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− | {{Underconstruction}}
| + | Eingebundene Seite |
− | <!-- Implementierungsleitfaden Metadaten-->
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− | {{Infobox Dokument
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− | |Group = ELGA CDA<br/>Implementierungsleitfäden
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− | |Title = HL7 Implementation Guide for CDA<sup>®</sup> R2:<br/>Testseite
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− | |Subtitle = Zur Anwendung im österreichischen<br/>Gesundheitswesen
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− | |Short = Testseite
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− | |Namespace = ILF
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− | |Type = Implementierungsleitfaden
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− | |Version = 2021.x.y
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− | |Submitted = ELGA GmbH
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− | |Copyright = © HL7 Austria 2021
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− | |Date = xxxx.xx.xx
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− | |Status = Normativ
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− | |Verfahren = Normatives Abstimmungsverfahren
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− | |Period = n.a.
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− | |OID = n.a.
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− | |Realm = Austria
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− | }}
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− | {{ILF-TOC limit}}
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− | {{BeginYellowBox}}Dieses Dokument bildet den '''vollständigen Implementierungsleitfaden''' ab und richtet sich an Softwareentwickler und Berater.
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− | {{EndYellowBox}}
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| | | |
− | ===== Spezifikation 1 ===== | + | {{ILF:Testseite01&oldid=155905}} |
| | | |
− | <table xmlns="http://www.w3.org/1999/xhtml" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor "
| + | Eingebundene Seite |
− | style="background: transparent;">
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− | <tr style="vertical-align: top;">
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− | <th style="width: 20em; text-align: left;">Id</th>
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− | <td style="text-align: left;">1.2.40.0.34.6.0.11.0.14</td>
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− | <th style="width: 20em; text-align: left;">Gültigkeit</th>
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− | <td style="text-align: left;">2021‑03‑29 15:24:59</td>
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− | </tr>
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− | <tr style="vertical-align: top;">
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− | <th style="width: 20em; text-align: left;">Status</th>
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− | <td style="text-align: left;">[[File:Kyellow.png|14px]] Entwurf</td>
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− | <th style="width: 20em; text-align: left;">Versions-Label</th>
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− | <td style="text-align: left;">3.0.0</td>
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− | </tr>
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− | <tr style="vertical-align: top;">
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− | <th style="width: 20em; text-align: left;">Name</th>
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− | <td style="text-align: left;">atlab_document_Mikrobiologiebefund</td>
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− | <th style="width: 20em; text-align: left;">Bezeichnung</th>
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− | <td style="text-align: left;">Mikrobiologiebefund</td>
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− | </tr>
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− | <td style="text-align: left;" colspan="4">
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− | <table id="templateDescTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable"
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− | style="background: transparent;">
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− | <tr class="desclabel">
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− | <td style="height: 1.5em;">Beschreibung</td>
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− | </tr>
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− | <tr>
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− | <td>
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− | <div>Der Mikrobiologiebefund erlaubt es, die anfallenden Analysen entsprechend dem klassischen
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− | Untersuchungsverlauf der Mikrobiologie zu dokumentieren:<ol>
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− | <li>Beschreibung des entnommenen Materials (z.B. Mittelstrahlharn) inklusive makroskopischer Beurteilung
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− | </li>
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− | <li>Mikroskopische Analyse des Materials (z.B. Erythrozyten, Leukozyten, grampositive Bakterien)</li>
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− | <li>Kultureller Erregernachweis (inkl. Antibiogramm mit Interpretaion und/oder minimaler
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− | Hemmkonzentration)</li>
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− | <li>Molekularer Erregernachweis</li>
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− | <li>Infektionsserologie</li>
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− | </ol>
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− | </div>
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− | </td>
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− | </tr>
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− | </table>
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− | </td>
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− | <tr style="vertical-align: top;">
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− | <th style="width: 20em; text-align: left;">Kontext</th>
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− | <td style="text-align: left;" colspan="3">Pfadname /</td>
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− | </tr>
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− | <tr style="vertical-align: top;">
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− | <th style="width: 20em; text-align: left;">Klassifikation</th>
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− | <td style="text-align: left;" colspan="3">CDA Document Level Template</td>
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− | </tr>
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− | <tr style="vertical-align: top;">
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− | <th style="width: 20em; text-align: left;">Offen/Geschlossen</th>
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− | <td style="text-align: left;" colspan="3">Geschlossen (nur definierte Elemente sind erlaubt)</td>
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− | </tr>
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− | <tr style="vertical-align: top;">
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− | <th style="width: 20em; text-align: left;">Benutzt</th>
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− | <td style="text-align: left;" colspan="3">
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− | <table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable"
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− | style="background: transparent;">
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− | <tr class="desclabel">
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− | <td style="height: 1.5em;">Benutzt 42 Templates</td>
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− | </tr>
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− | <tr>
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− | <td>
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− | <div>
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− | <table width="100%" border="0" cellspacing="1" cellpadding="3" class="artdecor "
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− | style="background: transparent;">
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− | <tr>
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− | <th style="width: 20%; text-align: left;">Benutzt</th>
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− | <th style="width: 1%; text-align: left;"> als </th>
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− | <th style="width: 60%; text-align: left;">Name</th>
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− | <th style="width: 19%; text-align: left;">Version</th>
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− | </tr>
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− | <tr>
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− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.10</td>
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− | <td style="text-align: left;">Inklusion</td>
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− | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Realm (1.0.0+20210219)</td>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
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− | <tr>
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− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.30</td>
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− | <td style="text-align: left;">Inklusion</td>
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− | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document TypeId (1.0.0+20210219)</td>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
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− | <tr>
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− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.1</td>
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− | <td style="text-align: left;">Inklusion</td>
| |
− | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Id (1.0.0+20210219)</td>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
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− | <tr>
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− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.45</td>
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− | <td style="text-align: left;">Inklusion</td>
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− | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document StatusCode (1.0.1+20210624)</td>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
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− | <tr>
| |
− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.46</td>
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− | <td style="text-align: left;">Inklusion</td>
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− | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document TerminologyDate (1.0.0+20210219)</td>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
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− | <tr>
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− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.44</td>
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− | <td style="text-align: left;">Inklusion</td>
| |
− | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document PracticeSettingCode (1.1.0+20210303)
| |
− | </td>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
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− | <tr>
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− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.11</td>
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− | <td style="text-align: left;">Inklusion</td>
| |
− | <td style="text-align: left;">[[File:Kgreen.png|14px]] Document Effective Time (1.0.0+20210219)</td>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
| |
− | <tr>
| |
− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.12</td>
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− | <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>
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− | <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>
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− | <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>
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− | </tr>
| |
− | <tr>
| |
− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.2</td>
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− | <td style="text-align: left;">Inklusion</td>
| |
− | <td style="text-align: left;">[[File:Kgreen.png|14px]] Author (1.0.1+20210303)</td>
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− | <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>
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− | <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>
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− | </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>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
| |
− | <tr>
| |
− | <td style="text-align: left;">1.2.40.0.34.6.0.11.1.9</td>
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− | <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>
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− | <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>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </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>
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− | <td style="text-align: left;">DYNAMIC</td>
| |
− | </tr>
| |
− | <tr>
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− | <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>
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− | <td style="text-align: left;">DYNAMIC</td>
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− | </tr>
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− | <tr>
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− | <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>
| |
− | <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>R</td>
| |
− | <td style="vertical-align: top;" colspan="2"></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:code<br
| |
− | xmlns="http://www.w3.org/1999/xhtml" /></span></td>
| |
− | </tr>
| |
− | </table>
| |
− | </td>
| |
− | <td><strong>CE</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>Für den Mikrobiologiebefund ist als Dokumententyp (/ClinicalDocument/code) "18725-2 - Microbiology studies
| |
− | (set)" und als Dokumentenklasse (/ClinicalDocument/code/translation) "11502-2 - Laboratory report"
| |
− | anzugeben.<br /><br /><b>↔ Hinweis zum XDS-Mapping:</b><br />
| |
− | <ul>
| |
− | <li>Das <b>code</b>-Element wird in das XDS-Metadaten-Attribut <b>XDSDocumentEntry.typeCode</b>
| |
− | übernommen.</li>
| |
− | <li>Das <b>translation</b>-Element wird in das XDS-Metadaten-Attribut <b>XDSDocumentEntry.classCode</b>
| |
− | übernommen.</li>
| |
− | </ul>
| |
− | </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;">@codeSystemName<br
| |
− | xmlns="http://www.w3.org/1999/xhtml" /></span></td>
| |
− | </tr>
| |
− | </table>
| |
− | </td>
| |
− | <td>st</td>
| |
− | <td><span><strong>0 … 1</strong></span></td>
| |
− | <td>F</td>
| |
− | <td style="vertical-align: top;" colspan="2">LOINC</td>
| |
− | </tr>
| |
− | <tr style="vertical-align: top;">
| |
− | <td>
| |
− | <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 rowspan="3" class="conf">CONF</td>
| |
− | <td><span style="color: black;"><strong>1 … 1</strong></span></td>
| |
− | <td><strong>F</strong></td>
| |
− | <td colspan="2">18725-2</td>
| |
− | </tr>
| |
− | <tr style="vertical-align: top;">
| |
− | <td>
| |
− | <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;">@codeSystem<br
| |
− | xmlns="http://www.w3.org/1999/xhtml" /></span></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 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;">@displayName<br
| |
− | xmlns="http://www.w3.org/1999/xhtml" /></span></td>
| |
− | </tr>
| |
− | </table>
| |
− | </td>
| |
− | <td><span style="color: black;"><strong>1 … 1</strong></span></td>
| |
− | <td><strong>F</strong></td>
| |
− | <td colspan="2">Microbiology studies (set)</td>
| |
− | </tr>
| |
− | </table>
| |
− | </td>
| |
− | </tr>
| |
− | </table>
| |
− | <!--9333887ca9036c34a7ae9c8ea5f06c8352a92d09-->
| |
− | | |
− | ===== Spezifikation 2 =====
| |
− | | |
− | <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;">1.2.40.0.34.6.0.11.0.11</td>
| |
− | <th style="width: 20em; text-align: left;">Gültigkeit</th>
| |
− | <td style="text-align: left;">2020‑08‑25 14:35:13</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_Laborbefund</td>
| |
− | <th style="width: 20em; text-align: left;">Bezeichnung</th>
| |
− | <td style="text-align: left;">Laborbefund</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 Laborbefund erlaubt es, beliebige Befundbereiche, Befundgruppen und deren Ergebnisse im Rahmen eines
| |
− | Dokumentes zu übermitteln. Dabei kann es vorkommen, dass der Befund auch nur einen bestimmten Befundbereich
| |
− | (z.B. Hämatologie) oder verschiedene Befundbereiche enthält. Diesem Umstand wird durch die Angabe der
| |
− | enthaltenen Befundbereiche bei der Registrierung des Laborbefundes in den XDS-Metadaten Rechnung getragen.
| |
− | Durch die Registrierung der in dem Laborbefund enthaltenen Befundbereiche über die serviceEvents in den
| |
− | XDS-Metadaten ("eventCodeList") sind auch Detailbefunde in der ELGA einfach auffindbar.</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 39 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;">1.2.40.0.34.6.0.11.2.102</td>
| |
− | <td style="text-align: left;">Containment</td>
| |
− | <td style="text-align: left;">[[File:Kyellow.png|14px]] Laboratory Specialty Section (1.0.0)</td>
| |
− | <td style="text-align: left;">DYNAMIC</td>
| |
− | </tr>
| |
− | <tr>
| |
− | <td style="text-align: left;">1.2.40.0.34.6.0.11.2.103</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;">
| |
− | <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 "Laborbefund" (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">1.2.40.0.34.6.0.11.0.11</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>
| |
− | <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>R</td>
| |
− | <td style="vertical-align: top;" colspan="2"></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:code<br
| |
− | xmlns="http://www.w3.org/1999/xhtml" /></span></td>
| |
− | </tr>
| |
− | </table>
| |
− | </td>
| |
− | <td><strong>CE</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>Für den Laborbefund ist sowohl als Dokumententyp (ClinicalDocument/code) als auch als Dokumentenklasse
| |
− | (ClinicalDocument/code/translation) "11502-2 - Laboratory report" anzugeben.<br /><br /><b>↔ Hinweis zum
| |
− | XDS-Mapping:</b><br />
| |
− | <ul>
| |
− | <li>Das <b>code</b>-Element wird in das XDS-Metadaten-Attribut <b>XDSDocumentEntry.typeCode</b>
| |
− | übernommen.</li>
| |
− | <li>Das <b>translation</b>-Element wird in das XDS-Metadaten-Attribut <b>XDSDocumentEntry.classCode</b>
| |
− | übernommen.</li>
| |
− | </ul>
| |
− | </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;">@codeSystemName<br
| |
− | xmlns="http://www.w3.org/1999/xhtml" /></span></td>
| |
− | </tr>
| |
− | </table>
| |
− | </td>
| |
− | <td>st</td>
| |
− | <td><span><strong>0 … 1</strong></span></td>
| |
− | <td>F</td>
| |
− | <td style="vertical-align: top;" colspan="2">LOINC</td>
| |
− | </tr>
| |
− | <tr style="vertical-align: top;">
| |
− | <td>
| |
− | <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 rowspan="3" class="conf">CONF</td>
| |
− | <td><span style="color: black;"><strong>1 … 1</strong></span></td>
| |
− | <td><strong>F</strong></td>
| |
− | <td colspan="2">11502-2</td>
| |
− | </tr>
| |
− | <tr style="vertical-align: top;">
| |
− | <td>
| |
− | <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;">@codeSystem<br
| |
− | xmlns="http://www.w3.org/1999/xhtml" /></span></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 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;">@displayName<br
| |
− | xmlns="http://www.w3.org/1999/xhtml" /></span></td>
| |
− | </tr>
| |
− | </table>
| |
− | </td>
| |
− | <td><span style="color: black;"><strong>1 … 1</strong></span></td>
| |
− | <td><strong>F</strong></td>
| |
− | <td colspan="2">Laboratory report</td>
| |
− | </tr>
| |
− | </table>
| |
− | </td>
| |
− | </tr>
| |
− | </table>
| |
− | <!--b18262cf095bf91144a22008b5ede660625af1ea-->
| |