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| − | <table class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="border:1px solid #C0C0C0; width: 107pt;" align="left"><strong>Template </strong></th><td align="left" style="background-color: #F6F3EE">Pflegediagnose Section<i> / NursingDiagnosisSection</i></td></tr><tr><th align="left">Id</th><td align="left" style="background-color: #F6F3EE">1.2.276.0.76.10.3004</td></tr><tr><th align="left">Klassifikation</th><td align="left" style="background-color: #F6F3EE">CDA section level template</td></tr><tr><th align="left">Kontext</th><td align="left" style="background-color: #F6F3EE">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3004</td></tr><tr><th align="left"> Version </th><td align="left" style="background-color: #F6F3EE"> gültig ab 2013‑01‑09 Status In Entwicklung</td></tr><tr valign="top"><th align="left">Offen/Geschlossen</th><td style="background-color: #F6F3EE">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr valign="top"><th align="left">Beschreibung</th><td>Mit diesem template werden pflegerische Zustandsbeschreibungen transportiert. Diese Zustandsbeschreibungen können in Form von Pflegediagnosen oder Pflegeproblemen vorliegen. Gemein ist beiden Formen, dass Pflege aufgrund dieser Zustände aktiv wird. Das bedeutet, dass eine Pflegediagnose zumeist eine Pflegeintervention nach sich zieht. <br clear="none"> In diesem Segment werden Pflegediagnosen bzw. Pflegeprobleme klartextlich transportiert. </td></tr><tr valign="top"><th align="left">Benutzt von / Benutzt</th><td valign="top" colspan="3"><table class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td class="toggler" colspan="2" height="30px">Benutzt von / Benutzt 5 Templates</td></tr><tr><td colspan="2"><div class="toggle"><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" style="background: transparent;"><tr><th width="20%" align="left">Benutzt von Template-Id</th><th width="60%" align="left">Name</th><th width="20%" align="left">Version</th></tr><tr><td align="left">1.2.276.0.76.10.3003</td><td align="left"><i>Pflegeprozess Section</i></td><td align="left">2013‑01‑09</td></tr><tr><th width="20%" align="left">Benutzt Template-Id</th><th width="60%" align="left">Name</th><th width="20%" align="left">Version</th></tr><tr><td align="left">1.2.276.0.76.10.3010</td><td align="left"><i>NursingInterventionSection</i></td><td align="left">DYNAMIC</td></tr><tr><td align="left">1.2.276.0.76.10.3007</td><td align="left"><i>EtiologySection</i></td><td align="left">DYNAMIC</td></tr><tr><td align="left">1.2.276.0.76.10.3008</td><td align="left"><i>SymptomsSection</i></td><td align="left">DYNAMIC</td></tr><tr><td align="left">1.2.276.0.76.10.3009</td><td align="left"><i>RessourceSection</i></td><td align="left">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><tr class="explabel" valign="top"><td>Beispiel</td><td class="explabelblue"><tt><div><span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span><div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.3004</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><div></div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">27593-3</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="ppsign">/</span><span class="ppsign">></span><div></div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span><span class="pptext">Pflegediagnose</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span><span class="pptext">Pat. kann sich nicht selbständig mobilisieren</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span style="color:green"><!-- template NursingInterventionSection (dynamic) --><br></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span style="color:green"><!-- template EtiologySection (dynamic) --><br></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span style="color:green"><!-- template SymptomsSection (dynamic) --><br></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span style="color:green"><!-- template RessourceSection (dynamic) --><br></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span></div></tt></td></tr><tr class="explabel" valign="top"><td>Beispiel</td><td class="explabelblue"><tt><div><span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span><div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.3004</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><div></div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">27593-3</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="ppsign">/</span><span class="ppsign">></span><div></div></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span><span class="pptext">Pflegediagnose</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span><span class="pptext">Moblisation, eingeschränkt</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span style="color:green"><!-- template NursingInterventionSection (dynamic) --><br></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span style="color:green"><!-- template EtiologySection (dynamic) --><br></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span style="color:green"><!-- template SymptomsSection (dynamic) --><br></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><div> <span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span><div></div><div> <span style="color:green"><!-- template RessourceSection (dynamic) --><br></span></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></div><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span></div></tt></td></tr><tr><td colspan="2" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" style="background: transparent;"><tr><th align="left" width="1%">Item</th><th align="left" width="1%">DT</th><th align="left" width="1%">Card</th><th align="left" width="1%">Conf</th><th align="left">Desc</th><th align="left" width="1%">Label</th></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:section<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>0 .. *</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:templateId<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>II</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr><td><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td>@<tt><strong>root<br></strong></tt></td></tr></table></td><td></td><td>1 .. 1</td><td>F</td><td colspan="2">1.2.276.0.76.10.3004</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:code<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>CE</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr><td><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td>@<tt><strong>code<br></strong></tt></td></tr></table></td><td></td><td>1 .. 1</td><td>F</td><td colspan="2">27593-3</td></tr><tr><td><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><td>@<tt><strong>codeSystem<br></strong></tt></td></tr></table></td><td></td><td>1 .. 1</td><td>F</td><td colspan="2">2.16.840.1.113883.6.1 (LOINC)</td></tr><tr class="explabel" valign="top"><td style="background-color: white"></td><td>Beispiel</td><td class="explabelblue" colspan="4"><tt><div><span class="ppsign"><</span><span class="ppnamespace"></span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">27593-3</span><span class="ppsign">"</span> <span class="ppattribute">name</span><span class="ppsign">="</span><span class="ppcontent">SkilledNursingTreatmentPlanDiagnosisAddressedByPlan</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Pflegediagnose</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">></span><div></div></div></tt></td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:title<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>ST</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr bgcolor="#FFEEEE" valign="top"><td style="background-color: white"></td><td class="conf" valign="top">CONF </td><td colspan="4" style="background-color: white"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr valign="top"><td>Elementinhalt muss "Pflegediagnose" sein</td></tr></table></td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:text<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong>ED</strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>1 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:component<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>0 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr bgcolor="#FFEEEE" valign="top"><td style="background-color: white"></td><td style="background-color: #FFEEEE">Beinhaltet</td><td style="background-color: #FFEEAA" colspan="3">1.2.276.0.76.10.3010 <i>Pflegeintervention Section</i> (DYNAMIC) mit überschriebener Kardinalität 0 .. 1</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:component<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>0 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr bgcolor="#FFEEEE" valign="top"><td style="background-color: white"></td><td style="background-color: #FFEEEE">Beinhaltet</td><td style="background-color: #FFEEAA" colspan="3">1.2.276.0.76.10.3007 <i>Ätiologie</i> (DYNAMIC) mit überschriebener Kardinalität 0 .. 1</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:component<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>0 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr bgcolor="#FFEEEE" valign="top"><td style="background-color: white"></td><td style="background-color: #FFEEEE">Beinhaltet</td><td style="background-color: #FFEEAA" colspan="3">1.2.276.0.76.10.3008 <i>Symptome</i> (DYNAMIC) mit überschriebener Kardinalität 0 .. 1</td></tr><tr bgcolor="#FFEAEA"><td style="vertical-align: top;"><table class="artdecor" border="0" cellpadding="1" style="background: transparent;"><tr><td valign="top">[[Datei:Treetree.png|15px]]</td><td><tt><strong>hl7:component<br></strong></tt></td></tr></table></td><td style="vertical-align: top;"><strong></strong></td><td style="vertical-align: top;"><span style="color: black;"><strong>0 .. 1</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingDiagnosisSection)</td></tr><tr bgcolor="#FFEEEE" valign="top"><td style="background-color: white"></td><td style="background-color: #FFEEEE">Beinhaltet</td><td style="background-color: #FFEEAA" colspan="3">1.2.276.0.76.10.3009 <i>Resource</i> (DYNAMIC) mit überschriebener Kardinalität 0 .. 1</td></tr></table></td></tr></table>
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