1.2.276.0.76.3.1.261.1.10.3.6/static-2018-06-04T000000: Unterschied zwischen den Versionen

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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 style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.2.276.0.76.3.1.261.1.10.3.6</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2018‑06‑04</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png|14px]] Entwurf</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;"></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">Dischargediagnosissection2</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Entlassungsdiagnose</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beschreibung</th><td style="text-align: left;" colspan="3">Diagnose, mit der der Patient entlassen wurde<br /></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Section level template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Offen/Geschlossen</th><td style="text-align: left;" colspan="3">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Benutzt von / Benutzt</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt von 0 Transactions und 0 Templates, Benutzt 2 Templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Benutzt</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 style="text-align: left;">1.2.276.0.76.3.1.261.1.10.4.14</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Diagnose Observation</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.3.1.261.1.10.4.7</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] AO Klassifikation Observation</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beziehung</th><td style="text-align: left;" colspan="3">Spezialisierung: Template 2.16.840.1.113883.10.12.201 <i> </i> (2005‑09‑07)</td></tr><tr class="explabel " style="vertical-align: top;"><td style="width: 20em; text-align: left;">Beispiel</td><td colspan="3" class="explabelblue"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Beispiel zur Textformatierung der Diagnosen in Form von Tabellen</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">section</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">1.2.276.0.76.3.1.261.1.10.3.2</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></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">29548-5</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">title</span><span class="ppsign">&gt;</span><span class="pptext">Entlassungsdiagnosen</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">&gt;</span></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">table</span> <span class="ppattribute">border</span><span class="ppsign">="</span><span class="ppcontent">1</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">thead</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">        <span class="ppsign">&lt;</span><span class="ppelement">tr</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">th</span><span class="ppsign">&gt;</span><span class="pptext">Diagnose</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">th</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">th</span><span class="ppsign">&gt;</span><span class="pptext">ICD Code</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">th</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">th</span><span class="ppsign">&gt;</span><span class="pptext">Lokalisation</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">th</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">th</span><span class="ppsign">&gt;</span><span class="pptext">Zusatz</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">th</span><span class="ppsign">&gt;</span></span>        <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">&gt;</span></span>      <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">thead</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">tbody</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">        <span class="ppsign">&lt;</span><span class="ppelement">tr</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">td</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">            <span class="ppsign">&lt;</span><span class="ppelement">content</span> <span class="ppattribute">ID</span><span class="ppsign">="</span><span class="ppcontent">diag_1</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><span class="pptext">Beckenringfraktur</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">content</span><span class="ppsign">&gt;</span></span>          <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">td</span><span class="ppsign">&gt;</span><span class="pptext">S32.8</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">td</span><span class="ppsign">&gt;</span><span class="pptext">--</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">td</span><span class="ppsign">&gt;</span><span class="pptext">G</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">&gt;</span></span>        <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">&gt;</span></span>      <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">tbody</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">table</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">&gt;</span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Kard</th><th style="width: 2em; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:section<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@root<br /></strong></tt></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.276.0.76.3.1.261.1.10.3.6</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td rowspan="2" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">11535-2</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:title<br /></strong></tt></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4" style="background-color: white;"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Elementinhalt muss "Entlassungsdiagnosen" sein</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:text<br /></strong></tt></td></tr></table></td><td><strong>SD.TEXT</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entry<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.276.0.76.3.1.261.1.10.4.14 <i>Diagnose Observation</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo  <i> [hl7:observation [hl7:code [(@code = '52534-5' and @codeSystem = '2.16.840.1.113883.6.1') or (@code = '81885-6' and @codeSystem = '2.16.840.1.113883.6.1')]]]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td rowspan="3" class="stron">Schematron assert</td><td style="background-color: #FFEEEE;">role</td><td colspan="2">[[File:Kred.png|14px]] error</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">test</td><td colspan="2">.//hl7:observation[hl7:templateId/@root='1.2.276.0.76.3.1.261.1.10.4.14']/hl7:code[@code=('52534-5','81885-6')]</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">Meldung</td><td colspan="2"><span class="pptext">Der Code für die Diagnose-Observation muss 52534-5 LOIINC für die Hauptdiagnose oder 81885-6 LOINC für die Nebendiagnosen sein</span></td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entry<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.276.0.76.3.1.261.1.10.4.7 <i>AO Klassifikation Observation</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo  <i> [hl7:observation [hl7:code [(@code = 'L-AOCLASS' and @codeSystem = '2.16.840.1.113883.6.1')]]]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4">AO-Klassifikation ausfüllen, wenn die Hauptdiagnose laut ICD-10 eine Fraktur ist<br /><br /><table class="artdecor" style="background: transparent;"><tr><th>Region/Klasse</th><th>Code inkl. aller Unterklassen</th></tr><tr><td>S02.- Fraktur des Schädels und der Gesichtsschädelknochen</td><td>S02.0 - S02.09</td></tr><tr><td>S12.- Fraktur im Bereich des Halses</td><td>S12.0 - S12.9</td></tr><tr><td>S22.- Fraktur der Rippe(n), des Sternums und der Brustwirbelsäule</td><td>S22.0 - S22.9</td></tr><tr><td>S32.- Fraktur der Lendenwirbelsäule und des Beckens</td><td>S32.0 - S32.89</td></tr><tr><td>S42.- Fraktur im Bereich der Schulter und des Oberarmes</td><td>S42.0 - S42.9</td></tr><tr><td>S52.- Fraktur des Unterarmes</td><td>S52.0 - S52.9</td></tr><tr><td>S62.- Fraktur im Bereich des Handgelenkes und der Hand</td><td>S62.0 - S62.8</td></tr><tr><td>S72.- Fraktur des Femurs</td><td>S72.0 - S72.9</td></tr><tr><td>S82.- Fraktur des Unterschenkels, einschließlich des oberen Sprunggelenkes</td><td>S82.0 - S82.9</td></tr><tr><td>S92.- Fraktur des Fußes [ausgenommen oberes Sprunggelenk]</td><td>S92.0 - S92.9</td></tr><tr><td>T02.- Frakturen mit Beteiligung mehrerer Körperregionen</td><td>T02.0 - T02.91</td></tr><tr><td>T08.- Fraktur der Wirbelsäule, Höhe nicht näher bezeichnet</td><td>T08.0 – T08.1</td></tr><tr><td>T10.- Fraktur der oberen Extremität, Höhe nicht näher bezeichnet</td><td>T10.0 - T10.1</td></tr><tr><td>T12.- Fraktur der unteren Extremität, Höhe nicht näher bezeichnet</td><td>T12.0 - T12.1</td></tr><tr><td>T14.- Verletzung an einer nicht näher bezeichneten Körperregion</td><td>T14.2 - T14.21</td></tr><tr><td>M80.- Osteoporose mit pathologischer Fraktur</td><td>M80.0 - M80.99</td></tr></table></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 style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.2.276.0.76.3.1.261.1.10.3.6</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2018‑06‑04<div>Andere Versionen mit dieser Id:<ul></ul></div></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png|14px]] Entwurf</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;"></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">Dischargediagnosissection2</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Entlassungsdiagnose</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beschreibung</th><td style="text-align: left;" colspan="3">Diagnose, mit der der Patient entlassen wurde<br /></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Section level template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Offen/Geschlossen</th><td style="text-align: left;" colspan="3">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Assoziiert mit</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Assoziiert mit 3 Konzepte</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" 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 style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">dguvbbr-data&#8203;element2-</span>100</td><td style="vertical-align: top;">[[File:Kyellow.png|14px]] Diagnosen/Probleme </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Stationärer Entlassungsbericht  </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">dguvbbr-data&#8203;element2-</span>313</td><td style="vertical-align: top;" title="Diagnosen/Probleme / ">[[File:Kcancelledblue.png|14px]] Nebendiagnose </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Stationärer Entlassungsbericht  </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">dguvbbr-data&#8203;element2-</span>112</td><td style="vertical-align: top;" title="Diagnosen/Probleme / ">[[File:Kyellow.png|14px]] Diagnose/Problem </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Stationärer Entlassungsbericht  </td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Benutzt von / Benutzt</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt von 0 Transactions und 0 Templates, Benutzt 2 Templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Benutzt</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 style="text-align: left;">1.2.276.0.76.3.1.261.1.10.4.14</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Diagnose Observation</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.3.1.261.1.10.4.7</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] AO Klassifikation Observation</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beziehung</th><td style="text-align: left;" colspan="3">Spezialisierung: Template 2.16.840.1.113883.10.12.201 <i> </i> (2005‑09‑07)</td></tr><tr class="explabel " style="vertical-align: top;"><td style="width: 20em; text-align: left;">Beispiel</td><td colspan="3" class="explabelblue"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Beispiel zur Textformatierung der Diagnosen in Form von Tabellen</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">section</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">1.2.276.0.76.3.1.261.1.10.3.2</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></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">29548-5</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">title</span><span class="ppsign">&gt;</span><span class="pptext">Entlassungsdiagnosen</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">&gt;</span></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">table</span> <span class="ppattribute">border</span><span class="ppsign">="</span><span class="ppcontent">1</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">thead</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">        <span class="ppsign">&lt;</span><span class="ppelement">tr</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">th</span><span class="ppsign">&gt;</span><span class="pptext">Diagnose</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">th</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">th</span><span class="ppsign">&gt;</span><span class="pptext">ICD Code</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">th</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">th</span><span class="ppsign">&gt;</span><span class="pptext">Lokalisation</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">th</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">th</span><span class="ppsign">&gt;</span><span class="pptext">Zusatz</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">th</span><span class="ppsign">&gt;</span></span>        <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">&gt;</span></span>      <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">thead</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">tbody</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">        <span class="ppsign">&lt;</span><span class="ppelement">tr</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">td</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">            <span class="ppsign">&lt;</span><span class="ppelement">content</span> <span class="ppattribute">ID</span><span class="ppsign">="</span><span class="ppcontent">diag_1</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><span class="pptext">Beckenringfraktur</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">content</span><span class="ppsign">&gt;</span></span>          <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">td</span><span class="ppsign">&gt;</span><span class="pptext">S32.8</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">td</span><span class="ppsign">&gt;</span><span class="pptext">--</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">          <span class="ppsign">&lt;</span><span class="ppelement">td</span><span class="ppsign">&gt;</span><span class="pptext">G</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">&gt;</span></span>        <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">&gt;</span></span>      <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">tbody</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">table</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">&gt;</span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Kard</th><th style="width: 2em; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:section<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="4">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">dguvbbr-data&#8203;element2-</span>100</td><td style="vertical-align: top;">[[File:Kyellow.png|14px]] Diagnosen/Probleme </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Stationärer Entlassungsbericht  </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">dguvbbr-data&#8203;element2-</span>313</td><td style="vertical-align: top;" title="Diagnosen/Probleme / ">[[File:Kcancelledblue.png|14px]] Nebendiagnose </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Stationärer Entlassungsbericht  </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: grey;">dguvbbr-data&#8203;element2-</span>112</td><td style="vertical-align: top;" title="Diagnosen/Probleme / ">[[File:Kyellow.png|14px]] Diagnose/Problem </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Stationärer Entlassungsbericht  </td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@root<br /></strong></tt></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.276.0.76.3.1.261.1.10.3.6</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td rowspan="2" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">11535-2</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:title<br /></strong></tt></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4" style="background-color: white;"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Elementinhalt muss "Entlassungsdiagnosen" sein</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:text<br /></strong></tt></td></tr></table></td><td><strong>SD.TEXT</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entry<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.276.0.76.3.1.261.1.10.4.14 <i>Diagnose Observation</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo  <i> [hl7:observation [hl7:code [(@code = '52534-5' and @codeSystem = '2.16.840.1.113883.6.1') or (@code = '81885-6' and @codeSystem = '2.16.840.1.113883.6.1')]]]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td rowspan="3" class="stron">Schematron assert</td><td style="background-color: #FFEEEE;">role</td><td colspan="2">[[File:Kred.png|14px]] error</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">test</td><td colspan="2">.//hl7:observation[hl7:templateId/@root='1.2.276.0.76.3.1.261.1.10.4.14']/hl7:code[@code=('52534-5','81885-6')]</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">Meldung</td><td colspan="2"><span class="pptext">Der Code für die Diagnose-Observation muss 52534-5 LOIINC für die Hauptdiagnose oder 81885-6 LOINC für die Nebendiagnosen sein</span></td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entry<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.276.0.76.3.1.261.1.10.4.7 <i>AO Klassifikation Observation</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(Dis...on2)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo  <i> [hl7:observation [hl7:code [(@code = 'L-AOCLASS' and @codeSystem = '2.16.840.1.113883.6.1')]]]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4">AO-Klassifikation ausfüllen, wenn die Hauptdiagnose laut ICD-10 eine Fraktur ist<br /><br /><table class="artdecor" style="background: transparent;"><tr><th>Region/Klasse</th><th>Code inkl. aller Unterklassen</th></tr><tr><td>S02.- Fraktur des Schädels und der Gesichtsschädelknochen</td><td>S02.0 - S02.09</td></tr><tr><td>S12.- Fraktur im Bereich des Halses</td><td>S12.0 - S12.9</td></tr><tr><td>S22.- Fraktur der Rippe(n), des Sternums und der Brustwirbelsäule</td><td>S22.0 - S22.9</td></tr><tr><td>S32.- Fraktur der Lendenwirbelsäule und des Beckens</td><td>S32.0 - S32.89</td></tr><tr><td>S42.- Fraktur im Bereich der Schulter und des Oberarmes</td><td>S42.0 - S42.9</td></tr><tr><td>S52.- Fraktur des Unterarmes</td><td>S52.0 - S52.9</td></tr><tr><td>S62.- Fraktur im Bereich des Handgelenkes und der Hand</td><td>S62.0 - S62.8</td></tr><tr><td>S72.- Fraktur des Femurs</td><td>S72.0 - S72.9</td></tr><tr><td>S82.- Fraktur des Unterschenkels, einschließlich des oberen Sprunggelenkes</td><td>S82.0 - S82.9</td></tr><tr><td>S92.- Fraktur des Fußes [ausgenommen oberes Sprunggelenk]</td><td>S92.0 - S92.9</td></tr><tr><td>T02.- Frakturen mit Beteiligung mehrerer Körperregionen</td><td>T02.0 - T02.91</td></tr><tr><td>T08.- Fraktur der Wirbelsäule, Höhe nicht näher bezeichnet</td><td>T08.0 – T08.1</td></tr><tr><td>T10.- Fraktur der oberen Extremität, Höhe nicht näher bezeichnet</td><td>T10.0 - T10.1</td></tr><tr><td>T12.- Fraktur der unteren Extremität, Höhe nicht näher bezeichnet</td><td>T12.0 - T12.1</td></tr><tr><td>T14.- Verletzung an einer nicht näher bezeichneten Körperregion</td><td>T14.2 - T14.21</td></tr><tr><td>M80.- Osteoporose mit pathologischer Fraktur</td><td>M80.0 - M80.99</td></tr></table></td></tr></table></td></tr></table>

Version vom 25. Juli 2018, 08:30 Uhr

Id1.2.276.0.76.3.1.261.1.10.3.6Gültigkeit2018‑06‑04
Andere Versionen mit dieser Id:
    StatusKyellow.png EntwurfVersions-Label
    NameDischargediagnosissection2AnzeigenameEntlassungsdiagnose
    BeschreibungDiagnose, mit der der Patient entlassen wurde
    KlassifikationCDA Section level template
    Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
    Assoziiert mit
    Assoziiert mit 3 Konzepte
    IdNameDatensatz
    dguvbbr-data​element2-100Kyellow.png Diagnosen/Probleme Kyellow.png Stationärer Entlassungsbericht
    dguvbbr-data​element2-313Kcancelledblue.png Nebendiagnose Kyellow.png Stationärer Entlassungsbericht
    dguvbbr-data​element2-112Kyellow.png Diagnose/Problem Kyellow.png Stationärer Entlassungsbericht
    Benutzt von / Benutzt
    Benutzt von 0 Transactions und 0 Templates, Benutzt 2 Templates
    Benutzt als NameVersion
    1.2.276.0.76.3.1.261.1.10.4.14ContainmentKyellow.png Diagnose ObservationDYNAMIC
    1.2.276.0.76.3.1.261.1.10.4.7ContainmentKyellow.png AO Klassifikation ObservationDYNAMIC
    BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
    Beispiel
    Beispiel zur Textformatierung der Diagnosen in Form von Tabellen
    <section>
      <templateId root="1.2.276.0.76.3.1.261.1.10.3.2"/>  <code code="29548-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <title>Entlassungsdiagnosen</title>  <text>
        <table border="1">
          <thead>
            <tr>
              <th>Diagnose</th>          <th>ICD Code</th>          <th>Lokalisation</th>          <th>Zusatz</th>        </tr>          </thead>          <tbody>
            <tr>
              <td>
                <content ID="diag_1">Beckenringfraktur</content>          </td>              <td>S32.8</td>          <td>--</td>          <td>G</td>        </tr>          </tbody>        </table>      </text>    </section>
    ItemDTKardKonfBeschreibungLabel
    hl7:section
    		(Dis...on2)
     
    Target.png
    dguvbbr-data​element2-100Kyellow.png Diagnosen/Probleme Kyellow.png Stationärer Entlassungsbericht
    dguvbbr-data​element2-313Kcancelledblue.png Nebendiagnose Kyellow.png Stationärer Entlassungsbericht
    dguvbbr-data​element2-112Kyellow.png Diagnose/Problem Kyellow.png Stationärer Entlassungsbericht
    Treetree.pnghl7:templateId
    		II1 … 1(Dis...on2)
    Treeblank.pngTreetree.png@root
    		uid1 … 1F1.2.276.0.76.3.1.261.1.10.3.6
    Treetree.pnghl7:code
    		CE1 … 1M(Dis...on2)
    Treeblank.pngTreetree.png@code
    		CONF1 … 1F11535-2
    Treeblank.pngTreetree.png@codeSystem
    		1 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
    Treetree.pnghl7:title
    		ST1 … 1M(Dis...on2)
     CONF
    Elementinhalt muss "Entlassungsdiagnosen" sein
    Treetree.pnghl7:text
    		SD.TEXT1 … 1M(Dis...on2)
    Treetree.pnghl7:entry
    		0 … *RBeinhaltet 1.2.276.0.76.3.1.261.1.10.4.14 Diagnose Observation (DYNAMIC)(Dis...on2)
    Treeblank.png wo [hl7:observation [hl7:code [(@code = '52534-5' and @codeSystem = '2.16.840.1.113883.6.1') or (@code = '81885-6' and @codeSystem = '2.16.840.1.113883.6.1')]]]
     Schematron assertroleKred.png error 
     test.//hl7:observation[hl7:templateId/@root='1.2.276.0.76.3.1.261.1.10.4.14']/hl7:code[@code=('52534-5','81885-6')] 
     MeldungDer Code für die Diagnose-Observation muss 52534-5 LOIINC für die Hauptdiagnose oder 81885-6 LOINC für die Nebendiagnosen sein 
    Treetree.pnghl7:entry
    		0 … *RBeinhaltet 1.2.276.0.76.3.1.261.1.10.4.7 AO Klassifikation Observation (DYNAMIC)(Dis...on2)
    Treeblank.png wo [hl7:observation [hl7:code [(@code = 'L-AOCLASS' and @codeSystem = '2.16.840.1.113883.6.1')]]]
     ConstraintAO-Klassifikation ausfüllen, wenn die Hauptdiagnose laut ICD-10 eine Fraktur ist

    Region/KlasseCode inkl. aller Unterklassen
    S02.- Fraktur des Schädels und der GesichtsschädelknochenS02.0 - S02.09
    S12.- Fraktur im Bereich des HalsesS12.0 - S12.9
    S22.- Fraktur der Rippe(n), des Sternums und der BrustwirbelsäuleS22.0 - S22.9
    S32.- Fraktur der Lendenwirbelsäule und des BeckensS32.0 - S32.89
    S42.- Fraktur im Bereich der Schulter und des OberarmesS42.0 - S42.9
    S52.- Fraktur des UnterarmesS52.0 - S52.9
    S62.- Fraktur im Bereich des Handgelenkes und der HandS62.0 - S62.8
    S72.- Fraktur des FemursS72.0 - S72.9
    S82.- Fraktur des Unterschenkels, einschließlich des oberen SprunggelenkesS82.0 - S82.9
    S92.- Fraktur des Fußes [ausgenommen oberes Sprunggelenk]S92.0 - S92.9
    T02.- Frakturen mit Beteiligung mehrerer KörperregionenT02.0 - T02.91
    T08.- Fraktur der Wirbelsäule, Höhe nicht näher bezeichnetT08.0 – T08.1
    T10.- Fraktur der oberen Extremität, Höhe nicht näher bezeichnetT10.0 - T10.1
    T12.- Fraktur der unteren Extremität, Höhe nicht näher bezeichnetT12.0 - T12.1
    T14.- Verletzung an einer nicht näher bezeichneten KörperregionT14.2 - T14.21
    M80.- Osteoporose mit pathologischer FrakturM80.0 - M80.99
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