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Document eWundbericht (2.16.840.1.113883.3.1937.777.36.10.2)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA dataEnterer (1.2.276.0.76.10.2017)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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* CDA Informant (1.2.276.0.76.10.2018)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry RelatedEntity (Body) (1.2.276.0.76.10.90020)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA custodian (1.2.276.0.76.10.2004)
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CDA informationRecipient (1.2.276.0.76.10.2005)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA legalAuthenticator (1.2.276.0.76.10.2020)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA authenticator (1.2.276.0.76.10.2019)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA participant Angehörige (1.2.276.0.76.10.2021)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA participant Ansprechpartner (1.2.276.0.76.10.2025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA participant Betreuungsorganisation (1.2.276.0.76.10.2026)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA participant Weitere Beteiligte (1.2.276.0.76.10.2024)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA participant Einweiser (1.2.276.0.76.10.2023)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA participant Hausarzt (1.2.276.0.76.10.2012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Section Anrede (1.2.276.0.76.10.3001)
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Section Anamnese (2.16.840.1.113883.3.1937.777.36.10.1)
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Section Wundbeurteilung (2.16.840.1.113883.3.1937.777.36.10.3)
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Section Wundgröße (2.16.840.1.113883.3.1937.777.36.10.4)
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Section Wundlänge (2.16.840.1.113883.3.1937.777.36.10.6)
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Entry Wundlänge - Observation (2.16.840.1.113883.3.1937.777.36.10.10)
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Section Wundbreite (2.16.840.1.113883.3.1937.777.36.10.7)
-
Entry Wundbreite - Observation (2.16.840.1.113883.3.1937.777.36.10.9)
-
Section Wundtiefe (2.16.840.1.113883.3.1937.777.36.10.5)
-
Entry Wundtiefe - Observation (2.16.840.1.113883.3.1937.777.36.10.12)
-
Section Wundfläche (2.16.840.1.113883.3.1937.777.36.10.8)
-
Entry Wundfläche - Observation (2.16.840.1.113883.3.1937.777.36.10.11)
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Section Wundgrund (2.16.840.1.113883.3.1937.777.36.10.13)
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Entry Wundgrund - Observation (2.16.840.1.113883.3.1937.777.36.10.73)
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Section Wundrand (2.16.840.1.113883.3.1937.777.36.10.14)
-
Entry Wundrand - Observation (2.16.840.1.113883.3.1937.777.36.10.74)
-
Section Wundexsudat (2.16.840.1.113883.3.1937.777.36.10.15)
-
Section Wundexsudat - Menge (2.16.840.1.113883.3.1937.777.36.10.16)
-
Entry Wundexsudat Menge - Observation (2.16.840.1.113883.3.1937.777.36.10.76)
-
Section Wundexsudat - Beschaffenheit (2.16.840.1.113883.3.1937.777.36.10.17)
-
Entry Wundexsudat Beschaffenheit - Observation (2.16.840.1.113883.3.1937.777.36.10.77)
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Section Wundbezogener Schmerz (2.16.840.1.113883.3.1937.777.36.10.18)
-
Entry Wundbezogener Schmerz - Observation (2.16.840.1.113883.3.1937.777.36.10.90)
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Section Wundgeruch (2.16.840.1.113883.3.1937.777.36.10.19)
-
Entry Wundgeruch - Observation (2.16.840.1.113883.3.1937.777.36.10.78)
-
Section Wundlokalisation (2.16.840.1.113883.3.1937.777.36.10.21)
-
Entry Wundlokalisation - Observation (2.16.840.1.113883.3.1937.777.36.10.91)
-
Section Infektionszeichen (2.16.840.1.113883.3.1937.777.36.10.20)
-
Entry Infektionszeichen - Observation (2.16.840.1.113883.3.1937.777.36.10.89)
-
Section Wundbezogenes Infektionsrisiko (2.16.840.1.113883.3.1937.777.36.10.26)
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Entry Score - Entry (2.16.840.1.113883.3.1937.99.61.34.10.29)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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Section Wundödem (2.16.840.1.113883.3.1937.777.36.10.22)
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Entry Wundödem - Observation (2.16.840.1.113883.3.1937.777.36.10.99)
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Section Wundumgebung (2.16.840.1.113883.3.1937.777.36.10.23)
-
Entry Wundumgebung - Observation (2.16.840.1.113883.3.1937.777.36.10.92)
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Section Wunddauer (2.16.840.1.113883.3.1937.777.36.10.24)
-
Entry Wunddauer - Observation (2.16.840.1.113883.3.1937.777.36.10.93)
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Section Weitere Wundbeschreibung (2.16.840.1.113883.3.1937.777.36.10.25)
-
Section Aktueller Status Patient (2.16.840.1.113883.3.1937.777.36.10.30)
-
Section Diagnostik zugrunde liegender Erkrankungen (2.16.840.1.113883.3.1937.777.36.10.29)
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Entry Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)
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Entry Performer (Body) (1.2.276.0.76.10.90014)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Encounter Referenz (1.2.276.0.76.10.4087)
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Entry Indikation (1.2.276.0.76.10.4084)
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Section Ernährungsstatus, Ernährungsdefizite (2.16.840.1.113883.3.1937.777.36.10.28)
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Section Immunstatus (2.16.840.1.113883.3.1937.777.36.10.27)
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Entry Immunstatus - Observation (2.16.840.1.113883.3.1937.777.36.10.100)
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Section Psychosoziale Faktoren (2.16.840.1.113883.3.1937.777.36.10.33)
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Section Bewusstseinslevel (2.16.840.1.113883.3.1937.777.36.10.32)
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Entry Bewusstseinslevel qualitativ - Observation (2.16.840.1.113883.3.1937.777.36.10.101)
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Entry Bewusstseinslevel quantitativ - Observation (2.16.840.1.113883.3.1937.777.36.10.102)
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Section Weitere soziale Faktoren (2.16.840.1.113883.3.1937.777.36.10.31)
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Section Individuelle Risikofaktoren (2.16.840.1.113883.3.1937.777.36.10.34)
-
Section Risikoassessment (Skala) (2.16.840.1.113883.3.1937.777.36.10.35)
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Entry Score - Entry (2.16.840.1.113883.3.1937.99.61.34.10.29)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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Section Hautassessment (2.16.840.1.113883.3.1937.777.36.10.37)
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Section Körperhygiene, Hygieneassessment (2.16.840.1.113883.3.1937.777.36.10.36)
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Section Details über geheilte Wunden (2.16.840.1.113883.3.1937.777.36.10.39)
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Section Heilungsdauer geheilter Wunden (2.16.840.1.113883.3.1937.777.36.10.38)
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Entry Heilungsdauer - Observation (2.16.840.1.113883.3.1937.777.36.10.107)
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Section Produkte (2.16.840.1.113883.3.1937.777.36.10.40)
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Entry Hilfsmittel - Entry (2.16.840.1.113883.3.1937.99.61.34.10.38)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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notype Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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notype Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
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notype Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
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Section Maßnahmen (2.16.840.1.113883.3.1937.777.36.10.41)
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Entry Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)
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Entry Performer (Body) (1.2.276.0.76.10.90014)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Encounter Referenz (1.2.276.0.76.10.4087)
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Entry Indikation (1.2.276.0.76.10.4084)
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Section Gesundheitsrelevantes Patientenverhalten (2.16.840.1.113883.3.1937.777.36.10.42)
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Section Therapieakzeptanz (2.16.840.1.113883.3.1937.777.36.10.43)
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Section Lebensstil und Fähigkeiten (2.16.840.1.113883.3.1937.777.36.10.44)
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Section Körperliche Beeinträchtigung (2.16.840.1.113883.3.1937.777.36.10.49)
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Section Mobilitäts-/Aktivitätseinschränkung (2.16.840.1.113883.3.1937.777.36.10.48)
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Section Schmerzen (2.16.840.1.113883.3.1937.777.36.10.47)
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Section Empfindungsbeeinträchtigung (2.16.840.1.113883.3.1937.777.36.10.46)
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Section subjektive Beeinträchtigung durch Wundgeruch (2.16.840.1.113883.3.1937.777.36.10.45)
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Entry subjektive Beeinträchtigung durch Wundgeruch - Observation (2.16.840.1.113883.3.1937.777.36.10.103)
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Section Psychosoziale Beeinträchtigungen (2.16.840.1.113883.3.1937.777.36.10.52)
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Section Beeinträchtigung der Lebensqualität (2.16.840.1.113883.3.1937.777.36.10.51)
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Section Leiden unter den Symptomen (2.16.840.1.113883.3.1937.777.36.10.50)
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Section Diagnose (2.16.840.1.113883.3.1937.777.36.10.88)
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Section Wundbezogene Diagnose (2.16.840.1.113883.3.1937.777.36.10.85)
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Section Wundart (2.16.840.1.113883.3.1937.777.36.10.71)
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Entry Wundart - Observation (2.16.840.1.113883.3.1937.777.36.10.72)
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Section Entlassungsdiagnose (1.2.276.0.76.10.3027)
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Entry Diagnose Concern Act (1.2.276.0.76.10.4079)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Diagnose Observation (1.2.276.0.76.10.4080)
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Entry Lateralität (1.2.276.0.76.10.90026)
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Entry Diagnosesicherheit (1.2.276.0.76.10.90027)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Alter Beobachtung (1.2.276.0.76.10.4077)
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Entry Prognose Observation (1.2.276.0.76.10.4078)
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Entry Priorität Präferenz (1.2.276.0.76.10.4076)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Manifestation Observation (1.2.276.0.76.10.4093)
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Entry Etiology Observation (1.2.276.0.76.10.4094)
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Entry Priorität Präferenz (1.2.276.0.76.10.4076)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Section Wundstadium (2.16.840.1.113883.3.1937.777.36.10.86)
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Entry Wundstadium - Observation (2.16.840.1.113883.3.1937.777.36.10.87)
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Section Medizinische Informationen (2.16.840.1.113883.3.1937.777.36.10.84)
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Section Score (2.16.840.1.113883.3.1937.777.36.10.98)
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Entry Score - Entry (2.16.840.1.113883.3.1937.99.61.34.10.29)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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Section Befunde/Ergebnisse (1.2.276.0.76.10.3100)
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Entry Laborergebnis (1.2.276.0.76.10.4254)
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Entry Annotation Comment (1.2.276.0.76.10.4015)
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Entry Eingebettetes Objekt Entry (1.2.276.0.76.10.4014)
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Section Wundtherapie (2.16.840.1.113883.3.1937.777.36.10.62)
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Section Behandlungsziele der Wundversorgung (2.16.840.1.113883.3.1937.777.36.10.63)
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Section Behandlungsplan (2.16.840.1.113883.3.1937.777.36.10.64)
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Section Wundreinigung (2.16.840.1.113883.3.1937.777.36.10.65)
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Entry Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)
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Entry Performer (Body) (1.2.276.0.76.10.90014)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Encounter Referenz (1.2.276.0.76.10.4087)
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Entry Indikation (1.2.276.0.76.10.4084)
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Entry Hilfsmittel - Entry (2.16.840.1.113883.3.1937.99.61.34.10.38)
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notype Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
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Section Debridement (2.16.840.1.113883.3.1937.777.36.10.66)
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Entry Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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CDA Person Elements (1.2.276.0.76.10.90010)
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Entry Indikation (1.2.276.0.76.10.4084)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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notype Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
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notype Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
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notype Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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notype Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
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Section Sekundärverband (2.16.840.1.113883.3.1937.777.36.10.95)
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notype Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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notype Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
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Section Allergien, Unverträglichkeiten, Risiken (1.2.276.0.76.10.3028)
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Section Physikalische Interventionen (2.16.840.1.113883.3.1937.777.36.10.67)
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Entry Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)
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Entry Performer (Body) (1.2.276.0.76.10.90014)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Encounter Referenz (1.2.276.0.76.10.4087)
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Entry Indikation (1.2.276.0.76.10.4084)
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Entry Hilfsmittel - Entry (2.16.840.1.113883.3.1937.99.61.34.10.38)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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notype Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
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notype Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
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Section Hilfsmittel_Ressourcen (2.16.840.1.113883.3.1937.777.36.10.80)
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Section wundbezogene Hilfsmittel (2.16.840.1.113883.3.1937.777.36.10.97)
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Entry wundbezogene Hilfsmittel - Entry (2.16.840.1.113883.3.1937.777.36.10.96)
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notype Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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notype Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
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notype Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
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Section Personelle Unterstützung (2.16.840.1.113883.3.1937.777.36.10.105)
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Section Spezielle Patientenbedürfnisse (2.16.840.1.113883.3.1937.777.36.10.106)
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Section Ernährungsbedarf (2.16.840.1.113883.3.1937.777.36.10.104)
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Section Heilungs- und Therapieverlauf (2.16.840.1.113883.3.1937.777.36.10.68)
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Section Assessmentskala (2.16.840.1.113883.3.1937.777.36.10.69)
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Entry Score - Entry (2.16.840.1.113883.3.1937.99.61.34.10.29)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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Section Beschreibung des Heilungs- und Therapieverlaufs (2.16.840.1.113883.3.1937.777.36.10.70)
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Section Schmerzmanagement (2.16.840.1.113883.3.1937.777.36.10.61)
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Entry Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)
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Entry Performer (Body) (1.2.276.0.76.10.90014)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Encounter Referenz (1.2.276.0.76.10.4087)
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Entry Indikation (1.2.276.0.76.10.4084)
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Entry Hilfsmittel - Entry (2.16.840.1.113883.3.1937.99.61.34.10.38)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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notype Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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notype Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
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notype Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
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Entry Medikation (1.2.276.0.76.10.4022)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry RelatedEntity (Body) (1.2.276.0.76.10.90020)
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CDA Person Elements (1.2.276.0.76.10.90010)
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Entry Einzeldosierungen (1.2.276.0.76.10.4023)
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Entry Dosierung Freitext (1.2.276.0.76.10.4024)
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Section Hygienemaßnahmen (2.16.840.1.113883.3.1937.777.36.10.81)
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Section spezifische Hygieneanforderungen (2.16.840.1.113883.3.1937.777.36.10.82)
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Section Versorgungsdetails potentiell infektiöser Patienten (2.16.840.1.113883.3.1937.777.36.10.83)
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Section Kausaltherapie (2.16.840.1.113883.3.1937.777.36.10.58)
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Entry Diagnostik- oder Therapiemaßnahme (2.16.840.1.113883.3.1937.777.36.10.59)
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Entry Performer (Body) (1.2.276.0.76.10.90014)
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CDA Assigned Entity Elements (1.2.276.0.76.10.90012)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Author (Body) (1.2.276.0.76.10.90025)
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CDA Person Elements (1.2.276.0.76.10.90010)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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Entry Encounter Referenz (1.2.276.0.76.10.4087)
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Entry Indikation (1.2.276.0.76.10.4084)
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Entry Hilfsmittel - Entry (2.16.840.1.113883.3.1937.99.61.34.10.38)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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notype Manufactured Product (2.16.840.1.113883.3.1937.99.61.34.10.40)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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notype Manufactured Material (2.16.840.1.113883.3.1937.99.61.34.10.39)
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notype Kontaktorganisation (2.16.840.1.113883.3.1937.99.61.34.10.37)
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Section Patientenedukation (2.16.840.1.113883.3.1937.777.36.10.56)
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Section Inhalte der Patientenedukation (2.16.840.1.113883.3.1937.777.36.10.55)
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Section Durchführung der Patientenedukation (2.16.840.1.113883.3.1937.777.36.10.54)
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Section Bisherige Behandlungsergebnisse (2.16.840.1.113883.3.1937.777.36.10.53)
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Section Abschließende Bemerkungen (1.2.276.0.76.10.3034)
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Section Beilagen/Anhang (1.2.276.0.76.10.3037)
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Entry Eingebettetes Objekt Entry (1.2.276.0.76.10.4014)
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