ILF:Testseite: Unterschied zwischen den Versionen
[unmarkierte Version] | [unmarkierte Version] |
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===== Spezifikation 1 ===== | ===== Spezifikation 1 ===== | ||
− | + | <table xmlns="http://www.w3.org/1999/xhtml" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor " | |
+ | style="background: transparent;"> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <th style="width: 20em; text-align: left;">Id</th> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.0.14</td> | ||
+ | <th style="width: 20em; text-align: left;">Gültigkeit</th> | ||
+ | <td style="text-align: left;">2021‑03‑29 15:24:59</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;">3.0.0</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <th style="width: 20em; text-align: left;">Name</th> | ||
+ | <td style="text-align: left;">atlab_document_Mikrobiologiebefund</td> | ||
+ | <th style="width: 20em; text-align: left;">Bezeichnung</th> | ||
+ | <td style="text-align: left;">Mikrobiologiebefund</td> | ||
+ | </tr> | ||
+ | <td style="text-align: left;" colspan="4"> | ||
+ | <table id="templateDescTable" 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>Der Mikrobiologiebefund erlaubt es, die anfallenden Analysen entsprechend dem klassischen | ||
+ | Untersuchungsverlauf der Mikrobiologie zu dokumentieren:<ol> | ||
+ | <li>Beschreibung des entnommenen Materials (z.B. Mittelstrahlharn) inklusive makroskopischer Beurteilung | ||
+ | </li> | ||
+ | <li>Mikroskopische Analyse des Materials (z.B. Erythrozyten, Leukozyten, grampositive Bakterien)</li> | ||
+ | <li>Kultureller Erregernachweis (inkl. Antibiogramm mit Interpretaion und/oder minimaler | ||
+ | Hemmkonzentration)</li> | ||
+ | <li>Molekularer Erregernachweis</li> | ||
+ | <li>Infektionsserologie</li> | ||
+ | </ol> | ||
+ | </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">Pfadname /</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <th style="width: 20em; text-align: left;">Klassifikation</th> | ||
+ | <td style="text-align: left;" colspan="3">CDA Document 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 width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" | ||
+ | style="background: transparent;"> | ||
+ | <tr class="desclabel"> | ||
+ | <td style="height: 1.5em;">Benutzt 42 Templates</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td> | ||
+ | <div> | ||
+ | <table width="100%" border="0" cellspacing="1" cellpadding="3" class="artdecor " | ||
+ | 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;">1.2.40.0.34.6.0.11.1.10</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Realm (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.30</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document TypeId (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.1</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Id (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.45</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document StatusCode (1.0.1+20210624)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.46</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document TerminologyDate (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.44</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document PracticeSettingCode (1.1.0+20210303) | ||
+ | </td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.11</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Effective Time (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.12</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Confidentiality Code (1.0.1+20210628) | ||
+ | </td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.13</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Language (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.15</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Set Id and Version Number | ||
+ | (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.3</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Record Target (1.2.0+20210303)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.2</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Author (1.0.1+20210303)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.22</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Data Enterer (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.4</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Custodian (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.24</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Information Recipient (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.5</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Legal Authenticator (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.49</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Results Validator (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.42</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Participant Auftraggeber / Ordering Provider | ||
+ | (1.1.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.20</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Participant Fachlicher Ansprechpartner | ||
+ | (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.23</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Participant Hausarzt (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.27</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Participant Auskunftsberechtigte Person | ||
+ | (Notfallkontakt) (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.25</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Participant Angehoerige (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.26</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Participant Versicherung (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.29</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Participant Betreuungsorganisation | ||
+ | (1.0.0+20210219)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.28</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Participant Weitere Behandler (1.0.0+20210219) | ||
+ | </td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.9</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] In Fulfillment Of (1.0.1+20210628)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.48</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Documentation Of Service Event - Labor und | ||
+ | Mikrobiologie (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.14</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Replacement - Related Document | ||
+ | (1.0.1+20210628)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.50</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Component Of - Encompassing Encounter with id | ||
+ | (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.69</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Brieftext (1.0.1+20210628)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.6</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Überweisungsgrund - optional codiert (1.0.0) | ||
+ | </td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.109</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Anamnese - Labor und Mikrobiologie - optional | ||
+ | codiert (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.15</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Angeforderte Untersuchungen - optional codiert | ||
+ | (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.93</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Probeninformation (Specimen Section) (1.0.0) | ||
+ | </td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.105</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Specialty Section (Mikroskopie) - | ||
+ | optional codiert (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.106</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Specialty Section (Kultureller | ||
+ | Erregernachweis) (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.107</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Specialty Section (Molekularer | ||
+ | Erregernachweis) (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.108</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Specialty Section | ||
+ | (Infektionsserologie) (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.103</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kyellow.png|14px]] Befundbewertung (1.0.0)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.71</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Beilagen (1.0.1+20210628)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.70</td> | ||
+ | <td style="text-align: left;">Containment</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Abschließende Bemerkung (1.0.1+20210628)</td> | ||
+ | <td style="text-align: left;">DYNAMIC</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td style="text-align: left;">1.2.40.0.34.6.0.11.9.33</td> | ||
+ | <td style="text-align: left;">Inklusion</td> | ||
+ | <td style="text-align: left;">[[File:Kgreen.png|14px]] Stylesheet Test eBefund (1.0.1+20210628)</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 1.2.40.0.34.6.0.11.0.11 <i>Laborbefund </i> | ||
+ | (2020‑08‑25 14:35:13) <span xmlns="" class="repobox"> | ||
+ | <div class="repo ref sspacing">ref</div> | ||
+ | <div class="non-selectable repo refvalue sspacing">at-lab-</div> | ||
+ | </span></td> | ||
+ | </tr> | ||
+ | <!-- <tr style="vertical-align: top;"> | ||
+ | <td colspan="4" class="tabtab"> | ||
+ | <table id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" | ||
+ | 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 cellpadding="1" class="artdecor ad-diffblock-horizontal " | ||
+ | style="background: transparent;border: none;"> | ||
+ | <tr> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:ClinicalDocument<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td><strong></strong></td> | ||
+ | <td><span style="color: black;"><strong></strong></span></td> | ||
+ | <td><span style="color: color: black;"><strong></strong></span></td> | ||
+ | <td></td> | ||
+ | <td style="background-color: #FFEEEE;"><span title="">(atl...und)</span></td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@classCode<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></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">DOCCLIN</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@moodCode<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></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">EVN</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FAFAD2;"> | ||
+ | <td style="background-color: white;" colspan="1"> </td> | ||
+ | <td class="conf">Constraint</td> | ||
+ | <td style="background-color: #FAFAD2;" colspan="4">Entsprechend den Vorgaben des IHE Frameworks für Labor sind | ||
+ | für <b>Personen und Organisationen</b> die Angabe eines <b>Namens</b> ("name"-Element), einer <b>Adresse</b> | ||
+ | ("addr"-Element) und einer <b>Telekom</b>-Verbindung ("telecom"-Element) <b>verpflichtend</b>. Diese können | ||
+ | jedoch mit einem <b>nullFlavor</b> versehen werden.</td> | ||
+ | </tr> | ||
+ | <tr class="include"> | ||
+ | <td style="font-style: italic;" colspan="2">Eingefügt</td> | ||
+ | <td><span style="color: black;"><strong>1 … 1</strong></span></td> | ||
+ | <td><span style="color: color: black;;"><strong>M</strong></span></td> | ||
+ | <td colspan="2"> von 1.2.40.0.34.6.0.11.1.10 <i>Document Realm</i> (DYNAMIC)</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FFEAEA;"> | ||
+ | <td class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor ad-diffblock-horizontal " | ||
+ | style="background: transparent;border: none;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:realmCode<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></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> Hoheitsbereich des Dokuments. <br /><br /> | ||
+ | <div>Fester Wert: @code = AT</div> | ||
+ | <div>(aus ValueSet „ELGA_RealmCode“)</div> | ||
+ | </td> | ||
+ | <td style="background-color: #FFEEEE;"><span title="">(atl...und)</span></td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@code<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td></td> | ||
+ | <td><span><strong>1 … 1</strong></span></td> | ||
+ | <td>F</td> | ||
+ | <td style="vertical-align: top;" colspan="2">AT</td> | ||
+ | </tr> | ||
+ | <tr class="include"> | ||
+ | <td style="font-style: italic;" colspan="2">Eingefügt</td> | ||
+ | <td><span style="color: black;"><strong>1 … 1</strong></span></td> | ||
+ | <td><span style="color: color: black;;"><strong>M</strong></span></td> | ||
+ | <td colspan="2"> von 1.2.40.0.34.6.0.11.1.30 <i>Document TypeId</i> (DYNAMIC)</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FFEAEA;"> | ||
+ | <td class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor ad-diffblock-horizontal " | ||
+ | style="background: transparent;border: none;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:typeId<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></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>Dokumentformat CDA R2<br /></td> | ||
+ | <td style="background-color: #FFEEEE;"><span title="">(atl...und)</span></td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td>uid</td> | ||
+ | <td><span><strong>1 … 1</strong></span></td> | ||
+ | <td>F</td> | ||
+ | <td style="vertical-align: top;" colspan="2">2.16.840.1.113883.1.3</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@extension<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td>st</td> | ||
+ | <td><span><strong>1 … 1</strong></span></td> | ||
+ | <td>F</td> | ||
+ | <td style="vertical-align: top;" colspan="2">POCD_HD000040</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FFEAEA;"> | ||
+ | <td class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor ad-diffblock-horizontal " | ||
+ | style="background: transparent;border: none;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:templateId<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></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>Fixe OID für alle Dokumente, die in der Governance-Gruppe "eHealth Austria" abgestimmt werden und von | ||
+ | einem zentralen Art-Decor-Repository abgeleitet werden (AT-CDA-BBR).</td> | ||
+ | <td style="background-color: #FFEEEE;"><span title="">(atl...und)</span></td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td>uid</td> | ||
+ | <td><span><strong>1 … 1</strong></span></td> | ||
+ | <td>F</td> | ||
+ | <td style="vertical-align: top;" colspan="2">1.2.40.0.34.6.0.11.0.1</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FFEAEA;"> | ||
+ | <td class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor ad-diffblock-horizontal " | ||
+ | style="background: transparent;border: none;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:templateId<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></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>OID des Implementierungsleitfadens "Labor- und Mikrobiologiebefund" (Dokument-OID). Dient als informative | ||
+ | Referenz.</td> | ||
+ | <td style="background-color: #FFEEEE;"><span title="">(atl...und)</span></td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td>uid</td> | ||
+ | <td><span><strong>1 … 1</strong></span></td> | ||
+ | <td>F</td> | ||
+ | <td style="vertical-align: top;" colspan="2">1.2.40.0.34.7.4.9.3</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FFEAEA;"> | ||
+ | <td class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor ad-diffblock-horizontal " | ||
+ | style="background: transparent;border: none;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:templateId<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></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>OID des Art-Decor-Templates für das Dokument "Mikrobiologiebefund" (Document Level Template für | ||
+ | Schematron)</td> | ||
+ | <td style="background-color: #FFEEEE;"><span title="">(atl...und)</span></td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td>uid</td> | ||
+ | <td><span><strong>1 … 1</strong></span></td> | ||
+ | <td>F</td> | ||
+ | <td style="vertical-align: top;" colspan="2">1.2.40.0.34.6.0.11.0.14</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FFEAEA;"> | ||
+ | <td class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor ad-diffblock-horizontal " | ||
+ | style="background: transparent;border: none;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" | ||
+ | style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:templateId<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td><strong>II</strong></td> | ||
+ | <td><span style="color: black;"><strong></strong></span></td> | ||
+ | <td><span style="color: color: black;"><strong>NP</strong></span></td> | ||
+ | <td>IHE PalM TF3 Rev.10, 6.3.2.3 templateId<br /><br />Im Grunde folgt dieser Leitfaden den Vorgaben der IHE. | ||
+ | Die Codierung der "Laboratory Specialty Section" erfolgt allerdings nicht nach den von IHE vorgegebenen | ||
+ | LOINC-Codes. <b>Deshalb darf diese templateID nicht angegeben werden.</b> | ||
+ | </td> | ||
+ | <td style="background-color: #FFEEEE;"><span title="">(atl...und)</span></td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FFEAEA;"> | ||
+ | <td colspan="5" style="background-color: #FFEAEA;"> wo <i> [@root='1.3.6.1.4.1.19376.1.3.3']</i></td> | ||
+ | <td></td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top;"> | ||
+ | <td style="vertical-align: top;" class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor " style="background: transparent;border: 0;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@root<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </td> | ||
+ | <td>uid</td> | ||
+ | <td><span><strong>1 … 1</strong></span></td> | ||
+ | <td>F</td> | ||
+ | <td style="vertical-align: top;" colspan="2">1.3.6.1.4.1.19376.1.3.3</td> | ||
+ | </tr> | ||
+ | <tr class="include"> | ||
+ | <td style="font-style: italic;" colspan="2">Eingefügt</td> | ||
+ | <td><span style="color: black;"><strong>1 … 1</strong></span></td> | ||
+ | <td><span style="color: color: black;;"><strong>M</strong></span></td> | ||
+ | <td colspan="2"> von 1.2.40.0.34.6.0.11.1.1 <i>Document Id</i> (DYNAMIC)</td> | ||
+ | </tr> | ||
+ | <tr style="vertical-align: top; background-color: #FFEAEA;"> | ||
+ | <td class="columnName"> | ||
+ | <table cellpadding="1" class="artdecor ad-diffblock-horizontal " | ||
+ | style="background: transparent;border: none;"> | ||
+ | <tr> | ||
+ | <td style="vertical-align: top;">[[File:Treetree.png|16px]]</td> | ||
+ | <td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:id<br | ||
+ | xmlns="http://www.w3.org/1999/xhtml" /></span></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>Dokumenten-Id des CDA-Dokuments.<br />Es MUSS eine gültige und innerhalb des ID-Pools eindeutige | ||
+ | Dokumenten-ID angegeben werden.<br /><br />Grundsätzlich sind die Vorgaben gemäß „Identifikations-Elemente“ | ||
+ | zu befolgen.<br /></td> | ||
+ | <td style="background-color: #FFEEEE;"><span title="">(atl...und)</span></td> | ||
+ | </tr> | ||
<!--9333887ca9036c34a7ae9c8ea5f06c8352a92d09--> | <!--9333887ca9036c34a7ae9c8ea5f06c8352a92d09--> |
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