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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">Pflegeintervention Section<i> / NursingInterventionSection</i></td></tr><tr><th align="left">Id</th><td align="left" style="background-color: #F6F3EE">1.2.276.0.76.10.3010</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 1.2.276.0.76.10.3010</td></tr><tr><th align="left"> Version </th><td align="left" style="background-color: #F6F3EE"> gültig ab 2013‑01‑10 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>Mithilfe dieses templates können Pflegeinterventionen/Pflegemaßnahmen freitextlich transportiert werden. Im Idealfall werden Pflegemaßnahmen aufgrund eines bestimmten Zustands des Patienten durchgeführt, der sich z.B. in Pflegediagnosen oder Assessments ausdrückt. Somit folgen Pflegeinterventionen zumeist Pflegediagnosen oder Assessments bzw. Score- Werten. Darüber hinaus besteht die Möglichkeit, dass Pflege aufgrund einer bestimmten Zielsetzung aktiv wird, so dass Pflegeinterventionen auch Pflegezielen folgen können. <br clear="none"> </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 4 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><td align="left">1.2.276.0.76.10.3004</td><td align="left"><i>Pflegediagnose Section</i></td><td align="left">2013‑01‑09</td></tr><tr><td align="left">1.2.276.0.76.10.3006</td><td align="left"><i>Pflegeziel Section</i></td><td align="left">2012‑01‑09</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">1.2.276.0.76.10.3011</td><td align="left"><i>NursingOutcomeSection</i></td><td align="left">2013‑01‑10</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">1.2.276.0.76.10.3010</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">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.5.3.1.1.13.2.11</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">29544-3</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">Pflegeintervention</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">zweistündliche Lagerung, rechts, links, Rücken</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 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">1.2.3.999</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">--example only--</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><div></div></div> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></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">(NursingInterventionSection)</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">(NursingInterventionSection)</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">1.2.276.0.76.10.3010</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">(NursingInterventionSection)</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">1.3.6.1.4.1.19376.1.5.3.1.1.13.2.11</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">(NursingInterventionSection)</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">29544-3</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">29544-3</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Procedures</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">(NursingInterventionSection)</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 "Pflegeintervention" 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">(NursingInterventionSection)</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>1 .. *</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>M</strong></span></td><td>Mögliche Untersektion:<ul> <li>Pflegeergebnis</li> </ul> </td><td style="background-color: #FFEEEE">(NursingInterventionSection)</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">1.2.276.0.76.10.3011 <i>Pflegeergebnis Section</i> (2013‑01‑10) mit überschriebener Kardinalität 1 .. * Required Notwendig</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:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treetree.png|15px]]</td><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>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">(NursingInterventionSection)</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:Treeblank.png|15px]]</td><td valign="top">[[Datei:Treeblank.png|15px]]</td><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 .. *</strong></span></td><td style="vertical-align: top;"><span style="color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE">(NursingInterventionSection)</td></tr></table></td></tr></table>
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