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1.2.40.0.34.6.0.11.3.25/static-2019-05-07T125927

4 Bytes hinzugefügt, 07:28, 19. Mai 2021

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<table xmlns="http://www.w3.org/1999/xhtml" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor " style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.2.40.0.34.6.0.11.3.25 <div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">at-cda-bbr-</div></td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2019‑05‑07 12:59:27</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png|14px]] Entwurf</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;">1.0.0</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">atcdabbr_entry_LaboratoryReportDataProcessing</td><th style="width: 20em; text-align: left;">Bezeichnung</th><td style="text-align: left;">Laboratory Report Data Processing Entry</td></tr><td style="text-align: left;" colspan="4"><table id="templateDescTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Beschreibung</td></tr><tr><td><div>Der "Laboratory Report Data Processing Entry" repräsentiert die CDA Level 3 Codierung der Ergebnisse eines Befundbereiches. Im zugehörigen "section/text" befinden sich diese Ergebnisse in CDA Level 2. Das "entry"-Element MUSS mit dem Attribut @typeCode="DRIV" versehen werden, um anzuzeigen, dass der CDA Level 2 vollständig aus dem CDA Level 3 erzeugt werden kann. Das "entry"-Element enthält genau ein "act"-Subelement, das gemäß IHE PaLM TF3 "Specimen Act" (nicht zu verwechseln mit den Templates "Probeninformation (Specimen Section)", "Probeninformation (Specimen Entry)", "Specimen Collection" oder "Specimen Received") genannt wird.

Innerhalb des "Specimen Act" werden alle weiteren Elemente (Spezimen, Befundgruppen, Analysen, etc.) codiert. Der "Specimen Act" MUSS zumindest ein weiteres Element beinhalten.</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">Geschwisterknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.3.25</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Entry 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;">Benutzt</th><td style="text-align: left;" colspan="3"><table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt 7 Templates</td></tr><tr><td><div><table width="100%" border="0" cellspacing="1" cellpadding="3" class="artdecor " style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Benutzt</th><th style="width: 1%; text-align: left;"> als </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.161</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Specimen Collection (1.0.0)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.165</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Notification Organizer (1.0.0)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.167</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Isolate Organizer (1.0.0)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.26</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Battery Organizer (1.0.0)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.27</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Observation Entry (1.1.0)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.19</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Eingebettetes Objekt Entry (1.0.0+20210219)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.11</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Comment Entry (1.0.0+20210219)</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beziehung</th><td style="text-align: left;" colspan="3">Spezialisierung: Template 1.3.6.1.4.1.19376.1.3.1 BC Laboratory Report Data Processing Entry (DYNAMIC) <div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">bccdapilot-</div></td></tr><tr class="explabel " style="vertical-align: top;"><th class="" style="width: 20em; text-align: left;">Beispiel</th><td colspan="3" class="explabelgreen"><table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable">Beispiel</td></tr><tr><td><entry typeCode="DRIV"> <templateId root="1.2.40.0.34.6.0.11.3.25"/> <templateId root="1.3.6.1.4.1.19376.1.3.1"/>  <act classCode="ACT" moodCode="EVN"> <code code="600" codeSystem="1.2.40.0.34.5.11" codeSystemName="ELGA_LaborparameterErgaenzung" displayName="Endokrinologie"/> <statusCode code="completed"/>  <entryRelationship typeCode="COMP" contextConductionInd="true">  </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">  </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">  </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">  </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">  </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">  </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">  </entryRelationship> </act></entry></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" 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 cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td>hl7:templateId </td></tr></table></td><td>II</td><td>1 … 1</td><td>M</td><td>ELGA - Laboratory Report Data Processing Entry</td><td style="background-color: #FFEEEE;">(atc...ing)</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@root </td></tr></table></td><td>uid</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.40.0.34.6.0.11.3.25</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td>hl7:templateId </td></tr></table></td><td>II</td><td>1 … 1</td><td>M</td><td>IHE PalM TF3 Rev.10, 6.3.4.2 Laboratory Report Data Processing Entry</td><td style="background-color: #FFEEEE;">(atc...ing)</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@root </td></tr></table></td><td>uid</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">1.3.6.1.4.1.19376.1.3.1</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td>hl7:act </td></tr></table></td><td></td><td>1 … 1</td><td>M</td><td>Specimen Act</td><td style="background-color: #FFEEEE;">(atc...ing)</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@classCode </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">ACT</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@moodCode </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">EVN</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>hl7:code </td></tr></table></td><td>CECD.IPS</td><td>1 … 1</td><td>M</td><td>Der Code für den Befundbereich MUSS dem der übergeordneten "Laboratory Specialty Section" entsprechen.</td><td style="background-color: #FFEEEE;">(atc...ing)</td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td rowspan="3" class="stron">Schematron assert</td><td style="background-color: #FFEEEE;">role</td><td colspan="2"> error</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">test</td><td colspan="2">@code=../../../hl7:code/@code and @codeSystem=../../../hl7:code/@codeSystem</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">Meldung</td><td colspan="2">Die hier angegebenen @code und @codeSystem MÜSSEN mit den Werten der übergeordneten Section ident sein.</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>hl7:statusCode </td></tr></table></td><td>CS</td><td>1 … 1</td><td>M</td><td>Der "statusCode" kann folgende Werte annehmen:<ul>

<li>

completed: zu verwenden, wenn alle erwarteten Analyseergebnisse für diesen Befundbereich abgeschlossen sind.</li>

Beinhaltet 1.2.40.0.34.6.0.11.3.27 Laboratory Observation Entry (DYNAMIC)</td><td style="background-color: #FFEEEE;">(atc...ing)</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@typeCode </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@contextConductionInd </td></tr></table></td><td>cs</td><td>0 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">true</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>hl7:entryRelationship </td></tr></table></td><td></td><td>0 … *</td><td></td><td>Beinhaltet 1.2.40.0.34.6.0.11.3.19 Eingebettetes Objekt Entry (DYNAMIC)</td><td style="background-color: #FFEEEE;">(atc...ing)</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@typeCode </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@contextConductionInd </td></tr></table></td><td>cs</td><td>0 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">true</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>hl7:entryRelationship </td></tr></table></td><td></td><td>0 … *</td><td></td><td>Codierung des Kommentars für einen gesamten Befundbereich.

Beinhaltet 1.2.40.0.34.6.0.11.3.11 Comment Entry (DYNAMIC)</td><td style="background-color: #FFEEEE;">(atc...ing)</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@typeCode </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top;"><td style="vertical-align: top;" class="columnName"><table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td>@contextConductionInd </td></tr></table></td><td>cs</td><td>0 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">true</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelgreen"><div>Kommentar zum Befundbereich</div> <section> <templateId root="1.2.40.0.34.6.0.11.2.102"/> <id extension="P-body" root="2.16.840.1.113883.3.933.1.1"/> <code code="300" codeSystem="1.2.40.0.34.5.11" codeSystemName="ELGA_LaborparameterErgaenzung" displayName="Hämatologie"/> <title>Hämatologie</title>  <text>     <table> <thead> <tr> <th>Kommentar zur Hämatologie</th> </tr> </thead> <tbody> <tr> <td> <paragraph> <content ID="haematologyComment1">Das ist ein Kommentar zum Befundbereich "Hämatologie".</content> </paragraph> </td> </tr> </tbody> </table> </text>  <entry typeCode="DRIV"> <templateId root="1.2.40.0.34.6.0.11.3.25"/> <templateId root="1.3.6.1.4.1.19376.1.3.1"/> <act classCode="ACT" moodCode="EVN"> <code code="300" codeSystem="1.2.40.0.34.5.11" codeSystemName="ELGA_LaborparameterErgaenzung" displayName="Hämatologie"/> <statusCode code="completed"/>     <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.2.40.0.34.6.0.11.3.25"/> <templateId root="2.16.840.1.113883.10.20.1.40"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/> <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation Comment"/> <text> <reference value="#haematologyComment1"/> </text> <statusCode code="completed"/> </act> </entryRelationship> </act> </entry></section></td></tr></table></td></tr></table>

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