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Document Trauma Summary CDA document (1.2.276.0.76.10.1021)
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CDA realmCode (1.2.276.0.76.10.90002)
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CDA typeId (1.2.276.0.76.10.90003)
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CDA id (1.2.276.0.76.10.90004)
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CDA title (1.2.276.0.76.10.90005)
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CDA effectiveTime (1.2.276.0.76.10.90006)
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CDA confidentialityCode (1.2.276.0.76.10.90007)
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CDA languageCode (1.2.276.0.76.10.90008)
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CDA setId and versionNumber (1.2.276.0.76.10.90009)
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CDA recordTarget (nnar) (1.2.276.0.76.10.2032)
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Patientenidentifikation (1.2.276.0.76.10.90024)
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CDA author (1.2.276.0.76.10.2033)
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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 custodian (1.2.276.0.76.10.2034)
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CDA Organization Elements (1.2.276.0.76.10.90011)
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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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Dienstleistung/Behandlung (Trauma) (1.2.276.0.76.10.2042)
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Section Unfallereignis (1.2.276.0.76.10.3068)
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Entry Injury Event Detail (1.2.276.0.76.10.4088)
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Entry Trauma Injury Observation Organizer (1.2.276.0.76.10.4089)
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Entry Traumatic Injury Observation (1.2.276.0.76.10.4092)
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Entry Injury Severity Score Body Region Observation (1.2.276.0.76.10.4168)
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Entry Injury Severity Observation (1.2.276.0.76.10.4167)
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Entry Injury Cause Observation Organizer (1.2.276.0.76.10.4090)
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Entry Primary Injury Cause Observation (1.2.276.0.76.10.4095)
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Entry Safety Equipment Observation Organizer (1.2.276.0.76.10.4091)
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Entry Safety Equipment Used Observation (1.2.276.0.76.10.4096)
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Entry Pre-trauma ASA score (1.2.276.0.76.10.4169)
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Section Präklinik (Episode) (1.2.276.0.76.10.3069)
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Entry PreHospital Encounter Entry (1.2.276.0.76.10.4097)
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Entry Prehospital Encounter Response Observation Organizer (1.2.276.0.76.10.4099)
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Entry Prehospital Encounter Response Unit Scene Arrival Observation (1.2.276.0.76.10.4163)
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Entry Prehospital Encounter Response Unit Scene Departure Observation (1.2.276.0.76.10.4164)
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Entry Transportation Observation Organizer (1.2.276.0.76.10.4100)
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Entry Alarmierungszeit Rettungsmittel (1.2.276.0.76.10.4098)
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Entry Vital Sign Observations Organizer (1.2.276.0.76.10.4101)
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Entry Atemfrequenz (1.2.276.0.76.10.4030)
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Entry Sauerstoffsättigung (1.2.276.0.76.10.4031)
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Entry Sauerstoffpartialdruck (1.2.276.0.76.10.4251)
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Entry Blutdruck systolisch (1.2.276.0.76.10.4032)
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Entry Herzfrequenz (1.2.276.0.76.10.4033)
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Entry Glasgow Coma Scale (1.2.276.0.76.10.4034)
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Entry Pupillenweite (1.2.276.0.76.10.4046)
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Entry Pupillenreaktion (1.2.276.0.76.10.4047)
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Entry Körperkerntemperatur (1.2.276.0.76.10.4035)
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Entry Schmerz (1.2.276.0.76.10.4036)
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Entry Endtidales CO2 (1.2.276.0.76.10.4103)
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Entry Intoxications Observations Organizer (1.2.276.0.76.10.4102)
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Entry Intoxication Alcohol Drug Observation (1.2.276.0.76.10.4104)
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Entry FAST Befunde (1.2.276.0.76.10.4105)
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Entry FAST Befunde freie Flüssigkeit (1.2.276.0.76.10.4134)
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Entry Prehospital procedures performed Organizer (1.2.276.0.76.10.4106)
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Entry HWS Immobilisation (1.2.276.0.76.10.4107)
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Entry Endotracheale Intubation (1.2.276.0.76.10.4108)
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Entry Supraglottische Atemwegshilfe (1.2.276.0.76.10.4109)
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Entry Chirurgische Atemwegssicherung (1.2.276.0.76.10.4110)
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Entry Thoraxdrainage (1.2.276.0.76.10.4111)
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Entry Sauerstoffapplikation (j/n) (1.2.276.0.76.10.4112)
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Entry Periphervenöser Zugang (1.2.276.0.76.10.4113)
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Entry Zentralvenöser Zugang (1.2.276.0.76.10.4114)
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Entry Arterieller Zugang (1.2.276.0.76.10.4115)
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Entry Intraossärer Zugang (1.2.276.0.76.10.4116)
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Entry Defibrillation (1.2.276.0.76.10.4118)
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Entry Blutstillung (1.2.276.0.76.10.4119)
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Entry Frakturbehandlung (1.2.276.0.76.10.4120)
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Entry Beckengurt (1.2.276.0.76.10.4121)
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Entry Analgosedierung (1.2.276.0.76.10.4122)
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Entry Thermoprotektion (1.2.276.0.76.10.4123)
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Entry Herzdruckmassage (1.2.276.0.76.10.4117)
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Entry Kristalloide Infusionslösungen (1.2.276.0.76.10.4125)
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Entry Kolloidale Infusionslösungen (1.2.276.0.76.10.4126)
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Entry Small-volume Gabe (1.2.276.0.76.10.4252)
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Entry Katecholamine (1.2.276.0.76.10.4127)
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Entry Tranexamsäure (1.2.276.0.76.10.4128)
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Section Körperliche Untersuchung (1.2.276.0.76.10.3072)
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Section Klinik (Episode) (1.2.276.0.76.10.3073)
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Entry Hospital Care Episode Encounter (1.2.276.0.76.10.4133)
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Entry Inpatient Hospital Encounter Detail Observation Organizer (1.2.276.0.76.10.4136)
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Entry Relevant Blood Loss (1.2.276.0.76.10.4137)
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Entry Endtidales CO2 (1.2.276.0.76.10.4103)
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Entry FAST Befunde (1.2.276.0.76.10.4105)
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Entry FAST Befunde freie Flüssigkeit (1.2.276.0.76.10.4134)
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Entry Bildgebende Befunde (1.2.276.0.76.10.4135)
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Section Schockraum (Episode) (1.2.276.0.76.10.3071)
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Entry Emergency Room Encounter Entry (1.2.276.0.76.10.4129)
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Entry Emergency Room procedures performed Organizer (1.2.276.0.76.10.4130)
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Entry HWS Immobilisation (1.2.276.0.76.10.4107)
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Entry Endotracheale Intubation (1.2.276.0.76.10.4108)
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Entry Supraglottische Atemwegshilfe (1.2.276.0.76.10.4109)
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Entry Chirurgische Atemwegssicherung (1.2.276.0.76.10.4110)
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Entry Thoraxdrainage (1.2.276.0.76.10.4111)
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Entry Sauerstoffapplikation (j/n) (1.2.276.0.76.10.4112)
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Entry Periphervenöser Zugang (1.2.276.0.76.10.4113)
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Entry Zentralvenöser Zugang (1.2.276.0.76.10.4114)
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Entry Arterieller Zugang (1.2.276.0.76.10.4115)
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Entry Intraossärer Zugang (1.2.276.0.76.10.4116)
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Entry Defibrillation (1.2.276.0.76.10.4118)
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Entry Blutstillung (1.2.276.0.76.10.4119)
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Entry Frakturbehandlung (1.2.276.0.76.10.4120)
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Entry Beckengurt (1.2.276.0.76.10.4121)
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Entry Analgosedierung (1.2.276.0.76.10.4122)
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Entry Thermoprotektion (1.2.276.0.76.10.4123)
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Entry Herzdruckmassage (1.2.276.0.76.10.4117)
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Entry Kristalloide Infusionslösungen (1.2.276.0.76.10.4125)
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Entry Kolloidale Infusionslösungen (1.2.276.0.76.10.4126)
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Entry Small-volume Gabe (1.2.276.0.76.10.4252)
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Entry Katecholamine (1.2.276.0.76.10.4127)
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Section Aufnahmelabor (1.2.276.0.76.10.3074)
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Entry Laboratory Results Organizer (1.2.276.0.76.10.4138)
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Entry pH (1.2.276.0.76.10.4139)
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Entry Base Excess (1.2.276.0.76.10.4140)
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Entry Sauerstoffpartialdruck (1.2.276.0.76.10.4251)
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Entry Hb (1.2.276.0.76.10.4141)
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Entry Thrombozytenzahl (1.2.276.0.76.10.4142)
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Entry Quick (1.2.276.0.76.10.4144)
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Entry aPTT (1.2.276.0.76.10.4145)
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Entry INR (1.2.276.0.76.10.4146)
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Entry Fibrinogen (1.2.276.0.76.10.4147)
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Entry Ionisiertes Kalzium (1.2.276.0.76.10.4148)
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Entry Ethanol (Plasma) (1.2.276.0.76.10.4149)
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Entry ROTEM (1.2.276.0.76.10.4150)
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Entry ROTEM EXTEM-CT (1.2.276.0.76.10.4151)
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Entry ROTEM EXTEM-MCF (1.2.276.0.76.10.4152)
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Entry ROTEM A10 FIBTEM (1.2.276.0.76.10.4153)
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Section Antikoagulation (1.2.276.0.76.10.3075)
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Entry Antikoagulans (1.2.276.0.76.10.4154)
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Section Notfalleingriffe (1.2.276.0.76.10.3076)
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Entry Hirndruckentlastung (1.2.276.0.76.10.4155)
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Entry Laminektomie (1.2.276.0.76.10.4156)
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Entry Thorakotomie (1.2.276.0.76.10.4157)
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Entry Laparotomie (1.2.276.0.76.10.4158)
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Entry Revaskularisation (1.2.276.0.76.10.4159)
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Entry Embolisation (1.2.276.0.76.10.4160)
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Entry Beckenstabilisierung (1.2.276.0.76.10.4161)
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Entry Stabilisierung Extremitäten (1.2.276.0.76.10.4162)
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Section Imaging Results (1.2.276.0.76.10.3078)
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Section Abschlussdiagnosen (Trauma) (1.2.276.0.76.10.3077)
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Entry Problem Concern Act (Abschlussdiagnosen) (1.2.276.0.76.10.4048)
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Entry Problem Observation (Abschlussdiagnose) (1.2.276.0.76.10.4049)
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Entry Diagnosesicherheit (1.2.276.0.76.10.90027)
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Entry Lateralität (1.2.276.0.76.10.90026)
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