cdapad:Pflegestufe-Section (Template): Unterschied zwischen den Versionen
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===Attribute=== | ===Attribute=== | ||
| + | {| class="hl7table" | ||
| + | ! Lvl | ||
| + | ! RIM | ||
| + | ! Name | ||
| + | ! DT | ||
| + | ! Kard | ||
| + | ! Conf | ||
| + | ! Beschreibung | ||
| + | |- | ||
| + | |1 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |Pflegestufe | ||
| + | | | ||
| + | | | ||
| + | | | ||
| + | |Beschreibt die Pflegestufe des Patienten | ||
| + | |- | ||
| + | |1 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@classCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |DOCSECT | ||
| + | |||
| + | |- | ||
| + | |1 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |@moodCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | |EVN | ||
| + | |||
| + | |- | ||
| + | |1 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |code | ||
| + | |CD CWE | ||
| + | |0..1 | ||
| + | |O | ||
| + | |codeSystem="LOINC", code="Pflegestufe" | ||
| + | |||
| + | |- | ||
| + | |1 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |entry | ||
| + | | | ||
| + | |1..1 | ||
| + | |R | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ffaaaa"|rel | ||
| + | |@typeCode | ||
| + | |CS CNE | ||
| + | |1..1 | ||
| + | |M | ||
| + | | | ||
| + | |||
| + | |- | ||
| + | |2 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |Pflegestufe | ||
| + | | | ||
| + | |0..1 | ||
| + | |O | ||
| + | |Diese Observation beschreibt die Pflegestufe des Patienten | ||
| + | |||
| + | |- | ||
| + | |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="11.0" | ||
| + | |||
| + | |- | ||
| + | |3 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |statusCode | ||
| + | |CS CNE | ||
| + | |0..1 | ||
| + | |O | ||
| + | |Status | ||
| + | |||
| + | |- | ||
| + | |3 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |effectiveTime | ||
| + | |TS | ||
| + | |0..1 | ||
| + | |O | ||
| + | |Antragsdatum | ||
| + | |||
| + | |- | ||
| + | |3 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |value | ||
| + | |ANY CWE | ||
| + | |0..1 | ||
| + | |O | ||
| + | |Angabe der Pflegestufe über Katalog "Pflegestufe" | ||
| + | |||
| + | |- | ||
| + | |3 | ||
| + | |bgcolor="ff8888"|act | ||
| + | |id | ||
| + | |Set<II> | ||
| + | |0..* | ||
| + | |O | ||
| + | |Identifier | ||
| + | |||
| + | |} | ||
| + | |||
| + | === Katalog "Einweisung" (OID 1.2.276.0.76.3.1.81.4.6.15) === | ||
| + | |||
| + | |||
| + | {| class="wikitable" | ||
| + | |- | ||
| + | ! Code | ||
| + | ! Beschreibung | ||
| + | |||
| + | |||
| + | |- | ||
| + | | 1 | ||
| + | || Stufe 0 | ||
| + | |||
| + | |- | ||
| + | | 2 | ||
| + | || Stufe 1 | ||
| + | |||
| + | |- | ||
| + | | 3 | ||
| + | || Stufe 2 | ||
| + | |||
| + | |- | ||
| + | | 4 | ||
| + | || Stufe 3 | ||
| + | |||
| + | |- | ||
| + | | 5 | ||
| + | ||Neueinstufung | ||
| + | |||
| + | |- | ||
| + | | 6 | ||
| + | ||Vorläufige Einstufung nach §3 (NRW) | ||
| + | |||
| + | |} | ||
===Beispiel=== | ===Beispiel=== | ||
| Zeile 65: | Zeile 234: | ||
[[Kategorie:CDA Section Level Template|Pflegestufe]] | [[Kategorie:CDA Section Level Template|Pflegestufe]] | ||
| − | [[Kategorie: | + | [[Kategorie:cdapad|Pflegestufe]] |
Aktuelle Version vom 10. März 2014, 13:20 Uhr
Inhaltsverzeichnis
Section: Pflegestufe
| Template-Metadaten | |
| Template-Typ | Section |
| Template ID | keine |
| generischeres Template | - |
| genutztes Templates | - |
| nutzende Templates | - |
| abgeleitete Templates | - |
| Schwester-Templates | - |
| generelle Beschreibung | Pflegestufe |
| allg. Erläuterung | Sektion für die Pflegestufe |
| Verhältnis zu IHE | neu |
| Ballotierungsstatus | in Abstimmung |
| Erweiterbarkeit | offen |
Die Pflegestufe wird in dieser Sektion festgehalten.
Modell
Attribute
| Lvl | RIM | Name | DT | Kard | Conf | Beschreibung |
|---|---|---|---|---|---|---|
| 1 | act | Pflegestufe | Beschreibt die Pflegestufe des Patienten | |||
| 1 | act | @classCode | CS CNE | 1..1 | M | DOCSECT |
| 1 | act | @moodCode | CS CNE | 1..1 | M | EVN |
| 1 | act | code | CD CWE | 0..1 | O | codeSystem="LOINC", code="Pflegestufe" |
| 1 | rel | entry | 1..1 | R | ||
| 2 | rel | @typeCode | CS CNE | 1..1 | M | |
| 2 | act | Pflegestufe | 0..1 | O | Diese Observation beschreibt die Pflegestufe des Patienten | |
| 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="11.0" |
| 3 | act | statusCode | CS CNE | 0..1 | O | Status |
| 3 | act | effectiveTime | TS | 0..1 | O | Antragsdatum |
| 3 | act | value | ANY CWE | 0..1 | O | Angabe der Pflegestufe über Katalog "Pflegestufe" |
| 3 | act | id | Set<II> | 0..* | O | Identifier |
Katalog "Einweisung" (OID 1.2.276.0.76.3.1.81.4.6.15)
| Code | Beschreibung
|
|---|---|
| 1 | Stufe 0 |
| 2 | Stufe 1 |
| 3 | Stufe 2 |
| 4 | Stufe 3 |
| 5 | Neueinstufung |
| 6 | Vorläufige Einstufung nach §3 (NRW) |
Beispiel
<section>
<code code="Pflegestufe" codeSystem="LOINC"/>
<entry typeCode="DRIV">
<observation classCode="OBS" moodCode="EVN">
<code xsi:type="CD" code="11.0" codeSystem="1.2.276.0.76.3.1.81.4.6.0" codeSystemName="Palliativinhalte" displayName="Pflegestufe"/>
<text>
Anmerkung
</text>
<statusCode code="completed"/>
<effectiveTime value="20140201" />
<value xsi:type="CD" code="2" codeSystem="1.2.276.0.76.3.1.81.4.6.14" codeSystemName="Pflegestufe" displayName="Stufe 1"/>
<entryRelationship typeCode="COMP">
<!-- Neuer Eintrag -->
</entryRelationship>
</observation>
</entry>
</section>
