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                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> Dermatologische Anamnese (1.2.276.0.76.10.3158)<ol>
 
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Version vom 7. April 2021, 22:10 Uhr

  1. Document
     Dermatologisches Konsil (1.2.276.0.76.10.1035)
    1. Header
       CDA realmCode (1.2.276.0.76.10.90002)
    2. Header
       CDA recordTarget (1.2.276.0.76.10.2001)
      1. *
         Personenname (1.2.276.0.76.10.90030)
    3. Header
       CDA author Person Konsil Auftraggeber (1.2.276.0.76.10.2053)
      1. Header
         CDA Person Elements (1.2.276.0.76.10.90010)
      2. Header
         CDA Organization Elements (1.2.276.0.76.10.90011)
    4. Header
       CDA author Person Konsiliar (1.2.276.0.76.10.2054)
      1. Header
         CDA Person Elements (1.2.276.0.76.10.90010)
      2. Header
         CDA Organization Elements (1.2.276.0.76.10.90011)
    5. Header
       CDA custodian (1.2.276.0.76.10.2004)
    6. Header
       CDA legalAuthenticator (1.2.276.0.76.10.2020)
      1. Header
         CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
        1. Header
           CDA Person Elements (1.2.276.0.76.10.90010)
        2. Header
           CDA Organization Elements (1.2.276.0.76.10.90011)
    7. Header
       Konsil Bearbeitungsstand (1.2.276.0.76.10.2052)
    8. Header
       CDA encompassingEncounter Patientenkontakt (1.2.276.0.76.10.2027)
      1. Header
         CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
        1. Header
           CDA Person Elements (1.2.276.0.76.10.90010)
        2. Header
           CDA Organization Elements (1.2.276.0.76.10.90011)
      2. Header
         Encounter Location (1.2.276.0.76.10.90021)
    9. Section
       Insurance Section (1.2.276.0.76.10.3103)
      1. Entry
         Coverage Activity (1.2.276.0.76.10.4263)
        1. Entry
           Policy Activity (1.2.276.0.76.10.4264)
          1. Entry
             Weitere Kennzeichen Observation (1.2.276.0.76.10.4280)
          2. Entry
             Person Group Observation (1.2.276.0.76.10.4273)
          3. Entry
             DMP Observation (1.2.276.0.76.10.4271)
          4. Entry
             Kv-Zuordnung Observation (1.2.276.0.76.10.4275)
          5. Entry
             eGK-Geschlecht Observation (1.2.276.0.76.10.4272)
    10. Section
       Konsil Einverständniserklärungen Section (1.2.276.0.76.10.3175)
      1. Entry
         Konsil Einverständniserklärung Entry (1.2.276.0.76.10.4324)
    11. Section
       Dermatologischer Konsilauftrag (1.2.276.0.76.10.3149)
      1. Entry
         Author (Body) (1.2.276.0.76.10.90025)
        1. Header
           CDA Person Elements (1.2.276.0.76.10.90010)
        2. Header
           CDA Organization Elements (1.2.276.0.76.10.90011)
      2. Section
         Fragestellung (1.2.276.0.76.10.3147)
        1. Entry
           Überweisung (1.2.276.0.76.10.4086)
          1. Entry
             Author (Body) (1.2.276.0.76.10.90025)
            1. Header
               CDA Person Elements (1.2.276.0.76.10.90010)
            2. Header
               CDA Organization Elements (1.2.276.0.76.10.90011)
          2. Entry
             Indikation (1.2.276.0.76.10.4084)
      3. Section
         Dermatologischer Befund (1.2.276.0.76.10.3155)
        1. Entry
           Dermatologie Lokalisation Hautveränderung (1.2.276.0.76.10.4306)
        2. Entry
           Dermatologie Verdacht auf Malignität (1.2.276.0.76.10.4307)
          1. Entry
             Dermatologie Grund Malignitätsverdacht (1.2.276.0.76.10.4323)
      4. Section
         Diagnosen/prädisponierende Faktoren (1.2.276.0.76.10.3148)
        1. Entry
           Diagnose Concern Act (1.2.276.0.76.10.4079)
          1. Entry
             Author (Body) (1.2.276.0.76.10.90025)
            1. Header
               CDA Person Elements (1.2.276.0.76.10.90010)
            2. Header
               CDA Organization Elements (1.2.276.0.76.10.90011)
          2. Entry
             Diagnose Observation (1.2.276.0.76.10.4080)
            1. Entry
               Lateralität (1.2.276.0.76.10.90026)
            2. Entry
               Diagnosesicherheit (1.2.276.0.76.10.90027)
            3. Entry
               Author (Body) (1.2.276.0.76.10.90025)
              1. Header
                 CDA Person Elements (1.2.276.0.76.10.90010)
              2. Header
                 CDA Organization Elements (1.2.276.0.76.10.90011)
            4. Entry
               Alter Beobachtung (1.2.276.0.76.10.4077)
            5. Entry
               Prognose Observation (1.2.276.0.76.10.4078)
            6. Entry
               Priorität Präferenz (1.2.276.0.76.10.4076)
              1. Entry
                 Author (Body) (1.2.276.0.76.10.90025)
                1. Header
                   CDA Person Elements (1.2.276.0.76.10.90010)
                2. Header
                   CDA Organization Elements (1.2.276.0.76.10.90011)
            7. Entry
               Manifestation Observation (1.2.276.0.76.10.4093)
            8. Entry
               Etiology Observation (1.2.276.0.76.10.4094)
          3. Entry
             Priorität Präferenz (1.2.276.0.76.10.4076)
            1. Entry
               Author (Body) (1.2.276.0.76.10.90025)
              1. Header
                 CDA Person Elements (1.2.276.0.76.10.90010)
              2. Header
                 CDA Organization Elements (1.2.276.0.76.10.90011)
      5. Section
         Aktuelle Medikation (1.2.276.0.76.10.3157)
        1. Entry
           Medikation (1.2.276.0.76.10.4022)
          1. Entry
             Einnahmedauer (1.2.276.0.76.10.90023)
          2. Entry
             Medikament (1.2.276.0.76.10.4025)
            1. Entry
               Material (1.2.276.0.76.10.90022)
          3. Entry
             Author (Body) (1.2.276.0.76.10.90025)
            1. Header
               CDA Person Elements (1.2.276.0.76.10.90010)
            2. Header
               CDA Organization Elements (1.2.276.0.76.10.90011)
          4. Entry
             RelatedEntity (Body) (1.2.276.0.76.10.90020)
            1. Header
               CDA Person Elements (1.2.276.0.76.10.90010)
          5. Entry
             Einzeldosierungen (1.2.276.0.76.10.4023)
            1. Entry
               Medikation Vorbedingung (1.2.276.0.76.10.90028)
          6. Entry
             Dosierung Freitext (1.2.276.0.76.10.4024)
          7. Entry
             Patienteninstruktionen (1.2.276.0.76.10.4026)
          8. Entry
             Grund für Medikation (1.2.276.0.76.10.4027)
          9. Entry
             Bezug zur Therapie-Intention (1.2.276.0.76.10.4296)
      6. Section
         Befunde/Ergebnisse (1.2.276.0.76.10.3100)
        1. Entry
           Befunde/Ergebnisse Organizer (1.2.276.0.76.10.4253)
          1. Entry
             Laborergebnis (1.2.276.0.76.10.4254)
            1. Entry
               Annotation Comment (1.2.276.0.76.10.4015)
          2. Entry
             Annotation Comment (1.2.276.0.76.10.4015)
          3. Entry
             Eingebettetes Objekt Entry (1.2.276.0.76.10.4014)
      7. Section
         Dermatologische Anamnese (1.2.276.0.76.10.3158)
        1. Entry
           Dermatologie Anamnese Problem Observation (1.2.276.0.76.10.4319)
        2. Entry
           Dermatologie Beschwerdedauer (1.2.276.0.76.10.4308)
        3. Entry
           Dermatologie Beschwerdeverlauf (1.2.276.0.76.10.4309)
      8. Section
         Dermatologische Risikofaktoren (1.2.276.0.76.10.3159)
        1. Entry
           Dermatologie Risikofaktor Berufliche Tätigkeit (1.2.276.0.76.10.4310)
        2. Entry
           Dermatologie Risikofaktor Aussentätigkeit (1.2.276.0.76.10.4311)
      9. Section
         Dermatologische Allergieangaben Sofortreaktionen (1.2.276.0.76.10.3168)
      10. Section
         Dermatologische Allergieangaben Spätreaktionen (1.2.276.0.76.10.3160)
      11. Section
         Dermatologische Familienanamnese (1.2.276.0.76.10.3161)
        1. Entry
           Dermatologie Familienanamnese Problem Observation (1.2.276.0.76.10.4321)
      12. Section
         Dermatologische Vorbehandlungen (1.2.276.0.76.10.3162)
        1. Entry
           Dermatologie Vorbehandlung (1.2.276.0.76.10.4312)
      13. Section
         Dermatologische Fotografie (1.2.276.0.76.10.3154)
        1. Entry
           Dermatologie eingebettetes Foto (1.2.276.0.76.10.4305)
          1. Entry
             Author (Body) (1.2.276.0.76.10.90025)
            1. Header
               CDA Person Elements (1.2.276.0.76.10.90010)
            2. Header
               CDA Organization Elements (1.2.276.0.76.10.90011)
      14. Section
         Beilagen/Anhang (1.2.276.0.76.10.3037)
        1. Entry
           Eingebettetes Objekt Entry (1.2.276.0.76.10.4014)
    12. Section
       Konsilrückfrage (1.2.276.0.76.10.3150)
      1. Entry
         Author (Body) (1.2.276.0.76.10.90025)
        1. Header
           CDA Person Elements (1.2.276.0.76.10.90010)
        2. Header
           CDA Organization Elements (1.2.276.0.76.10.90011)
    13. Section
       Zusätzliche Angaben zum Konsil (1.2.276.0.76.10.3151)
      1. Entry
         Author (Body) (1.2.276.0.76.10.90025)
        1. Header
           CDA Person Elements (1.2.276.0.76.10.90010)
        2. Header
           CDA Organization Elements (1.2.276.0.76.10.90011)
      2. Section
         Dermatologische Fotografie (1.2.276.0.76.10.3154)
        1. Entry
           Dermatologie eingebettetes Foto (1.2.276.0.76.10.4305)
          1. Entry
             Author (Body) (1.2.276.0.76.10.90025)
            1. Header
               CDA Person Elements (1.2.276.0.76.10.90010)
            2. Header
               CDA Organization Elements (1.2.276.0.76.10.90011)
      3. Section
         Beilagen/Anhang (1.2.276.0.76.10.3037)
        1. Entry
           Eingebettetes Objekt Entry (1.2.276.0.76.10.4014)
    14. Section
       Konsiliarbericht (1.2.276.0.76.10.3152)
      1. Entry
         Author (Body) (1.2.276.0.76.10.90025)
        1. Header
           CDA Person Elements (1.2.276.0.76.10.90010)
        2. Header
           CDA Organization Elements (1.2.276.0.76.10.90011)
      2. Section
         Dermatologisches Befundergebnis (1.2.276.0.76.10.3163)
      3. Section
         Diagnosen (Konsilergebnis) (1.2.276.0.76.10.3156)
        1. Entry
           Konsil Diagnosekonfidenz (1.2.276.0.76.10.4313)
        2. Entry
           Diagnose Concern Act (1.2.276.0.76.10.4079)
          1. Entry
             Author (Body) (1.2.276.0.76.10.90025)
            1. Header
               CDA Person Elements (1.2.276.0.76.10.90010)
            2. Header
               CDA Organization Elements (1.2.276.0.76.10.90011)
          2. Entry
             Diagnose Observation (1.2.276.0.76.10.4080)
            1. Entry
               Lateralität (1.2.276.0.76.10.90026)
            2. Entry
               Diagnosesicherheit (1.2.276.0.76.10.90027)
            3. Entry
               Author (Body) (1.2.276.0.76.10.90025)
              1. Header
                 CDA Person Elements (1.2.276.0.76.10.90010)
              2. Header
                 CDA Organization Elements (1.2.276.0.76.10.90011)
            4. Entry
               Alter Beobachtung (1.2.276.0.76.10.4077)
            5. Entry
               Prognose Observation (1.2.276.0.76.10.4078)
            6. Entry
               Priorität Präferenz (1.2.276.0.76.10.4076)
              1. Entry
                 Author (Body) (1.2.276.0.76.10.90025)
                1. Header
                   CDA Person Elements (1.2.276.0.76.10.90010)
                2. Header
                   CDA Organization Elements (1.2.276.0.76.10.90011)
            7. Entry
               Manifestation Observation (1.2.276.0.76.10.4093)
            8. Entry
               Etiology Observation (1.2.276.0.76.10.4094)
          3. Entry
             Priorität Präferenz (1.2.276.0.76.10.4076)
            1. Entry
               Author (Body) (1.2.276.0.76.10.90025)
              1. Header
                 CDA Person Elements (1.2.276.0.76.10.90010)
              2. Header
                 CDA Organization Elements (1.2.276.0.76.10.90011)
      4. Section
         Dermatologische Prognose (1.2.276.0.76.10.3164)
      5. Section
         Dermatologische Therapieempfehlung (1.2.276.0.76.10.3165)
        1. Entry
           Konsil Therapiedringlichkeit (1.2.276.0.76.10.4314)
        2. Entry
           Dermatologie Überweisung an Dermatologen notwendig (1.2.276.0.76.10.4315)
      6. Section
         Dermatologisches Konsil Feedback Konsiliar (1.2.276.0.76.10.3166)
        1. Entry
           Konsil Feedback Bildqualität (1.2.276.0.76.10.4316)
        2. Entry
           Konsil Feedback Anamnestische Angaben (1.2.276.0.76.10.4317)
    15. Section
       Konsilabschluss (1.2.276.0.76.10.3153)
      1. Entry
         Author (Body) (1.2.276.0.76.10.90025)
        1. Header
           CDA Person Elements (1.2.276.0.76.10.90010)
        2. Header
           CDA Organization Elements (1.2.276.0.76.10.90011)
      2. Section
         Dermatologisches Konsil Feedback Auftraggeber (1.2.276.0.76.10.3167)
        1. Entry
           Konsil Feedback Konsiliarbericht (1.2.276.0.76.10.4318)
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