cdapad:Zugänge Katheter-Section (Template): Unterschied zwischen den Versionen
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− | == Section: | + | == Section: Zugänge Katheter== |
+ | {| class="hl7table" | ||
+ | |bgcolor="ddddff"| || bgcolor="ddddff"| Template-Metadaten | ||
+ | |- | ||
+ | |bgcolor="ddddff"|Template-Typ|| Section | ||
+ | |- | ||
+ | |bgcolor="ddddff"|Template ID|| keine | ||
+ | |- | ||
+ | |bgcolor="ddddff"|generischeres Template || - | ||
+ | |- | ||
+ | |bgcolor="ddddff"|genutztes Templates || - | ||
+ | |- | ||
+ | |bgcolor="ddddff"|nutzende Templates || - | ||
+ | |- | ||
+ | |bgcolor="ddddff"|abgeleitete Templates ||- | ||
+ | |- | ||
+ | |bgcolor="ddddff"|Schwester-Templates || - | ||
+ | |- | ||
+ | |bgcolor="ddddff"|generelle Beschreibung|| Zugänge Katheter | ||
+ | |- | ||
+ | |bgcolor="ddddff"|allg. Erläuterung|| Sektion für Zugänge und Katheter | ||
+ | |- | ||
+ | |bgcolor="ddddff"|Verhältnis zu IHE|| neu | ||
+ | |- | ||
+ | |bgcolor="ddddff"|Ballotierungsstatus|| in Abstimmung | ||
+ | |- | ||
+ | |bgcolor="ddddff"|Erweiterbarkeit|| offen | ||
+ | |} | ||
+ | |||
+ | ===Beschreibung=== | ||
+ | |||
+ | Alle Zugänge und Katheter werden in dieser Sektion festgehalten. | ||
+ | |||
+ | ===Modell=== | ||
+ | |||
+ | [[Datei:zk2.png|800px]] | ||
+ | |||
+ | ===Attribute=== | ||
{| class="hl7table" | {| class="hl7table" | ||
− | |bgcolor=" | + | ! Lvl |
+ | ! RIM | ||
+ | ! Name | ||
+ | ! DT | ||
+ | ! Kard | ||
+ | ! Conf | ||
+ | ! Beschreibung | ||
+ | |||
+ | |- | ||
+ | |1 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |sesction | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |ZugaengeKatheter: Beschreibt Zugänge und Katheder des Patienten | ||
+ | |||
+ | |- | ||
+ | |1 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |@classCode | ||
+ | |CS CNE | ||
+ | |1..1 | ||
+ | |F | ||
+ | |"DOCSECT" | ||
+ | |||
+ | |- | ||
+ | |1 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |@moodCode | ||
+ | |CS CNE | ||
+ | |1..1 | ||
+ | |F | ||
+ | |"EVN" | ||
+ | |||
+ | |- | ||
+ | |1 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |code | ||
+ | |CD CWE | ||
+ | |0..1 | ||
+ | |O | ||
+ | |codeSystem="LOINC", code="ZugängeUndKatheter" | ||
+ | |||
+ | |- | ||
+ | |1 | ||
+ | |bgcolor="ffaaaa"|rel | ||
+ | |entry | ||
+ | | | ||
+ | |1..1 | ||
+ | |R | ||
+ | | | ||
+ | |||
+ | |- | ||
+ | |2 | ||
+ | |bgcolor="ffaaaa"|rel | ||
+ | |@typeCode | ||
+ | |CS CNE | ||
+ | |1..1 | ||
+ | |M | ||
+ | | | ||
+ | |||
+ | |- | ||
+ | |2 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |Observation | ||
+ | | | ||
+ | |0..1 | ||
+ | |O | ||
+ | |ZugaengeKatheter: Eine Observation pro Zugang oder Katheder | ||
+ | |||
+ | |- | ||
+ | |3 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |@classCode | ||
+ | |CS CNE | ||
+ | |1..1 | ||
+ | |M | ||
+ | |OBS | ||
+ | |||
+ | |- | ||
+ | |3 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |@moodCode | ||
+ | |CS CNE | ||
+ | |1..1 | ||
+ | |M | ||
+ | |EVN | ||
+ | |||
+ | |- | ||
+ | |3 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |code | ||
+ | |CD CWE | ||
+ | |0..1 | ||
+ | |O | ||
+ | |codeSystem="1.2.276.0.76.3.1.81.4.6.0", code="7.0" | ||
+ | |||
+ | |- | ||
+ | |3 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |effectiveTime | ||
+ | |TS | ||
+ | |0..1 | ||
+ | |O | ||
+ | |Datum der Erfassung | ||
+ | |||
+ | |- | ||
+ | |3 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |text | ||
+ | |ST | ||
+ | |0..1 | ||
+ | |O | ||
+ | |Anmerkung als Freitext | ||
+ | |||
+ | |- | ||
+ | |3 | ||
+ | |bgcolor="ff8888"|act | ||
+ | |id | ||
+ | |Set<II> | ||
+ | |0..* | ||
+ | |O | ||
+ | |Identifier | ||
+ | |||
+ | |- | ||
+ | |3 | ||
+ | |bgcolor="ccffff"|part | ||
+ | |device | ||
+ | | | ||
+ | |0..1 | ||
+ | |R | ||
+ | | | ||
+ | |||
+ | |- | ||
+ | |4 | ||
+ | |bgcolor="ccffff"|part | ||
+ | |@typeCode | ||
+ | |CS CNE | ||
+ | |0..1 | ||
+ | |F | ||
+ | |"DEV" | ||
+ | |||
+ | |- | ||
+ | |4 | ||
+ | |bgcolor="ffff88"|rol | ||
+ | |ManufacturedProduct | ||
+ | | | ||
+ | |0..* | ||
+ | |O | ||
+ | | | ||
+ | |||
+ | |- | ||
+ | |5 | ||
+ | |bgcolor="ffff88"|rol | ||
+ | |@classCode | ||
+ | |CS CNE | ||
+ | |1..1 | ||
+ | |F | ||
+ | |"MANU" | ||
+ | |||
+ | |- | ||
+ | |5 | ||
+ | |bgcolor="88ff88"|ent | ||
+ | |Device | ||
+ | | | ||
+ | |0..1 | ||
+ | |O | ||
+ | |Beschreibt des Katheder oder den Zugang | ||
+ | |||
+ | |- | ||
+ | |6 | ||
+ | |bgcolor="88ff88"|ent | ||
+ | |@classCode | ||
+ | |CS CNE | ||
+ | |1..1 | ||
+ | |M | ||
+ | |DEV | ||
+ | |||
|- | |- | ||
− | |bgcolor=" | + | |6 |
+ | |bgcolor="88ff88"|ent | ||
+ | |@determinerCode | ||
+ | |CS CNE | ||
+ | |1..1 | ||
+ | |M | ||
+ | |INSTANCE | ||
+ | |||
|- | |- | ||
− | |bgcolor=" | + | |6 |
+ | |bgcolor="88ff88"|ent | ||
+ | |id | ||
+ | |SET<II> | ||
+ | |0..* | ||
+ | |O | ||
+ | |Identifier des verwendeten Produkts (Produkt ID) | ||
+ | |||
|- | |- | ||
− | |bgcolor=" | + | |6 |
+ | |bgcolor="88ff88"|ent | ||
+ | |code | ||
+ | |CD CWE | ||
+ | |0..1 | ||
+ | |O | ||
+ | |codeSystem=codeSystem="1.2.276.0.76.3.1.81.4.6.0", code="7.1" | ||
+ | |||
|- | |- | ||
− | |bgcolor=" | + | |6 |
+ | |bgcolor="88ff88"|ent | ||
+ | |manufacturerModelName | ||
+ | |SC CWE | ||
+ | |0..1 | ||
+ | |O | ||
+ | |codeSystem="1.2.276.0.76.3.1.81.4.6.7" code=Angabe aus Katalog "Zugänge und Katheder" | ||
+ | |||
+ | |} | ||
+ | |||
+ | === Katalog "Zugänge und Katheder" (OID 1.2.276.0.76.3.1.81.4.6.7) === | ||
+ | |||
+ | |||
+ | {| class="hl7table" | ||
|- | |- | ||
− | + | ! Code | |
+ | ! Beschreibung | ||
+ | |||
|- | |- | ||
− | | | + | | 1 |
+ | | PEG | ||
+ | |||
|- | |- | ||
− | | | + | | 2 |
+ | |ZVK | ||
+ | |||
|- | |- | ||
− | | | + | | 3 |
+ | |DK | ||
+ | |||
|- | |- | ||
− | | | + | | 4 |
+ | |Port | ||
+ | |||
|- | |- | ||
− | | | + | | 5 |
+ | |Pumpe | ||
+ | |||
|- | |- | ||
− | | | + | | 6 |
+ | |Tracheostoma | ||
+ | |||
|- | |- | ||
− | | | + | | 7 |
+ | |Sonstiges (Beschreibung dann als [[Cdapd:Wichtige Anmerkungen-Section (Template)|Anmerkung]]) | ||
+ | |||
|} | |} | ||
+ | ===Beispiel=== | ||
+ | <syntaxhighlight lang="xml"> | ||
+ | <section> | ||
+ | <templateID /> | ||
+ | <code code="ZugängeUndKatheter" codeSystem="LOINC"/> | ||
+ | <title>Zugänge</title> | ||
+ | <text...</text> | ||
+ | <entry typeCode="DRIV"> | ||
+ | <observation classCode="OBS" moodCode="EVN"> | ||
+ | <code xsi:type="CD" code="7.0" codeSystem="1.2.276.0.76.3.1.81.4.6.0" codeSystemName="Palliativinhalte" displayName="ZugängeUndKatheter"/> | ||
+ | <text> | ||
+ | Anmerkung | ||
+ | </text> | ||
+ | <effectiveTime value="20140201" /> | ||
+ | <participant typeCode="DEV"> | ||
+ | <participantRole classCode="ROL"> | ||
+ | <playingDevice classCode="DEV"> | ||
+ | <code code="7.1" codeSystem="1.2.276.0.76.3.1.81.4.6.0" codeSystemName="Palliativinhalte" displayName="Device"/> | ||
+ | <manufacturerModelName code="2" codeSystem="1.2.276.0.76.3.1.81.4.6.7" /> | ||
+ | </playingDevice> | ||
+ | </participantRole> | ||
+ | </participant> | ||
+ | <entryRelationship typeCode="COMP"> | ||
+ | <!-- Neuer Eintrag --> | ||
+ | </entryRelationship> | ||
+ | </observation> | ||
+ | </entry> | ||
+ | </section> | ||
+ | </syntaxhighlight> | ||
− | [[Kategorie:CDA Section Level Template| | + | [[Kategorie:CDA Section Level Template|Zugänge Katheter]] |
− | [[Kategorie: | + | [[Kategorie:cdapad|Zugänge Katheter]] |
Aktuelle Version vom 24. Juni 2014, 11:33 Uhr
Inhaltsverzeichnis
Section: Zugänge Katheter
Template-Metadaten | |
Template-Typ | Section |
Template ID | keine |
generischeres Template | - |
genutztes Templates | - |
nutzende Templates | - |
abgeleitete Templates | - |
Schwester-Templates | - |
generelle Beschreibung | Zugänge Katheter |
allg. Erläuterung | Sektion für Zugänge und Katheter |
Verhältnis zu IHE | neu |
Ballotierungsstatus | in Abstimmung |
Erweiterbarkeit | offen |
Beschreibung
Alle Zugänge und Katheter werden in dieser Sektion festgehalten.
Modell
Attribute
Lvl | RIM | Name | DT | Kard | Conf | Beschreibung |
---|---|---|---|---|---|---|
1 | act | sesction | ZugaengeKatheter: Beschreibt Zugänge und Katheder des Patienten | |||
1 | act | @classCode | CS CNE | 1..1 | F | "DOCSECT" |
1 | act | @moodCode | CS CNE | 1..1 | F | "EVN" |
1 | act | code | CD CWE | 0..1 | O | codeSystem="LOINC", code="ZugängeUndKatheter" |
1 | rel | entry | 1..1 | R | ||
2 | rel | @typeCode | CS CNE | 1..1 | M | |
2 | act | Observation | 0..1 | O | ZugaengeKatheter: Eine Observation pro Zugang oder Katheder | |
3 | act | @classCode | CS CNE | 1..1 | M | OBS |
3 | act | @moodCode | CS CNE | 1..1 | M | EVN |
3 | act | code | CD CWE | 0..1 | O | codeSystem="1.2.276.0.76.3.1.81.4.6.0", code="7.0" |
3 | act | effectiveTime | TS | 0..1 | O | Datum der Erfassung |
3 | act | text | ST | 0..1 | O | Anmerkung als Freitext |
3 | act | id | Set<II> | 0..* | O | Identifier |
3 | part | device | 0..1 | R | ||
4 | part | @typeCode | CS CNE | 0..1 | F | "DEV" |
4 | rol | ManufacturedProduct | 0..* | O | ||
5 | rol | @classCode | CS CNE | 1..1 | F | "MANU" |
5 | ent | Device | 0..1 | O | Beschreibt des Katheder oder den Zugang | |
6 | ent | @classCode | CS CNE | 1..1 | M | DEV |
6 | ent | @determinerCode | CS CNE | 1..1 | M | INSTANCE |
6 | ent | id | SET<II> | 0..* | O | Identifier des verwendeten Produkts (Produkt ID) |
6 | ent | code | CD CWE | 0..1 | O | codeSystem=codeSystem="1.2.276.0.76.3.1.81.4.6.0", code="7.1" |
6 | ent | manufacturerModelName | SC CWE | 0..1 | O | codeSystem="1.2.276.0.76.3.1.81.4.6.7" code=Angabe aus Katalog "Zugänge und Katheder" |
Katalog "Zugänge und Katheder" (OID 1.2.276.0.76.3.1.81.4.6.7)
Code | Beschreibung |
---|---|
1 | PEG |
2 | ZVK |
3 | DK |
4 | Port |
5 | Pumpe |
6 | Tracheostoma |
7 | Sonstiges (Beschreibung dann als Anmerkung) |
Beispiel
<section>
<templateID />
<code code="ZugängeUndKatheter" codeSystem="LOINC"/>
<title>Zugänge</title>
<text...</text>
<entry typeCode="DRIV">
<observation classCode="OBS" moodCode="EVN">
<code xsi:type="CD" code="7.0" codeSystem="1.2.276.0.76.3.1.81.4.6.0" codeSystemName="Palliativinhalte" displayName="ZugängeUndKatheter"/>
<text>
Anmerkung
</text>
<effectiveTime value="20140201" />
<participant typeCode="DEV">
<participantRole classCode="ROL">
<playingDevice classCode="DEV">
<code code="7.1" codeSystem="1.2.276.0.76.3.1.81.4.6.0" codeSystemName="Palliativinhalte" displayName="Device"/>
<manufacturerModelName code="2" codeSystem="1.2.276.0.76.3.1.81.4.6.7" />
</playingDevice>
</participantRole>
</participant>
<entryRelationship typeCode="COMP">
<!-- Neuer Eintrag -->
</entryRelationship>
</observation>
</entry>
</section>