
| CONF | 1 … 1 | F | completed | | hl7:effectiveTime
|
| TS | 0 … 1 | R | | (Gla…ale) | | hl7:value
|
| PQ | 1 … 1 | R | | (Gla…ale) | | | @value
|
| | 1 … 1 | R | Score | | | @unit
|
| | 1 … 1 | F | {score} | | | CONF | | minInclude low boundary is "3" | | -und- | | maxInclude high boundary is "15" |
| | hl7:entryRelationship
|
| | 0 … 1 | C | | (Gla…ale) | | wo [hl7:observation/hl7:code/@code='9267-6'] |
| | | | @typeCode
|
| | 1 … 1 | F | COMP | | | @contextConductionInd
|
| | 1 … 1 | F | true | | | hl7:observation
|
| | 1 … 1 | M | | (Gla…ale) | | | 1 … 1 | F | OBS | | | 1 … 1 | F | EVN | | CE | 1 … 1 | M | | (Gla…ale) | | CONF | 1 … 1 | F | 9267-6 | | 1 … 1 | F | 2.16.840.1.113883.6.1 | | CS | 1 … 1 | M | | (Gla…ale) | | CONF | 1 … 1 | F | completed | | PQ | 1 … 1 | R | | (Gla…ale) | | | 1 … 1 | R | Score | | | 1 … 1 | F | {score} | | | CONF | | minInclude low boundary is "1" | | -und- | | maxInclude high boundary is "4" |
| | hl7:entryRelationship
|
| | 0 … 1 | C | | (Gla…ale) | | wo [hl7:observation/hl7:code/@code='9270-0'] |
| | | | @typeCode
|
| | 1 … 1 | F | COMP | | | @contextConductionInd
|
| | 1 … 1 | F | true | | | hl7:observation
|
| | 1 … 1 | M | | (Gla…ale) | | | 1 … 1 | F | OBS | | | 1 … 1 | F | EVN | | CE | 1 … 1 | M | | (Gla…ale) | | CONF | 1 … 1 | F | 9270-0 | | 1 … 1 | F | 2.16.840.1.113883.6.1 | | CS | 1 … 1 | M | | (Gla…ale) | | CONF | 1 … 1 | F | completed | | PQ | 1 … 1 | R | | (Gla…ale) | | | 1 … 1 | R | Score | | | 1 … 1 | F | {score} | | | CONF | | minInclude low boundary is "1" | | -und- | | maxInclude high boundary is "5" |
| | hl7:entryRelationship
|
| | 0 … 1 | C | | (Gla…ale) | | wo [hl7:observation/hl7:code/@code='9268-4'] |
| | | | @typeCode
|
| | 1 … 1 | F | COMP | | | @contextConductionInd
|
| | 1 … 1 | F | true | | | hl7:observation
|
| | 1 … 1 | M | | (Gla…ale) | | | 1 … 1 | F | OBS | | | 1 … 1 | F | EVN | | CE | 1 … 1 | M | | (Gla…ale) | | CONF | 1 … 1 | F | 9268-4 | | 1 … 1 | F | 2.16.840.1.113883.6.1 | | CS | 1 … 1 | M | | (Gla…ale) | | CONF | 1 … 1 | F | completed | | PQ | 1 … 1 | R | | (Gla…ale) | | | 1 … 1 | R | Score | | | 1 … 1 | F | {score} | | | CONF | | minInclude low boundary is "1" | | -und- | | maxInclude high boundary is "6" |
|
|
Aktiv
