Gesamtbeispiel
(Teildokument von Palliativdokumentation)
Dieses Material ist Teil des Leitfadens Palliativdokumentation.
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Gesamtbeispiel
| Lvl | RIM | Name | DT | Kard | Conf | Beschreibung |
|---|---|---|---|---|---|---|
| 1 | act | ClinicalDocument | M | Klasse für die Abbildung der klinischen Dokumentation | ||
| 2 | act | @classCode | CS CNE | 1..1 | M | DOCCLIN |
| 2 | act | @moodCode | CS CNE | 1..1 | M | Status im Behandlungsprozess. In dem Fall handelt es sich um ein stattgefundenes Ereignis. Fix: EVN |
| 2 | act | id | II | 1..1 | R | Eindeutige ID des Dokuments |
| 2 | act | code | CD CWE | 1..1 | R | Eindeutiger Code des Dokuments. |
| 2 | act | title | ST | 0..1 | O | Titel des Dokuments |
| 2 | act | effectiveTime | TS | 1..1 | R | Erstellungsdatum des Dokuments |
| 2 | act | confidenitalityCode | CD CWE | 1..1 | R | Vertraulichkeitsgrad des Dokuments |
| 2 | act | language | CD CNE | 0..1 | O | Sprache des Dokuments |
| 2 | act | setId | II | 0..1 | O | ID des Dokumenten-Sets |
| 2 | act | versionNumber | ST | 0..1 | O | Version des Dokuments |
| 2 | rel | component | 1..1 | R | ||
| 3 | rel | @typeCode | CS CNE | 1..1 | M | COMP |
| 3 | rel | contextConductionInd | BL | 1..1 | R | true |
| 3 | act | StructuredBody | 1..1 | R | ||
| 4 | act | @classCode | CS CNE | 1..1 | R | DOCBODY |
| 4 | act | @moodCode | CS CNE | 1..1 | R | EVN |
| 4 | rel | component | 0..1 | O | ||
| 5 | rel | @typeCode | CS CNE | 1..1 | M | COMP |
| 5 | act | WichtigeAnmerkungen | 0..* | O | ||
| 6 | act | @classCode | CS CNE | 1..1 | M | DOCSECT |
| 6 | act | @moodCode | CS CNE | 1..1 | M | EVN |
| 6 | rel | entry | 0..* | O | ||
| 7 | rel | @typeCode | CS CNE | 1..1 | R | |
| 7 | act | Anmerkung | 0..* | O | ||
| 8 | act | @classCode | CS CNE | 1..1 | M | OBS |
| 8 | act | @moodCode | CS CNE | 1..1 | R | EVN |
| 8 | act | code | CD CWE | 0..1 | O | |
| 8 | act | text | ED | 0..1 | O | |
| 8 | act | effectiveTime | TS | 0..1 | O | |
| 8 | rel | entry | 0..1 | O | ||
| 9 | rel | @typeCode | CS CNE | 1..1 | M | |
| 9 | act | EintragDaten | 0..1 | O | ||
| 10 | act | @classCode | CS CNE | 1..1 | M | OBS |
| 10 | act | @moodCode | CS CNE | 1..1 | M | EVN |
| 10 | act | code | CD CWE | 0..1 | O | |
| 10 | act | effectiveTime | TS | 0..1 | O | |
| 10 | act | value | ANY CWE | 0..1 | O | |
| 10 | part | participant | 0..* | O |
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