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;">1.2.40.0.34.6.0.11.3.36 <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;">2019‑11‑21 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</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 Gewissheit, mit der das Gesundheitsproblem 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">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 class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt 1 Template</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;">1.2.40.0.34.6.0.11.9.1</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Narrative Text Reference (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">Adaptation: Template 2.16.840.1.113883.10.22.4.19 <i>IPS Certainty Observation </i> (DYNAMIC) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">hl7ips-</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">Beispiel</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">observation</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">OBS</span><span class="ppsign">"</span> <span class="ppattribute">moodCode</span><span class="ppsign">="</span><span class="ppcontent">EVN</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.40.0.34.6.0.11.3.36</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="ppnamespace">hl7:</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.10.22.10</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="ppnamespace">hl7:</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">66455-7</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Condition status</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="ppnamespace">hl7:</span><span class="ppelement">text</span><span class="ppsign">&gt;</span><br /><span style="display: block;">    <span style="color:green">&lt;!-- template 1.2.40.0.34.6.0.11.9.1 'Narrative Text Reference' (2019-01-17T15:27:17) --&gt;<br /></span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace">hl7:</span><span class="ppelement">text</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppnamespace">hl7:</span><span class="ppelement">statusCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">completed</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="ppnamespace">hl7:</span><span class="ppelement">value</span> <span class="ppattribute">codexsi:type</span><span class="ppsign">="</span><span class="ppcontent">unconfirmedCD</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemcode</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.4.642.3.166unconfirmed</span><span class="ppsign">"</span><span class="ppsignppattribute">/codeSystem</span><span class="ppsign">&gt;</span>="</span><span class="ppsignppcontent">&lt;/2.16.840.1.113883.4.642.3.166</span><span class="ppnamespaceppsign">hl7:"</span><span class="ppelementppattribute">observationdisplayName</span><span class="ppsign">&gt;="</span></spanclass="ppcontent">unconfirmed</ttspan></tdspan class="ppsign">"</trspan></tablespan class="ppsign"></td></trspan><tr stylespan class="vertical-align: topppsign">&gt;"</span><td colspan/span><span class="4ppsign" >&lt;/</span><span class="tabtabppnamespace">hl7:<table /span><span class="treetableppelement" id>observation</span><span class="transactionTableppsign" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent>&gt;"</span><tr/span><th /tt></td></tr></table></td></tr><tr style="width: 30%; textvertical-align: lefttop;">Item</th><th styletd colspan="width: 2em; text-align: left;4">DT</th><th styleclass="width: 2em; text-align: left;tabtab">Kard</th><th styletable class="width: 2em; text-align: left;treetable">Konf</th><th styleid="text-align: left;transactionTable">Beschreibung</th><th stylewidth="width: 2em; text-align100%" border="0" cellspacing="3" cellpadding="2" style="background: lefttransparent;">Label</th></tr><tr th style="verticalwidth: 30%; text-align: top; background-color: #FFEAEAleft;">Item<td class="columnName"/th><table classth style="adwidth: 2em; text-diffblock-horizontal " cellpadding="1" style="backgroundalign: transparentleft;">DT<tr/th><td><tt><strong>hl7th style="width: 2em; text-align:observation<br /left;">Kard</strongth></tt></tdth style="width: 2em; text-align: left;">Konf</trth></tableth style="text-align: left;">Beschreibung</tdth><td><strong>th style="width: 2em; text-align: left;">Label</strongth></tdtr><td><span tr style="vertical-align: top; background-color: black#FFEAEA;"><strongtd class="columnName"></strong></span></td><td><span table class="ad-diffblock-horizontal " cellpadding="1" style="colorbackground: color: blacktransparent;"><strongtr></strongtd></spantt><strong>hl7:observation<br /td><td/strong></tdtt></td style="background-color: #FFEEEE;"><span title=""/tr>(atc...ion)</spantable></td><td><strong></trstrong><tr/td><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" span style="backgroundcolor: transparentblack;"><trstrong></strong></span></td><td ><span style="vertical-aligncolor: color: topblack;">[[File:Treetree.png|16px]]</tdstrong><td/strong><tt/span><strong>@classCode<br /td></strongtd></tttd></tdstyle="background-color: #FFEEEE;"></trspan title="">(atc...ion)</tablespan></td><td>cs</tdtr><td><span><strong>1 … 1</strong></span></td><td>F</tdtr><td style="vertical-align: top;" colspanclass="2columnName">OBS</td></tr><tr><td style="vertical-align: top;" class="columnName"><table table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@moodCodeclassCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">EVNOBS</td></tr><tr ><td style="vertical-align: top; background-color: #FFEAEA;"><td class=" class="columnName"><table class="ad-diffblock-horizontal artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId@moodCode<br /></strong></tt></td></tr></table></td><td><strong>II</strong>cs</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F<span /td><td style="colorvertical-align: color: blacktop;" colspan="2"><strong>M</strong></span>EVN</td><td>ELGA</tdtr><td tr style="backgroundvertical-coloralign: top; background-color: #FFEEEEFFEAEA;"><span titletd class="columnName">(atc...ion)</span></td></tr><tr><td styletable class="verticalad-align: top;" class="columnName"><table class="artdecordiffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:TreeblankTreetree.png|16px]]</td><td style="vertical-align: top;">[[File<tt><strong>hl7:Treetree.png|16px]]</td><td><tt><strong>@roottemplateId<br /></strong></tt></td></tr></table></td><td>uid<strong>II</strong></td><td><spanstyle="color: black;"><strong>1 … 1</strong></span></td><td>F</span style="color: color: black;"><strong>M</strong></span></td><td>ELGA</td><td style="verticalbackground-aligncolor: top#FFEEEE;" colspan><span title="2">1(atc.2.40.0.34.6.0.11.3.36ion)</span></td></tr><tr ><td style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal 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>hl7:templateId@root<br /></strong></tt></td></tr></table></td><td>uid<strong>II</strong></td/td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><span td style="colorvertical-align: color: blacktop;" colspan="2"><strong>M</strong></span>1.2.40.0.34.6.0.11.3.36</td><td>HL7 IPS Certainty Observation</tdtr><td tr style="vertical-align: top; background-color: #FFEEEEFFEAEA;"><span title="">(atc...ion)</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecorad-diffblock-horizontal " 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>@roothl7:templateId<br /></strong></tt></td></tr></table></td><td>uid</tdstrong>II</strong></td><td><spanstyle="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td span style="vertical-aligncolor: color: topblack;" colspan="2">2.16.840.1.113883.10.22.10<strong>M</strong></span></td><td>HL7 IPS Certainty Observation</trtd><tr td style="vertical-align: top; background-color: #FFEAEAFFEEEE;"><span title="">(atc...ion)</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="ad-diffblock-horizontal " 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>hl7:code@root<br /></strong></tt></td></tr></table></td><td>uid<strong>CE</strong></td/td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><span td style="colorvertical-align: color: blacktop;" colspan="2"><strong>M2.16.840.1.113883.10.22.10</strongtd></spantr></tdtr style="vertical-align: top; background-color: #FFEAEA;"><tdclass="columnName">Code zur Observation <table class="ad-diffblock-horizontal " cellpadding="1" style="Gewissheit, mit der das Gesundheitsproblem bestehtbackground: transparent;"<br /></tdtr><td style="backgroundvertical-coloralign: #FFEEEEtop;"><span title="">(atc[[File:Treetree...ion)png|16px]]</spantd></td><tt><strong>hl7:code<br /tr><tr style="vertical-align: top;"/strong></tt></td></tr></table class="artdecor" cellpadding="1" style="background: transparent;"><tr/td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]<strong>CE</strong></td><td ><span style="vertical-aligncolor: topblack;">[[File:Treetree.png|16px]]<strong>1 … 1</strong></span></td><td><ttspan style="color: color: black;"><strong>@codeM<br /strong></strongspan></tttd></td>Code zur Observation "Gewissheit, mit der das Gesundheitsproblem besteht"<br /tr></table> </td><td rowspanstyle="4background-color: #FFEEEE;" class><span title="conf">CONF(atc...ion)</span></td><td/tr><span tr style="colorvertical-align: blacktop;"><strongtd>1 … 1</strongtable class="artdecor" cellpadding="1" style="background: transparent;"></spantr></td><td><strong>F</strong></td><td colspan="2">66455-7</td></tr><tr style="vertical-align: top;"><[[File:Treeblank.png|16px]]</td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:TreeblankTreetree.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt>><tt><strong>@codeSystemcode<br /></strong></tt></td></tr></table></td><td><span stylerowspan="color: black;4" 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)66455-7</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>@codeSystemNamecodeSystem<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>@displayNamecodeSystemName<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">Condition statusLOINC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:TreetreeTreeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:text@displayName<br /></strong></tt></td></tr></table></td><td><strong>ED</strong></td><td><span style="colorspan style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>MF</strong></spantd></tdcolspan="2">Condition status</td>Dieses Element strukturiert den Verweis auf den narrativen Teil<br /tr>Beinhaltet 1.2.40.0.34.6.0.11.9.1 <i>Narrative Text Reference</i> (DYNAMIC)</td><td style="tr style="vertical-align: top; background-color: #FFEEEEFFEAEA;"><span titletd class="columnName">(atc...ion)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="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:statusCodetext<br /></strong></tt></td></tr></table></td><td><strong>CSED</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>Fester Wert: completedDieses Element strukturiert den Verweis auf den narrativen Teil<br />Beinhaltet 1.2.40.0.34.6.0.11.9.1 </tdi>Narrative Text Reference</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(atc...ion)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><tdclass="columnName"><table class="artdecorad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:TreeblankTreetree.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><<tt><strong>@codehl7:statusCode<br /></strong></tt></td></tr></table></td><td rowspan="1" class="conf">CONF<strong>CS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>FM</strong></span></td><td colspan="2">Fester Wert: completed<br /td> </trtd><tr td style="vertical-align: top; background-color: #FFEAEAFFEEEE;"><span title="">(atc...ion)</span></td class></tr><tr style="columnNamevertical-align: top;"><td><table class="ad-diffblock-horizontal "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>hl7:value@code<br /></strong></tt></td></tr></table></td><tdrowspan="1" class="conf"><strong>CD</strong>CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>MF</strong></spantd></tdcolspan="2">completed</td>Klassifikation der Gewissheit, mit der das Gesundheitsproblem besteht</td</tr><td tr style="vertical-align: top; background-color: #FFEEEEFFEAEA;"><span titletd class="columnName">(atc...ion)</spantable 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>CD</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>Klassifikation der Gewissheit, mit der das Gesundheitsproblem 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>1 … 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>atcdabbr_ConditionVerificationStatus_VS </i>(DYNAMIC)</td></tr></table></td></tr></table></td></tr></table>