2.16.840.1.113883.3.1937.99.61.48.10.35/static-2019-09-30T144927: Unterschied zwischen den Versionen

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</div></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Pfadname /</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Document 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">Geschlossen (nur definierte Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Benutzt</th><td style="text-align: left;" colspan="3"><table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt 20 Templates</td></tr><tr><td><div><table width="100%" border="0" cellspacing="1" cellpadding="3" class="artdecor " style="background: transparent;"><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;">1.2.276.0.76.10.90002</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA realmCode</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90003</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA typeId</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90004</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA id</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90005</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA title</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90006</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA effectiveTime</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90007</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kgreen.png|14px]] CDA confidentialityCode</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90008</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA languageCode</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90009</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA setId and versionNumber</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.4</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Korange.png|14px]] CDA recordTarget (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2029</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA author (pmp)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2031</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA author software (pmp)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2030</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA custodian (pmp)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2020</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA legalAuthenticator</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2019</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kgreen.png|14px]] CDA authenticator</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.25</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Korange.png|14px]] Pflegearzt (Kurator)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.10</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Korange.png|14px]] Klinische Parameter (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.11</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Korange.png|14px]] Gesundheitsbelange (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.15</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Korange.png|14px]] Aktuelle Medikation (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.23</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Korange.png|14px]] Sozialanamnese (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.3042</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Wichtige Angaben</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 2.16.840.1.113883.3.1937.99.61.48.10.1 <i>CDA Medikationsmanagement </i> (2018‑10‑13 16:20:07)<br />Spezialisierung: Template 1.2.276.0.76.10.1024 <i>Patientenbezogener Medikationsplan Plus </i> (2017‑07‑07) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">pmp-</div></span><br />Adaptation: Template 1.2.276.0.76.10.1014 <i>Patientenbezogener Medikationsplan CDA document </i> (2014‑10‑20) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">pmp-</div></span><br />Spezialisierung: Template 2.16.840.1.113883.10.12.1 <i>CDA ClinicalDocument </i> (2005‑09‑07) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">ad1bbr-</div></span></td></tr><tr class="explabel " style="vertical-align: top;"><th class="" style="width: 20em; text-align: left;">Beispiel</th><td colspan="3" class="explabelgreen"><table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Beispiel</span></td></tr><tr><td><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">ClinicalDocument</span><span class="ppsign">&gt;</span><br /><span style="display: block;">  <span style="color:green">&lt;!-- CDA Header --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">realmCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">DE</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="ppnamespace">hl7:</span><span class="ppelement">typeId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.1.3</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">POCD_HD000040</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="ppnamespace">hl7:</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.3.1937.99.61.48.10.35</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="ppnamespace">hl7:</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.3645.239</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">F5EEE2DF-063A-415A-A02D-494FFCD3E48D</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="ppnamespace">hl7:</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">77603-9</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">Medication treatment plan.extended Document</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="ppnamespace">hl7:</span><span class="ppelement">title</span><span class="ppsign">&gt;</span><span class="pptext">Hauskomet Medikationsinformation</span><span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</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="ppnamespace">hl7:</span><span class="ppelement">effectiveTime</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20141008123456</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="ppnamespace">hl7:</span><span class="ppelement">confidentialityCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">N</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.5.25</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="ppnamespace">hl7:</span><span class="ppelement">languageCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">de-DE</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="ppnamespace">hl7:</span><span class="ppelement">setId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.3645.239</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">304CD611-E741-4E4A-ACE7-BB6053B6C88D</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="ppnamespace">hl7:</span><span class="ppelement">versionNumber</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">1</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="ppnamespace">hl7:</span><span class="ppelement">recordTarget</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">RCT</span><span class="ppsign">"</span> <span class="ppattribute">contextControlCode</span><span class="ppsign">="</span><span class="ppcontent">OP</span><span class="ppsign">"</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">hl7:</span><span class="ppelement">recordTarget</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">author</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">AUT</span><span class="ppsign">"</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">hl7:</span><span class="ppelement">author</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">custodian</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">CST</span><span class="ppsign">"</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">hl7:</span><span class="ppelement">custodian</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">legalAuthenticator</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">hl7:</span><span class="ppelement">legalAuthenticator</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">authenticator</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">hl7:</span><span class="ppelement">authenticator</span><span class="ppsign">&gt;</span></span><span style="display: block;">  <span style="color:green">&lt;!-- CDA Body --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">component</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">structuredBody</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">component</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">hl7:</span><span class="ppelement">component</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</span><span class="ppelement">structuredBody</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</span><span class="ppelement">component</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</span><span class="ppelement">ClinicalDocument</span><span class="ppsign">&gt;</span></span></span></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" 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 cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:ClinicalDocument<br xmlns="http://www.w3.org/1999/xhtml" /></span></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="">(CDA...met)</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> von 1.2.276.0.76.10.90002 <i>CDA realmCode</i> (DYNAMIC)<br />Der <b>realmCode </b>gibt ein Länderkennzeichen für den Geltungsbereich an, bei Hauskomet ist somit als code "DE" für Deutschland anzugeben.</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelgreen"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">realmCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">DE</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:realmCode<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>CS</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="">CDAr...Code</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table width="100%" border="0" cellspacing="2" cellpadding="2" class="artdecor " style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="2">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">medmgmt-data&#8203;element-1108</td><td style="vertical-align: top;" title="Sonstige Angaben / ">[[File:Kyellow.png|14px]] Länderkennzeichen (für die Nutzung) </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Datensatz eMedikation v2019 </td></tr></table></td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@code<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>R</td><td style="vertical-align: top;" colspan="2"></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table width="100%" border="0" cellspacing="2" cellpadding="2" class="artdecor " style="background: transparent;"><tr style="vertical-align: top;"><td>@code muss "DE" sein</td></tr></table></td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelblue"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">realmCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">DE</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> von 1.2.276.0.76.10.90003 <i>CDA typeId</i> (DYNAMIC)<br />Die <b>typeId </b>beschreibt den Typen des Dokuments.<br />In diesem Fall ist der Typ immer "CDA Dokument", dies wird über die Angaben <i>root="2.16.840.1.113883.1.3" extension="POCD_HD000040"</i> ausgedrückt.</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelblue"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">typeId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.1.3</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">POCD_HD000040</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:typeId<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">CDAtypeId</span></td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@extension<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">POCD_HD000040</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">2.16.840.1.113883.1.3</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:templateId<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(CDA...met)</span></td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">2.16.840.1.113883.3.1937.99.61.48.10.35</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelgreen"><span style="font-family: Courier, 'Courier New', monospace; "><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">2.16.840.1.113883.3.1937.99.61.48.10.35</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> von 1.2.276.0.76.10.90004 <i>CDA id</i> (DYNAMIC)</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelblue"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.3645.239</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">F5EEE2DF-063A-415A-A02D-494FFCD3E48D</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:id<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(CDA...met)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:code<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>Über die <b>code </b>Angabe wird eine Aussage über den Dokumentinhalt getätigt.<br />Hier ist es immer ein "Erweitertes Medikationsplan-Dokument", dies wird über den LOINC Code <i>77603-9</i> (<span class="Section3C0000000000000" style="OVERFLOW: hidden">
 
</div></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Pfadname /</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Document 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">Geschlossen (nur definierte Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Benutzt</th><td style="text-align: left;" colspan="3"><table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt 20 Templates</td></tr><tr><td><div><table width="100%" border="0" cellspacing="1" cellpadding="3" class="artdecor " style="background: transparent;"><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;">1.2.276.0.76.10.90002</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA realmCode</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90003</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA typeId</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90004</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA id</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90005</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA title</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90006</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA effectiveTime</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90007</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kgreen.png|14px]] CDA confidentialityCode</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90008</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA languageCode</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.90009</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA setId and versionNumber</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.4</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Korange.png|14px]] CDA recordTarget (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2029</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA author (pmp)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2031</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA author software (pmp)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2030</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA custodian (pmp)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2020</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA legalAuthenticator</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.2019</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kgreen.png|14px]] CDA authenticator</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.25</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Korange.png|14px]] Pflegearzt (Kurator)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.10</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Korange.png|14px]] Klinische Parameter (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.11</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Korange.png|14px]] Gesundheitsbelange (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.15</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Korange.png|14px]] Aktuelle Medikation (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.3.1937.99.61.48.10.23</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Korange.png|14px]] Sozialanamnese (medmgmt)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.276.0.76.10.3042</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Wichtige Angaben</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 2.16.840.1.113883.3.1937.99.61.48.10.1 <i>CDA Medikationsmanagement </i> (2018‑10‑13 16:20:07)<br />Spezialisierung: Template 1.2.276.0.76.10.1024 <i>Patientenbezogener Medikationsplan Plus </i> (2017‑07‑07) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">pmp-</div></span><br />Adaptation: Template 1.2.276.0.76.10.1014 <i>Patientenbezogener Medikationsplan CDA document </i> (2014‑10‑20) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">pmp-</div></span><br />Spezialisierung: Template 2.16.840.1.113883.10.12.1 <i>CDA ClinicalDocument </i> (2005‑09‑07) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">ad1bbr-</div></span></td></tr><tr class="explabel " style="vertical-align: top;"><th class="" style="width: 20em; text-align: left;">Beispiel</th><td colspan="3" class="explabelgreen"><table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Beispiel</span></td></tr><tr><td><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">ClinicalDocument</span><span class="ppsign">&gt;</span><br /><span style="display: block;">  <span style="color:green">&lt;!-- CDA Header --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">realmCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">DE</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="ppnamespace">hl7:</span><span class="ppelement">typeId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.1.3</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">POCD_HD000040</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="ppnamespace">hl7:</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.3.1937.99.61.48.10.35</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="ppnamespace">hl7:</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.3645.239</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">F5EEE2DF-063A-415A-A02D-494FFCD3E48D</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="ppnamespace">hl7:</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">77603-9</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">Medication treatment plan.extended Document</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="ppnamespace">hl7:</span><span class="ppelement">title</span><span class="ppsign">&gt;</span><span class="pptext">Hauskomet Medikationsinformation</span><span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</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="ppnamespace">hl7:</span><span class="ppelement">effectiveTime</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20141008123456</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="ppnamespace">hl7:</span><span class="ppelement">confidentialityCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">N</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.5.25</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="ppnamespace">hl7:</span><span class="ppelement">languageCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">de-DE</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="ppnamespace">hl7:</span><span class="ppelement">setId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.3645.239</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">304CD611-E741-4E4A-ACE7-BB6053B6C88D</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="ppnamespace">hl7:</span><span class="ppelement">versionNumber</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">1</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="ppnamespace">hl7:</span><span class="ppelement">recordTarget</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">RCT</span><span class="ppsign">"</span> <span class="ppattribute">contextControlCode</span><span class="ppsign">="</span><span class="ppcontent">OP</span><span class="ppsign">"</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">hl7:</span><span class="ppelement">recordTarget</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">author</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">AUT</span><span class="ppsign">"</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">hl7:</span><span class="ppelement">author</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">custodian</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">CST</span><span class="ppsign">"</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">hl7:</span><span class="ppelement">custodian</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">legalAuthenticator</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">hl7:</span><span class="ppelement">legalAuthenticator</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">authenticator</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">hl7:</span><span class="ppelement">authenticator</span><span class="ppsign">&gt;</span></span><span style="display: block;">  <span style="color:green">&lt;!-- CDA Body --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">component</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">structuredBody</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">component</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">hl7:</span><span class="ppelement">component</span><span class="ppsign">&gt;</span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</span><span class="ppelement">structuredBody</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</span><span class="ppelement">component</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</span><span class="ppelement">ClinicalDocument</span><span class="ppsign">&gt;</span></span></span></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" 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 cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:ClinicalDocument<br xmlns="http://www.w3.org/1999/xhtml" /></span></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="">(CDA...met)</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> von 1.2.276.0.76.10.90002 <i>CDA realmCode</i> (DYNAMIC)<br />Der <b>realmCode </b>gibt ein Länderkennzeichen für den Geltungsbereich an, bei Hauskomet ist somit als code "DE" für Deutschland anzugeben.</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelgreen"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">realmCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">DE</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:realmCode<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>CS</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="">CDAr...Code</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table width="100%" border="0" cellspacing="2" cellpadding="2" class="artdecor " style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="2">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">medmgmt-data&#8203;element-1108</td><td style="vertical-align: top;" title="Sonstige Angaben / ">[[File:Kyellow.png|14px]] Länderkennzeichen (für die Nutzung) </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Datensatz eMedikation v2019 </td></tr></table></td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@code<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>R</td><td style="vertical-align: top;" colspan="2"></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table width="100%" border="0" cellspacing="2" cellpadding="2" class="artdecor " style="background: transparent;"><tr style="vertical-align: top;"><td>@code muss "DE" sein</td></tr></table></td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelblue"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">realmCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">DE</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> von 1.2.276.0.76.10.90003 <i>CDA typeId</i> (DYNAMIC)<br />Die <b>typeId </b>beschreibt den Typen des Dokuments.<br />In diesem Fall ist der Typ immer "CDA Dokument", dies wird über die Angaben <i>root="2.16.840.1.113883.1.3" extension="POCD_HD000040"</i> ausgedrückt.</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelblue"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">typeId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.1.3</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">POCD_HD000040</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:typeId<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">CDAtypeId</span></td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@extension<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">POCD_HD000040</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">2.16.840.1.113883.1.3</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:templateId<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(CDA...met)</span></td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">2.16.840.1.113883.3.1937.99.61.48.10.35</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelgreen"><span style="font-family: Courier, 'Courier New', monospace; "><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">2.16.840.1.113883.3.1937.99.61.48.10.35</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> von 1.2.276.0.76.10.90004 <i>CDA id</i> (DYNAMIC)</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelblue"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.3645.239</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">F5EEE2DF-063A-415A-A02D-494FFCD3E48D</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:id<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(CDA...met)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:code<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>Über die <b>code </b>Angabe wird eine Aussage über den Dokumentinhalt getätigt.<br />Hier ist es immer ein "Erweitertes Medikationsplan-Dokument", dies wird über den LOINC Code <i>77603-9</i> (<span class="Section3C0000000000000" style="OVERFLOW: hidden">
 
<span class="Section40000000000000">Medication treatment plan.extended Document) ausgedrückt.</span>
 
<span class="Section40000000000000">Medication treatment plan.extended Document) ausgedrückt.</span>
−
</
+
</

Aktuelle Version vom 19. Februar 2023, 07:58 Uhr

Id2.16.840.1.113883.3.1937.99.61.48.10.35Gültigkeit2019‑09‑30 14:49:27
Andere Versionen mit dieser Id:
  • Kblank.png CDAMedikationsmanagementHauskomet vom 2019‑12‑15 19:27:07
StatusKorange.png Unter Revision vor der PublikationVersions-Label
NameCDAMedikationsmanagementHauskometBezeichnungCDA Medikationsmanagement Hauskomet
Beschreibung
CDA Dokument für Medikationsmanagement - Spezialisierung für Hauskomet.
Diese Spezialisierung des eMDAF für Hauskomet definiert sowohl verpflichtende Angaben als auch fachlich nicht relevante Elemente im Rahmen der Verwendung des eMDAF für Hauskomet.


Folgende Regeln gelten spezifisch für Hauskomet:

  • Es muss genau ein Hauskomet-Pflegearzt angegeben werden
  • Die BSNR der Betriebsstätte des Hauskomet-Pflegearztes muss angegeben werden
  • Keine auf das gesamte CDA Dokument bezogenen Leistungserbringer-Kommentare zulässig
  • Die Angabe von Allergien und Unverträglichkeiten ist nicht vorgesehen
  • Die Angabe von Laborergebnissen ist nicht vorgesehen
  • Die Zustimmung zur Datenübermittlung ist bei Hauskomet inhärent gegeben und darf daher nicht explizit angegeben werden
  • Im Hauskomet Medikationsplan darf es nur einen Haupteintrag geben (entweder die aktuelle Medikation oder die Angabe "ohne Medikation")
  • Die Angabe von Zwischenüberschriften ist nicht vorgesehen
  • Die Angabe einer Reihenfolge der Medikationseinträge ist nicht zulässig
  • Für Hauskomet Medikationseinträge ist nur der moodCode="EVN" zugelassen
  • Bei einem Medikationseintrag muss das Element "substanceAdministration" genau einmal im übergeordneten Element "component" auftreten
  • Jeder Hauskomet Medikationseintrag muss einen gültigen Identifier (in Form einer GUID) tragen
  • Es sind nur aktive Medikationseinträge erlaubt
  • Zu einem Medikationseintrag muss zwingend ein Medikament angegeben werden
  • Rezepturen als Medikationseinträge sind in Hauskomet unzulässig
  • Arzneimittel mit unbekannter PZN sind in Hauskomet als Medikationseinträge unzulässig
  • Unbenannte Arzneimittel sind als Medikationseinträge in Hauskomet unzulässig
  • Als Autor eines Medikationseintrags darf nur ein Gesundheitsdienstleister angegeben werden
  • Angaben zur Datenerfassung eines Medikationseintrags sind nicht vorgesehen
  • Zu einem Medikationseintrag dürfen Patienteninstruktionen nur maximal einmal angegeben werden
  • Zu einem Medikationseintrag darf der Grund für die Medikation nur maximal einmal angegeben werden
  • Zu einem Medikationseintrag darf der Bezug zur medikamentösen Therapie-Intention nur maximal einmal angegeben werden
  • Die Angabe eines Grunds für die Nichtgabe einer Medikation ist nicht Bestandteil von Hauskomet
  • Die Angabe der letzten AMTS-Prüfung einer Medikation ist nicht Bestandteil von Hauskomet
  • Eine freitextliche Angabe von Kommentaren zu einer Medikation ist unzulässig
  • Jeder Medikationseintrag muss zwingend eine Hauskomet Kategorie enthalten
  • Eine Angabe der Einnahmedauer darf nur aus dem Datum des Einnahmeendes bestehen (effectiveTime[high])
  • Die Angabe von Erweiterungen wie Druckkennzeichen oder weitere Vorhabenerweiterungen ist nicht zulässig
Die Einhaltung dieser Regeln wird durch entsprechende Schematron Regeln unterstützt.



KontextPfadname /
KlassifikationCDA Document Level Template
Offen/GeschlossenGeschlossen (nur definierte Elemente sind erlaubt)
Benutzt
Benutzt 20 Templates
Benutzt als NameVersion
1.2.276.0.76.10.90002InklusionKyellow.png CDA realmCodeDYNAMIC
1.2.276.0.76.10.90003InklusionKyellow.png CDA typeIdDYNAMIC
1.2.276.0.76.10.90004InklusionKyellow.png CDA idDYNAMIC
1.2.276.0.76.10.90005InklusionKyellow.png CDA titleDYNAMIC
1.2.276.0.76.10.90006InklusionKyellow.png CDA effectiveTimeDYNAMIC
1.2.276.0.76.10.90007InklusionKgreen.png CDA confidentialityCodeDYNAMIC
1.2.276.0.76.10.90008InklusionKyellow.png CDA languageCodeDYNAMIC
1.2.276.0.76.10.90009InklusionKyellow.png CDA setId and versionNumberDYNAMIC
2.16.840.1.113883.3.1937.99.61.48.10.4InklusionKorange.png CDA recordTarget (medmgmt)DYNAMIC
1.2.276.0.76.10.2029InklusionKyellow.png CDA author (pmp)DYNAMIC
1.2.276.0.76.10.2031InklusionKyellow.png CDA author software (pmp)DYNAMIC
1.2.276.0.76.10.2030InklusionKyellow.png CDA custodian (pmp)DYNAMIC
1.2.276.0.76.10.2020InklusionKyellow.png CDA legalAuthenticatorDYNAMIC
1.2.276.0.76.10.2019InklusionKgreen.png CDA authenticatorDYNAMIC
2.16.840.1.113883.3.1937.99.61.48.10.25InklusionKorange.png Pflegearzt (Kurator)DYNAMIC
2.16.840.1.113883.3.1937.99.61.48.10.10ContainmentKorange.png Klinische Parameter (medmgmt)DYNAMIC
2.16.840.1.113883.3.1937.99.61.48.10.11ContainmentKorange.png Gesundheitsbelange (medmgmt)DYNAMIC
2.16.840.1.113883.3.1937.99.61.48.10.15ContainmentKorange.png Aktuelle Medikation (medmgmt)DYNAMIC
2.16.840.1.113883.3.1937.99.61.48.10.23ContainmentKorange.png Sozialanamnese (medmgmt)DYNAMIC
1.2.276.0.76.10.3042ContainmentKyellow.png Wichtige AngabenDYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.3.1937.99.61.48.10.1 CDA Medikationsmanagement (2018‑10‑13 16:20:07)
Spezialisierung: Template 1.2.276.0.76.10.1024 Patientenbezogener Medikationsplan Plus (2017‑07‑07)
ref
pmp-

Adaptation: Template 1.2.276.0.76.10.1014 Patientenbezogener Medikationsplan CDA document (2014‑10‑20)
ref
pmp-

Spezialisierung: Template 2.16.840.1.113883.10.12.1 CDA ClinicalDocument (2005‑09‑07)
ref
ad1bbr-
Beispiel
Beispiel
<hl7:ClinicalDocument>
  <!-- CDA Header -->
  <hl7:realmCode code="DE"/>  <hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <hl7:templateId root="2.16.840.1.113883.3.1937.99.61.48.10.35"/>  <hl7:id root="1.2.276.0.76.3645.239" extension="F5EEE2DF-063A-415A-A02D-494FFCD3E48D"/>  <hl7:code code="77603-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medication treatment plan.extended Document"/>  <hl7:title>Hauskomet Medikationsinformation</hl7:title>  <hl7:effectiveTime value="20141008123456"/>  <hl7:confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>  <hl7:languageCode code="de-DE"/>  <hl7:setId root="1.2.276.0.76.3645.239" extension="304CD611-E741-4E4A-ACE7-BB6053B6C88D"/>  <hl7:versionNumber value="1"/>  <hl7:recordTarget typeCode="RCT" contextControlCode="OP">
    <!-- .. -->
  </hl7:recordTarget>  <hl7:author typeCode="AUT">
    <!-- .. -->
  </hl7:author>  <hl7:custodian typeCode="CST">
    <!-- .. -->
  </hl7:custodian>  <hl7:legalAuthenticator>
    <!-- .. -->
  </hl7:legalAuthenticator>  <hl7:authenticator>
    <!-- .. -->
  </hl7:authenticator>  <!-- CDA Body -->
  <hl7:component>
    <hl7:structuredBody>
      <hl7:component>
        <!-- .. -->
      </hl7:component>    </hl7:structuredBody>  </hl7:component></hl7:ClinicalDocument>
ItemDTKardKonfBeschreibungLabel
hl7:ClinicalDocument
(CDA...met)
Eingefügt1 … 1M von 1.2.276.0.76.10.90002 CDA realmCode (DYNAMIC)
Der realmCode gibt ein Länderkennzeichen für den Geltungsbereich an, bei Hauskomet ist somit als code "DE" für Deutschland anzugeben.
 Beispiel<realmCode code="DE"/>
Treetree.pnghl7:realmCode
CS1 … 1MCDAr...Code
 
Target.png
medmgmt-data​element-1108Kyellow.png Länderkennzeichen (für die Nutzung) Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreetree.png@code
cs1 … 1R
 CONF
@code muss "DE" sein
 Beispiel<realmCode code="DE"/>
Eingefügt1 … 1M von 1.2.276.0.76.10.90003 CDA typeId (DYNAMIC)
Die typeId beschreibt den Typen des Dokuments.
In diesem Fall ist der Typ immer "CDA Dokument", dies wird über die Angaben root="2.16.840.1.113883.1.3" extension="POCD_HD000040" ausgedrückt.
 Beispiel<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
Treetree.pnghl7:typeId
II1 … 1MCDAtypeId
Treeblank.pngTreetree.png@extension
1 … 1FPOCD_HD000040
Treeblank.pngTreetree.png@root
1 … 1F2.16.840.1.113883.1.3
Treetree.pnghl7:templateId
II1 … 1M(CDA...met)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.48.10.35
 Beispiel<templateId root="2.16.840.1.113883.3.1937.99.61.48.10.35"/>
Eingefügt1 … 1M von 1.2.276.0.76.10.90004 CDA id (DYNAMIC)
 Beispiel<id root="1.2.276.0.76.3645.239" extension="F5EEE2DF-063A-415A-A02D-494FFCD3E48D"/>
Treetree.pnghl7:id
II1 … 1M(CDA...met)
Treetree.pnghl7:code
CE1 … 1MÜber die code Angabe wird eine Aussage über den Dokumentinhalt getätigt.
Hier ist es immer ein "Erweitertes Medikationsplan-Dokument", dies wird über den LOINC Code 77603-9 (

Medication treatment plan.extended Document) ausgedrückt.

(CDA...met)
Treeblank.pngTreetree.png@code
CONF1 … 1F77603-9
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (LOINC)
Eingefügt1 … 1 von 1.2.276.0.76.10.90005 CDA title (DYNAMIC)
 Beispiel<title>Hauskomet Medikationsinformationen</title>
Treetree.pnghl7:title
ST1 … 1(CDA...met)
Eingefügt von 1.2.276.0.76.10.90006 CDA effectiveTime (DYNAMIC)
Treetree.pnghl7:effectiveTime
TS.​DATE​TIME.​MIN1 … 1M(CDA...met)
Eingefügt von 1.2.276.0.76.10.90007 CDA confidentialityCode (DYNAMIC)
Treetree.pnghl7:confidentialityCode
CE1 … 1M(CDA...met)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)
Eingefügt von 1.2.276.0.76.10.90008 CDA languageCode (DYNAMIC)
Treetree.pnghl7:language​Code
CS.LANG1 … 1M(CDA...met)
 
Target.png
medmgmt-data​element-1109Kyellow.png Sprachkennzeichen Kyellow.png Datensatz eMedikation v2019
Eingefügt1 … 1M von 1.2.276.0.76.10.90009 CDA setId and versionNumber (DYNAMIC)
Bei Hauskomet dient die setId zur Identifikation aller Medikationsinformationen eines Patienten.
Somit wird die setId (in Form einer GUID) bei Erstanlage der Hauskomet Medikationsinformation eines Patienten einmalig vergeben und bleibt über alle nachfolgenden Bearbeitungen hinweg konstant, die versionNumber hingegen wird bei einer Bearbeitung jeweils um eins erhöht.
Treetree.pnghl7:setId
II1 … 1M(CDA...met)
Treetree.pnghl7:versionNumber
INT.POS1 … 1M(CDA...met)
 
Target.png
medmgmt-data​element-1107Kyellow.png Versionsnummer des Formats Kyellow.png Datensatz eMedikation v2019
Eingefügt1 … 1M von 2.16.840.1.113883.3.1937.99.61.48.10.4 CDA recordTarget (medmgmt) (DYNAMIC)
Treetree.pnghl7:recordTarget
1 … 1M(CDA...met)
 
Target.png
medmgmt-data​element-1015Kyellow.png Patient Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreetree.png@typeCode
cs0 … 1FRCT
Treeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
Treeblank.pngTreetree.pnghl7:patientRole
1 … 1(CDA...met)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FPAT
Eingefügt1 … 1R von 1.2.276.0.76.10.90024 Patientenidentifikation (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1R(CDA...met)
 
Target.png
medmgmt-data​element-1016Kyellow.png Versicherten-ID Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1128Kyellow.png Patienten-ID Kyellow.png Datensatz eMedikation v2019
 Beispiel
eGK Nummer als Patientenidentifikation
<id extension="A123456789" root="1.2.276.0.76.4.8"/>
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:patient
1 … 1R(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
 Beispiel<patient classCode="PSN" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>  <birthTime value="19620219"/></patient>
Eingefügt1 … *R von 1.2.276.0.76.10.90030 Personenname (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … *RDie Reihenfolge der Namensbestandteile soll der typischen Schreibweise entsprechen. Zu beachten ist, dass prefix- und suffix-Elemente mit einem Leerzeichen enden müssen, wenn sie nicht unmittelbar an den folgenden Namensbestandteil anschließen sollen.
(CDA...met)
 
Target.png
medmgmt-data​element-1234Kyellow.png Name Kyellow.png Datensatz eMedikation v2019
 Beispiel
Dr. med. Sine Johanna Gräfin von Oberberg
<name>
  <prefix qualifier="AC">Dr. med. </prefix>  <given>Sine Johanna</given>  <prefix qualifier="NB">Gräfin </prefix>  <prefix qualifier="VV">von </prefix>  <family>Oberberg</family></name>
 Beispiel
Prof. Dr. med. Dr. rer. nat. Fritz Julius Karl Freiherr von und zu Rathenburg vor der Isar, MdB
<name>
  <prefix qualifier="AC">Prof. Dr. med. Dr. rer. nat. </prefix>  <given>Fritz</given>  <given>Julius</given>  <given>Karl</given>  <prefix qualifier="NB">Freiherr </prefix>  <prefix qualifier="VV">von und zu </prefix>  <family>Rathenburg vor der
Isar</family>  <suffix>, MdB</suffix></name>
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:prefix
ENXP0 … *Titel(CDA...met)
wo [@qualifier='AC']
 
Target.png
medmgmt-data​element-1019Kyellow.png Titel Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@qualifier
set_cs1 … 1FAC
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:given
ENXP0 … *Vorname(CDA...met)
 
Target.png
medmgmt-data​element-1017Kyellow.png Vorname Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:prefix
ENXP0 … *Namenszusatz(CDA...met)
wo [@qualifier='NB']
 
Target.png
medmgmt-data​element-1021Kyellow.png Namenszusatz Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@qualifier
set_cs1 … 1FNB
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:prefix
ENXP0 … *Vorsatzwort(CDA...met)
wo [@qualifier='VV']
 
Target.png
medmgmt-data​element-1020Kyellow.png Vorsatzwort Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@qualifier
set_cs1 … 1FVV
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:family
ENXP0 … *Nachname(CDA...met)
 
Target.png
medmgmt-data​element-1018Kyellow.png Nachname Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:suffix
ENXP0 … *Suffix(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:administrative​Gender​Code
CE1 … 1R(CDA...met)
 
Target.png
medmgmt-data​element-1024Kyellow.png Geschlecht Kyellow.png Datensatz eMedikation v2019
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)
Eingefügt0 … 1R von 1.2.276.0.76.10.90033 Erweiterung Druckkennzeichen (2019‑02‑09)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngmedmgmt:extension
0 … 1R(CDA...met)
 
Target.png
medmgmt-data​element-1189Kyellow.png Kennzeichen BMP Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1209Kyellow.png Druckkennzeichen Geschlecht Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1334Kyellow.png Erweiterung Druckkennzeichen Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@url
url1 … 1Fhttp://fhir.de/StructureDefinition/druckkennzeichen/0.2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngmedmgmt:valueBoolean
1 … 1M(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
bl1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:birthTime
TS1 … 1R(CDA...met)
 
Target.png
medmgmt-data​element-1022Kyellow.png Geburtsdatum Kyellow.png Datensatz eMedikation v2019
Eingefügt0 … *R von 1.2.276.0.76.10.90034 Erweiterung Vorhabenerweiterung (2019‑02‑09)
Treeblank.pngTreetree.pngmedmgmt:extension
0 … *R(CDA...met)
 
Target.png
medmgmt-data​element-1220Kyellow.png Vorhabenspezifische Erweiterung/Zusatzinformation Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1223Kyellow.png Vorhabenspezifische Erweiterung/Zusatzinformation Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1226Kyellow.png Vorhabenspezifische Erweiterung/Zusatzinformation Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreetree.png@url
url1 … 1Fhttp://fhir.de/StructureDefinition/vorhabenerweiterung/0.2
Treeblank.pngTreeblank.pngTreetree.pngmedmgmt:extension
(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@url
url1 … 1Fhttp://fhir.de/StructureDefinition/vorhabenerweiterung-typ/0.2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngmedmgmt:valueString
1 … 1M(CDA...met)
 
Target.png
medmgmt-data​element-1227Kyellow.png Identifikation Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
st1 … 1R
Treeblank.pngTreeblank.pngTreetree.pngmedmgmt:extension
(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@url
url1 … 1Fhttp://fhir.de/StructureDefinition/vorhabenerweiterung-wert/0.2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngmedmgmt:valueString
1 … 1M(CDA...met)
 
Target.png
medmgmt-data​element-1228Kyellow.png Wert Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
st1 … 1R
Eingefügt1 … 1M von 1.2.276.0.76.10.2029 CDA author (pmp) (DYNAMIC)
Treetree.pnghl7:author
1 … 1Mhauthpmp
 
Target.png
medmgmt-data​element-1001Kyellow.png Leistungserbringer Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreetree.png@typeCode
0 … 1FAUT
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1Mhauthpmp
Treeblank.pngTreeblank.pngTreetree.png@root
1 … 1F1.2.276.0.76.10.2029
Treeblank.pngTreetree.pnghl7:time
TS.​DATE.​MIN1 … 1Mhauthpmp
Treeblank.pngTreetree.pnghl7:assignedAuthor
1 … 1Mhauthpmp
Treeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FASSIGNED
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1Rhauthpmp
 
Target.png
medmgmt-data​element-1011Kyellow.png LANR Kyellow.png Datensatz eMedikation v2019
 Beispiel
Autor mit lebenslanger Arztnummer (LANR)
<id root="1.2.276.0.76.4.16" extension="123456701"/>
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1Rhauthpmp
 
Target.png
medmgmt-data​element-1236Kyellow.png Adresse Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *Rhauthpmp
 
Target.png
medmgmt-data​element-1008Kyellow.png Telefonnummer Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1009Kyellow.png E-Mail Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1237Kyellow.png Kontaktdaten Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
0 … 1hauthpmp
 
Target.png
medmgmt-data​element-1235Kyellow.png Name Kyellow.png Datensatz eMedikation v2019
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1Mhauthpmp
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1hauthpmp
 
Target.png
medmgmt-data​element-1238Kyellow.png Organisation Kyellow.png Datensatz eMedikation v2019
 Beispiel
Organisation mit Betriebsstättennummer (BSNR) und Name
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
  <id root="1.2.276.0.76.4.17" extension="218099900"/>  <name>Internistische Praxis Dr. Abt</name></representedOrganization>
 Beispiel
Apotheke mit IDF Nummer
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
  <id root="1.2.276.0.76.4.197" extension="3379589"/>  <name>Sonnen-Apotheke</name></representedOrganization>
 Beispiel
Krankenhaus mit Institutionskennzeichen
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
  <id root="1.2.276.0.76.4.5" extension="260641243"/>  <name>Agaplesion Frankfurter Diakonie Kliniken gGmbh</name></representedOrganization>
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *hauthpmp
 
Target.png
medmgmt-data​element-1010Kyellow.png BSNR Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1012Kyellow.png Institutskennzeichen Krankenhaus Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1013Kyellow.png Institutskennzeichen Apotheke Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1208Kyellow.png Apotheken-IDF Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1Mhauthpmp
 
Target.png
medmgmt-data​element-1014Kyellow.png Name Institution Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *hauthpmp
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1hauthpmp
Eingefügt0 … 1R von 1.2.276.0.76.10.2031 CDA author software (pmp) (DYNAMIC)
Treetree.pnghl7:author
0 … 1Rhhsoftpmp
wo [hl7:templateId/@root='1.2.276.0.76.10.2031']
 
Target.png
medmgmt-data​element-1110Kyellow.png Angaben zum erstellenden Software-System Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreetree.png@typeCode
cs0 … 1FAUT
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1Mhhsoftpmp
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.10.2031
Treeblank.pngTreetree.pnghl7:time
TS.​DATE.​MIN1 … 1Mhhsoftpmp
Treeblank.pngTreetree.pnghl7:assignedAuthor
1 … 1Mhhsoftpmp
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FASSIGNED
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1Rhhsoftpmp
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Authoring​Device
1 … 1Rhhsoftpmp
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FDEV
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:manufacturer​Model​Name
SC0 … 1hhsoftpmp
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:softwareName
SC1 … 1RSoftware Name und Version, die bei der Erstellung des Dokuments verwendet wurdehhsoftpmp
Eingefügt1 … 1M von 1.2.276.0.76.10.2030 CDA custodian (pmp) (DYNAMIC)
Treetree.pnghl7:custodian
1 … 1Mhcustpmp
Treeblank.pngTreetree.png@typeCode
0 … 1FCST
Treeblank.pngTreetree.pnghl7:assignedCustodian
1 … 1Mhcustpmp
Treeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FASSIGNED
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Custodian​Organization
0 … 1hcustpmp
 Beispiel
Organisation mit Betriebsstättennummer (BSNR) und Name
<representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
  <id root="1.2.276.0.76.4.17" extension="218099900"/>  <name>Internistische Praxis Dr. Abt</name></representedCustodianOrganization>
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *hcustpmp
 
Target.png
medmgmt-data​element-1010Kyellow.png BSNR Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1012Kyellow.png Institutskennzeichen Krankenhaus Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1013Kyellow.png Institutskennzeichen Apotheke Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1208Kyellow.png Apotheken-IDF Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1Mhcustpmp
 
Target.png
medmgmt-data​element-1014Kyellow.png Name Institution Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *hcustpmp
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1hcustpmp
Eingefügt0 … 1 von 1.2.276.0.76.10.2020 CDA legalAuthenticator (DYNAMIC)
Treetree.pnghl7:legalAuthenticator
0 … 1(CDA...met)
Treeblank.pngTreetree.png@typeCode
0 … 1FLA
Treeblank.pngTreetree.png@context​Control​Code
0 … 1FOP
Treeblank.pngTreetree.pnghl7:time
TS1 … 1R(CDA...met)
Treeblank.pngTreetree.pnghl7:signatureCode
CS1 … 1R(CDA...met)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
Treeblank.pngTreetree.pnghl7:assignedEntity
1 … 1R(CDA...met)
Eingefügt von 1.2.276.0.76.10.90012 CDA Assigned Entity Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1R(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *R(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
1 … 1M(CDA...met)
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1(CDA...met)
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(CDA...met)
 
Target.png
medmgmt-data​element-1010Kyellow.png BSNR Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1012Kyellow.png Institutskennzeichen Krankenhaus Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1013Kyellow.png Institutskennzeichen Apotheke Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1208Kyellow.png Apotheken-IDF Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(CDA...met)
 
Target.png
medmgmt-data​element-1014Kyellow.png Name Institution Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(CDA...met)
Eingefügt0 … 1 von 1.2.276.0.76.10.2019 CDA authenticator (DYNAMIC)
Treetree.pnghl7:authenticator
0 … 1(CDA...met)
Treeblank.pngTreetree.png@typeCode
cs0 … 1FAUTHEN
Treeblank.pngTreetree.pnghl7:time
TS1 … 1R(CDA...met)
Treeblank.pngTreetree.pnghl7:signatureCode
CS1 … 1R(CDA...met)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
Treeblank.pngTreetree.pnghl7:assignedEntity
1 … 1R(CDA...met)
Eingefügt von 1.2.276.0.76.10.90012 CDA Assigned Entity Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1R(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *R(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
1 … 1M(CDA...met)
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1(CDA...met)
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(CDA...met)
 
Target.png
medmgmt-data​element-1010Kyellow.png BSNR Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1012Kyellow.png Institutskennzeichen Krankenhaus Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1013Kyellow.png Institutskennzeichen Apotheke Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1208Kyellow.png Apotheken-IDF Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(CDA...met)
 
Target.png
medmgmt-data​element-1014Kyellow.png Name Institution Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(CDA...met)
Eingefügt1 … 1R von 2.16.840.1.113883.3.1937.99.61.48.10.25 Pflegearzt (Kurator) (DYNAMIC)
Treetree.pnghl7:participant
1 … 1R(CDA...met)
 
Target.png
medmgmt-data​element-1313Kyellow.png Kurator Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreetree.png@typeCode
cs1 … 1FVRF
Treeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1M(CDA...met)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.48.10.25
Treeblank.pngTreetree.pnghl7:time
IVL_TS0 … 1(CDA...met)
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1RDieses Element umfasst Angaben zum Pflegearzt, die mindestens die Identifikatoren des Pflegearztes (LANR) und seiner Betriebsstätte (BSNR) enthalten müssen.(CDA...met)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FASSIGNED
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *MIm Rahmen von Hauskomet muss hier die LANR des Hauskomet Pflegearztes angegeben werden.(CDA...met)
 
Target.png
medmgmt-data​element-1314Kyellow.png LANR Kyellow.png Datensatz eMedikation v2019
 Beispiel
Angabe der LANR des Pflegearztes
<id root="1.2.276.0.76.4.16" extension="999999901"/>
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *(CDA...met)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(CDA...met)
 
Target.png
medmgmt-data​element-1324Kyellow.png Telefonnummer Kyellow.png Datensatz eMedikation v2019
medmgmt-data​element-1325Kyellow.png E-Mail Kyellow.png Datensatz eMedikation v2019
Treeblank.pngTreeblank.pngTreetree.pnghl7:associated​Person
0 … 1Beinhaltet 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC)(CDA...met)
 Beispiel
Angabe des Names des Pflegearztes
<associatedPerson classCode="PSN" determinerCode="INSTANCE">
  <name>
    <prefix qualifier="AC">Dr.</prefix>    <given>Hans</given>    <family>Hausarzt</family>  </name></associatedPerson>
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
1 … 1MIm Rahmen von Hauskomet muss hier mindestens die BSNR der Betriebsstätte angegeben werden, in der der Hauskomet Pflegearzt tätig ist.
Beinhaltet 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC)		(CDA...met)
 
Target.png
medmgmt-data​element-1326Kyellow.png Organisation Kyellow.png Datensatz eMedikation v2019
 Beispiel
Angabe der Praxis, in der der Pflegearzt tätig ist
<scopingOrganization classCode="ORG" determinerCode="INSTANCE">
  <id root="1.2.276.0.76.4.17" extension="521111100"/>  <name>Hausarztpraxis Stuttgart Königsstrasse</name></scopingOrganization>
Treetree.pnghl7:component
(CDA...met)
Treeblank.pngTreetree.png@typeCode
cs0 … 1FCOMP
Treeblank.pngTreetree.png@context​Conduction​Ind
bl0 … 1Ftrue
Treeblank.pngTreetree.pnghl7:structuredBody
(CDA...met)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FDOCBODY
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs0 … 1FEVN
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1RSection: Clinical Information
Beinhaltet 2.16.840.1.113883.3.1937.99.61.48.10.10 Klinische Parameter (medmgmt) (DYNAMIC)		(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1RSection: Gesundheitsbelange
Beinhaltet 2.16.840.1.113883.3.1937.99.61.48.10.11 Gesundheitsbelange (medmgmt) (DYNAMIC)		(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1MSection: Medikationsplan
Beinhaltet 2.16.840.1.113883.3.1937.99.61.48.10.15 Aktuelle Medikation (medmgmt) (DYNAMIC)		(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Section: Sozialanamnese
Beinhaltet 2.16.840.1.113883.3.1937.99.61.48.10.23 Sozialanamnese (medmgmt) (DYNAMIC)		(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1RSection: Hinweise
Beinhaltet 1.2.276.0.76.10.3042 Wichtige Angaben (DYNAMIC)		(CDA...met)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
 Schematron assertrole error 
 testcount(hl7:participant[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.25']/hl7:associated​Entity/hl7:scoping​Organization/hl7:id) = 1 
 MeldungHauskomet: die BSNR der Betriebsstätte des Hauskomet-Pflegearztes muss angegeben werden. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.23']/hl7:entry/hl7:observation[hl7.templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.24']) = 0 
 MeldungHauskomet: die Zustimmung zur Datenübermittlung ist inhärent gegeben und darf daher nicht explizit angegeben werden. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry) = 1 
 MeldungHauskomet: der Medikationsplan darf nur einen Haupteintrag beinhalten (entweder die aktuelle Medikation oder die Angabe ohne Medikation). 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:code) = 0 
 MeldungHauskomet: die Angabe von Zwischenüberschriften ist nicht vorgesehen. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:sequenceNumber) = 0 
 MeldungHauskomet: Die Angabe einer Reihenfolge der Medikationseinträge ist nicht zulässig. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration[@moodCode='PRP']) = 0 
 MeldungHauskomet: für Medikationseinträge ist nur der moodCode=“EVN“ zugelassen. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component[count(hl7:substanceAdministration) != 1]) = 0 
 MeldungHauskomet: bei einem Medikationseintrag muss das Element "substanceAdministration" genau einmal im übergeordneten Element "component" auftreten. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:id) = count(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration) 
 MeldungHauskomet: jeder Medikationseintrag muss einen gültigen Identifier (in Form einer GUID) tragen. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:statusCode[@code!='active']) = 0 
 MeldungHauskomet: es sind nur aktive Medikationseinträge erlaubt. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:consumable) = count(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration) 
 MeldungHauskomet: zu einem Medikationseintrag muss zwingend ein Medikament angegeben werden. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:consumable/hl7:manufactured​Material/hl7:manufacturedProduct/hl7:code[@nullFlavor = 'NA']) = 0 
 MeldungHauskomet: Rezepturen als Medikationseinträge sind unzulässig. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:consumable/hl7:manufactured​Material/hl7:manufacturedProduct/hl7:code[@nullFlavor = 'UNK']) = 0 
 MeldungHauskomet: Arzneimittel mit unbekannter PZN sind als Medikationseinträge unzulässig. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:consumable/hl7:manufactured​Material/hl7:manufacturedProduct/hl7:name[@nullFlavor = 'NA']) = 0 
 MeldungHauskomet: Rezepturen oder andere unbenannte Arzneimittel sind als Medikationseinträge unzulässig. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:informant) = 0 and count(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:participant[@typeCode = 'AUT']) = 0 
 MeldungHauskomet: als Autor eines Medikationseintrags darf nur ein Gesundheitsdienstleister angegeben werden. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:participant[@typeCode = 'ENT']) = 0 
 MeldungHauskomet: Angaben zur Datenerfassung eines Medikationseintrags sind nicht zulässig. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration[count(hl7:entryRelationship[hl7:act/hl7:templatedId/@root = '1.2.276.0.76.10.4026']) > 1]) = 0 
 MeldungHauskomet: zu einem Medikationseintrag dürfen Patienteninstruktionen nur maximal einmal angegeben werden. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration[count(hl7:entryRelationship[hl7:observation/hl7:templatedId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.29']) > 1]) = 0 
 MeldungHauskomet: zu einem Medikationseintrag darf der Grund für die Medikation nur maximal einmal angegeben werden. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration[count(hl7:entryRelationship[hl7:act/hl7:templatedId/@root = '2.16.840.1.113883.3.1937.777.27.10.17']) > 1]) = 0 
 MeldungHauskomet: zu einem Medikationseintrag darf der Bezug zur medikamentösen Therapie-Intention nur maximal einmal angegeben werden 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:entryRelationship[hl7:observation/hl7:templatedId/@root = '1.2.276.0.76.10.4292']) = 0 
 MeldungHauskomet: die Angabe eines Grunds für die Nichtgabe einer Medikation ist nicht zulässig. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:entryRelationship[hl7:observation/hl7:templatedId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.20']) = 0 
 MeldungHauskomet die Angabe der letzten AMTS-Prüfung einer Medikation ist nicht zulässig. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:entryRelationship[hl7:observation/hl7:templatedId/@root = '1.2.276.0.76.10.4015']) = 0 
 MeldungHauskomet: Eine freitextliche Angabe von Kommentaren zu einer Medikation ist unzulässig. 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:entryRelationship[@typeCode = 'COMP']/hl7:observation[hl7:templateId/@root = '2.16.840.1.113883.3.1937.777.27.10.12']) = count(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.15']/hl7:entry/hl7:organizer/hl7:component/hl7:substanceAdministration) 
 MeldungHauskomet: Jeder Medikationseintrag muss zwingend eine Hauskomet Kategorie enthalten. 
 Schematron assertrole error 
 testcount(//medmgmt:extension) = 0 
 MeldungHauskomet: Erweiterungen wie Druckkennzeichen oder weitere Vorhabenerweiterungen sind nicht zulässig 
 Schematron assertrole error 
 testcount(hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.10']/hl7:entry/hl7:observation[hl7.templateId/@root = '2.16.840.1.113883.3.1937.99.61.48.10.34']) = 0 
 MeldungHauskomet: Die Angabe von Laborergebnissen ist nicht vorgesehen 
Abgerufen von „https://wiki.hl7.de/index.php?title=2.16.840.1.113883.3.1937.99.61.48.10.35/static-2019-09-30T144927&oldid=79879“