1.2.276.0.76.3.1.261.1.10.1.2/static-2018-08-24T094853

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Id1.2.276.0.76.3.1.261.1.10.1.2Gültigkeit2018‑08‑24 09:48:53
StatusKyellow.png EntwurfVersions-Label
NameStationaererEntlassberichtBezeichnungStationärer Entlassungsbericht
BeschreibungEntlassungsbericht aus stationärer Behandlung (DAV/VAV/SAV)
KontextPfadname //
KlassifikationCDA Document Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt
Benutzt 29 Templates
Benutzt als NameVersion
1.2.276.0.76.3.1.261.1.10.2.1InklusionKyellow.png CDA recordTarget (DGUV)DYNAMIC
1.2.276.0.76.3.1.261.1.10.2.10InklusionKyellow.png CDA author PersonDYNAMIC
1.2.276.0.76.10.2004InklusionKgreen.png CDA custodianDYNAMIC
1.2.276.0.76.3.1.261.1.10.2.7InklusionKyellow.png CDA authenticatorDYNAMIC
1.2.276.0.76.3.1.261.1.10.2.9InklusionKyellow.png CDA participant D-ArztDYNAMIC
1.2.276.0.76.10.2025InklusionKyellow.png CDA participant AnsprechpartnerDYNAMIC
1.2.276.0.76.3.1.261.1.10.2.6InklusionKyellow.png Behandelnde EinrichtungDYNAMIC
1.2.276.0.76.3.1.261.1.10.2.4InklusionKyellow.png UnfallbetriebDYNAMIC
1.2.276.0.76.3.1.261.1.10.2.5InklusionKyellow.png UV TrägerDYNAMIC
1.2.276.0.76.3.1.261.1.10.2.2InklusionKyellow.png Kostenträger GKVDYNAMIC
1.2.276.0.76.3.1.261.1.10.2.3InklusionKyellow.png Kostentraeger PflegekasseDYNAMIC
1.2.276.0.76.3.1.261.1.10.2.8InklusionKyellow.png CDA participant WeiterbehandlerDYNAMIC
1.2.276.0.76.10.2027InklusionKorange.png CDA encompassingEncounter Patientenkontakt (1.1)DYNAMIC
1.2.276.0.76.3.1.261.1.10.3.4ContainmentKyellow.png UnfallereignisDYNAMIC
1.2.276.0.76.3.1.261.1.10.3.5ContainmentKyellow.png Patient Detail SectionDYNAMIC
1.2.276.0.76.3.1.261.1.10.3.6ContainmentKyellow.png EntlassungsdiagnoseDYNAMIC
1.2.276.0.76.10.3032ContainmentKyellow.png Prozeduren und MaßnahmenDYNAMIC
1.2.276.0.76.10.3048ContainmentKgreen.png Beschwerden bei VorstellungDYNAMIC
1.2.276.0.76.10.3126ContainmentKyellow.png Aufnahmebefunde (Krankenhaus)DYNAMIC
1.2.276.0.76.10.3021ContainmentKgreen.png Zusammenfassung des AufenthaltsDYNAMIC
1.2.276.0.76.10.3025ContainmentKgreen.png Erhobene Befunde (Krankenhaus)DYNAMIC
1.2.276.0.76.3.1.261.1.10.3.13ContainmentKyellow.png Konsiliarbefunde (DGUV)DYNAMIC
1.2.276.0.76.10.3111ContainmentKyellow.png EntlassungsbefundeDYNAMIC
1.2.276.0.76.3.1.261.1.10.3.3ContainmentKyellow.png Aktuelle MedikationDYNAMIC
1.2.276.0.76.3.1.261.1.10.3.14ContainmentKyellow.png Weiteres VorgehenDYNAMIC
1.2.276.0.76.3.1.261.1.10.3.10ContainmentKyellow.png Weitere empfohlene Maßnahmen (DGUV)DYNAMIC
1.2.276.0.76.3.1.261.1.10.3.11ContainmentKyellow.png Arbeitsunfähigkeitsbescheinigung (DGUV) DYNAMIC
1.2.276.0.76.3.1.261.1.10.3.12ContainmentKyellow.png Berufliche WiedereingliederungDYNAMIC
1.2.276.0.76.3.1.261.1.10.3.16ContainmentKyellow.png BemerkungenDYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.2 CDA ClinicalDocument (with StructuredBody) (2005‑09‑07)
ref
ad1bbr-
Beispiel
Beispiel
<ClinicalDocument>
  <realmCode code="DE"/>  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <templateId root="1.2.276.0.76.3.1.261.1.10.1.2"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="34106-5" codeSystem="2.16.840.1.113883.6.1" displayName="Physician Hospital Discharge summary"/>  <title>Entlassungsbericht aus stationärer Behandlung (DAV/VAV/SAV)</title>  <effectiveTime value="20180824100448"/>  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" displayName="normal"/>  <languageCode code="de-DE"/>  <setId root="1.2.3.999" extension="--example only--"/>  <versionNumber value="1"/>  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.1 'CDA recordTarget (DGUV)' (dynamic) 1..1 R -->
  <!-- include template 1.2.276.0.76.10.2007 'CDA author Person' (dynamic) 1..1 R -->
  <!-- include template 1.2.276.0.76.10.2004 'CDA custodian' (dynamic) 1..1 R -->
  <component>
    <structuredBody>
      <component>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.4 'Unfallereignis' (2018-06-04T00:00:00) -->
      </component>
      <component>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.6 'Entlassungsdiagnose' (2018-06-04T00:00:00) -->
      </component>
      <component>
        <!-- template 1.2.276.0.76.10.3032 'Prozeduren und Maßnahmen' (2017-02-01T00:00:00) -->
      </component>
      <component>
        <!-- template 1.2.276.0.76.10.3048 'Beschwerden bei Vorstellung' (2015-01-10T00:00:00) -->
      </component>
      <component>
        <!-- template 1.2.276.0.76.10.3126 'Aufnahmebefunde (Krankenhaus)' (2018-08-13T00:00:00) -->
      </component>
      <component>
        <!-- template 1.2.276.0.76.10.3021 'Zusammenfassung des Aufenthalts' (2013-09-16T00:00:00) -->
      </component>
      <component>
        <!-- template 1.2.276.0.76.10.3025 'Erhobene Befunde (Krankenhaus)' (2013-12-30T00:00:00) -->
      </component>
      <component>
        <!-- template 1.2.276.0.76.3.1.261.1.77.1.10.22 'Konsiliarbefunde (DGUV)' (2018-08-24T10:00:01) -->
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>
Beispiel
Full example (auto-generated)
<hl7:ClinicalDocument classCode="DOCCLIN" moodCode="EVN">
  <hl7:realmCode code="DE"/>  <hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.1.2"/>  <hl7:id root="1.2.3.999" extension="--example only--"/>  <hl7:code code="34106-5" codeSystem="2.16.840.1.113883.6.1" displayName="Physician Hospital Discharge summary"/>  <hl7:title>Entlassungsbericht aus stationärer Behandlung (DAV/VAV/SAV)</hl7:title>  <hl7:effectiveTime value="20210115082135"/>  <hl7:confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" displayName="normal"/>  <hl7:languageCode code="de-DE"/>  <hl7:setId root="1.2.3.999" extension="--example only--"/>  <hl7:versionNumber value="1"/>  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.1 'CDA recordTarget (DGUV)' (2017-11-09T14:38:41) 1..1 R -->
  <hl7:recordTarget typeCode="RCT" contextControlCode="OP">
    <hl7:patientRole classCode="PAT">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:patient classCode="PSN" determinerCode="INSTANCE">
        <hl7:name>name</hl7:name>        <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>        <hl7:birthTime value="20210115"/>      </hl7:patient>
    </hl7:patientRole>
  </hl7:recordTarget>
  <!-- include template 1.2.276.0.76.10.2007 'CDA author Person' (2013-10-11T00:00:00) 1..1 R -->
  <hl7:author typeCode="AUT" contextControlCode="OP">
    <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>    <hl7:time value="20210115"/>    <hl7:assignedAuthor classCode="ASSIGNED">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:code/>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:assignedPerson>
        <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
        <hl7:name>name</hl7:name>      </hl7:assignedPerson>
      <hl7:representedOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:representedOrganization>
    </hl7:assignedAuthor>
  </hl7:author>
  <!-- include template 1.2.276.0.76.10.2004 'CDA custodian' (2013-07-17T00:00:00) 1..1 R -->
  <hl7:custodian typeCode="CST">
    <hl7:assignedCustodian classCode="ASSIGNED">
      <hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:representedCustodianOrganization>
    </hl7:assignedCustodian>
  </hl7:custodian>
  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.7 'CDA authenticator' (2018-07-23T09:20:51) 0..* R -->
  <hl7:authenticator typeCode="AUTHEN">
    <hl7:time value="20210115082135"/>    <hl7:signatureCode code="I"/>    <hl7:assignedEntity>
      <!-- include template 1.2.276.0.76.10.90012 'CDA Assigned Entity Elements' (2011-12-19T00:00:00) -->
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:assignedPerson>
        <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
        <hl7:name>name</hl7:name>      </hl7:assignedPerson>
      <hl7:representedOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:representedOrganization>
    </hl7:assignedEntity>
  </hl7:authenticator>
  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.9 'CDA participant D-Arzt' (2018-08-14T09:47:23) 0..1 R -->
  <hl7:participant typeCode="RESP" contextControlCode="OP">
    <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.2.9"/>    <hl7:time>
      <hl7:low value="20210115082135"/>    </hl7:time>
    <hl7:associatedEntity classCode="PROV">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:code code="DARZT" codeSystem="1.2.276.0.76.3.1.261.1.5.5"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:associatedPerson>
        <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
        <hl7:name>name</hl7:name>      </hl7:associatedPerson>
      <hl7:scopingOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:scopingOrganization>
    </hl7:associatedEntity>
  </hl7:participant>
  <!-- include template 1.2.276.0.76.10.2025 'CDA participant Ansprechpartner' (2014-08-25T00:00:00) 0..1 R -->
  <hl7:participant typeCode="CALLBCK">
    <hl7:templateId root="1.2.276.0.76.10.2025"/>    <hl7:associatedEntity classCode="PROV">
      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:associatedPerson>
        <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
        <hl7:name>name</hl7:name>      </hl7:associatedPerson>
      <hl7:scopingOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:scopingOrganization>
    </hl7:associatedEntity>
  </hl7:participant>
  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.6 'Behandelnde Einrichtung' (2018-07-09T15:11:38) 1..1 R -->
  <hl7:participant typeCode="IND">
    <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.2.6"/>    <hl7:associatedEntity classCode="CAREGIVER">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:scopingOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:scopingOrganization>
    </hl7:associatedEntity>
  </hl7:participant>
  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.4 'Unfallbetrieb' (2018-06-04T00:00:00) 1..1 R -->
  <hl7:participant typeCode="IND">
    <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.2.4"/>    <hl7:associatedEntity classCode="CON">
      <hl7:code code="EMPLOYER" codeSystem="1.3.6.1.4.1.19376.1.5.3.1.2.2" displayName="Employer"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:scopingOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:scopingOrganization>
    </hl7:associatedEntity>
  </hl7:participant>
  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.5 'UV Träger' (2018-07-09T15:07:58) .. O -->
  <hl7:participant typeCode="HLD">
    <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.2.5"/>    <hl7:functionCode code="UVTR" codeSystem="1.2.276.0.76.3.1.261.1.5.10" displayName="Unfallversicherungsträger"/>    <hl7:associatedEntity classCode="POLHOLD">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:associatedPerson/>      <hl7:scopingOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:scopingOrganization>
    </hl7:associatedEntity>
  </hl7:participant>
  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.2 'Kostenträger GKV' (2018-06-04T00:00:00) .. O -->
  <hl7:participant typeCode="HLD">
    <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.2.2"/>    <hl7:functionCode code="KTGKV" codeSystem="1.2.276.0.76.3.1.261.1.5.10" displayName="Kostenträger GKV"/>    <hl7:associatedEntity classCode="POLHOLD">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:associatedPerson/>      <hl7:scopingOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:scopingOrganization>
    </hl7:associatedEntity>
  </hl7:participant>
  <!-- include template 1.2.276.0.76.3.1.261.1.10.2.3 'Kostentraeger Pflegekasse' (2018-06-04T00:00:00) .. O -->
  <hl7:participant typeCode="HLD">
    <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.2.3"/>    <hl7:functionCode code="KTPFL" codeSystem="1.2.276.0.76.3.1.261.1.5.10" displayName="Kostenträger Pflegekasse"/>    <hl7:associatedEntity classCode="POLHOLD">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:scopingOrganization>
        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>      </hl7:scopingOrganization>
    </hl7:associatedEntity>
  </hl7:participant>
  <!-- include template 1.2.276.0.76.10.2027 'CDA encompassingEncounter Patientenkontakt' (2014-08-25T00:00:00) 0..1 O -->
  <hl7:componentOf typeCode="COMP">
    <hl7:encompassingEncounter classCode="ENC" moodCode="EVN">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:code code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="ambulatory"/>      <__CHOICE__ min="1" max="1">
        <!--start choice particle-->
        <hl7:effectiveTime>
          <hl7:low value="20210115082135"/>        </hl7:effectiveTime>
        <!--end choice particle-->
        <!--start choice particle-->
        <hl7:effectiveTime value="--TODO--"/>        <!--end choice particle-->
      </__CHOICE__>
      <hl7:responsibleParty>
        <hl7:assignedEntity>
          <!-- include template 1.2.276.0.76.10.90012 'CDA Assigned Entity Elements' (2011-12-19T00:00:00) -->
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:addr>addr</hl7:addr>          <hl7:telecom value="tel:+1-12345678"/>          <hl7:assignedPerson>
            <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
            <hl7:name>name</hl7:name>          </hl7:assignedPerson>
          <hl7:representedOrganization>
            <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:name>name</hl7:name>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:addr>addr</hl7:addr>          </hl7:representedOrganization>
        </hl7:assignedEntity>
      </hl7:responsibleParty>
      <!-- include template 1.2.276.0.76.10.90021 'Encounter Location' (2014-08-25T00:00:00) 0..1 R -->
      <hl7:location typeCode="LOC">
        <hl7:healthCareFacility classCode="SDLOC">
          <hl7:serviceProviderOrganization classCode="ORG" determinerCode="INSTANCE">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:name>name</hl7:name>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:addr>addr</hl7:addr>          </hl7:serviceProviderOrganization>
        </hl7:healthCareFacility>
      </hl7:location>
    </hl7:encompassingEncounter>
  </hl7:componentOf>
  <hl7:component typeCode="COMP" contextConductionInd="false">
    <hl7:structuredBody classCode="DOCBODY" moodCode="EVN">
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section classCode="DOCSECT">
          <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.3.4"/>          <hl7:code code="74209-8" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Unfallereignis</hl7:title>          <hl7:text/>          <hl7:entry typeCode="COMP" contextConductionInd="true">
            <hl7:act classCode="ACT" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.8"/>              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:code code="74209-8" codeSystem="2.16.840.1.113883.6.1"/>              <hl7:text>
                <hl7:reference value="http:mydomain.org"/>              </hl7:text>
              <hl7:effectiveTime>
                <hl7:low value="20210115082135"/>              </hl7:effectiveTime>
              <hl7:entryRelationship typeCode="COMP">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.2"/>                  <hl7:code code="VNVV" codeSystem="1.2.276.0.76.3.1.261.1.5.100" displayName="Liegt eine Verletzung nach dem Verletzungsartenverzeichnis vor?"/>                  <hl7:text/>                  <hl7:statusCode code="completed"/>                  <hl7:effectiveTime>
                    <hl7:low value="20210115082135"/>                  </hl7:effectiveTime>
                  <hl7:value code="DAV" codeSystem="1.2.276.0.76.3.1.261.1.5.3" displayName="Es liegt keine Verletzung nach dem Verletzungsartenverzeichnis (VAV) vor."/>                  <hl7:entryRelationship typeCode="RSON">
                    <hl7:observation classCode="OBS" moodCode="EVN">
                      <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.3"/>                      <hl7:code code="VAV" codeSystem="1.2.276.0.76.3.1.261.1.5.3" displayName="VAV"/>                      <hl7:text/>                      <hl7:statusCode code="completed"/>                      <hl7:value code="1" codeSystem="1.2.276.0.76.3.1.261.1.5.1" displayName="Ausgedehnte oder tiefgehende Verletzungen der Haut und des Weichteilmantels"/>                    </hl7:observation>
                    <!-- template 1.2.276.0.76.3.1.261.1.10.4.3 'Verletzungsartenverzeichnis' (2017-11-16T22:11:07) -->
                  </hl7:entryRelationship>
                </hl7:observation>
                <!-- template 1.2.276.0.76.3.1.261.1.10.4.2 'Verletzung nach Verletzungsartenverzeichnis' (2017-11-16T22:05:21) -->
              </hl7:entryRelationship>
            </hl7:act>
            <!-- template 1.2.276.0.76.3.1.261.1.10.4.8 'Unfall Detail' (2018-06-04T00:00:00) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.4 'Unfallereignis' (2018-06-04T00:00:00) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.3.6"/>          <hl7:code code="11535-2" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Entlassungsdiagnosen</hl7:title>          <hl7:text/>          <hl7:entry typeCode="COMP">
            <hl7:observation classCode="OBS" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.14"/>              <hl7:id/>              <hl7:code code="8651-2" codeSystem="2.16.840.1.113883.6.1" displayName="Hospital discharge Dx"/>              <hl7:text>
                <hl7:reference value="--TODO--"/>              </hl7:text>
              <hl7:statusCode code="completed"/>              <hl7:effectiveTime>
                <hl7:low/>                <hl7:high/>              </hl7:effectiveTime>
              <hl7:value>
                <hl7:originalText/>                <hl7:qualifier>
                  <hl7:name code="ACCRELA" codeSystem="1.2.276.0.76.3.1.261.1.10.5.100"/>                  <hl7:value code="RACC" codeSystem="1.2.276.0.76.3.1.261.1.5.11" displayName="Diagnose/Problem unfallabhäng"/>                </hl7:qualifier>
              </hl7:value>
              <hl7:entryRelationship typeCode="COMP">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.7"/>                  <hl7:id/>                  <hl7:code code="L-AOCLASS" codeSystem="2.16.840.1.113883.6.1" displayName="AO-Klassifikation"/>                  <hl7:text>
                    <hl7:reference value="--TODO--"/>                  </hl7:text>
                  <hl7:statusCode code="completed"/>                  <__CHOICE__ max="1">
                    <!--start choice particle-->
                    <hl7:value/>                    <!--end choice particle-->
                    <!--start choice particle-->
                    <hl7:value/>                    <!--end choice particle-->
                  </__CHOICE__>
                </hl7:observation>
                <!-- template 1.2.276.0.76.3.1.261.1.10.4.7 'Klassifikation Observation' (2018-05-30T14:10:03) -->
              </hl7:entryRelationship>
            </hl7:observation>
            <!-- template 1.2.276.0.76.3.1.261.1.10.4.14 'Diagnose Observation' (2018-06-04T00:00:00) -->
          </hl7:entry>
          <hl7:entry typeCode="COMP">
            <hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
              <hl7:templateId root="1.2.276.0.76.10.4080"/>              <hl7:id/>              <hl7:code code="29308-4" codeSystem="2.16.840.1.113883.6.1" displayName="Diagnosis"/>              <hl7:text>
                <hl7:reference value="--TODO--"/>              </hl7:text>
              <hl7:statusCode code="completed"/>              <hl7:effectiveTime>
                <hl7:low/>                <hl7:high/>              </hl7:effectiveTime>
              <hl7:value>
                <!-- include template 1.2.276.0.76.10.90026 'Lateralität' (2017-02-13T00:00:00) -->
                <hl7:qualifier>
                  <hl7:name code="20228-3" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:value code="L" codeSystem="1.2.276.0.76.5.412" displayName="Left"/>                </hl7:qualifier>
                <!-- include template 1.2.276.0.76.10.90027 'Diagnosesicherheit' (2017-03-02T00:00:00) -->
                <hl7:qualifier>
                  <hl7:name code="8" codeSystem="2.16.840.1.113883.3.7.1.0"/>                  <hl7:value code="A" codeSystem="1.2.276.0.76.3.1.1.5.1.21" displayName="ausgeschlossen"/>                </hl7:qualifier>
                <hl7:qualifier/>                <hl7:translation code="--TODO--"/>              </hl7:value>
              <hl7:author>
                <!-- include template 1.2.276.0.76.10.90025 'Author (Body)' (2014-12-21T00:00:00) -->
                <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>                <hl7:time value="20210115082135"/>                <hl7:assignedAuthor classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.5.111"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson>
                    <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
                    <hl7:name>name</hl7:name>                  </hl7:assignedPerson>
                  <hl7:representedOrganization>
                    <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                  </hl7:representedOrganization>
                </hl7:assignedAuthor>
              </hl7:author>
              <hl7:participant typeCode="AUTHEN">
                <hl7:time>
                  <hl7:low value="20210115082135"/>                </hl7:time>
                <hl7:participantRole classCode="ROL">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                  </hl7:playingEntity>
                  <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:desc/>                  </hl7:scopingEntity>
                </hl7:participantRole>
              </hl7:participant>
              <hl7:entryRelationship typeCode="SUBJ" inversionInd="true">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4077"/>                  <hl7:code code="30525-0" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:statusCode code="completed"/>                  <hl7:effectiveTime value="20210115082135"/>                  <hl7:value unit="min" value="1"/>                </hl7:observation>
                <!-- template 1.2.276.0.76.10.4077 'Alter Beobachtung' (2017-06-26T14:31:28) -->
              </hl7:entryRelationship>
              <hl7:entryRelationship typeCode="REFR">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4078"/>                  <hl7:code code="75328-5" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:statusCode code="completed"/>                  <hl7:effectiveTime>
                    <hl7:low value="20210115082135"/>                  </hl7:effectiveTime>
                  <hl7:value/>                </hl7:observation>
                <!-- template 1.2.276.0.76.10.4078 'Prognose Observation' (2015-12-06T00:00:00) -->
              </hl7:entryRelationship>
              <hl7:entryRelationship typeCode="REFR">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4076"/>                  <hl7:id/>                  <hl7:code code="77303-6" codeSystem="2.16.840.1.113883.6.1" displayName="Provider preference for care action"/>                  <hl7:effectiveTime/>                  <hl7:value code="high-priority" codeSystem="2.16.840.1.113883.4.642.1.274" displayName="High Priority"/>                  <hl7:author>
                    <!-- include template 1.2.276.0.76.10.90025 'Author (Body)' (2014-12-21T00:00:00) -->
                    <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>                    <hl7:time value="20210115082135"/>                    <hl7:assignedAuthor classCode="ASSIGNED">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code code="--code--" codeSystem="2.16.840.1.113883.5.111"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:assignedPerson>
                        <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
                        <hl7:name>name</hl7:name>                      </hl7:assignedPerson>
                      <hl7:representedOrganization>
                        <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                      </hl7:representedOrganization>
                    </hl7:assignedAuthor>
                  </hl7:author>
                </hl7:observation>
                <!-- template 1.2.276.0.76.10.4076 'Priorität Präferenz' (2015-12-06T00:00:00) -->
              </hl7:entryRelationship>
              <hl7:entryRelationship typeCode="MFST">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4093"/>                  <hl7:code code="75328-5" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:statusCode code="completed"/>                  <hl7:value/>                </hl7:observation>
                <!-- template 1.2.276.0.76.10.4093 'Manifestation Observation' (2017-04-09T00:00:00) -->
              </hl7:entryRelationship>
              <hl7:entryRelationship typeCode="CAUS">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4094"/>                  <hl7:code code="75328-5" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:statusCode code="completed"/>                  <hl7:value/>                </hl7:observation>
                <!-- template 1.2.276.0.76.10.4094 'Etiology Observation' (2017-04-09T00:00:00) -->
              </hl7:entryRelationship>
            </hl7:observation>
            <!-- template 1.2.276.0.76.10.4080 'Diagnose Observation' (2015-12-06T00:00:00) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.6 'Entlassungsdiagnose' (2018-06-04T00:00:00) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.10.3032"/>          <hl7:code code="29554-3" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Prozeduren und Maßnahmen</hl7:title>          <hl7:text/>          <hl7:entry>
            <hl7:procedure classCode="PROC" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.10.4085"/>              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:code>
                <hl7:originalText>
                  <hl7:reference value="--TODO--"/>                </hl7:originalText>
              </hl7:code>
              <hl7:statusCode/>              <hl7:effectiveTime>
                <hl7:low value="20210115082135"/>              </hl7:effectiveTime>
              <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>              <hl7:methodCode/>              <hl7:targetSiteCode/>              <hl7:performer typeCode="PRF">
                <hl7:time>
                  <hl7:low value="20210115082135"/>                </hl7:time>
                <hl7:assignedEntity>
                  <!-- include template 1.2.276.0.76.10.90012 'CDA Assigned Entity Elements' (2011-12-19T00:00:00) -->
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson>
                    <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
                    <hl7:name>name</hl7:name>                  </hl7:assignedPerson>
                  <hl7:representedOrganization>
                    <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                  </hl7:representedOrganization>
                </hl7:assignedEntity>
                <!-- template 1.2.276.0.76.10.90014 'Performer (Body)' (2014-03-12T10:18:42) -->
              </hl7:performer>
              <hl7:author typeCode="AUT" contextControlCode="OP">
                <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>                <hl7:time value="20210115082135"/>                <hl7:assignedAuthor classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.5.111"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson>
                    <!-- include template 1.2.276.0.76.10.90010 'CDA Person Elements' (2011-12-19T00:00:00) -->
                    <hl7:name>name</hl7:name>                  </hl7:assignedPerson>
                  <hl7:representedOrganization>
                    <!-- include template 1.2.276.0.76.10.90011 'CDA Organization Elements' (2011-12-19T00:00:00) -->
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                  </hl7:representedOrganization>
                </hl7:assignedAuthor>
                <!-- template 1.2.276.0.76.10.90025 'Author (Body)' (2014-12-21T00:00:00) -->
              </hl7:author>
              <hl7:entryRelationship typeCode="COMP" inversionInd="true">
                <hl7:encounter classCode="ENC" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4087"/>                  <hl7:id root="1.2.3.999" extension="--example only--"/>                </hl7:encounter>
                <!-- template 1.2.276.0.76.10.4087 'Encounter Referenz' (2017-02-03T00:00:00) -->
              </hl7:entryRelationship>
              <hl7:entryRelationship typeCode="RSON">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4084"/>                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem HL7.CCDAR2"/>                  <hl7:statusCode code="completed"/>                  <hl7:effectiveTime>
                    <hl7:low value="20210115082135"/>                  </hl7:effectiveTime>
                  <hl7:value/>                </hl7:observation>
                <!-- template 1.2.276.0.76.10.4084 'Indikation' (2017-02-01T00:00:00) -->
              </hl7:entryRelationship>
            </hl7:procedure>
            <!-- template 1.2.276.0.76.10.4085 'Maßnahme' (2017-02-01T00:00:00) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.10.3032 'Prozeduren und Maßnahmen' (2017-02-01T00:00:00) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section classCode="DOCSECT">
          <hl7:templateId root="1.2.276.0.76.10.3048"/>          <hl7:code code="46239-0" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Beschwerden bei Vorstellung</hl7:title>          <hl7:text/>          <hl7:entry typeCode="COMP" contextConductionInd="true">
            <hl7:act classCode="ACT" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.10.4039"/>              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>              <hl7:statusCode code="normal"/>              <hl7:effectiveTime>
                <hl7:low/>                <hl7:high/>              </hl7:effectiveTime>
              <hl7:entryRelationship typeCode="SUBJ">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4040"/>                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="75322-8" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text>
                    <hl7:reference value="http:mydomain.org"/>                  </hl7:text>
                  <hl7:statusCode code="completed"/>                  <hl7:effectiveTime>
                    <hl7:width value="1" unit="h"/>                  </hl7:effectiveTime>
                  <hl7:value code="CV" codeSystem="1.2.276.0.76.5.439" displayName="Kardiovaskulär">
                    <hl7:originalText>originalText</hl7:originalText>                  </hl7:value>
                </hl7:observation>
                <!-- template 1.2.276.0.76.10.4040 'Problem Observation (Text/CEDIS)' (2015-09-18T00:00:00) -->
              </hl7:entryRelationship>
            </hl7:act>
            <!-- template 1.2.276.0.76.10.4039 'Problem Concern Act (Text/CEDIS)' (2015-03-03T00:00:00) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.10.3048 'Beschwerden bei Vorstellung' (2015-01-10T00:00:00) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.10.3126"/>          <hl7:code code="47039-3" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Aufnahmebefunde</hl7:title>          <hl7:text/>        </hl7:section>
        <!-- template 1.2.276.0.76.10.3126 'Aufnahmebefunde (Krankenhaus)' (2018-08-13T00:00:00) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.10.3021"/>          <hl7:code code="8648-8" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Epikrise</hl7:title>          <hl7:text/>        </hl7:section>
        <!-- template 1.2.276.0.76.10.3021 'Zusammenfassung des Aufenthalts' (2013-09-16T00:00:00) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.10.3025"/>          <hl7:code code="11493-4" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Erhobene Befunde</hl7:title>          <hl7:text/>        </hl7:section>
        <!-- template 1.2.276.0.76.10.3025 'Erhobene Befunde (Krankenhaus)' (2013-12-30T00:00:00) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.10.3127"/>          <hl7:code code="11488-4" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Konsiliarbefunde</hl7:title>          <hl7:text/>          <hl7:entry typeCode="COMP">
            <hl7:act classCode="ACT" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.28"/>              <hl7:code code="11488-4" codeSystem="2.16.840.1.113883.6.1" displayName="Consultation note"/>              <hl7:text>
                <hl7:reference value="--TODO--"/>              </hl7:text>
              <hl7:effectiveTime value="20210115082135"/>            </hl7:act>
            <!-- template 1.2.276.0.76.3.1.261.1.10.4.28 'Konsiliarbefund (DGUV)' (2018-08-14T15:08:01) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.13 'Konsiliarbefunde (DGUV)' (2018-08-24T10:00:01) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.10.3111"/>          <hl7:code code="10184-0" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Entlassungsbefunde</hl7:title>          <hl7:text/>        </hl7:section>
        <!-- template 1.2.276.0.76.10.3111 'Entlassungsbefunde' (2018-08-13T00:00:00) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section classCode="DOCSECT" moodCode="EVN">
          <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.3.3"/>          <hl7:code code="19009-0" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Medikation</hl7:title>          <hl7:text/>          <hl7:entry typeCode="DRIV">
            <hl7:substanceAdministration classCode="SBADM" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.6"/>              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:code code="DRUG" codeSystem="2.16.840.1.113883.5.4"/>              <hl7:text>
                <hl7:reference value="--TODO--"/>              </hl7:text>
              <hl7:statusCode code="completed"/>              <!-- include template 1.2.276.0.76.10.90023 'Einnahmedauer' (2017-06-04T00:00:00) 0..1 R -->
              <__CHOICE__ min="0" max="1">
                <!--start choice particle-->
                <hl7:effectiveTime xsi:type="IVL_TS">
                  <hl7:low value="20210115"/>                  <hl7:high value="20210115"/>                </hl7:effectiveTime>
                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:effectiveTime>
                  <hl7:width unit="d" value="1"/>                </hl7:effectiveTime>
                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:effectiveTime nullFlavor="NI" value="20210115082135"/>                <!--end choice particle-->
              </__CHOICE__>
              <hl7:routeCode code="20001000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Auricular use"/>              <hl7:consumable>
                <hl7:manufacturedProduct classCode="MANU">
                  <hl7:templateId root="1.2.276.0.76.10.4025"/>                  <!-- include template 1.2.276.0.76.10.90022 'Material' (2018-12-04T00:00:00) 1..1 M -->
                  <hl7:manufacturedMaterial classCode="MMAT" determinerCode="KIND">
                    <hl7:code nullFlavor="NA" code="--code--" codeSystem="1.2.276.0.76.4.6">
                      <hl7:originalText>
                        <hl7:reference value="--TODO--"/>                      </hl7:originalText>
                      <hl7:translation/>                    </hl7:code>
                    <hl7:name nullFlavor="NA">name</hl7:name>                    <hl7:formCode code="10101000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Oral drops, solution">
                      <hl7:translation code="AEO" codeSystem="1.2.276.0.76.3.1.1.5.2.40" displayName="Öl"/>                    </hl7:formCode>
                    <hl7:asContent classCode="CONT">
                      <hl7:containerPackagedProduct classCode="CONT" determinerCode="INSTANCE">
                        <hl7:code code="--code--" codeSystem="1.2.276.0.76.4.6">
                          <hl7:originalText/>                        </hl7:code>
                        <hl7:name>name</hl7:name>                        <hl7:formCode/>                        <hl7:capacityQuantity value="1"/>                      </hl7:containerPackagedProduct>
                    </hl7:asContent>
                    <hl7:asSpecializedKind classCode="GRIC">
                      <hl7:generalizedMaterialKind classCode="MMAT">
                        <hl7:code/>                        <hl7:name>name</hl7:name>                      </hl7:generalizedMaterialKind>
                    </hl7:asSpecializedKind>
                    <hl7:ingredient classCode="ACTI">
                      <hl7:quantity>
                        <hl7:numerator value="1">
                          <hl7:translation code="#" codeSystem="1.2.276.0.76.3.1.1.5.2.41" displayName="Messlöffel"/>                        </hl7:numerator>
                        <hl7:denominator value="1"/>                      </hl7:quantity>
                      <hl7:ingredientSubstance>
                        <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.73">
                          <hl7:originalText/>                          <hl7:translation/>                        </hl7:code>
                        <hl7:name>name</hl7:name>                      </hl7:ingredientSubstance>
                    </hl7:ingredient>
                  </hl7:manufacturedMaterial>
                </hl7:manufacturedProduct>
                <!-- template 1.2.276.0.76.10.4025 'Medikament' (2017-06-04T00:00:00) -->
              </hl7:consumable>
              <hl7:entryRelationship typeCode="COMP">
                <hl7:sequenceNumber value="1"/>                <hl7:substanceAdministration classCode="SBADM" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4023"/>                  <hl7:text>
                    <hl7:reference value="--TODO--"/>                  </hl7:text>
                  <__CHOICE__ max="1">
                    <!--start choice particle-->
                    <hl7:effectiveTime value="20210115082135"/>                    <!--end choice particle-->
                    <!--start choice particle-->
                    <hl7:effectiveTime>
                      <hl7:event code="AC"/>                      <hl7:offset unit="d">
                        <hl7:low value="1"/>                      </hl7:offset>
                    </hl7:effectiveTime>
                    <!--end choice particle-->
                    <!--start choice particle-->
                    <hl7:effectiveTime>
                      <hl7:phase>
                        <hl7:low value="20210115082135"/>                      </hl7:phase>
                      <hl7:period unit="d" value="1"/>                    </hl7:effectiveTime>
                    <!--end choice particle-->
                    <!--start choice particle-->
                    <hl7:effectiveTime>
                      <hl7:comp>
                        <hl7:phase>
                          <hl7:low value="20210115082135"/>                        </hl7:phase>
                        <hl7:period unit="d" value="1"/>                      </hl7:comp>
                      <hl7:comp operator="A">
                        <hl7:event code="AC"/>                        <hl7:offset unit="d">
                          <hl7:low value="1"/>                        </hl7:offset>
                      </hl7:comp>
                    </hl7:effectiveTime>
                    <!--end choice particle-->
                    <!--start choice particle-->
                    <hl7:effectiveTime>
                      <hl7:comp>
                        <hl7:low value="20210115082135"/>                      </hl7:comp>
                      <hl7:comp operator="A">
                        <hl7:event code="AC"/>                        <hl7:offset unit="d">
                          <hl7:low value="1"/>                        </hl7:offset>
                      </hl7:comp>
                    </hl7:effectiveTime>
                    <!--end choice particle-->
                  </__CHOICE__>
                  <hl7:doseQuantity>
                    <hl7:translation code="#" codeSystem="2.16.840.1.113883.2.6.60.4.5.4" displayName="Messlöffel"/>                  </hl7:doseQuantity>
                  <hl7:consumable>
                    <hl7:manufacturedProduct>
                      <hl7:manufacturedMaterial nullFlavor="NA"/>                    </hl7:manufacturedProduct>
                  </hl7:consumable>
                  <!-- include template 1.2.276.0.76.10.90028 'Medikation Vorbedingung' (2017-06-04T00:00:00) 0..1 R -->
                  <hl7:precondition typeCode="PRCN">
                    <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                      <hl7:code code="PRN" codeSystem="2.16.840.1.113883.5.4" displayName="bei Bedarf">
                        <hl7:originalText/>                      </hl7:code>
                      <hl7:text>
                        <hl7:reference value="--TODO--"/>                      </hl7:text>
                    </hl7:criterion>
                  </hl7:precondition>
                </hl7:substanceAdministration>
                <!-- template 1.2.276.0.76.10.4023 'Einzeldosierungen' (2018-11-01T00:00:00) -->
              </hl7:entryRelationship>
              <hl7:entryRelationship typeCode="COMP">
                <hl7:sequenceNumber value="1"/>                <hl7:substanceAdministration classCode="SBADM" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.10.4024"/>                  <hl7:text>
                    <hl7:reference value="--TODO--"/>                  </hl7:text>
                  <hl7:consumable>
                    <hl7:manufacturedProduct>
                      <hl7:manufacturedMaterial nullFlavor="NA"/>                    </hl7:manufacturedProduct>
                  </hl7:consumable>
                </hl7:substanceAdministration>
                <!-- template 1.2.276.0.76.10.4024 'Dosierung Freitext' (2014-11-01T00:00:00) -->
              </hl7:entryRelationship>
            </hl7:substanceAdministration>
            <!-- template 1.2.276.0.76.3.1.261.1.10.4.6 'Medikation' (2018-02-06T09:09:31) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.3 'Aktuelle Medikation' (2018-02-06T08:53:09) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.3.14"/>          <hl7:code code="29554-3" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Weiteres Vorgehen</hl7:title>          <hl7:text/>          <hl7:entry>
            <hl7:procedure classCode="PROC" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.34"/>              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:code>
                <hl7:originalText>
                  <hl7:reference value="--TODO--"/>                </hl7:originalText>
              </hl7:code>
              <hl7:statusCode code="completed"/>              <hl7:effectiveTime>
                <hl7:low value="20210115082135"/>              </hl7:effectiveTime>
            </hl7:procedure>
            <!-- template 1.2.276.0.76.3.1.261.1.10.4.34 'Maßnahme (DGUV)' (2019-01-28T11:11:59) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.14 'Weiteres Vorgehen' (2018-08-27T11:11:05) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section classCode="DOCSECT" moodCode="EVN">
          <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.3.11"/>          <hl7:code code="TEMPDISABLE" codeSystem="1.2.276.0.76.3.1.135.8.5.99"/>          <hl7:title>Arbeitsunfähigkeit</hl7:title>          <hl7:text/>          <hl7:entry typeCode="COMP" contextConductionInd="false">
            <hl7:observation classCode="OBS" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.21"/>              <hl7:code displayName="Inability to work" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="X-IATWRK"/>              <hl7:text/>              <hl7:effectiveTime>
                <hl7:low value="20210115082135"/>                <hl7:high value="20210115082135"/>              </hl7:effectiveTime>
              <hl7:value value="false"/>              <hl7:entryRelationship typeCode="COMP">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.29"/>                  <hl7:code code="X-EXPIATWRK"/>                  <hl7:text/>                  <hl7:statusCode code="completed"/>                  <hl7:value value="1" unit="wk"/>                </hl7:observation>
                <!-- template 1.2.276.0.76.3.1.261.1.10.4.29 'Arbeitsunfähigkeitsdauer Observation' (2018-08-13T15:33:59) -->
              </hl7:entryRelationship>
            </hl7:observation>
            <!-- template 1.2.276.0.76.3.1.261.1.10.4.21 'Arbeitsunfähigkeitsbescheinigung Observation' (2018-06-18T08:27:43) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.11 'Arbeitsunfähigkeitsbescheinigung (DGUV) ' (2018-08-13T16:09:09) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section classCode="DOCSECT">
          <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.3.12"/>          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:code code="84397-9" codeSystem="2.16.840.1.113883.6.1" displayName="Occupational therapy Hospital Note"/>          <hl7:title>title</hl7:title>          <hl7:text/>          <hl7:entry typeCode="COMP">
            <hl7:observation classCode="OBS" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.4"/>              <hl7:code code="BTWDA" codeSystem="1.2.276.0.76.3.1.261.1.5.100" displayName="Bedenken Tätigkeit dauerhaft auszuführen"/>              <hl7:text/>              <hl7:statusCode code="completed"/>              <hl7:effectiveTime>
                <hl7:low value="20210115082135"/>              </hl7:effectiveTime>
              <hl7:value code="N" codeSystem="1.2.276.0.76.3.1.261.1.5.4" displayName="Keine Bedenken, dass die bisherige Tätigkeit wieder ausgeübt werden kann"/>              <hl7:entryRelationship typeCode="RSON">
                <hl7:observation classCode="OBS" moodCode="EVN">
                  <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.15"/>                  <hl7:code code="J" codeSystem="1.2.276.0.76.3.1.261.1.5.4" displayName="Bedenken, dass die bisherige Tätigkeit wieder ausgeübt werden kann"/>                  <hl7:value>
                    <hl7:originalText>originalText</hl7:originalText>                  </hl7:value>
                </hl7:observation>
                <!-- template 1.2.276.0.76.3.1.261.1.10.4.15 'Begründung der Bedenken' (2018-06-06T16:24:17) -->
              </hl7:entryRelationship>
            </hl7:observation>
            <!-- template 1.2.276.0.76.3.1.261.1.10.4.4 'Bedenken bisherige Tätigkeit dauerhaft wieder auszuführen' (2018-05-28T13:57:00) -->
          </hl7:entry>
          <hl7:entry typeCode="COMP">
            <hl7:observation classCode="OBS" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.4.17"/>              <hl7:code code="SWE" codeSystem="1.2.276.0.76.3.1.261.1.5.100" displayName="Stufenweise Wiedereingliederung erforderlich?"/>              <hl7:text/>              <hl7:statusCode code="completed"/>              <hl7:effectiveTime>
                <hl7:low value="20210115082135"/>              </hl7:effectiveTime>
              <hl7:value code="N" codeSystem="1.2.276.0.76.3.1.261.1.5.6" displayName="Keine stufenweise Wiedereingliederung erforderlich"/>            </hl7:observation>
            <!-- template 1.2.276.0.76.3.1.261.1.10.4.17 'Stufenweise Wiedereingliederung' (2018-06-08T08:47:48) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.12 'Berufliche Wiedereingliederung' (2018-08-14T10:19:54) -->
      </hl7:component>
      <hl7:component typeCode="COMP" contextConductionInd="true">
        <hl7:section>
          <hl7:templateId root="1.2.276.0.76.3.1.261.1.10.3.16"/>          <hl7:code code="48767-8" codeSystem="2.16.840.1.113883.6.1"/>          <hl7:title>Bemerkungen</hl7:title>          <hl7:text/>          <hl7:entry>
            <hl7:act classCode="ACT" moodCode="EVN">
              <hl7:templateId root="1.2.276.0.76.10.4015"/>              <hl7:code code="48767-8" codeSystem="2.16.840.1.113883.6.1" displayName="Annotation Comment"/>              <hl7:text>
                <hl7:reference value="http:mydomain.org"/>              </hl7:text>
              <hl7:statusCode/>            </hl7:act>
            <!-- template 1.2.276.0.76.10.4015 'Annotation Comment' (2014-11-15T00:00:00) -->
          </hl7:entry>
        </hl7:section>
        <!-- template 1.2.276.0.76.3.1.261.1.10.3.16 'Bemerkungen' (2018-11-19T00:00:00) -->
      </hl7:component>
    </hl7:structuredBody>
  </hl7:component>
</hl7:ClinicalDocument>
ItemDTKardKonfBeschreibungLabel
hl7:ClinicalDocument
(Sta...cht)
Treetree.png@classCode
cs0 … 1FDOCCLIN
Treetree.png@moodCode
cs0 … 1FEVN
Treetree.pnghl7:realmCode
CS1 … 1R(Sta...cht)
Treeblank.pngTreetree.png@code
CONF0 … 1FDE
Treetree.pnghl7:typeId
II1 … 1R(Sta...cht)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.1.3
Treeblank.pngTreetree.png@extension
st1 … 1FPOCD_HD000040
Treetree.pnghl7:templateId
II1 … 1R(Sta...cht)
Treeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.3.1.261.1.10.1.2
Treetree.pnghl7:id
II1 … 1RWeltweit eindeutige Dokumenten-Identifikation-Nummer, typischerweise eine OID des erzeugenden Systems und eine eindeutige Kennung des Dokuments innerhalb des Systems
(Sta...cht)
Treetree.pnghl7:code
CE1 … 1R(Sta...cht)
Treeblank.pngTreetree.png@code
CONF0 … 1F34106-5
Treeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.6.1 (LOINC)
Treeblank.pngTreetree.png@codeSystemName
0 … 1FLOINC
Treeblank.pngTreetree.png@displayName
0 … 1FPhysician Hospital Discharge summary
Treetree.pnghl7:title
ST1 … 1R Dokumententitel. Dieses Element enthält den für den lesenden Dokumentempfänger gedachten Titel.

(Sta...cht)
 CONF
Elementinhalt muss "Entlassungsbericht aus stationärer Behandlung (DAV/VAV/SAV)" sein
Treetree.pnghl7:effectiveTime
TS1 … 1R(Sta...cht)
Treetree.pnghl7:confidentialityCode
CE1 … 1R(Sta...cht)
Treeblank.pngTreetree.png@code
CONF0 … 1FN
Treeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.5.25 (Confidentialty (HL7))
Treeblank.pngTreetree.png@codeSystemName
0 … 1FConfidentiality
Treeblank.pngTreetree.png@displayName
0 … 1Fnormal
Treetree.pnghl7:language​Code
CS0 … 1(Sta...cht)
Treeblank.pngTreetree.png@code
CONF0 … 1Fde-DE
Treetree.pnghl7:setId
II1 … 1R(Sta...cht)
Treetree.pnghl7:versionNumber
INT1 … 1R(Sta...cht)
Eingefügt1 … 1R von 1.2.276.0.76.3.1.261.1.10.2.1 CDA recordTarget (DGUV) (DYNAMIC)
 Beispiel<recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <!-- ... -->
  </patientRole>
</recordTarget>
Treetree.pnghl7:recordTarget
1 … 1R(Sta...cht)
 
Target.png
dguvbbr-data​element2-161Kyellow.png Verunfallte Person Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
cs0 … 1FRCT
Treeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
 Beispiel<recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <!-- ... -->
  </patientRole>
</recordTarget>
Treeblank.pngTreetree.pnghl7:patientRole
1 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FPAT
 Beispiel<patientRole classCode="PAT">
  <id extension="186245" root="1.2.276.0.76.3.1.139.3.871"/>  <patient classCode="PSN" determinerCode="INSTANCE">
    <!-- ... -->
  </patient>
</patientRole>
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *(Sta...cht)
 
Target.png
dguvbbr-data​element1-18Kyellow.png Patienten-Identifikation Kyellow.png Mini-Entlassbrief
 Beispiel<id extension="6245" root="2.16.840.1.113883.3.933"/><id extension="1543627549" root="1.2.276.0.76.4.1"/>
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD1 … 1RAdresse des Patienten(Sta...cht)
 
Target.png
dguvbbr-data​element1-10Kyellow.png Anschrift Kyellow.png Mini-Entlassbrief
dguvbbr-data​element2-280Kyellow.png Anschrift Kyellow.png Stationärer Entlassungsbericht
 Beispiel<addr use="HP">
  <streetName>Dorfstraße</streetName>  <houseNumber>54</houseNumber>  <postalCode>51371</postalCode>  <city>Leverkusen</city>  <country>DE</country></addr>
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … *RTelefonnummer des Patienten(Sta...cht)
 
Target.png
dguvbbr-data​element1-15Kyellow.png Kontaktdaten Kyellow.png Mini-Entlassbrief
dguvbbr-data​element2-285Kyellow.png Kontaktdaten Kyellow.png Stationärer Entlassungsbericht
 Beispiel<telecom value="tel: 02241-231-0"/>
Treeblank.pngTreeblank.pngTreetree.pnghl7:patient
1 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
 Beispiel<patient classCode="PSN" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>
  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>  <birthTime value="19541223"/></patient>
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(Sta...cht)
 
Target.png
dguvbbr-data​element2-164Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element1-4Kyellow.png Name Kyellow.png Mini-Entlassbrief
 Beispiel<name>
  <given>Johannes</given>  <family>Tremener</family></name>
 Beispiel<name>
  <given>Ludwig</given>  <prefix qualifier="VV">van </prefix>  <family>Beethoven</family></name>
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:administrative​Gender​Code
CE1 … 1RGeschlecht (administrativ) des Patienten(Sta...cht)
 
Target.png
dguvbbr-data​element2-179Kyellow.png Geschlecht Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element1-9Kyellow.png Geschlecht Kyellow.png Mini-Entlassbrief
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
 Beispiel<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:birthTime
TS.​DATE.​MIN1 … 1RGeburtsdatum des Patienten(Sta...cht)
 
Target.png
dguvbbr-data​element1-8Kyellow.png Geburtsdatum Kyellow.png Mini-Entlassbrief
dguvbbr-data​element2-170Kyellow.png Geburtsdatum Kyellow.png Stationärer Entlassungsbericht
 Beispiel<birthTime value="19491224"/>
Eingefügt1 … 1R von 1.2.276.0.76.3.1.261.1.10.2.10 CDA author Person (DYNAMIC)
Treetree.pnghl7:author
1 … 1R(Sta...cht)
 
Target.png
dguvbbr-data​element2-289Kyellow.png Autor des Dokuments Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
cs0 … 1FAUT
Treeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
 Beispiel<author typeCode="AUT" contextControlCode="OP">
  <time value="201306101654"/>  <assignedAuthor classCode="ASSIGNED">
    <!-- ... -->
  </assignedAuthor>
</author>
Treeblank.pngTreetree.pnghl7:functionCode
CE0 … 1(Sta...cht)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
Treeblank.pngTreetree.pnghl7:time
TS.​DATE.​MIN1 … 1(Sta...cht)
Treeblank.pngTreetree.pnghl7:assignedAuthor
1 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FASSIGNED
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CE0 … 1(Sta...cht)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.37 IHE XDS practiceSettingCode (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-676Kyellow.png Kontaktdaten Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
 … 1(Sta...cht)
 
Target.png
dguvbbr-data​element2-297Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
1 … 1M(Sta...cht)
 Beispiel<representedOrganization classCode="ORG" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>
</representedOrganization>
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt1 … 1R von 1.2.276.0.76.10.2004 CDA custodian (DYNAMIC)
Treetree.pnghl7:custodian
1 … 1R(Sta...cht)
Treeblank.pngTreetree.png@typeCode
0 … 1FCST
 Beispiel<custodian typeCode="CST">
  <assignedCustodian classCode="ASSIGNED">
    <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
      <!-- ... -->
    </representedCustodianOrganization>
  </assignedCustodian>
</custodian>
Treeblank.pngTreetree.pnghl7:assignedCustodian
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FASSIGNED
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Custodian​Organization
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt0 … *R von 1.2.276.0.76.3.1.261.1.10.2.7 CDA authenticator (DYNAMIC)
Treetree.pnghl7:authenticator
0 … *R(Sta...cht)
Treeblank.pngTreetree.png@typeCode
cs0 … 1FAUTHEN
 
Target.png
dguvbbr-data​element2-626Kyellow.png Unterzeichner des Dokumentes Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.pnghl7:time
TS1 … 1R(Sta...cht)
Treeblank.pngTreetree.pnghl7:signatureCode
CS1 … 1R(Sta...cht)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
Treeblank.pngTreetree.pnghl7:assignedEntity
1 … 1R(Sta...cht)
 
Target.png
dguvbbr-data​element2-633Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90012 CDA Assigned Entity Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *R(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
1 … 1M(Sta...cht)
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1(Sta...cht)
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt0 … 1R von 1.2.276.0.76.3.1.261.1.10.2.9 CDA participant D-Arzt (DYNAMIC)
Treetree.pnghl7:participant
0 … 1R(Sta...cht)
wo [hl7:templateId ​[@root​=​'1.2.276.0.76.3.1.261.1.10.2.9']]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FRESP
 
Target.png
dguvbbr-data​element2-625Kyellow.png D-Arzt Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
Treeblank.pngTreetree.pnghl7:templateId
II1 … *M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.3.1.261.1.10.2.9
Treeblank.pngTreetree.pnghl7:time
IVL_TS0 … 1(Sta...cht)
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPROV
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CE1 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF0 … 1FDARZT
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
0 … 1F1.2.276.0.76.3.1.261.1.5.5 (Typ Arzt)
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-678Kyellow.png Kontaktdaten Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:associated​Person
0 … 1(Sta...cht)
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
ANY0 … 1In scopingOrganization wird im id Attribut das Institutionskennzeichen (IKNR) mit @extension = die eigentliche IKNR und @root = "1.2.276.0.76.4.5" (Dies ist die OID für IK-Nummern in Deutschland) angegeben
(Sta...cht)
 
Target.png
dguvbbr-data​element2-687Kyellow.png IK-Nummer Krankenhaus/Abteilung Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt0 … 1R von 1.2.276.0.76.10.2025 CDA participant Ansprechpartner (DYNAMIC)
Treetree.pnghl7:participant
0 … 1R(Sta...cht)
wo [hl7:templateId ​[@root​=​'1.2.276.0.76.10.2025']]
 
Target.png
dguvbbr-data​element2-631Kyellow.png Rückfragekontakt/Ansprechpartner Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
1 … 1FCALLBCK
Treeblank.pngTreetree.pnghl7:templateId
II1 … *M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@root
1 … 1F1.2.276.0.76.10.2025
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
1 … 1FPROV
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … *M(Sta...cht)
 
Target.png
dguvbbr-data​element2-680Kyellow.png Kontaktdaten Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:associated​Person
1 … 1M(Sta...cht)
 
Target.png
dguvbbr-data​element2-632Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
0 … 1(Sta...cht)
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt1 … 1R von 1.2.276.0.76.3.1.261.1.10.2.6 Behandelnde Einrichtung (DYNAMIC)
Treetree.pnghl7:participant
1 … 1R(Sta...cht)
wo [hl7:templateId ​[@root​=​'1.2.276.0.76.3.1.261.1.10.2.6']]
 
Target.png
dguvbbr-data​element2-658Kyellow.png Behandelnde Einrichtung Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
cs1 … 1FIND
Treeblank.pngTreetree.pnghl7:templateId
II1 … *M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.3.1.261.1.10.2.6
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCAREGIVER
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *Hier können optional weitere Identifiert eingefügt werden. Die IK Nummer wird unter scopingOrganization eingefügt.(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
 
Target.png
dguvbbr-data​element2-662Kyellow.png Anschrift Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
1 … 1In scopingOrganization wird im id Attribut das Institutionskennzeichen (IKNR) mit @extension = die eigentliche IKNR und @root = "1.2.276.0.76.4.5" (Dies ist die OID für IK-Nummern in Deutschland) angegeben(Sta...cht)
 
Target.png
dguvbbr-data​element2-661Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt1 … 1R von 1.2.276.0.76.3.1.261.1.10.2.4 Unfallbetrieb (DYNAMIC)
Treetree.pnghl7:participant
1 … 1R(Sta...cht)
wo [hl7:templateId ​[@root​=​'1.2.276.0.76.3.1.261.1.10.2.4']]
 
Target.png
dguvbbr-data​element2-518Kyellow.png Unfallbetrieb Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
cs1 … 1FIND
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.3.1.261.1.10.2.4
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCON
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CE1 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF0 … 1FEMPLOYER
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
0 … 1F1.3.6.1.4.1.19376.1.5.3.1.2.2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
0 … 1FIHERoleCode
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
0 … 1FEmployer
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-520Kyellow.png Anschrift Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-667Kyellow.png Kontaktdaten Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
0 … 1(Sta...cht)
 
Target.png
dguvbbr-data​element2-519Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt von 1.2.276.0.76.3.1.261.1.10.2.5 UV Träger (DYNAMIC)
Treetree.pnghl7:participant
(Sta...cht)
wo [hl7:templateId ​[@root​=​'1.2.276.0.76.3.1.261.1.10.2.5']]
 
Target.png
dguvbbr-data​element2-664Kyellow.png UV Träger Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
cs1 … 1FHLD
Treeblank.pngTreetree.pnghl7:templateId
II1 … *M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.3.1.261.1.10.2.5
Treeblank.pngTreetree.pnghl7:functionCode
CE1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@code
CONF1 … 1FUVTR
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
1 … 1F1.2.276.0.76.3.1.261.1.5.10 (Kostenträgerart (DGUV))
Treeblank.pngTreeblank.pngTreetree.png@displayName
1 … 1FUnfallversicherungsträger
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPOLHOLD
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:associated​Person
0 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
1 … 1In scopingOrganization wird im id Attribut das Institutionskennzeichen (IKNR) mit @extension = die eigentliche IKNR und @root = "1.2.276.0.76.4.5" (Dies ist die OID für IK-Nummern in Deutschland) angegeben(Sta...cht)
 
Target.png
dguvbbr-data​element2-665Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt von 1.2.276.0.76.3.1.261.1.10.2.2 Kostenträger GKV (DYNAMIC)
Treetree.pnghl7:participant
(Sta...cht)
wo [hl7:templateId ​[@root​=​'1.2.276.0.76.3.1.261.1.10.2.2']]
 
Target.png
dguvbbr-data​element2-552Kyellow.png Krankenkasse Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
cs1 … 1FHLD
Treeblank.pngTreetree.pnghl7:templateId
II1 … *M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.3.1.261.1.10.2.2
Treeblank.pngTreetree.pnghl7:functionCode
CE1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@code
CONF1 … 1FKTGKV
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
1 … 1F1.2.276.0.76.3.1.261.1.5.10 (Kostenträgerart (DGUV))
Treeblank.pngTreeblank.pngTreetree.png@displayName
1 … 1FKostenträger GKV
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPOLHOLD
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:associated​Person
0 … 1(Sta...cht)
 
Target.png
dguvbbr-data​element2-550Kyellow.png Name des Mitglieds Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
1 … 1In scopingOrganization wird im id Attribut das Institutionskennzeichen (IKNR) mit @extension = die eigentliche IKNR und @root = "1.2.276.0.76.4.5" (Dies ist die OID für IK-Nummern in Deutschland) angegeben(Sta...cht)
 
Target.png
dguvbbr-data​element2-528Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt von 1.2.276.0.76.3.1.261.1.10.2.3 Kostentraeger Pflegekasse (DYNAMIC)
Treetree.pnghl7:participant
(Sta...cht)
wo [hl7:templateId ​[@root​=​'1.2.276.0.76.3.1.261.1.10.2.3']]
 
Target.png
dguvbbr-data​element2-554Kyellow.png Pflegekasse Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
cs1 … 1FHLD
Treeblank.pngTreetree.pnghl7:templateId
II1 … *M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.3.1.261.1.10.2.3
Treeblank.pngTreetree.pnghl7:functionCode
CE1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@code
CONF1 … 1FKTPFL
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
1 … 1F1.2.276.0.76.3.1.261.1.5.10 (Kostenträgerart (DGUV))
Treeblank.pngTreeblank.pngTreetree.png@displayName
1 … 1FKostenträger Pflegekasse
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPOLHOLD
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *Versichertennummern(Sta...cht)
 
Target.png
dguvbbr-data​element2-556Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
1 … 1In scopingOrganization wird im id Attribut das Institutionskennzeichen (IKNR) des Kostenträgers mit @extension = die eigentliche IKNR und @root = "1.2.276.0.76.4.5" (Dies ist die OID für IK-Nummern in Deutschland) angegeben(Sta...cht)
 
Target.png
dguvbbr-data​element2-555Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt von 1.2.276.0.76.3.1.261.1.10.2.8 CDA participant Weiterbehandler (DYNAMIC)
Treetree.pnghl7:participant
0 … *(Sta...cht)
wo [hl7:templateId ​[@root​=​'1.2.276.0.76.3.1.261.1.10.2.8']]
 
Target.png
dguvbbr-data​element2-224Kyellow.png Weiterbehandlung Arzt / Einrichtung Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFT
Treeblank.pngTreetree.png@context​Control​Code
cs1 … 1FOP
Treeblank.pngTreetree.pnghl7:templateId
II1 … *M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.2.276.0.76.3.1.261.1.10.2.8
Treeblank.pngTreetree.pnghl7:functionCode
CE0 … 1(Sta...cht)
 
Target.png
dguvbbr-data​element2-227Kyellow.png Typ Kyellow.png Stationärer Entlassungsbericht
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.3.1.261.1.11.7 Typ Arzt (DYNAMIC)
Treeblank.pngTreetree.pnghl7:time
IVL_TS0 … 1(Sta...cht)
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPROV
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-226Kyellow.png Anschrift Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:associated​Person
0 … 1(Sta...cht)
 
Target.png
dguvbbr-data​element2-225Kyellow.png Name Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
0 … 1(Sta...cht)
 
Target.png
dguvbbr-data​element2-673Kyellow.png Name der weiterbehandelnden Einrichtung Kyellow.png Stationärer Entlassungsbericht
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt0 … 1 von 1.2.276.0.76.10.2027 CDA encompassingEncounter Patientenkontakt (DYNAMIC)
Treetree.pnghl7:componentOf
0 … 1(Sta...cht)
Treeblank.pngTreetree.png@typeCode
cs0 … 1FCOMP
Treeblank.pngTreetree.pnghl7:encompassing​Encounter
1 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FENC
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs0 … 1FEVN
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … 1Identifikationselement zur Aufnahme der Aufenthalts-Identifikation
(Sta...cht)
 
Target.png
dguvbbr-data​element2-624Kyellow.png Fallnummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CE1 … 1M(Sta...cht)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.13955 ActEncounterCode (DYNAMIC)
 Beispiel<code code="IMP" codeSystem="2.16.840.1.113883.5.4"/>
Auswahl1 … 1Elemente in der Auswahl:
  • hl7:effectiveTime[hl7:high]
  • hl7:effectiveTime[@value]
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS … 1RZeitraum(Sta...cht)
wo [hl7:high]
 
Target.png
dguvbbr-data​element2-531Kyellow.png Stationäre Behandlung bis Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-530Kyellow.png Stationäre Behandlung von Kyellow.png Stationärer Entlassungsbericht
 Beispiel
Vom 7. Juni 2011 11:24 Uhr bis zum 11. Juni 2011 16:54 Uhr
<effectiveTime>
  <low value="201106071124"/>  <high value="201106111654"/></effectiveTime>
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:effectiveTime
TS … 1RBestimmter Tag(Sta...cht)
wo [@value]
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
1 … 1R
 Beispiel
Am 7. Juni 2011 (ambulanter Besuch ohne genauere Zeitangaben des Tages)
<effectiveTime value="20110607"/>
Treeblank.pngTreeblank.pngTreetree.pnghl7:responsible​Party
0 … 1(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assignedEntity
1 … 1M(Sta...cht)
Eingefügt von 1.2.276.0.76.10.90012 CDA Assigned Entity Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *R(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
1 … 1M(Sta...cht)
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1(Sta...cht)
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Sta...cht)
 
Target.png
dguvbbr-data​element2-529Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-666Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
dguvbbr-data​element2-663Kyellow.png IK-Nummer Kyellow.png Stationärer Entlassungsbericht
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1(Sta...cht)
Eingefügt0 … 1R von 1.2.276.0.76.10.90021 Encounter Location (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:location
0 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
0 … 1FLOC
 Beispiel<location typeCode="LOC">
  <healthCareFacility classCode="SDLOC">
    <!-- ... -->
  </healthCareFacility>
</location>
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:health​Care​Facility
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FSDLOC
 Beispiel<healthCareFacility classCode="SDLOC">
  <serviceProviderOrganization classCode="ORG" determinerCode="INSTANCE">
    <!-- ... -->
  </serviceProviderOrganization>
</healthCareFacility>
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:service​Provider​Organization
1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
 Beispiel<serviceProviderOrganization classCode="ORG" determinerCode="INSTANCE">
  <name/>  <addr>
    <!-- ... -->
  </addr>
</serviceProviderOrganization>
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … *M(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD1 … 1M(Sta...cht)
Treetree.pnghl7:component
1 … 1R(Sta...cht)
Treeblank.pngTreetree.png@typeCode
cs0 … 1FCOMP
Treeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1R
Treeblank.pngTreetree.pnghl7:structuredBody
1 … 1R(Sta...cht)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FDOCBODY
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs0 … 1FEVN
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.4 Unfallereignis (DYNAMIC)(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.5 Patient Detail Section (DYNAMIC)(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.6 Entlassungsdiagnose (DYNAMIC)(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1RBeinhaltet 1.2.276.0.76.10.3032 Prozeduren und Maßnahmen (DYNAMIC)(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1RBeinhaltet 1.2.276.0.76.10.3048 Beschwerden bei Vorstellung (DYNAMIC)(Sta...cht)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1RBeinhaltet 1.2.276.0.76.10.3126 Aufnahmebefunde (Krankenhaus) (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.10.3021 Zusammenfassung des Aufenthalts (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.10.3025 Erhobene Befunde (Krankenhaus) (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.13 Konsiliarbefunde (DGUV) (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.10.3111 Entlassungsbefunde (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.3 Aktuelle Medikation (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.14 Weiteres Vorgehen (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.10 Weitere empfohlene Maßnahmen (DGUV) (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.11 Arbeitsunfähigkeitsbescheinigung (DGUV) (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.12 Berufliche Wiedereingliederung (DYNAMIC)(Sta...cht)
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1 … 1RBeinhaltet 1.2.276.0.76.3.1.261.1.10.3.16 Bemerkungen (DYNAMIC)(Sta...cht)
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