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;">1.2.40.0.34.6.0.11.3.49 <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;">2019‑12‑03 09:46:18</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_ProblemStatusObservation</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Problem Status 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">Klinischer Status des ProblemsGesundheitsproblems</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 1.2.40.0.34.6.0.11.3.49</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 Geschlossen (auch andere als die definierten nur definierte 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 1.<table class="treetable" width="100%" border="0" cellspacing="3.6.1.4.1.19376.1.5.3.1.4.1.1 <i>Entry Problem Status Observation </i> (2013‑12‑20) <span xmlns="" classcellpadding="2" style="repoboxbackground: transparent;"><div tr class="repo ref sspacingdesclabel">ref</div><div class="non-selectable repo refvalue sspacingtd style="height: 1.5em;">epsos-Benutzt 1 Template</divtd></spantr><tr></td></trdiv><tr table class="explabel artdecor" stylewidth="vertical-align: top;100%"><td border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20em20%; text-align: left;">BeispielBenutzt</tdth><td colspanth style="3" class="explabelbluewidth: 1%; text-align: left;"> als </th><table classth style="treetable" width="100: 60%" border="0" cellspacing="3" cellpadding="2" style="background; text-align: transparentleft;">Name</th><tr class="desclabel"><td th style="heightwidth: 19%; text-align: 1.5emleft;" class="togglertreetable"><span class="expcaption">BeispielVersion</span></tdth></tr><tr><td><tt><span style="displaytext-align: blockleft;" class="explrendered">1.2.40.0.34.6.0.11.9.1</td><span classtd style="ppsigntext-align: left;">&lt;Containment</spantd><span classtd style="ppelementtext-align: left;">observation[[File:Kyellow.png|14px]] Narrative Text Reference (2019)</spantd> <span classtd style="ppattributetext-align: left;">classCodeDYNAMIC</spantd><span class="ppsign"/tr>="</spantable><span class="ppcontent"/div>OBS</spantd><span class="ppsign"/tr>"</spantable> <span class="ppattribute"/td>moodCode</spantr><span classtr style="ppsignvertical-align: top;">="</span><span classth style="ppcontentwidth: 20em; text-align: left;">EVNBeziehung</spanth><span classtd style="ppsigntext-align: left;">"</span><span classcolspan="ppsign3">&gt;</spanAdaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 <i>Entry Problem Status Observation <br /i>(2013‑12‑20) <span stylexmlns="display: block;" class="explrenderedrepobox">  <span div class="ppsignrepo ref sspacing">&lt;ref</spandiv><span div class="ppelementnon-selectable repo refvalue sspacing">templateIdepsos-</span> <span class="ppattribute"div>root</span><span class="ppsign">="<br /span><span class="ppcontent"> Adaptation: Template 2.16.840.1.2113883.4010.022.344.11.13.3.1320 <i>IPS Problem Status Observation </spani>(DYNAMIC) <span xmlns="" class="ppsignrepobox">"</span><span div class="ppsignrepo ref sspacing">/ref</spandiv><span div class="ppsignnon-selectable repo refvalue sspacing">&gt;hl7ips-</div></span></spantd></tr><span tr class="explabel " style="displayvertical-align: blocktop;" class="explrendered">  <span classtd style="ppsign"width: 20em; text-align: left;">&lt;Beispiel</spantd><span classtd colspan="ppelement3">code</span> <span class="ppattributeexplabelgreen">code</span><span table class="ppsigntreetable">width="</span><span class100%" border="ppcontent0">33999-4</span><span classcellspacing="ppsign3" cellpadding=">2"</span> <span classstyle="ppattributebackground: transparent;">displayName</span><span tr class="ppsigndesclabel"><td style="</span><span height: 1.5em;" class="ppcontenttogglertreetable">Status</span><span class="ppsignexpcaption">"Beispiel</span> <span class="ppattribute"/td>codeSystem</spantr><tr><span class="ppsign"td>="</spantt><span classstyle="ppcontentdisplay: block;" class="explrendered">2.16.840.1.113883.6.1</span><span class="ppsign">"&lt;</span> <span class="ppattributeppnamespace">codeSystemNamehl7:</span><span class="ppsignppelement">="observation</span><span class="ppcontentppattribute">LOINCclassCode</span><span class="ppsign">="</span><span class="ppsignppcontent">/OBS</span><span class="ppsign">&gt;"</span><span class="ppattribute">moodCode</span><span styleclass="display: block;ppsign" class>="explrendered"</span>  <span class="ppsignppcontent">&lt;EVN</span><span class="ppelementppsign">text"</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">      <span class="ppsign">&lt;</span><span class="ppelementppnamespace">referencehl7:</span> <span class="ppattributeppelement">valuetemplateId</span><span class="ppsignppattribute">=root</span><span class="ppsign">="</span><span class="ppcontent">#cstatus-1.2.40.0.34.6.0.11.3.49</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">texttemplateId</span><span class="ppsignppattribute">&gt;root</span></span><span styleclass="display: block;ppsign" class>="explrendered"</span>  <span class="ppsignppcontent">&lt;2.16.840.1.113883.10.22.4.20</span><span class="ppelementppsign">statusCode"</span> <span class="ppattributeppsign">code/</span><span class="ppsign">="&gt;</span></span><span style="display: block;" class="ppcontentexplrendered">completed</span>  <span class="ppsign">"&lt;</span><span class="ppsignppnamespace">/hl7:</span><span class="ppsignppelement">&gt;templateId</span></span><span style=class="display: block;" class="explrenderedppattribute">  <span class="ppsign">&lt;root</span><span class="ppelementppsign">value</span> <span class="ppattribute">hl7:type</span><span class="ppsignppcontent">="<1.3.6.1.4.1.19376.1.5.3.1.4.1.1</span><span class="ppcontentppsign">CD"</span><span class="ppsign">"/</span> <span class="ppattributeppsign">code&gt;</span><span class="ppsign">="</span><span classstyle="ppcontentdisplay: block;" class="explrendered">recurrence</span>  <span class="ppsign">"&lt;</span> <span class="ppattributeppnamespace">codeSystemhl7:</span><span class="ppsignppelement">="code</span><span class="ppcontentppattribute">2.16.840.1.113883.4.642.3.155code</span><span class="ppsign">="</span><span class="ppsignppcontent">/33999-4</span><span class="ppsign">&gt;"</span><span class="ppattribute">codeSystem</span><span class="ppsign">&lt;/="</span><span class="ppnamespaceppcontent">2.16.840.1.113883.6.1</span><span class="ppelementppsign">observation"</span><span class="ppsign">&gt;/</span></spanclass="ppsign">&gt;</tt></tdspan></trspan></table></td></tr><tr span style="vertical-aligndisplay: topblock;"><td colspan="4" class="tabtabexplrendered">  <table span class="treetableppsign" id>&lt;</span><span class="transactionTableppnamespace" width>hl7:</span><span class="100%ppelement" border>text</span><span class="0" cellspacing="3" cellpadding="2" style="background: transparent;ppsign">&gt;</span><trbr /><th span style="widthdisplay: 30%; text-align: leftblock;">Item    </th><th span style="widthcolor: 2emgreen">&lt; text!--align: lefttemplate 1.2.40.0.34.6.0.11.9.1 'Narrative Text Reference' (2019-01-17T15:27:17) --&gt;"<br /></span>DT</thspan>  <th stylespan class="width: 2emppsign">&lt; text-align: left;">Kard/</thspan><th stylespan class="width: 2em; text-align: left;ppnamespace">Konfhl7:</thspan><th stylespan class="text-align: left;ppelement">Beschreibungtext</thspan><th stylespan class="width: 2em; text-align: left;ppsign">Label&gt;</thspan></trspan><tr span style="vertical-aligndisplay: top; background-color: #FFEAEAblock;"><td class="columnNameexplrendered">  <table span class="ad-diffblock-horizontal " cellpadding="1" style="background: transparentppsign">&lt;"><tr/span><td><tt><strongspan class="ppnamespace">hl7:observation<br /span></strongspan class="ppelement">statusCode</ttspan></tdspan class="ppattribute">code</trspan></tablespan class="ppsign">="</tdspan><tdspan class="ppcontent">completed<strong/span></strongspan class="ppsign">"</td><tdspan><span styleclass="color: black;ppsign">/<strong/span></strongspan class="ppsign">&gt;</span></td><tdspan><span style="colordisplay: color: blackblock;" class="explrendered">  <strongspan class="ppsign">&lt;</strongspan></span>class="ppnamespace">hl7:</tdspan><tdspan class="ppelement">value</tdspan><td stylespan class="background-color: #FFEEEE;ppattribute">code</span><span titleclass="ppsign">(atc...ion)="</span></tdspan class="ppcontent">active</trspan><tr><td stylespan class="vertical-align: top;ppsign">" </span> <span class="columnNameppattribute">codeSystem</span><table span class="artdecorppsign" cellpadding>="1" style</span><span class="background: transparent;ppcontent">2.16.840.1.113883.4.642.3.155<tr/span><td stylespan class="vertical-align: top;ppsign">[[File:Treetree.png|16px]]</td"</span><tdspan class="ppsign">/<tt/span><strongspan class="ppsign">@classCode&gt;<br /span></strongspan><span class="ppsign">&lt;/tt></tdspan><span class="ppnamespace">hl7:</trspan></tablespan class="ppelement">observation</tdspan><tdspan class="ppsign">cs&gt;</td><tdspan></span><strong/tt>0 … 1</strongtd></spantr></tdtable></td>F</tdtr><td tr style="vertical-align: top;" colspan="2">OBS</td></tr><tr><td stylecolspan="vertical-align: top;4" class="columnNametabtab"><table class="artdecortreetable" cellpaddingid="1transactionTable" stylewidth="background: transparent;100%">border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><td th style="verticalwidth: 30%; text-align: topleft;">[[File:Treetree.png|16px]]Item</tdth><tdth style="width: 2em; text-align: left;">DT<tt><strong>@moodCode<br /th></strongth style="width: 2em; text-align: left;">Kard</ttth></td>th style="width: 2em; text-align: left;">Konf</trth></tableth style="text-align: left;">Beschreibung</tdth><tdth style="width: 2em; text-align: left;">csLabel</tdth><td><span><strong>0 … 1</strongtr></span></td><td>F</td><td tr style="vertical-align: top; background-color: #FFEAEA;" colspan><td class="2columnName">EVN</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table classtable class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt<tt><strong>hl7:templateIdobservation<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:TreeblankTreetree.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tttt><strong>@rootclassCode<br /></strong></tt></td></tr></table></td><td>uidcs</td><td><span><strong>1 … 10 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.40.0.34.6.0.11.3.49OBS</td></tr><tr ><td style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpaddingartdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code@moodCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)cs</td><td><span style="color: black;"><strong>1 … 10 … 1</strong></span></td><td>F<span /td><td style="colorvertical-align: color: blacktop;" colspan="2"><strong>MEVN</strong></span></td><td>Observation des klinischen Status</tdtr><td tr style="vertical-align: top; background-color: #FFEEEEFFEAEA;"><span titletd class="columnName">(atc...ion)</span></td></tr><tr style=table class="verticalad-diffblock-align: top;"><td><table class="artdecorhorizontal " 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>@codehl7:templateId<br /></strong></tt></td></tr></table></td><td rowspan="2" class="conf">CONF<strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>Fspan style="color: color: black;"><strong>M</strong></tdspan></td colspan="2">33999-4</td></trtd><tr td style="verticalbackground-aligncolor: top#FFEEEE;"><td><table classspan title="artdecor" cellpadding=>(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>@codeSystemroot<br /></strong></tt></td></tr></table></td><td>uid</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td style="vertical-align: top;" colspan="2">1.2.1640.0.84034.16.1138830.611.1 (LOINC)3.49</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:texttemplateId<br /></strong></tt></td></tr></table></td><td><strong>EDII</strong></td><td><span style="color: black;"><strong>0 … 11 … 1</strong></span></td><td><span style="color: color: black;"><strong>RM</strong></span></td><td>Falls vorhanden, enthält dieses Element einen Verweis auf den klinischen HL7 IPS Problem Status im narrativen TeilObservation<br /></td><td style="background-color: #FFEEEE;"><span title="">(atc...ion)</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:reference@root<br /></strong></tt></td></tr></table></td><td>uid<strong>TEL</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>F</td><td style="backgroundvertical-coloralign: #FFEEEEtop;"><span titlecolspan="2">(atc2.16.840.1.113883.10.22.4.ion)</span>20</td></tr><tr><td style="vertical-align: top; background-color: #FFEAEA;" ><td class="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><tt><strong>hl7: top;"templateId<br /></strong>[[File:Treeblank.png|16px]]</tdtt></td style="vertical-align: top;">[[File:Treetree.png|16px]]</tdtr></table></td><tttd><strong>@value<br />II</strong></tttd></td></trspan style="color: black;"></tablestrong>1 … 1</tdstrong><td/span></td><td><spanstyle="color: color: black;"><strong>1 … 1M</strong></span></td><td>RIHE PCC Problem Status Observation<br /></td><td style="verticalbackground-aligncolor: top#FFEEEE;" colspan><span title="2">Verweis auf den klinischen Status im narrativen Teil(atc...ion)</tdspan></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:statusCode@root<br /></strong></tt></td></tr></table></td><td><strong>CS</strong> (erforderlich)uid</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>1.3.6.1.4.1.19376.1.5.3.1.4.1.1</td><td>Fester Wert: completed</tdtr><td tr style="vertical-align: top; background-color: #FFEEEEFFEAEA;"><span title="">(atc...ion)</span></td></tr><tr styleclass="vertical-align: top;columnName"><td><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>@hl7:code<br /></strong></tt></td></tr></table></td><td rowspan="1" class="conf">CONF<strong>CE</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=>Code zur Observation "2Klinischer Status des Gesundheitsproblems">completed</td></tr><tr td style="vertical-align: top; background-color: #FFEAEAFFEEEE;"><td classspan title="columnName"><(atc...ion)</span></td></tr><tr style="vertical-align: top;"><td><table class="ad-diffblock-horizontal artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:TreetreeTreeblank.png|16px]]</td><td><ttstyle="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:value@code<br /></strong></tt></td></tr></table></td><tdrowspan="2" class="conf"><strong></strong>CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>RF</strong></span></td><tdcolspan="2">Codierte Angabe des klinischen Status eines Problems.33999-4<br /td></tdtr><td tr style="backgroundvertical-coloralign: #FFEEEEtop;"><span title="">(atc...ion)</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table classtd><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:typecodeSystem<br /></strong></tt></td></tr></table></td><td></td><td><spanspan style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td style="vertical-align: top;" colspan="2">2.16.840.1.113883.6.1 (LOINC)</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>Dieses Element strukturiert den Verweis auf den klinischen Status im narrativen Teil<br />Beinhaltet 1.2.40.0.34.6.0.11.9.1 <i>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;"><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></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: completed</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>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 des klinischen Status<br /></td><td style="background-color: #FFEEEE;"><span title="">(atc...ion)</span></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 1.2.40.0.34.10.198 <i>ELGA_ConditionStatusCode </i>(DYNAMIC)</td></tr></table></td></tr></table></td></tr></table>