2.16.840.1.113883.3.1937.777.36.10.1/hgraph: Unterschied zwischen den Versionen

Aus Hl7wiki
Wechseln zu: Navigation, Suche
(Automatic ADBot page (23736570c3681ba6539ed40b50b93719ed529252))
(Automatic ADBot page (23736570c3681ba6539ed40b50b93719ed529252))
 
Zeile 110: Zeile 110:
 
                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> Diagnostik zugrunde liegender Erkrankungen (2.16.840.1.113883.3.1937.777.36.10.29)<ol>
 
                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> Diagnostik zugrunde liegender Erkrankungen (2.16.840.1.113883.3.1937.777.36.10.29)<ol>
 
                                                 <li class="ad-template">
 
                                                 <li class="ad-template">
−
                                                     <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)<ol>
+
                                                     <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> Diagnostik- oder Therapiemaßnahme - Procedure (2.16.840.1.113883.3.1937.777.36.10.59)<ol>
 
                                                         <li class="ad-template">
 
                                                         <li class="ad-template">
 
                                                             <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> Performer (Body) (1.2.276.0.76.10.90014)<ol>
 
                                                             <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> Performer (Body) (1.2.276.0.76.10.90014)<ol>
Zeile 282: Zeile 282:
 
                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> Maßnahmen (2.16.840.1.113883.3.1937.777.36.10.41)<ol>
 
                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> Maßnahmen (2.16.840.1.113883.3.1937.777.36.10.41)<ol>
 
                                                 <li class="ad-template">
 
                                                 <li class="ad-template">
−
                                                     <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)<ol>
+
                                                     <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> Diagnostik- oder Therapiemaßnahme - Procedure (2.16.840.1.113883.3.1937.777.36.10.59)<ol>
 
                                                         <li class="ad-template">
 
                                                         <li class="ad-template">
 
                                                             <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> Performer (Body) (1.2.276.0.76.10.90014)<ol>
 
                                                             <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> Performer (Body) (1.2.276.0.76.10.90014)<ol>
Zeile 364: Zeile 364:
 
                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> Empfindungsbeeinträchtigung (2.16.840.1.113883.3.1937.777.36.10.46)</li>
 
                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> Empfindungsbeeinträchtigung (2.16.840.1.113883.3.1937.777.36.10.46)</li>
 
                                         <li class="ad-template">
 
                                         <li class="ad-template">
−
                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> subjektive Beeinträchtigung durch Wundgeruch (2.16.840.1.113883.3.1937.777.36.10.45)<ol>
+
                                             <div class="nowrapinline ad-templatetype cdasectionlevel"> Section</div> subjektive Beeinträchtigung durch Wundgeruch (2.16.840.1.113883.3.1937.777.36.10.45)</li>
−
                                                <li class="ad-template">
 
−
                                                    <div class="nowrapinline ad-templatetype cdaentrylevel"> Entry</div> subjektive Beeinträchtigung durch Wundgeruch - Observation (2.16.840.1.113883.3.1937.777.36.10.103)</li>
 
−
                                            </ol>
 
−
                                        </li>
 
 
                                     </ol>
 
                                     </ol>
 
                                 </li>
 
                                 </li>
Zeile 385: Zeile 381:
 
             </tr>
 
             </tr>
 
         </table>
 
         </table>
−
<!--9d164fa92155c74b74e709c06201bbc60057735d-->
+
<!--52b09c5ff54fe3767823bae272528fa5c4bd66f0-->

Aktuelle Version vom 17. August 2021, 08:36 Uhr

  1. Section
     Anamnese (2.16.840.1.113883.3.1937.777.36.10.1)
    1. Section
       Wundbeurteilung (2.16.840.1.113883.3.1937.777.36.10.3)
      1. Section
         Wundgröße (2.16.840.1.113883.3.1937.777.36.10.4)
        1. Entry
           Wundlänge - Observation (2.16.840.1.113883.3.1937.777.36.10.10)
        2. Entry
           Wundbreite - Observation (2.16.840.1.113883.3.1937.777.36.10.9)
        3. Entry
           Wundtiefe - Observation (2.16.840.1.113883.3.1937.777.36.10.12)
        4. Entry
           Wundfläche - Observation (2.16.840.1.113883.3.1937.777.36.10.11)
      2. Section
         Wundgrund (2.16.840.1.113883.3.1937.777.36.10.13)
        1. Entry
           Wundgrund - Observation (2.16.840.1.113883.3.1937.777.36.10.73)
      3. Section
         Wundrand (2.16.840.1.113883.3.1937.777.36.10.14)
        1. Entry
           Wundrand - Observation (2.16.840.1.113883.3.1937.777.36.10.74)
      4. Section
         Wundexsudat (2.16.840.1.113883.3.1937.777.36.10.15)
        1. Section
           Wundexsudat - Menge (2.16.840.1.113883.3.1937.777.36.10.16)
          1. Entry
             Wundexsudat Menge - Observation (2.16.840.1.113883.3.1937.777.36.10.76)
        2. Section
           Wundexsudat - Beschaffenheit (2.16.840.1.113883.3.1937.777.36.10.17)
          1. Entry
             Wundexsudat Beschaffenheit - Observation (2.16.840.1.113883.3.1937.777.36.10.77)
      5. Section
         Wundbezogener Schmerz (2.16.840.1.113883.3.1937.777.36.10.18)
        1. Entry
           Wundbezogener Schmerz - Observation (2.16.840.1.113883.3.1937.777.36.10.90)
        2. Entry
           Wundbezogener Schmerz - Observation - VAS (2.16.840.1.113883.3.1937.777.36.10.115)
      6. Section
         Wundgeruch (2.16.840.1.113883.3.1937.777.36.10.19)
        1. Entry
           Wundgeruch - Observation (2.16.840.1.113883.3.1937.777.36.10.78)
      7. Section
         Wundlokalisation (2.16.840.1.113883.3.1937.777.36.10.21)
        1. Entry
           Wundlokalisation - Observation (2.16.840.1.113883.3.1937.777.36.10.91)
      8. Section
         Infektionszeichen (2.16.840.1.113883.3.1937.777.36.10.20)
        1. Entry
           Infektionszeichen - Observation (2.16.840.1.113883.3.1937.777.36.10.89)
      9. Section
         Wundbezogenes Infektionsrisiko (2.16.840.1.113883.3.1937.777.36.10.26)
        1. Entry
           Score - Entry (2.16.840.1.113883.3.1937.99.61.34.10.29)
          1. Header
             CDA effectiveTime (1.2.276.0.76.10.90006)
      10. Section
         Wundödem (2.16.840.1.113883.3.1937.777.36.10.22)
        1. Entry
           Wundödem - Observation (2.16.840.1.113883.3.1937.777.36.10.99)
      11. Section
         Wundumgebung (2.16.840.1.113883.3.1937.777.36.10.23)
        1. Entry
           Wundumgebung - Observation (2.16.840.1.113883.3.1937.777.36.10.92)
      12. Section
         Wunddauer (2.16.840.1.113883.3.1937.777.36.10.24)
        1. Entry
           Wunddauer - Observation (2.16.840.1.113883.3.1937.777.36.10.93)
      13. Section
         Weitere Wundbeschreibung (2.16.840.1.113883.3.1937.777.36.10.25)
    2. Section
       Aktueller Status Patient (2.16.840.1.113883.3.1937.777.36.10.30)
      1. Section
         Diagnostik zugrunde liegender Erkrankungen (2.16.840.1.113883.3.1937.777.36.10.29)
        1. Entry
           Diagnostik- oder Therapiemaßnahme - Procedure (2.16.840.1.113883.3.1937.777.36.10.59)
          1. Entry
             Performer (Body) (1.2.276.0.76.10.90014)
            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. 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. Entry
             Hilfsmittel - Entry (2.16.840.1.113883.3.1937.99.61.34.10.38)
            1. Header
               CDA effectiveTime (1.2.276.0.76.10.90006)
            2. notype
               Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
              1. Header
                 CDA Organization Elements (1.2.276.0.76.10.90011)
              2. notype
                 Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
            3. notype
               Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
          4. Entry
             Medikation (1.2.276.0.76.10.4022)
            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
               RelatedEntity (Body) (1.2.276.0.76.10.90020)
              1. Header
                 CDA Person Elements (1.2.276.0.76.10.90010)
            3. Entry
               Einzeldosierungen (1.2.276.0.76.10.4023)
            4. Entry
               Dosierung Freitext (1.2.276.0.76.10.4024)
      2. Section
         Ernährungsstatus, Ernährungsdefizite (2.16.840.1.113883.3.1937.777.36.10.28)
        1. Entry
           Ernährungsstatus - Observation (2.16.840.1.113883.3.1937.777.36.10.116)
      3. Section
         Immunstatus (2.16.840.1.113883.3.1937.777.36.10.27)
        1. Entry
           Immunstatus - Observation (2.16.840.1.113883.3.1937.777.36.10.100)
    3. Section
       Psychosoziale Faktoren (2.16.840.1.113883.3.1937.777.36.10.33)
      1. Section
         Bewusstseinslevel (2.16.840.1.113883.3.1937.777.36.10.32)
        1. Entry
           Bewusstseinslevel qualitativ - Observation (2.16.840.1.113883.3.1937.777.36.10.101)
        2. Entry
           Bewusstseinslevel quantitativ - Observation (2.16.840.1.113883.3.1937.777.36.10.102)
      2. Section
         Weitere soziale Faktoren (2.16.840.1.113883.3.1937.777.36.10.31)
    4. Section
       Individuelle Risikofaktoren (2.16.840.1.113883.3.1937.777.36.10.34)
    5. Section
       Risikoassessment (Skala) (2.16.840.1.113883.3.1937.777.36.10.35)
      1. Entry
         Score - Entry (2.16.840.1.113883.3.1937.99.61.34.10.29)
        1. Header
           CDA effectiveTime (1.2.276.0.76.10.90006)
    6. Section
       Hautassessment (2.16.840.1.113883.3.1937.777.36.10.37)
    7. Section
       Körperhygiene, Hygieneassessment (2.16.840.1.113883.3.1937.777.36.10.36)
    8. Section
       Details über geheilte Wunden (2.16.840.1.113883.3.1937.777.36.10.39)
      1. Entry
         Wunde - Act (2.16.840.1.113883.3.1937.777.36.10.111)
        1. @
           Wunde - Act (2.16.840.1.113883.3.1937.777.36.10.111)
      2. Section
         Heilungsdauer geheilter Wunden (2.16.840.1.113883.3.1937.777.36.10.38)
        1. Entry
           Heilungsdauer - Observation (2.16.840.1.113883.3.1937.777.36.10.107)
      3. Section
         Wundlokalisation (2.16.840.1.113883.3.1937.777.36.10.21)
        1. Entry
           Wundlokalisation - Observation (2.16.840.1.113883.3.1937.777.36.10.91)
      4. Section
         Produkte (2.16.840.1.113883.3.1937.777.36.10.40)
        1. Entry
           Medikation (1.2.276.0.76.10.4022)
          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
             RelatedEntity (Body) (1.2.276.0.76.10.90020)
            1. Header
               CDA Person Elements (1.2.276.0.76.10.90010)
          3. Entry
             Einzeldosierungen (1.2.276.0.76.10.4023)
          4. Entry
             Dosierung Freitext (1.2.276.0.76.10.4024)
        2. Entry
           Hilfsmittel - Entry (2.16.840.1.113883.3.1937.99.61.34.10.38)
          1. Header
             CDA effectiveTime (1.2.276.0.76.10.90006)
          2. notype
             Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
            1. Header
               CDA Organization Elements (1.2.276.0.76.10.90011)
            2. notype
               Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
          3. notype
             Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
      5. Section
         Maßnahmen (2.16.840.1.113883.3.1937.777.36.10.41)
        1. Entry
           Diagnostik- oder Therapiemaßnahme - Procedure (2.16.840.1.113883.3.1937.777.36.10.59)
          1. Entry
             Performer (Body) (1.2.276.0.76.10.90014)
            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. 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. Entry
             Hilfsmittel - Entry (2.16.840.1.113883.3.1937.99.61.34.10.38)
            1. Header
               CDA effectiveTime (1.2.276.0.76.10.90006)
            2. notype
               Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
              1. Header
                 CDA Organization Elements (1.2.276.0.76.10.90011)
              2. notype
                 Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
            3. notype
               Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
          4. Entry
             Medikation (1.2.276.0.76.10.4022)
            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
               RelatedEntity (Body) (1.2.276.0.76.10.90020)
              1. Header
                 CDA Person Elements (1.2.276.0.76.10.90010)
            3. Entry
               Einzeldosierungen (1.2.276.0.76.10.4023)
            4. Entry
               Dosierung Freitext (1.2.276.0.76.10.4024)
    9. Section
       Gesundheitsrelevantes Patientenverhalten (2.16.840.1.113883.3.1937.777.36.10.42)
      1. Section
         Therapieakzeptanz (2.16.840.1.113883.3.1937.777.36.10.43)
      2. Section
         Lebensstil und Fähigkeiten (2.16.840.1.113883.3.1937.777.36.10.44)
    10. Section
       Körperliche Beeinträchtigung (2.16.840.1.113883.3.1937.777.36.10.49)
      1. Section
         Mobilitäts-/Aktivitätseinschränkung (2.16.840.1.113883.3.1937.777.36.10.48)
      2. Section
         Schmerzen (2.16.840.1.113883.3.1937.777.36.10.47)
      3. Section
         Empfindungsbeeinträchtigung (2.16.840.1.113883.3.1937.777.36.10.46)
      4. Section
         subjektive Beeinträchtigung durch Wundgeruch (2.16.840.1.113883.3.1937.777.36.10.45)
    11. Section
       Psychosoziale Beeinträchtigungen (2.16.840.1.113883.3.1937.777.36.10.52)
      1. Section
         Beeinträchtigung der Lebensqualität (2.16.840.1.113883.3.1937.777.36.10.51)
      2. Section
         Leiden unter den Symptomen (2.16.840.1.113883.3.1937.777.36.10.50)
Abgerufen von „https://wiki.hl7.de/index.php?title=2.16.840.1.113883.3.1937.777.36.10.1/hgraph&oldid=77634“