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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;">1.2.276.0.76.10.3069</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;"> gültig ab 2017‑01‑10</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png|16px]] 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;">Prehospitalsummary</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Präklinische Zusammenfassung</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beschreibung</th><td style="text-align: left;" colspan="3">Section: Präklinische Zusammenfassung</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3069</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 1 Template, Benutzt 1 Template</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 von</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;">1.2.276.0.76.10.1021</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Trauma Summary CDA document (v1)</td><td style="text-align: left;">2016‑11‑01</td></tr><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;">1.2.276.0.76.10.4097</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] PreHospital Encounter Entry</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>%%2</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</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">section</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">DOCSECT</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">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.3069</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">74207-2</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="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Prehospital summary</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">Präklinische Zusammenfassung</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 class="pptext"><br />                        (generierter Text aus den Entries)<br />                        </span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span><span class="pptext">Transport</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">list</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Alarmierungszeit des Rettungsmittels: 2. Januar 2017, 6:51 Uhr</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Eintreffzeit des Rettungsmittels: 2. Januar 2017, 7:07 Uhr</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Transportbeginn: 2. Januar 2017, 7:09 Uhr</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">list</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span><span class="pptext">Vitalparameter</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">list</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Atemfrequenz: 14/min</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Sauerstoffsättigung: 99%</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">CO2</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Blutdruck systolischer: 140 mmHg</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Herzfrequenz: 90/min</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">GCS: (Augenöffnen: spontan, verbale Antwort: orientiert, motorische Antwort: gezielte Bewegung auf Schmerzreiz)</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Pupillenweite: L mittel, R mittel</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Lichtreaktion: prompt</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Körperkerntemperatur: 37,4°C</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">list</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span><span class="pptext">Initiale Präklinische Befunde</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">list</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Schmerz: 4</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Intoxikation: kein Verdacht</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Alkoholintoxikation: kein Verdacht</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Drogenintoxikation: kein Verdacht</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">FAST Befunde: -</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">list</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span><span class="pptext">Präklinische Maßnahmen</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">list</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">HWS Immobilisation: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Intubation: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Supraglottische Atemwegshilfe: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">chirurgische Atemwegssicherung: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Thoraxdrainage: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Sauerstoff: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">periphervenöser Zugang: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">arterieller Zugang</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">ZVK: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">IO Zugang: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Kristalloidgabe: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Kristalloide Menge: 1000 ml</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Kolloidgabe: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Herzdruckmassage: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Defibrillation: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Katecholamine: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Blutstillung: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Fraktur- / Luxationsbehandlung: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Frakturbehandlung mit Reposition: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Frakturbehandlung mit Immobilisierung: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Frakturbehandlung mit achsengerechter Lagerung: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Analgosedierung: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Thermoprotektion: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Reanimation: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Kapnometrie durchgeführt: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Tranexamsäure: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Beckengurt: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">list</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 style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">entry</span><span class="ppsign">&gt;</span><br /><span style="display: block;">    <span style="color:green">&lt;!-- .. --&gt;<br /></span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">entry</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="">(Prehospitalsummary)</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:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">DOCSECT</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="">(Prehospitalsummary)</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></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.276.0.76.10.3069</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="">(Prehospitalsummary)</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">74207-2</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="">(Prehospitalsummary)</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 "Präklinische Zusammenfassung" 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="">(Prehospitalsummary)</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>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.276.0.76.10.4097 <i>PreHospital Encounter Entry</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(Prehospitalsummary)</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:encounter [hl7:code [(@code='FLD' and @codeSystem='2.16.840.1.113883.5.4')]]]</i></td></tr></table></td><td></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>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</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>@context&#8203;Conduction&#8203;Ind<br /></strong></tt></td></tr></table></td><td>bl</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">true</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;">1.2.276.0.76.10.3069</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;"> gültig ab 2017‑01‑10</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;">Prehospitalsummary</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Präklinische Zusammenfassung</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beschreibung</th><td style="text-align: left;" colspan="3">Section: Präklinische Zusammenfassung</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3069</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 1 Template, Benutzt 1 Template</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 von</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;">1.2.276.0.76.10.1021</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Trauma Summary CDA document (v1)</td><td style="text-align: left;">2016‑11‑01</td></tr><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;">1.2.276.0.76.10.4097</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] PreHospital Encounter Entry</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</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">section</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">DOCSECT</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">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.3069</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">74207-2</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="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Prehospital summary</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">Präklinische Zusammenfassung</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 class="pptext"><br />                        (generierter Text aus den Entries)<br />                        </span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span><span class="pptext">Transport</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">list</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Alarmierungszeit des Rettungsmittels: 2. Januar 2017, 6:51 Uhr</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Eintreffzeit des Rettungsmittels: 2. Januar 2017, 7:07 Uhr</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Transportbeginn: 2. Januar 2017, 7:09 Uhr</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">list</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span><span class="pptext">Vitalparameter</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">list</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Atemfrequenz: 14/min</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Sauerstoffsättigung: 99%</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">CO2</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Blutdruck systolischer: 140 mmHg</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Herzfrequenz: 90/min</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">GCS: (Augenöffnen: spontan, verbale Antwort: orientiert, motorische Antwort: gezielte Bewegung auf Schmerzreiz)</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Pupillenweite: L mittel, R mittel</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Lichtreaktion: prompt</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Körperkerntemperatur: 37,4°C</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">list</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span><span class="pptext">Initiale Präklinische Befunde</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">list</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Schmerz: 4</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Intoxikation: kein Verdacht</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Alkoholintoxikation: kein Verdacht</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Drogenintoxikation: kein Verdacht</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">FAST Befunde: -</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">list</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span><span class="pptext">Präklinische Maßnahmen</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">paragraph</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">list</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">HWS Immobilisation: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Intubation: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Supraglottische Atemwegshilfe: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">chirurgische Atemwegssicherung: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Thoraxdrainage: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Sauerstoff: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">periphervenöser Zugang: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">arterieller Zugang</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">ZVK: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">IO Zugang: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Kristalloidgabe: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Kristalloide Menge: 1000 ml</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Kolloidgabe: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Herzdruckmassage: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Defibrillation: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Katecholamine: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Blutstillung: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Fraktur- / Luxationsbehandlung: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Frakturbehandlung mit Reposition: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Frakturbehandlung mit Immobilisierung: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Frakturbehandlung mit achsengerechter Lagerung: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Analgosedierung: Ja</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Thermoprotektion: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Reanimation: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Kapnometrie durchgeführt: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Tranexamsäure: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelement">item</span><span class="ppsign">&gt;</span><span class="pptext">Beckengurt: Nein</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">list</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 style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">entry</span><span class="ppsign">&gt;</span><br /><span style="display: block;">    <span style="color:green">&lt;!-- .. --&gt;<br /></span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">entry</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="">(Prehospitalsummary)</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:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">DOCSECT</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="">(Prehospitalsummary)</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></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.276.0.76.10.3069</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="">(Prehospitalsummary)</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">74207-2</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="">(Prehospitalsummary)</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 "Präklinische Zusammenfassung" 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="">(Prehospitalsummary)</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>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.276.0.76.10.4097 <i>PreHospital Encounter Entry</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(Prehospitalsummary)</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:encounter [hl7:code [(@code='FLD' and @codeSystem='2.16.840.1.113883.5.4')]]]</i></td></tr></table></td><td></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>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</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>@context&#8203;Conduction&#8203;Ind<br /></strong></tt></td></tr></table></td><td>bl</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">true</td></tr></table></td></tr></table>

Version vom 28. Juni 2017, 22:32 Uhr

Id1.2.276.0.76.10.3069Gültigkeit gültig ab 2017‑01‑10
StatusKyellow.png EntwurfVersions-Label
NamePrehospitalsummaryAnzeigenamePräklinische Zusammenfassung
BeschreibungSection: Präklinische Zusammenfassung
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KlassifikationCDA Section level template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
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Benutzt von als NameVersion
1.2.276.0.76.10.1021ContainmentKyellow.png Trauma Summary CDA document (v1)2016‑11‑01
Benutzt als NameVersion
1.2.276.0.76.10.4097ContainmentKyellow.png PreHospital Encounter EntryDYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Beispiel
Beispiel
<section classCode="DOCSECT">
  <templateId root="1.2.276.0.76.10.3069"/>  <code code="74207-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Prehospital summary"/>  <title>Präklinische Zusammenfassung</title>  <text>
    
(generierter Text aus den Entries)
    <paragraph>Transport</paragraph>    <list>
      <item>Alarmierungszeit des Rettungsmittels: 2. Januar 2017, 6:51 Uhr</item>      <item>Eintreffzeit des Rettungsmittels: 2. Januar 2017, 7:07 Uhr</item>      <item>Transportbeginn: 2. Januar 2017, 7:09 Uhr</item>    </list>
    <paragraph>Vitalparameter</paragraph>    <list>
      <item>Atemfrequenz: 14/min</item>      <item>Sauerstoffsättigung: 99%</item>      <item>CO2</item>      <item>Blutdruck systolischer: 140 mmHg</item>      <item>Herzfrequenz: 90/min</item>      <item>GCS: (Augenöffnen: spontan, verbale Antwort: orientiert, motorische Antwort: gezielte Bewegung auf Schmerzreiz)</item>      <item>Pupillenweite: L mittel, R mittel</item>      <item>Lichtreaktion: prompt</item>      <item>Körperkerntemperatur: 37,4°C</item>    </list>
    <paragraph>Initiale Präklinische Befunde</paragraph>    <list>
      <item>Schmerz: 4</item>      <item>Intoxikation: kein Verdacht</item>      <item>Alkoholintoxikation: kein Verdacht</item>      <item>Drogenintoxikation: kein Verdacht</item>      <item>FAST Befunde: -</item>    </list>
    <paragraph>Präklinische Maßnahmen</paragraph>    <list>
      <item>HWS Immobilisation: Nein</item>      <item>Intubation: Nein</item>      <item>Supraglottische Atemwegshilfe: Nein</item>      <item>chirurgische Atemwegssicherung: Nein</item>      <item>Thoraxdrainage: Nein</item>      <item>Sauerstoff: Nein</item>      <item>periphervenöser Zugang: Ja</item>      <item>arterieller Zugang</item>      <item>ZVK: Nein</item>      <item>IO Zugang: Nein</item>      <item>Kristalloidgabe: Ja</item>      <item>Kristalloide Menge: 1000 ml</item>      <item>Kolloidgabe: Nein</item>      <item>Herzdruckmassage: Nein</item>      <item>Defibrillation: Nein</item>      <item>Katecholamine: Ja</item>      <item>Blutstillung: Nein</item>      <item>Fraktur- / Luxationsbehandlung: Ja</item>      <item>Frakturbehandlung mit Reposition: Nein</item>      <item>Frakturbehandlung mit Immobilisierung: Ja</item>      <item>Frakturbehandlung mit achsengerechter Lagerung: Ja</item>      <item>Analgosedierung: Ja</item>      <item>Thermoprotektion: Nein</item>      <item>Reanimation: Nein</item>      <item>Kapnometrie durchgeführt: Nein</item>      <item>Tranexamsäure: Nein</item>      <item>Beckengurt: Nein</item>    </list>
  </text>
  <entry>
    <!-- .. -->
  </entry>
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1 … 1RBeinhaltet 1.2.276.0.76.10.4097 PreHospital Encounter Entry (DYNAMIC)(Prehospitalsummary)
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