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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;">1.2.40.0.34.6.0.11.2.25 <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">elgagab-</div></span></td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2018‑10‑30 11:08:23</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;">elgagab_section_ZusammenfassendeBeurteilung</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Zusammenfassende Beurteilung</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>Zusammenfassende Gesamtschau und Beurteilung der erhobenen Befunde. Eine codierte Angabe der Diagnosen ist möglich.<br /><br />Gutes Beispiel: „Die Zusammenschau von Anamnese und erhobenen Befunden spricht für ein inzipientes septisches Geschehen unklarer Ätiologie.“<br /><br />“67781-5 "Summarization of encounter note Narrative", LOINC 2.16.840.1.113883.6.1<br />Synonyme: aktuelle Diagnose, Ergebnis, Befundinterpretation</div></td></tr></table></td><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 1.2.40.0.34.6.0.11.2.25</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Section 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;">Assoziiert mit</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Assoziiert mit 1 Konzept</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;">Id</th><th style="width: 60%; text-align: left;">Name</th><th style="width: 20%; text-align: left;">Datensatz</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">elgagab-data​element-176</td><td style="vertical-align: top;" title="Fachlicher Inhalt (Sektionen) / ">[[File:Kyellow.png|14px]] Zusammenfassende Beurteilung </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Datensatz </td></tr></table></div></td></tr></table></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 2 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;">1.2.40.0.34.11.1.3.1</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Eingebettetes Objekt Entry</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.11.13.3.6</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Gesundheitsproblem Bedenken Entry (0.2)</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></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">Strukturbeispiel</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">section</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent"> 1.2.40.0.34.6.0.11.14.2.925</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">67781-5</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">Summarization of encounter note Narrative</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">title</span><span class="ppsign">></span><span class="pptext">Zusammenfassung des Aufenthalts</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span></span><span style="display: block;"> <span style="color:green"><!-- Textbereich der Sektion --><br /></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">text</span><span class="ppsign">></span><span class="pptext"> ... Lesbarer Textbereich ... </span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span styleclass="color:greenppsign"><!-- ELGA EIS „Enhanced“ und “Full support” --><br /span></spanclass="ppelement">entry</span><span style="display: block;" class="explrenderedppsign"> <span class="ppsign"><></span><span class="ppelement">templateId<br /span> <span classstyle="ppattributedisplay: block;">root </span><span classstyle="ppsign">="</span><span class="ppcontentcolor:green"><!-- template 1.2.40.0.34.11.141.23.91 'Eingebettetes Objekt Entry' (2017-05-05T00:00:00) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppsignppelement">/entry</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span styleclass="color:greenppsign"><!-- Code der Sektion --><br /span></span></span><span style="display: block;" class="explrenderedppelement"> entry</span><span class="ppsign"><gt;</span><br /><span classstyle="ppelementdisplay: block;">code </span> <span classstyle="ppattributecolor:green">code<!-- template 1.2.40.0.34.11.13.3.6 'Gesundheitsproblem Bedenken Entry' (2017-01-26T14:29:54) --><br /></span></span> <span class="ppsign">="</</span><span class="ppcontentppnamespace">67781-5</span><span class="ppsignppelement">"entry</span> <span class="ppattributeppsign">codeSystem></span></span><span class="ppsign">="</</span><span class="ppcontentppnamespace">2.16.840.1.113883.6.1</span></span><span class="ppsignppelement">"section</span><span class="ppsign">/></span></span class="ppsign">></spantt></spantd><span style="display: block;"/tr> <span style="color:green"><!-- Titel der Sektion --><br /table></spantd></spantr><span tr style="displayvertical-align: blocktop;" class><td colspan="explrendered4"> <span class=class="ppsigntabtab"><</span><span table class="ppelementtreetable">title</span><span classid="ppsigntransactionTable">></span><span classwidth="pptext100%">Zusammenfassende Beurteilung</span><span classborder="0" cellspacing="3" cellpadding="ppsign2"></</span><span classstyle="ppnamespacebackground: transparent;"></spantr><span classth style="ppelementwidth: 30%; text-align: left;">titleItem</spanth><span classth style="ppsignwidth: 2em; text-align: left;">>DT</spanth></span><span th style="displaywidth: block2em; text-align: left;"> Kard</th><span th style="colorwidth:green"><2em;!text-- Textbereich der Sektion -->align: left;<br /">Konf</spanth></span><span th style="displaytext-align: blockleft;" class="explrendered"> <span class="ppsign"><Beschreibung</spanth><span classth style="ppelementwidth: 2em; text-align: left;">textLabel</spanth><span class/tr><tr style="ppsignvertical-align: top; background-color: #FFEAEA;">></span><span td class="pptextcolumnName"> ... Lesbarer Textbereich ... </span><span table class="ppsignad-diffblock-horizontal " cellpadding="1" style="background: transparent;"></</spantr><span class="ppnamespace"td></spantt><span class="ppelement"strong>texthl7:section<br /span><span class="ppsign"/strong>></spantt></spantd><span style="display: block;" class="explrendered"/tr> <span class="ppsign"/table><</spantd><span class="ppelement"td><strong></strong>entry</spantd><td><span classstyle="ppsigncolor: black;">><strong></strong></span><br /td><td><span style="displaycolor: color: blockblack;"> <strong></strong></span ></td><td></td><td style="background-color:green#FFEEEE;"><span title=""><!-- template 1(elg.2.40.0.34.11.1.3.1 'Eingebettetes Objekt Entry' (2017-05-05T00:00:00ung) --><br /span></spantd></spantr> <span classtr style="ppsign"><vertical-align: top;/</span"><span classtd style="ppnamespacebackground-color: white;"> </spantd><span td colspan="5" style="background-color: #F4FFF4;" class="ppelementtabtab">entry</span><span table class="ppsignartdecor">></span></span><span stylewidth="display: block;100%" classborder="explrendered0"> <span classcellspacing="ppsign2" cellpadding="><</span><span class=2"ppelement">entry</span><span classstyle="ppsignbackground: transparent;">></spantr><br /><span td style="displayvertical-align: blocktop;"width: 20px" rowspan="2">[[File:Target.png|14px]]</td></tr> <span tr xmlns="" style="background-color:green#F4FFF4;"><!<td style="width: 25%; vertical-align: top;">elgagab- template 1.2.40.0.34.11.13.3.6 'Gesundheitsproblem Bedenken Entry' (2017data​element-01-26T14:29:54) -->176<br /td></span></span> <span classtd style="vertical-align: top;" title="ppsignFachlicher Inhalt (Sektionen) / "></[[File:Kyellow.png|14px]] Zusammenfassende Beurteilung </spantd><span classtd style="ppnamespacewidth: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Datensatz </spantd><span class="ppelement"/tr>entry</span><span class="ppsign"table>></spantd></spantr><span classtr style="ppsignvertical-align: top; background-color: #FFEAEA;"></</span><span <td class="ppnamespacecolumnName"></span><span table class="ppelementad-diffblock-horizontal " cellpadding="1" style="background: transparent;">section</spantr><span classtd style="ppsignvertical-align: top;">>[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId<br /span></spanstrong></tt></td></tr></table></td></trtd><tr stylestrong>II</strong></td><td><span style="vertical-aligncolor: topblack;"><strong>1 … 1</strong></span></td colspan><td><span style="4" class="tabtabcolor: color: black;"><table classstrong>M</strong></span></td><td></td><td style="treetablebackground-color: #FFEEEE;" id><span title="transactionTable" width>(elg...ung)</span></td></tr><tr><td style="100%vertical-align: top;" borderclass="0columnName" cellspacing><table class="3artdecor" cellpadding="21" style="background: transparent;"><tr><th td style="width: 30%; textvertical-align: lefttop;">Item[[File:Treeblank.png|16px]]</thtd><th td style="width: 2em; textvertical-align: lefttop;">DT</th>[[File:Treetree.png|16px]]<th style="width: 2em; text-align: left;"/td>Kard</thtd><th style="width: 2em; text-align: left;"tt>Konf</thstrong><th style="text-align: left;"@root<br />Beschreibung</thstrong><th style="width: 2em; text-align: left;"/tt>Label</thtd></tr><tr style="vertical-align: top; background-color: #FFEAEA;"/table></td><td class="columnName">uid<table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr/td><td><ttspan><strong>hl7:section<br />1 … 1</strong></ttspan></td></tr></table></td><td><strong></strong>F</td><td><span style="colorvertical-align: blacktop;" colspan="2"><strong>1.2.40.0.34.6.0.11.2.25</strongtd></spantr></td><td><span tr style="colorvertical-align: top; background-color: black#FFEAEA;"><strong></strong></span></tdclass="columnName"><td></td><td table class="ad-diffblock-horizontal " cellpadding="1" style="background-color: #FFEEEEtransparent;"><span title="">(elg...ung)</spantr></td></tr><tr style="vertical-align: top;"><td style="background-color[[File: white;"> Treetree.png|16px]]</td><td colspan="5" style="background-color><tt><strong>hl7: #F4FFF4;" class="tabtab"code<br /></strong></tt><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"/td></tr></table></td style="vertical-align: top; width: 20px" rowspan="2">[[File:Target.png|14px]]<td><strong>CE</strong></td></trtd><tr xmlns="" span style="background-color: #F4FFF4black;"><td style="width: 25%; vertical-align: top;"strong>1 … 1</strong></span>elgagab-data​element-176</td><td ><span style="vertical-aligncolor: color: topblack;" title="Fachlicher Inhalt (Sektionen) ><strong>M</strong></span></ "td><td>[[File:Kyellow.png|14px]] Zusammenfassende Beurteilung </td><td style="widthbackground-color: 35%; vertical-align: top#FFEEEE;">[[File:Kyellow.png|14px]] Datensatz </tdspan title="">(elg...ung)</tr></tablespan></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td ><table 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@code<br /></strong></tt></td></tr></table></td><tdrowspan="4" class="conf"><strong>II</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">67781-5</td></tdtr><td tr style="backgroundvertical-coloralign: #FFEEEEtop;"><span titletd><table class="artdecor" cellpadding="1" style="background: transparent;">(elg...ung)</spantr></tdstyle="vertical-align: top;">[[File:Treeblank.png|16px]]</tr><tr/td><td style="vertical-align: top;" class="columnName">[[File:Treetree.png|16px]]</td><table class="artdecor" cellpadding="1" style="background: transparent;"td><trtt><td style="vertical-align: top;"strong>[[File:Treeblank.png|16px]]@codeSystem<br /td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@root<br /></strong/strong></tt></td></tr></table></td><td>uid</td><td><spanspan style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td style="vertical-align: top;" colspan="2">12.216.40840.01.34113883.6.0.11.2.251 (LOINC)</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><tdstyle="vertical-align: top;"><tt><strong>hl7[[File:codeTreetree.png|16px]]<br /td></strongtd></tt></tdstrong>@codeSystemName<br /tr></tablestrong></tdtt></td><strong/tr>CE</strongtable></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>MF</strong></spantd></td><td></td><td stylecolspan="background-color: #FFEEEE;2"><span title="">(elg...ung)</span>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>@codedisplayName<br /></strong></tt></td></tr></table></td><td rowspan="4" class="conf">CONF</td><td><><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">67781-5</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><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>@codeSystemName<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">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>@displayName<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">Summarization of encounter Summarization of encounter noteNarrative</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:title<br /></strong></tt></td></tr></table></td><td><strong>ST</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="">(elg...ung)</span></td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4" style="background-color: white;"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Elementinhalt muss "Zusammenfassung" sein</td></tr></table></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>SD.TEXT</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>Information für den menschlichen Leser.</td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</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:entry<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Beinhaltet 1.2.40.0.34.11.1.3.1 <i>Eingebettetes Objekt Entry</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo <i> [hl7:observationMedia]</i></td></tr></table></td><td></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:entry<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Beinhaltet 1.2.40.0.34.11.13.3.6 <i>Gesundheitsproblem Bedenken Entry</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo <i> [hl7:act [hl7:code [(@code = 'CONC' and @codeSystem = '2.16.840.1.113883.5.6') or @nullFlavor]]]</i></td></tr></table></td><td></td></tr></table></td></tr></table>
