Änderungen

<table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.2.40.0.34.11.13.2.17</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2018‑11‑28 15:55:17<div>Andere Versionen mit dieser Id:<ul><li>[[File:Kblank.png|14px]] SozialeUmstaendeUndVerhalten_PS_Sub vom 2018‑11‑11 17:51:41</li></ul></div></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kcancelledblue.png|14px]] Annuliert</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;"></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">MedikationslistenSection_Freitext</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Medikationsliste</td></tr><td style="text-align: left;" colspan="4"><table class="treetable" id="templateDescTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Beschreibung</td></tr><tr><td><div><div><div>(Bestehende Medikation, Bisherige Medikation, Laufende Medikation, Prämedikation)</div><div>Die erhobene Angaben über die Medikation, die der Patient dauerhaft einnimmt bzw. derzeit eingenommen hat (damit ist also nicht der aktuelle Behandlungsvorschlag gemeint).</div><div>Die Quelle der Information soll angeführt werden, damit der Leser die Zuverlässigkeit der Information einschätzen kann. Beispiel: „Angabe des Patienten“ oder „Aus Vorsystem übernommen“</div><div><br />Vorgeschlagene Standard-Texte: </div><div>„Keine bestehende Medikation“ </div><div>"Bestehende Medikation nicht erhoben oder nicht erhebbar"<br /><br /><div>Gutes Beispiel: "Angabe wie bei empfohlener Medikation"</div><div>Schlechtes Beispiel: „drei Antihypertensiva"<br /></div></div><div>Freitext, keine Codierung!</div></div></div></td></tr></table></td><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Elternknoten des Template-Element mit Id 1.2.40.0.34.11.13.2.17</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Section level template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Offen/Geschlossen</th><td style="text-align: left;" colspan="3">Geschlossen (nur definierte Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Assoziiert mitBenutzt</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Assoziiert mit 1 KonzeptBenutzt 2 Templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">IdBenutzt</th><th style="width: 1%; text-align: left;"> als </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 2019%; text-align: left;">DatensatzVersion</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">elgagab-data&#8203;element-1851.2.40.0.34.11.13.3.16</td><td style="verticaltext-align: topleft;" title="Fachlicher Inhalt (Sektionen) / ">[[File:Kyellow.png|14px]] Medikationsliste Containment</td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Datensatz Author (Body) PS</td></tr></table></divtd style="text-align: left;">DYNAMIC</td></tr></tabletr></td></tr><tr style="verticaltext-align: topleft;"><th 1.2.40.0.34.11.13.3.20</td><td style="width: 20em; text-align: left;">BenutztContainment</thtd><td style="text-align: left;" colspan="3"><table class[[File:Kyellow.png|14px]] Informant (Body) PS (0.1)</td><td style="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;text-align: left;">DYNAMIC</td></tr class="desclabel"><td style="height: 1.5em;"/table></div>Benutzt 2 Templates</td></tr><tr/table></td><div/tr><table classtr style="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="backgroundvertical-align: transparenttop;"><tr><th style="width: 20%20em; text-align: left;">BenutztBeziehung</th><th td style="width: 1%; text-align: left;"> als </th><th stylecolspan="width: 60%; text-align: left;3">Name<Spezialisierung: Template 1.2.40.0.34.11.13.2.16 <i>Medikationsliste PS </thi>(2017‑11‑27 16:43:52) <th stylespan xmlns="width: 19%; text-align: left;" class="repobox">Version</thdiv class="repo ref sspacing">ref</trdiv><tr><td stylediv class="textnon-align: left;selectable repo refvalue sspacing">elgabbr-</div></span><br />Adaptation: Template 1.2.40.0.34.11.138.3.162.1 <i> </tdi>(2017‑08‑31 14:20:20) <td stylespan xmlns="" class="text-align: left;repobox">Containment</td><td stylediv class="text-align: left;repo ref sspacing">[[File:Kyellow.png|14px]] Author (Body) PSref</tddiv><td stylediv class="textnon-align: left;selectable repo refvalue sspacing">DYNAMIC?</div></span></td></tr><trclass="explabel " style="vertical-align: top;"><td style="width: 20em; text-align: left;">1.2.40.0.34.11.13.3.20Beispiel</td><td stylecolspan="3" class="text-align: left;explabelblue">Containment</td><td table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="text-alignbackground: lefttransparent;">[[File:Kyellow.png|14px]] Informant (Body) PS (0.1)</td<tr class="desclabel"><td style="text-alignheight: left1.5em;" class="togglertreetable">DYNAMIC</tdspan class="expcaption">Strukturbeispiel</tr></table></divspan></td></tr></tabletr></td></trtt><tr span style="vertical-aligndisplay: topblock;" class="explrendered"><th stylespan class="width: 20em; text-align: left;ppsign">Beziehung&lt;</thspan><td stylespan class="text-align: left;ppelement" colspan>section</span><span class="3ppsign">Spezialisierung: Template 1.2.40.0.34.11.13.2.16 <i>Medikationsliste PS <&gt;</span><br /i> (2017‑11‑27 16:43:52) <span xmlnsstyle="display: block;" class="repoboxexplrendered">  <div span class="repo ref sspacingppsign">ref&lt;</divspan><div span class="non-selectable repo refvalue sspacingppelement">elgabbr-templateId</divspan></spanclass="ppattribute">root<br /span><span class="ppsign">="</span><span class="ppcontent">Adaptation: Template 1.2.40.0.34.11.8.313.2.1 17<i/span> </i> (2017‑08‑31 14:20:20) <span xmlnsspan class="ppsign" class="repobox>"</span><div span class="repo ref sspacingppsign">ref/</divspan><div span class="non-selectable repo refvalue sspacingppsign">?&gt;</divspan></span></td></tr><tr class="explabel " span style="vertical-aligndisplay: topblock;">class="explrendered">  <td stylespan class="width: 20em; text-align: left;ppsign">Beispiel&lt;</tdspan><td colspan="3" span class="explabelblueppelement">id<table /span> <span class="treetableppattribute" width>root</span><span class="100%ppsign" border>="0" cellspacing</span><span class="3ppcontent" cellpadding>1.2.3.999</span><span class="2ppsign" style="background: transparent;>"</span><tr span class="desclabelppattribute">extension<td style/span><span class="height: 1.5em;ppsign" class>="togglertreetable"</span><span class="expcaptionppcontent">Strukturbeispiel--example only--</span></tdspan class="ppsign">"</trspan><span class="ppsign">/</span><trspan class="ppsign">&gt;<td/span><tt/span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">sectioncode</span><span class="ppsignppattribute">&gt;code</span><br /><span styleclass="display: block;ppsign" class>="explrendered"</span>  <span class="ppsignppcontent">&lt;10160-0</span><span class="ppelementppsign">templateId"</span> <span class="ppattribute">rootcodeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.4016.0840.341.11113883.136.2.171</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">idtitle</span> <span class="ppattributeppsign">root&gt;</span><span class="ppsignpptext">="Medikationsliste</span><span class="ppcontentppsign">1.2.3.999&lt;/</span><span class="ppsignppnamespace">"</span> <span class="ppattributeppelement">extensiontitle</span><span class="ppsign">="&gt;</span><span class="ppcontent">--example only--</span><span classstyle="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">text</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">codeauthor</span> <span class="ppattributeppsign">code&gt;</span><span class="ppsign">="<br /span><span classstyle="ppcontentdisplay: block;">10160-0</span>    <span classstyle="ppsigncolor:green">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2&lt;!-- template 1.2.40.0.34.11.1613.8403.1.113883.6.116 'Author (Body) PS' (2017-08-05T19:04:45) --&gt;<br /span></span class="ppsign">"</span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">author</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">titleinformant</span><span class="ppsign">&gt;</span><br /><span classstyle="pptext"display: block;">Medikationsliste    </span><span classstyle="ppsigncolor:green">&lt;/</span><span class="ppnamespace">!-- template 1.2.40.0.34.11.13.3.20 'Informant (Body) PS' (2017-08-10T20:49:25) --&gt;<br /span></span class="ppelement">title</span>  <span class="ppsign">&gtlt;</span></span><span style="display: block;" class="explrenderedppnamespace">  </span><span class="ppsignppelement">&lt;informant</span><span class="ppelementppsign">text&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppsignppnamespace">&gt;</span><span class="ppelement">section</span><span style="display: block;" class="explrendered">  <span class="ppsignppsign">&ltgt;</span></span class="ppelement">author</spantt><span class="ppsign"/td>&gt;</spantr><br /table><span /td></tr><tr style="displayvertical-align: blocktop;">    <span styletd colspan="4" class="color:greentabtab">&lt;!-- template 1.2.40.<table class="treetable" id="transactionTable" width="100%" border="0.34.11.13.3.16 'Author (Body) PS' (2017-08-05T19" cellspacing="3" cellpadding="2" style="background:04:45) --&gt;transparent;"><br /tr></spanth style="width: 30%; text-align: left;">Item</spanth>  <span classth style="ppsignwidth: 2em; text-align: left;">&lt;/DT</spanth><span classth style="ppnamespacewidth: 2em; text-align: left;">Kard</spanth><span classth style="ppelementwidth: 2em; text-align: left;">authorKonf</spanth><span classth style="ppsigntext-align: left;">&gt;Beschreibung</spanth></span><span th style="displaywidth: 2em; text-align: blockleft;" class="explrendered">  Label<span class="ppsign"/th>&lt;</spantr><span classtr style="ppelementvertical-align: top; background-color: #FFEAEA;">informant</span><span td class="ppsigncolumnName">&gt;</span><br /><span table class="ad-diffblock-horizontal " cellpadding="1" style="displaybackground: blocktransparent;">    <span style="color:green"tr><td><tt><strong>hl7:section<br /></strong>&lt;!-- template 1.2.40.0.34.11.13.3.20 'Informant (Body) PS' (2017-08-10T20:49:25) --&gt;<br /tt></spantd></spantr>  <span class="ppsign"/table>&lt;</td></spantd><span class="ppnamespace"strong></spanstrong><span class="ppelement"/td>informant</spantd><span classstyle="ppsigncolor: black;">&gt;<strong>0 … 1</spanstrong></span><span class="ppsign"/td>&lt;/</spantd><span classstyle="ppnamespace"color: color: black;"></spanstrong><span class="ppelement">section</span><span class="ppsign"strong>&gt;</span></spantd></tttd></td></tr></table></td></tr><tr style="verticalbackground-aligncolor: top#FFEEEE;"><td colspanspan title="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Kard</th><th style="width: 2em; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:section<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Med...ext)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="2">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">elgagab-data&#8203;element-185</td><td style="vertical-align: top;" title="Fachlicher Inhalt (Sektionen) / ">[[File:Kyellow(Med..png|14px]] Medikationsliste </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Datensatz ext)</td></tr></tablespan></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Med...ext)</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@root<br /></strong></tt></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.40.0.34.11.13.2.17</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Med...ext)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Med...ext)</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td rowspan="4" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">10160-0</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">2.16.840.1.113883.6.1 (LOINC)</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystemName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">LOINC</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@displayName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">History of Medication use Narrative</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:title<br /></strong></tt></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(Med...ext)</span></td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4" style="background-color: white;"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Elementinhalt muss "Medikationsliste" sein</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:text<br /></strong></tt></td></tr></table></td><td><strong>ED</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Information für den menschlichen Leser.</td><td style="background-color: #FFEEEE;"><span title="">(Med...ext)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:author<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Author der enthaltenen Information (GDA)<br />Beinhaltet 1.2.40.0.34.11.13.3.16 <i>Author (Body) PS</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(Med...ext)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo <i> [hl7:assignedAuthor]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:informant<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td><div>Quelle für die enthaltene Information</div><div>Name der Person und ihre Beziehung zum Patienten (Patient oder Angehöriger, Auskunftsperson - nicht-GDA)</div><br />Beinhaltet 1.2.40.0.34.11.13.3.20 <i>Informant (Body) PS</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(Med...ext)</span></td></tr></table></td></tr></table>