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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 class="desclabel"><td colspan="4">Diese Terminologie ist eine Momentaufnahme vom . Terminologien können sich im Laufe der Zeit weiterentwickeln. Wenn eine neuere (dynamische) Versionen dieser Terminologie benötigt wird, bitte von der Quelle abrufen.</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.2.40.0.34.6.0.10.97</td><th style="width: 20em; text-align: left;">Gültigkeit ab</th><td style="text-align: left;">2025‑01‑16</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Canonical URI</th><td style="text-align: left;" colspan="3">https://termgit.elga.gv.at/ValueSet/elga-sectionsambulanzbefund</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+20250116</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">ELGA_SectionsAmbulanzbefund</td><th style="width: 20em; text-align: left;">Bezeichnung</th><td style="text-align: left;">ELGA_SectionsAmbulanzbefund</td></tr><tr style="vertical-align: top;"><td style="text-align: left;" colspan="4"><table id="valueSetDescTable" 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><p><strong>Beschreibung:</strong> Enthält durch SNOMED International urheberrechtlich geschützte Information. Jede Verwendung von SNOMED CT in Österreich erfordert eine aufrechte Affiliate Lizenz oder eine Sublizenz. Die entsprechende Lizenz ist kostenlos, vorausgesetzt die Verwendung findet nur in Österreich statt und erfüllt die Bedingungen des Affiliate License Agreements. Affiliate Lizenzen können über das Member Licensing and Distribution Service (MLDS) direkt beim jeweiligen NRC beantragt werden. https://mlds.ihtsdotools.org/#/landing/AT?lang=de-at</p></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Copyright</th><td style="text-align: left;" colspan="3"><span style="color: grey;">[[File:EN-US.png]] This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org.</span></td></tr><tr class="headinglabel"><th style="vertical-align: top; text-align: left;">3 Quell-Codesysteme</th><td colspan="3" class="tabtab"><div style="width: 100%; margin: 4px 0px; background-color: #fff;">1.2.40.0.34.5.40 - FHIR: <i>urn:oid:1.2.40.0.34.5.40</i></div><div style="width: 100%; margin: 4px 0px; background-color: #eee;">2.16.840.1.113883.6.1 - <i>Logical Observation Identifier Names and Codes</i> - FHIR: <i>http://loinc.org</i> - HL7 V2: <i>LN</i></div><div style="width: 100%; margin: 4px 0px; background-color: #fff;">2.16.840.1.113883.6.96 - <i>SNOMED Clinical Terms</i> - FHIR: <i>http://snomed.info/sct</i> - HL7 V2: <i>SCT</i></div></td></tr><tr><td colspan="4" class="tabtab"><table width="100%" border="0" cellspacing="0" cellpadding="5" id="transactionTable" class="artdecor treetable" style="background: transparent;"><tr style="background-color: #F6F3EE;"><th style="text-align: left;">Level/ Typ</th><th style="width: 100px; text-align: left;">Code</th><th style="text-align: left;">Bezeichnung</th><th style="width: 200px; text-align: left;">Codesystem</th><th style="vertical-align: top; text-align: left;">Designations</th></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">BRIEFT</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Brieftext</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td><td style="vertical-align: top;" class="columnName"></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">46239-0</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Chief complaint+Reason for visit Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Konsultations- oder Überweisungsgrund</div></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">10160-0</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">History of Medication use Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Aktuelle Medikation, Überwachte Medikamente / Medikationsliste</div></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">48765-2</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Allergies and adverse reactions Document</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Allergien und Intoleranzen</div></td></tr><tr><td style="vertical-align: top;">0‑S</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">10164-2</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">History of Present illness Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Anamnese</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">11348-0</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">History of Past illness Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Frühere Erkrankungen und Maßnahmen</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">FachAnamnese</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Fachspezifische Anamnese</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td><td style="vertical-align: top;" class="columnName"></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">10162-6</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">History of pregnancies Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Schwangerschaften</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">46264-8</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">History of medical device use</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Medizinische Geräte und Implantate</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">47420-5</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Functional status assessment note</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Beeinträchtigungen</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">11369-6</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">History of Immunization Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Impfungen</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">29762-2</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Social history Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Lebensstil</div></td></tr><tr><td style="vertical-align: top;">0‑S</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">424836000</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Assessment section</div></td><td style="vertical-align: top;">SNOMED Clinical Terms</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Status, Diagnostik und Befunde</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">29545-1</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Physical findings Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Status</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">8716-3</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Vital signs</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Vitalparameter</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">FachDiagnostik</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Fachspezifische Diagnostik</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td><td style="vertical-align: top;" class="columnName"></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">BEFAUS</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Ausstehende Befunde</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td><td style="vertical-align: top;" class="columnName"></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">439401001</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Diagnosis</div></td><td style="vertical-align: top;">SNOMED Clinical Terms</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Diagnose</div></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">56825-3</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Problem time course</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Verlauf</div></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">67781-5</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Summarization of encounter note Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Zusammenfassende Beurteilung</div></td></tr><tr><td style="vertical-align: top;">0‑S</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">29554-3</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Procedure Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Durchgeführte Maßnahmen</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">87232-5</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Medication administration.brief</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Dokumentierte Einnahme</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">75455-6</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Nurse procedure note</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Pflegemaßnahmen</div></td></tr><tr><td style="vertical-align: top;">0‑S</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">75311-1</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Discharge medications Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Empfohlene Medikation</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">182838006</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Change of medication</div></td><td style="vertical-align: top;">SNOMED Clinical Terms</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Änderung der bestehenden Medikation</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">275942009</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">New medication added</div></td><td style="vertical-align: top;">SNOMED Clinical Terms</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Zusätzliche Medikation</div></td></tr><tr><td style="vertical-align: top;">0‑S</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">59772-4</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Planned procedure Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Weitere empfohlene Maßnahmen</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">21979-0</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Planned/next follow-up</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Termine, Kontrollen, Wiederbestellungen</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">56447-6</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Deprecated Plan of care note</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Empfohlene Anordnungen an die weitere Pflege</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">59772-4</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Planned procedure Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Geplante Untersuchungen</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">281131004</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Conservative therapy</div></td><td style="vertical-align: top;">SNOMED Clinical Terms</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Konservative Therapie</div></td></tr><tr><td style="vertical-align: top;">1‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">387713003</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">Surgical Procedure</div></td><td style="vertical-align: top;">SNOMED Clinical Terms</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 15px;">[[File:DE-DE.png]] Synonym: Chirurgische Therapie</div></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">55752-0</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Clinical information</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Weitere Informationen</div></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">42348-3</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Advance directives</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">[[File:DE-DE.png]] Synonym: Willenserklärungen und andere juridische Dokumente</div></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">ABBEM</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Abschließende Bemerkung</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td><td style="vertical-align: top;" class="columnName"></td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">BEIL</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Beilagen</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td><td style="vertical-align: top;" class="columnName"></td></tr><tr><td colspan="5"><hr /></td></tr></table></td></tr><tr class="desclabel"><td colspan="4">Legende: Typ L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavor OTH (other) schlägt Text in originalText vor. HL7 V3: NullFlavors werden im @nullFlavor Attribut statt in @code angegeben.</td></tr></table>
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