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;">1.2.40.0.34.6.0.11.1.2 <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">at-cda-bbr-</div></span></td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2019‑02‑13 09:50:17</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_header_Author</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Author</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>Der Dokumentersteller („author“) ist in der Regel Autor, Urheber oder Dokumentersteller ist die Person, die „das Dokument verfassende Person“ haupt-ursächlich etwas verursacht oder veranlasst oder als Anstifter, Initiator, Verfasser oder Verursacher wirkt. Der Autor kann auch ein „Dokument-erstellendes Gerät“ sein, etwa ein „datenerstellendes Gerät“. Damit ist diejenige Person oder das Gerät gemeintComputerprogramm, welche das Dokument „inhaltlich“ verfasst (z.B. diktiert)automatisch Daten zu einem Patienten in Form eines Befunds oder einer Zusammenfassung kombiniert. </div><div><br />Die das Dokument „schreibende“ schreibende Person (z.B. Schreibkraft, StationsschwestermedizinischeR DokumentationsassistentIn, …) wird in CDA in einem eigenen Element (dataEnterer) abgebildet (, siehe „Personen der Dateneingabe („dataEnterer“)“). </div>

<ul> <li>AuthorInstitution (=representedOrganization)</li> <li>AuthorPerson (=assignedAuthor)</li> <li>AuthorRole (=functionCode)</li> <li>AuthorSpeciality  (=assignedAuthor.code) </li> </ul>

</ul></div></div></td></tr></table></td><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Header 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;">Benutzt</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt 3 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;">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;">1.2.40.0.34.6.0.11.9.11</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Person Name Compilation G2 M (2019)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.9.18</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Device Compilation (2019)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.9.5</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Organization Compilation with id, name (2019)</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 2.16.840.1.113883.10.12.102 <i>CDA author </i> (2005‑09‑07) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">ad1bbr-</div></span></td></tr><tr class="explabel " style="vertical-align: top;"><td style="width: 20em; text-align: left;">Beispiel</td><td colspan="3" class="explabelgreen"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Person als Author</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">author</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">AUT</span><span class="ppsign">"</span> <span class="ppattribute">contextControlCode</span><span class="ppsign">="</span><span class="ppcontent">OP</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;">  <span style="color:green">&lt;!-- Funktionscode --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">functionCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">OA</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Diensthabender Oberarzt</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.40.0.34.99.111.2.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">Amadeus Spital Funktionen</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;">  <span style="color:green">&lt;!-- Zeitpunkt der Erstellung --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">time</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20190605133410+0200</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">assignedAuthor</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">ASSIGNED</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;">    <span style="color:green">&lt;!-- Identifikation des Verfassers des Dokuments --&gt;<br /></span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.40.0.34.99.111.1.3</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">1111</span><span class="ppsign">"</span> <span class="ppattribute">assigningAuthorityName</span><span class="ppsign">="</span><span class="ppcontent">Amadeus Spital</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;">    <span style="color:green">&lt;!-- Fachrichtung des Verfassers des Dokuments --&gt;<br /></span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">107</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Fachärztin/Facharzt für Chirurgie</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.40.0.34.5.160</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">ELGA_Fachaerzte</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;">    <span style="color:green">&lt;!-- Kontaktdaten des Verfassers des Dokuments --&gt;<br /></span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">telecom</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">tel:+43.1.40400</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">telecom</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">mailto:Isabella.Stern@organization.at</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;">    <span style="color:green">&lt;!-- Person als Author --&gt;<br /></span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">assignedPerson</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">PSN</span><span class="ppsign">"</span> <span class="ppattribute">determinerCode</span><span class="ppsign">="</span><span class="ppcontent">INSTANCE</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;">      <span style="color:green">&lt;!-- template 1.2.40.0.34.6.0.11.9.11 'Person Name Compilation G2 M' (2019-04-02T10:09:43) --&gt;<br /></span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">assignedPerson</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">representedOrganization</span><span class="ppsign">&gt;</span><br /><span style="display: block;">      <span style="color:green">&lt;!-- template 1.2.40.0.34.6.0.11.9.5 'Organization Compilation with id, name' (2019-03-25T13:43:57) --&gt;<br /></span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">representedOrganization</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">assignedAuthor</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">author</span><span class="ppsign">&gt;</span></span></tt></td></tr></table></td></tr><tr class="explabel " style="vertical-align: top;"><td style="width: 20em; text-align: left;">Beispiel</td><td colspan="3" class="explabelgreen"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Gerät als Author</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">author</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">AUT</span><span class="ppsign">"</span> <span class="ppattribute">contextControlCode</span><span class="ppsign">="</span><span class="ppcontent">OP</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;">  <span style="color:green">&lt;!-- Zeitpunkt der Erstellung --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">time</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20190605133410+0200</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">assignedAuthor</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">ASSIGNED</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;">    <span style="color:green">&lt;!-- Geräte Identifikation (oder nullFlavor) --&gt;<br /></span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">86562fe5-b509-4ce9-b976-176fd376e477</span><span class="ppsign">"</span> <span class="ppattribute">assigningAuthorityName</span><span class="ppsign">="</span><span class="ppcontent">KH Eisenstadt</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span><span style="display: block;">    <span style="color:green">&lt;!-- Gerät als Author --&gt;<br /></span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">assignedAuthoringDevice</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">DEV</span><span class="ppsign">"</span> <span class="ppattribute">determinerCode</span><span class="ppsign">="</span><span class="ppcontent">INSTANCE</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;">      <span style="color:green">&lt;!-- template 1.2.40.0.34.6.0.11.9.18 'Device Compilation' (2019-02-13T10:11:00) --&gt;<br /></span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">assignedAuthoringDevice</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">representedOrganization</span><span class="ppsign">&gt;</span><br /><span style="display: block;">      <span style="color:green">&lt;!-- template 1.2.40.0.34.6.0.11.9.5 'Organization Compilation with id, name' (2019-03-25T13:43:57) --&gt;<br /></span></span>    <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">representedOrganization</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">assignedAuthor</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">author</span><span class="ppsign">&gt;</span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="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:author<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Verfasser des Dokuments.<br /></td><td style="background-color: #FFEEEE;"><span title="">(atc...hor)</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:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">AUT</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:Treetree.png|16px]]</td><td><tt><strong>@context&#8203;Control&#8203;Code<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">OP</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:functionCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)</td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td><div style="margin: 0px 0px 4px; vertical-align: top;">Funktionscode des Verfassers des Dokuments</div>

</div></td><td style="background-color: #FFEEEE;"><span title="">(atc...hor)</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>@code<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>R</td><td style="vertical-align: top;" colspan="2"></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>@codeSystem<br /></strong></tt></td></tr></table></td><td>oid</td><td><span><strong>1 … 1</strong></span></td><td>R</td><td style="vertical-align: top;" colspan="2"></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>@codeSystemName<br /></strong></tt></td></tr></table></td><td>st</td><td><span><strong>0 … 1</strong></span></td><td> </td><td style="vertical-align: top;" colspan="2"></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>@displayName<br /></strong></tt></td></tr></table></td><td>st</td><td><span><strong>1 … 1</strong></span></td><td>R</td><td style="vertical-align: top;" colspan="2"></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:time<br /></strong></tt></td></tr></table></td><td><strong>TS.AT.TZ</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td><div>Der Zeitpunkt an dem das <b>Dokument verfasst</b>, bzw <b>inhaltlich fertiggestellt </b>wurde. <br /></div>