Template | Allergy / Intolerance Observation / Allergyintoleranceobservation |
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Id | 1.2.276.0.76.10.4066 |
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Klassifikation | CDA entry level template |
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Kontext | Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4066 |
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Version | gültig ab 2014‑06‑09 Status In Entwicklung |
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Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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Benutzt von / Benutzt | Benutzt von / Benutzt 3 Templates | Benutzt von Template-Id | als | Name | Version |
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1.2.276.0.76.10.4065 | Containment | Allergyconcernact Allergy Concern Act | 2015‑03‑27 | 1.2.276.0.76.10.3051 | | AllergienUnvertraeglichkeiten Allergien und Unverträglichkeiten | 2015‑03‑26 | 1.2.276.0.76.10.1015 | | EmergencymedicineNoteCDAdocument Emergency medicine Note CDA document | 2014‑09‑18 |
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Beziehung | Spezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07) Adaptation: Template 2.16.840.1.113883.10.20.22.4.7 (2014‑06‑09) |
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Beispiel | Antibiotika-Allergie bekannt seit 2010 <observation classCode="OBS" moodCode="EVN"> <templateId root="1.2.276.0.76.10.4066"/> <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/> <statusCode code="completed"/> <effectiveTime> <low value="2010"/> </effectiveTime> <value xsi:type="CD" code="419199007" displayName="Allergy to substance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code code="250428009" codeSystem="2.16.840.1.113883.6.96" displayName="Antimicrobial substance (substance)"> <originalText> <reference value="#alg-1"/> </originalText> </code> </playingEntity> </participantRole> </participant></observation> |
Beispiel | Keine Kontrastmittel-Allergie bekannt (negationInd=true) <observation classCode="OBS" moodCode="EVN" negationInd="true"> <templateId root="1.2.276.0.76.10.4066"/> <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/> <statusCode code="completed"/> <effectiveTime nullFlavor="NA"/> <value xsi:type="CD" code="419199007" displayName="Allergy to substance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code code="385420005" codeSystem="2.16.840.1.113883.6.96" displayName="Contrast media (substance)"> <originalText> <reference value="#alg-2"/> </originalText> </code> </playingEntity> </participantRole> </participant></observation> |
Beispiel | Sonstige Allergie: Hühnereiweiss (Der Freitext steht im zugehörigen Section.text, hier referenziert durch #alg-4) <observation classCode="OBS" moodCode="EVN"> <templateId root="1.2.276.0.76.10.4066"/> <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/> <statusCode code="completed"/> <effectiveTime nullFlavor="NA"/> <value xsi:type="CD" code="419199007" displayName="Allergy to substance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code nullFlavor="OTH"> <originalText> <reference value="#alg-4"/> </originalText> </code> </playingEntity> </participantRole> </participant></observation> |
Beispiel | Keine Allergie bekannt (negationInd=true) <observation classCode="OBS" moodCode="EVN" negationInd="true"> <templateId root="1.2.276.0.76.10.4066"/> <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/> <statusCode code="completed"/> <!-- N/A - author/time records when this assertion was made --> <effectiveTime nullFlavor="NA"/> <value xsi:type="CD" code="419199007" displayName="Allergy to substance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> </observation> |
Item | DT | Kard | Konf | Beschreibung | Label |
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| | | | | (Allergyintoleranceobservation) | | @classCode
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| | 1 .. 1 | F | OBS | | @moodCode
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| | 1 .. 1 | F | EVN | | @negationInd
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| bl | 0 .. 1 | | | | hl7:templateId
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| II | 1 .. 1 | M | | (Allergyintoleranceobservation) | | | @root
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| | 1 .. 1 | F | 1.2.276.0.76.10.4066 | | hl7:id
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| II | 1 .. * | M | | (Allergyintoleranceobservation) | | hl7:code
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| CV | 1 .. 1 | M | | (Allergyintoleranceobservation) | | | @code
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| | 1 .. 1 | F | ASSERTION | | | @codeSystem
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| | 1 .. 1 | F | 2.16.840.1.113883.5.4 (Act Code) | | hl7:statusCode
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| CS | 1 .. 1 | M | | (Allergyintoleranceobservation) | | hl7:effectiveTime
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| IVL_TS | 1 .. 1 | R | | (Allergyintoleranceobservation) | | | hl7:low
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| TS | 0 .. 1 | R | | (Allergyintoleranceobservation) | | | hl7:high
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| TS | 0 .. 1 | R | | (Allergyintoleranceobservation) | | hl7:value
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| CV | 1 .. 1 | M | | (Allergyintoleranceobservation) | | CONF | @code muss "419199007" sein | @codeSystem muss "2.16.840.1.113883.6.96" sein | oder | @code muss "420134006" sein | @codeSystem muss "2.16.840.1.113883.6.96" sein |
| | hl7:participant
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| | 0 .. 1 | R | | (Allergyintoleranceobservation) | | | @typeCode
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| | 1 .. 1 | F | CSM | | | hl7:participantRole
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| | 1 .. 1 | M | | (Allergyintoleranceobservation) | | | 1 .. 1 | F | MANU | | | 1 .. 1 | M | | (Allergyintoleranceobservation) | | | 1 .. 1 | F | MMAT | | CE | 1 .. 1 | R | | (Allergyintoleranceobservation) | | CONF | Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.52 Allergy / intolerance substances (DYNAMIC) |
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