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<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;">1.2.40.0.34.6.0.11.3.36</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2019‑11‑21 09:11:18</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;">2019</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">atcdabbr_entry_CertaintyObservation</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Certainty Observation Entry</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beschreibung</th><td style="text-align: left;" colspan="3">Dokumentiert die Sicherheit, mit der ein Problem besteht.</td></tr><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 1.2.40.0.34.6.0.11.3.36</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">Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">BeziehungBenutzt</th><td style="text-align: left;" colspan="3">Adaptation: Template 2.16.840.1.113883.10.12.303 <i>CDA Observation </i> (2005‑09‑07) <span xmlnstable class="treetable" classwidth="repobox100%"><div classborder="repo ref sspacing0">ref</div><div classcellspacing="non-selectable repo refvalue sspacing3">ad1bbr-</div></span></td></tr><tr classcellpadding="explabel 2" style="vertical-alignbackground: toptransparent;"><tr class="desclabel"><td style="widthheight: 20em; text-align: left1.5em;">BeispielBenutzt 1 Template</td></tr><tr><td colspan><div><table class="3" class="explabelblue"><table class="treetableartdecor" width="100%" border="0" cellspacing="31" cellpadding="23" style="background: transparent;"><tr class><th style="desclabelwidth: 20%; text-align: left;">Benutzt</th><td th style="heightwidth: 1.5em%; text-align: left;" class="togglertreetable"> als </th><span classth style="expcaptionwidth: 60%; text-align: left;">BeispielName</spanth></td></trth style="width: 19%; text-align: left;">Version<tr/th><td/tr><tttr><span td style="displaytext-align: blockleft;" class="explrendered"><span class="ppsign"><1.2.40.0.34.6.0.11.9.1</spantd><span classtd style="ppelementtext-align: left;">observationInklusion</spantd> <span classtd style="ppattributetext-align: left;">classCode[[File:Kyellow.png|14px]] Narrative Text Reference (2019)</spantd><span classtd style="ppsigntext-align: left;">="DYNAMIC</spantd><span class="ppcontent"/tr>OBS</spantable><span class="ppsign"/div>"</spantd> <span class="ppattribute"/tr>moodCode</spantable><span class="ppsign"/td>="</spantr><span classtr style="ppcontentvertical-align: top;">EVN</span><span class="ppsignth style="width: 20em; text-align: left;">"Beziehung</spanth><span classtd style="text-align: left;" colspan="ppsign3">></spanAdaptation: Template 2.16.840.1.113883.10.22.10 <i>IPS Allergy Certainty Observation <br /i>(DYNAMIC) <span stylexmlns="display: block;" class="explrenderedrepobox"> <span div class="ppsignrepo ref sspacing"><ref</spandiv><span div class="ppelementnon-selectable repo refvalue sspacing">templateIdhl7ips-</div></span> <span class="ppattribute"/td>root</spantr><span tr class="ppsignexplabel ">style="</spanvertical-align: top;"><span classtd style="ppcontentwidth: 20em; text-align: left;">1.2.40.0.34.11.13.3.19Beispiel</spantd><span td colspan="3" class="ppsignexplabelblue">"</span><span table class="ppsigntreetable">/</span><span classwidth="ppsign100%">></span></span><span styleborder="display: block;0" classcellspacing="explrendered3"> <span classcellpadding="ppsign2" style="><background: transparent;</span"><span tr class="ppelementdesclabel">code</spantd style="height: 1.5em;" class="togglertreetable"> <span class="ppattributeexpcaption">codeBeispiel</span><span class="ppsign"/td>="</spantr><tr><td><tt><span style="display: block;" class="ppcontentexplrendered">NEW-LOINC-CERTAINTY</span><span class="ppsign">"<</span> <span class="ppattributeppnamespace">codeSystemcda:</span><span class="ppsignppelement">="observation</span><span class="ppcontentppattribute">2.16.840.1.113883.6.1classCode</span><span class="ppsign">="</span><span class="ppsignppcontent">/OBS</span><span class="ppsign">>"</span><span class="ppattribute">moodCode</span><span styleclass="display: block;" classppsign">="explrendered"</span> <span class="ppsignppcontent"><EVN</span><span class="ppelementppsign">text"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelementppnamespace">referencecda:</span> <span class="ppattributeppelement">valuetemplateId</span><span class="ppsignppattribute">="root</span><span class="ppcontentppsign">#ref1="</span><span class="ppsignppcontent">"1.2.40.0.34.6.0.11.3.36</span><span class="ppsign">/"</span><span class="ppsign">></span></span> <span class="ppsign"><gt;</span></span><span style="display: block;" class="ppnamespaceexplrendered"> </span><span classclass="ppelementppsign">text<</span><span class="ppsignppnamespace">>cda:</span><span class="ppelement">code</span><span style="display: block;" class="explrenderedppattribute"> code</span><span class="ppsign"><="</span><span class="ppelementppcontent">NEW-LOINC-CERTAINTY</span><span class="ppsign">statusCode"</span> <span class="ppattribute">codecodeSystem</span><span class="ppsign">="</span><span class="ppcontent">completed2.16.840.1.113883.6.1</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span classstyle="ppsigncolor:green"><!-- include template 1.2.40.0.34.6.0.11.9.1 'Narrative Text Reference' (dynamic) .. O --><br /span></span class="ppelement">value</span> <span classstyle="ppattributedisplay: block;" class="explrendered">hl7:type</span> <span class="ppsign">="<</span><span class="ppcontentppnamespace">CDcda:</span><span class="ppsignppelement">"statusCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">confirmedcompleted</span><span class="ppsign">"</span> <span class="ppattributeppsign">displayName/</span><span class="ppsign">="></span><span class="ppcontent">confirmed</span><span style="display: block;" class="ppsignexplrendered">"</span> <span class="ppattributeppsign">codeSystem<</span><span class="ppsignppnamespace">="cda:</span><span class="ppcontentppelement">2.16.840.1.113883.4.642.3.115value</span><span class="ppsignppattribute">"xsi:type</span><span class="ppsign">/="</span><span class="ppsignppcontent">></span>CD</span><span class="ppsign"></"</span><span class="ppnamespaceppattribute">code</span><span class="ppelementppsign">observation="</span><span class="ppsignppcontent">>myCode</span></spanclass="ppsign">"</ttspan><span class="ppattribute">codeSystem</tdspan></trspan class="ppsign">="</tablespan></tdspan class="ppcontent">1.2.3.99</trspan><tr stylespan class="vertical-align: top;ppsign">"</span><td colspanspan class="4ppsign" >/</span><span class="tabtabppsign">></span></span><table span class="treetableppsign" id="transactionTable" width></</span><span class="100%ppnamespace" border>cda:</span><span class="0ppelement" cellspacing>observation</span><span class="3ppsign" cellpadding="2" style="background: transparent>>"</span></span><tr/tt><th style="width: 30%; text-align: left;"/td>Item</thtr><th style="width: 2em; text-align: left;"/table></td>DT</thtr><th tr style="width: 2em; textvertical-align: lefttop;">Kard</th><th styletd colspan="width: 2em; text-align: left;4" class="tabtab">Konf</th><th styletable class="text-align: left;treetable">Beschreibung</th><th styleid="transactionTable"width="100%" border="0" cellspacing="3" cellpadding="2" style="background: 2em; text-align: lefttransparent;">Label</th></tr><tr th style="verticalwidth: 30%; text-align: topleft; background-color: #FFEAEA;"">Item<td class="columnName"/th><table classth style="adwidth: 2em; text-diffblock-horizontal " cellpadding="1" style="backgroundalign: transparentleft;">DT<tr/th><tdth style="width: 2em; text-align: left;">Kard<tt/th><strong>hl7th style="width: 2em; text-align:observation<br /left;">Konf</strongth></ttth style="text-align: left;">Beschreibung</tdth></trth style="width: 2em; text-align: left;">Label</tableth></tdtr><td><strongtr style="vertical-align: top; background-color: #FFEAEA;"></strong></td><td><span styleclass="color: black;columnName"><strong>1 … 1</strongtable class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"></spantr></td><tdtt><span style="colorstrong>hl7: color: black;">observation<strongbr />M</strong></spantt></td></tr></table></td><td><strong></strong></td><td ><span style="background-color: #FFEEEEblack;"><span title=""strong>(atc...ion)</spanstrong></tdspan></trtd><trtd><td span style="vertical-aligncolor: color: topblack;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"strong></strong><tr/span></td><td></td><td style="verticalbackground-aligncolor: top#FFEEEE;">[[File:Treetree<span title="">(atc...png|16px]]ion)</tdspan></td><tt/tr><strong>@classCode<br /tr></strong></tt></tdstyle="vertical-align: top;" class="columnName"></tr></table></tdclass="artdecor" cellpadding="1" style="background: transparent;"><tr><tdstyle="vertical-align: top;">cs[[File:Treetree.png|16px]]</td><td><spantt><strong>1 … 1@classCode<br /></strong></spantt></td><td/tr></table>F</td><td style="vertical-align: top;" colspan="2">OBScs</td></trtd><span><trstrong>1 … 1<td style="vertical-align: top;" class="columnName"/strong></span></td><table class="artdecor" cellpadding="1" style="background: transparent;"td>F<tr/td><td style="vertical-align: top;" colspan="2">[[File:Treetree.png|16px]]OBS</td><td><tt><strong>@moodCode<br /tr></strong></tttr></tdstyle="vertical-align: top;" class="columnName"></tr></tableclass="artdecor" cellpadding="1" style="background: transparent;"></tdtr><tdstyle="vertical-align: top;">cs[[File:Treetree.png|16px]]</td><td><spantt><strong>1 … 1@moodCode<br /strong></spanstrong></tdtt></td>F</tdtr><td style="vertical-align: top;" colspan="2"/table>EVN</td><td>cs</trtd><td><span><strong>1 … 1</strong></span></td><td>F</td><tr td style="vertical-align: top; background-color: #FFEAEA;" colspan="2">EVN</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="">(atc...ion)</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">1.2.40.0.34.6.0.11.3.36</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>@Code wird noch fixiert, ein neuer LOINC Code wurde beantragt. Interimistisch "NEW-LOINC-CERTAINTY"<br /> </td><td style="background-color: #FFEEEE;"><span title="">(atc...ion)</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>@codeSystem<br /></strong></tt></td></tr></table></td><td rowspan="1" class="conf">CONF</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 class="include"><td style="verticalfont-alignstyle: top; background-color: #FFEAEAitalic;" colspan="2">Eingefügt</td><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" span style="backgroundcolor: transparentblack;"><trstrong><td style="vertical-align: top;"/strong></span>[[File:Treetree.png|16px]]</td><td><ttspan style="color: color: black;;"><strong>hl7:text<br /strong></strongspan></tttd></tdcolspan="2">von 1.2.40.0.34.6.0.11.9.1 </tri>Narrative Text Reference</tablei>(DYNAMIC)</td><td><strong></strongtr></tdtr style="vertical-align: top; background-color: #FFEAEA;"><tdclass="columnName"><span table class="ad-diffblock-horizontal " cellpadding="1" style="colorbackground: blacktransparent;"><strongtr>0 … 1</strong></spantd style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span style="color: color: black;"tt><strong>Rhl7:text<br /strong></spanstrong></tt></td></tr></table></td><td>Falls vorhanden, enthält das Element einen Verweis auf die Beschreibung der Diagnosesicherheit im narrativen Teil.<br strong>ED</strong></td><td ><span style="background-color: #FFEEEEblack;"><span title=""strong></strong>(atc...ion)</span></td></trtd><tr span style="vertical-aligncolor: top; background-color: #FFEAEAblack;"><strong></strong></span></td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"td><tr/td><td style="verticalbackground-aligncolor: top#FFEEEE;">[[File:Treeblank.png|16px]]<span title="">(atc...ion)</span></td><td /tr><tr style="vertical-align: top; background-color: #FFEAEA;">[[File:Treetree.png|16px]]</td><tdclass="columnName"><tt><strong>hl7table class="ad-diffblock-horizontal " cellpadding="1" style="background:reference<br /transparent;"></strongtr></tt></tdstyle="vertical-align: top;"></tr></table>[[File:Treeblank.png|16px]]</td><tdstyle="vertical-align: top;"><strong>TEL[[File:Treetree.png|16px]]</strongtd></td><tdtt><span style="colorstrong>hl7: black;"reference<br /></strong>1 … 1</strongtt></td></tr></spantable></td><td><span strong>TEL</strong></td><td><span style="color: color: black;"><strong>M1 … 1</strong></span></td><td></td><td span style="background-color: #FFEEEEcolor: black;"><strong>M</strong></span title="">(atc...ion)</spantd></td>Die Referenz auf den entsprechenden Text im menschenlesbaren Teil muss durch Bezugnahme auf den Inhalt[@ID] angegeben werden: reference[@value='#xxx'].<br /tr>Die Referenz ist mit einem <tri>ID<td style="vertical/i>-align: top;" class="columnName"Attribut anzugeben, dieses Element DARF NUR den Textinhalt des codierten Inhalts mit Zusatzinformationen umschließen.<br /><table class="artdecor" cellpadding="1" style="background: transparent;"br /><tr/td><td style="verticalbackground-aligncolor: top#FFEEEE;">[[File:Treeblank<span title="">(atc...png|16px]]ion)</span></td></tr><tr><td style="vertical-align: top;" class="columnName">[[File:<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:TreetreeTreeblank.png|16px]]</td><tdstyle="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><tt><strong>@value<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>R</td><td style="vertical-align: top;" colspan="2">Verweis auf die Beschreibung der Diagnosesicherheit im narrativen Teil<br /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">[[File:Kred.png|14px]] 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">starts-with(@value,'#')</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"><span class="pptext">The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding 'content'-element.</span></td><td style="background-color: white;"> </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:statusCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong> (erforderlich)</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="">(atc...ion)</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="1" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">completed</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:value<br /></strong></tt></td></tr></table></td><td><strong></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>Dieses Element dokumentiert die Sicherheit, mit der ein Problem besteht.</td><td style="background-color: #FFEEEE;"><span title="">(atc...ion)</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>@xsi:type<br /></strong></tt></td></tr></table></td><td></td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">CD</td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Der Wert von @code muss gewählt werden aus dem Value Set 1.2.40.0.34.10.184 <i>ELGA_ConditionVerificationStatus </i>(DYNAMIC)</td></tr></table></td></tr></table></td></tr></table>
