1.2.276.0.76.10.3058/static-2015-04-24T000000: Unterschied zwischen den Versionen
ADbot (Diskussion | Beiträge) (Automated ADBot page content) |
ADbot (Diskussion | Beiträge) (Automated ADBot page content) |
||
| Zeile 1: | Zeile 1: | ||
| − | <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="border:1px solid #C0C0C0; width: 107pt; text-align: left;"><strong>Template </strong></th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Grund für die Einweisung<i> / GrundEinweisung</i></td></tr><tr><th style="text-align: left;">Id</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">1.2.276.0.76.10.3058</td></tr><tr><th style="text-align: left;"> Version </th><td xmlns="" style="text-align: left; background-color: #F6F3EE"> gültig ab 2015‑04‑24 Status [[Datei:Kyellow.png|16px]] In Entwicklung</td></tr><tr><th style="text-align: left;">Klassifikation</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">CDA Section level template</td></tr><tr><th style="text-align: left;">Kontext</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3058</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Offen/Geschlossen</th><td xmlns="" style="background-color: #F6F3EE">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Beschreibung</th><td xmlns="">Grund für die Einweisung mit Einweisungsdiagnosen / Nebendiagnosen | + | <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="border:1px solid #C0C0C0; width: 107pt; text-align: left;"><strong>Template </strong></th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Grund für die Einweisung<i> / GrundEinweisung</i></td></tr><tr><th style="text-align: left;">Id</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">1.2.276.0.76.10.3058</td></tr><tr><th style="text-align: left;"> Version </th><td xmlns="" style="text-align: left; background-color: #F6F3EE"> gültig ab 2015‑04‑24 Status [[Datei:Kyellow.png|16px]] In Entwicklung</td></tr><tr><th style="text-align: left;">Klassifikation</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">CDA Section level template</td></tr><tr><th style="text-align: left;">Kontext</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3058</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Offen/Geschlossen</th><td xmlns="" style="background-color: #F6F3EE">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Beschreibung</th><td xmlns="">Grund für die Einweisung mit Einweisungsdiagnosen / Nebendiagnosen, Feldbezeichnungen auf dem Papierdokument: <u xmlns="http://www.w3.org/1999/xhtml">Einweisungsdiagnose bzw. Nebendiagnosen</u> |
| − | |||
| − | |||
| − | |||
</td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Benutzt von / Benutzt</th><td xmlns="" style="vertical-align: top;" colspan="3"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td xmlns="" style="height: 30px;" colspan="2">Benutzt von / Benutzt 2 Templates</td></tr><tr><td xmlns="" colspan="2"><div><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Benutzt von Template-Id</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 xmlns="" style="text-align: left;">1.2.276.0.76.10.1016</td><td xmlns="" style="text-align: left;">Containment</td><td xmlns="" style="text-align: left;">AerztlicherKurzberichtKrankenhaus90a <i xmlns="http://www.w3.org/1999/xhtml">Ärztlicher Kurzbericht vom Krankenhaus nach §90a SGB V</i></td><td xmlns="" style="text-align: left;">2015‑03‑27</td></tr><tr><td xmlns="" style="text-align: left;">1.2.276.0.76.10.1017</td><td xmlns="" style="text-align: left;">Containment</td><td xmlns="" style="text-align: left;">AerztlicherKurzberichtNiedergelassenerArzt90a <i xmlns="http://www.w3.org/1999/xhtml">Ärztlicher Kurzbericht Niedergelassener Arzt nach §90a SGB V</i></td><td xmlns="" style="text-align: left;">2015‑12‑11</td></tr></table></div></td></tr></table></td></tr><tr><th style="text-align: left;">Beziehung</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Spezialisierung: Template 2.16.840.1.113883.10.12.201 (<i xmlns="http://www.w3.org/1999/xhtml">2005‑09‑07</i>)<br xmlns="http://www.w3.org/1999/xhtml" />Adaptation: Template 2.16.840.1.113883.10.20.22.2.43 (<i xmlns="http://www.w3.org/1999/xhtml">2015‑08‑01</i>)<br xmlns="http://www.w3.org/1999/xhtml" />Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.3.1 (<i xmlns="http://www.w3.org/1999/xhtml">DYNAMIC</i>)<br xmlns="http://www.w3.org/1999/xhtml" />Adaptation: Template 1.2.276.0.76.10.3002 (<i xmlns="http://www.w3.org/1999/xhtml">DYNAMIC</i>)</td></tr><tr class="explabel" style="vertical-align: top;"><td xmlns="">Beispiel</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">section</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.3058</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><br /></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">42349-1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><br /></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">title</span><span class="ppsign">></span><span class="pptext">Einweisungsdiagnosen / Nebendiagnosen</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">text</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">table</span> <span class="ppattribute">border</span><span class="ppsign">="</span><span class="ppcontent">0</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">thead</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">tr</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Einweisungsdiagnose (ICD-10)</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">J21.1</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">-</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">-</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Akute Bronchiolitis durch humanes Metapneumovirus</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">thead</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">tbody</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">tr</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Nebendiagnose (ICD-10)</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">J31.1</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">V</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">-</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">V.a. Allergische Rhinopathie durch Pollen</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">tr</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Nebendiagnose (ICD-10)</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">M23.3</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">-</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">R</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Sonstige Meniskusschädigungen Rechts</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">tbody</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">table</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span></span></tt></td></tr><tr><td xmlns="" colspan="2" class="tabtab"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" style="background: transparent;"><tr><th style="width: 1%; text-align: left;">Item</th><th style="width: 1%; text-align: left;">DT</th><th style="width: 1%; text-align: left;">Kard</th><th style="width: 1%; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 1%; text-align: left;">Label</th></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:section<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml"></strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">II</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|16px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@root<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">1.2.276.0.76.10.3058</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:id<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">II</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>0 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:code<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">CE</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|16px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@code<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">42349-1</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|16px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|16px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@codeSystemName<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">LOINC</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:title<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">ST</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td xmlns="" style="background-color: white"> </td><td xmlns="" style="vertical-align: top;" class="conf">CONF </td><td xmlns="" colspan="4" style="background-color: white"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td xmlns="">Elementinhalt muss "Einweisungsdiagnosen / Nebendiagnosen" sein</td></tr></table></td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:text<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">SD.TEXT</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns="">Textfeld ist gemäß Beispiel zu strukturieren</td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr></table></td></tr></table> | </td></tr><tr style="vertical-align: top;"><th style="text-align: left;">Benutzt von / Benutzt</th><td xmlns="" style="vertical-align: top;" colspan="3"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td xmlns="" style="height: 30px;" colspan="2">Benutzt von / Benutzt 2 Templates</td></tr><tr><td xmlns="" colspan="2"><div><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Benutzt von Template-Id</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 xmlns="" style="text-align: left;">1.2.276.0.76.10.1016</td><td xmlns="" style="text-align: left;">Containment</td><td xmlns="" style="text-align: left;">AerztlicherKurzberichtKrankenhaus90a <i xmlns="http://www.w3.org/1999/xhtml">Ärztlicher Kurzbericht vom Krankenhaus nach §90a SGB V</i></td><td xmlns="" style="text-align: left;">2015‑03‑27</td></tr><tr><td xmlns="" style="text-align: left;">1.2.276.0.76.10.1017</td><td xmlns="" style="text-align: left;">Containment</td><td xmlns="" style="text-align: left;">AerztlicherKurzberichtNiedergelassenerArzt90a <i xmlns="http://www.w3.org/1999/xhtml">Ärztlicher Kurzbericht Niedergelassener Arzt nach §90a SGB V</i></td><td xmlns="" style="text-align: left;">2015‑12‑11</td></tr></table></div></td></tr></table></td></tr><tr><th style="text-align: left;">Beziehung</th><td xmlns="" style="text-align: left; background-color: #F6F3EE">Spezialisierung: Template 2.16.840.1.113883.10.12.201 (<i xmlns="http://www.w3.org/1999/xhtml">2005‑09‑07</i>)<br xmlns="http://www.w3.org/1999/xhtml" />Adaptation: Template 2.16.840.1.113883.10.20.22.2.43 (<i xmlns="http://www.w3.org/1999/xhtml">2015‑08‑01</i>)<br xmlns="http://www.w3.org/1999/xhtml" />Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.3.1 (<i xmlns="http://www.w3.org/1999/xhtml">DYNAMIC</i>)<br xmlns="http://www.w3.org/1999/xhtml" />Adaptation: Template 1.2.276.0.76.10.3002 (<i xmlns="http://www.w3.org/1999/xhtml">DYNAMIC</i>)</td></tr><tr class="explabel" style="vertical-align: top;"><td xmlns="">Beispiel</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">section</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.10.3058</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><br /></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">42349-1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span><br /></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">title</span><span class="ppsign">></span><span class="pptext">Einweisungsdiagnosen / Nebendiagnosen</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">text</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">table</span> <span class="ppattribute">border</span><span class="ppsign">="</span><span class="ppcontent">0</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">thead</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">tr</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Einweisungsdiagnose (ICD-10)</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">J21.1</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">-</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">-</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Akute Bronchiolitis durch humanes Metapneumovirus</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">thead</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">tbody</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">tr</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Nebendiagnose (ICD-10)</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">J31.1</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">V</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">-</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">V.a. Allergische Rhinopathie durch Pollen</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">tr</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Nebendiagnose (ICD-10)</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">M23.3</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">-</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">center</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">R</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">td</span> <span class="ppattribute">align</span><span class="ppsign">="</span><span class="ppcontent">left</span><span class="ppsign">"</span><span class="ppsign">></span><span class="pptext">Sonstige Meniskusschädigungen Rechts</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">td</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">tr</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">tbody</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">table</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span></span></tt></td></tr><tr><td xmlns="" colspan="2" class="tabtab"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="6" style="background: transparent;"><tr><th style="width: 1%; text-align: left;">Item</th><th style="width: 1%; text-align: left;">DT</th><th style="width: 1%; text-align: left;">Kard</th><th style="width: 1%; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 1%; text-align: left;">Label</th></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:section<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml"></strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">II</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|16px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@root<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">1.2.276.0.76.10.3058</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:id<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">II</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>0 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong></strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:code<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">CE</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|16px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@code<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">42349-1</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|16px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)</td></tr><tr><td xmlns=""><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treeblank.png|16px]]</td><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>@codeSystemName<br /></strong></tt></td></tr></table></td><td xmlns=""></td><td xmlns="">1 .. 1</td><td xmlns="">F</td><td xmlns="" colspan="2">LOINC</td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:title<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">ST</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns=""></td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td xmlns="" style="background-color: white"> </td><td xmlns="" style="vertical-align: top;" class="conf">CONF </td><td xmlns="" colspan="4" style="background-color: white"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td xmlns="">Elementinhalt muss "Einweisungsdiagnosen / Nebendiagnosen" sein</td></tr></table></td></tr><tr style="background-color: #FFEAEA;"><td xmlns="" style="vertical-align: top;"><table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" cellpadding="1" style="background: transparent;"><tr><td xmlns="" style="vertical-align: top;">[[Datei:Treetree.png|16px]]</td><td xmlns=""><tt xmlns="http://www.w3.org/1999/xhtml"><strong>hl7:text<br /></strong></tt></td></tr></table></td><td xmlns="" style="vertical-align: top;"><strong xmlns="http://www.w3.org/1999/xhtml">SD.TEXT</strong></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>1 .. 1</strong></span></td><td xmlns="" style="vertical-align: top;"><span xmlns="http://www.w3.org/1999/xhtml" style="color: black;"><strong>M</strong></span></td><td xmlns="">Textfeld ist gemäß Beispiel zu strukturieren</td><td xmlns="" style="background-color: #FFEEEE">(GrundEinweisung)</td></tr></table></td></tr></table> | ||
Version vom 30. Dezember 2015, 09:58 Uhr
| Template | Grund für die Einweisung / GrundEinweisung | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Id | 1.2.276.0.76.10.3058 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Version | gültig ab 2015‑04‑24 Status  In Entwicklung | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Klassifikation | CDA Section level template | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Kontext | Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3058 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Beschreibung | Grund für die Einweisung mit Einweisungsdiagnosen / Nebendiagnosen, Feldbezeichnungen auf dem Papierdokument: Einweisungsdiagnose bzw. Nebendiagnosen | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Benutzt von / Benutzt |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Beziehung | Spezialisierung: Template 2.16.840.1.113883.10.12.201 (2005‑09‑07) Adaptation: Template 2.16.840.1.113883.10.20.22.2.43 (2015‑08‑01) Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.3.1 (DYNAMIC) Adaptation: Template 1.2.276.0.76.10.3002 (DYNAMIC) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Beispiel | <section> <templateId root="1.2.276.0.76.10.3058"/> <code code="42349-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Einweisungsdiagnosen / Nebendiagnosen</title> <text> <table border="0"> <thead> <tr> <td align="left">Einweisungsdiagnose (ICD-10)</td> <td align="left">J21.1</td> <td align="center">-</td> <td align="center">-</td> <td align="left">Akute Bronchiolitis durch humanes Metapneumovirus</td> </tr> </thead> <tbody> <tr> <td align="left">Nebendiagnose (ICD-10)</td> <td align="left">J31.1</td> <td align="center">V</td> <td align="center">-</td> <td align="left">V.a. Allergische Rhinopathie durch Pollen</td> </tr> <tr> <td align="left">Nebendiagnose (ICD-10)</td> <td align="left">M23.3</td> <td align="center">-</td> <td align="center">R</td> <td align="left">Sonstige Meniskusschädigungen Rechts</td> </tr> </tbody> </table> </text></section> | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
