Änderungen

<table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" 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;">1.2.40.0.34.11.30011</tdspan xmlns="" class="repobox"><th stylediv class="width: 20em; text-align: left;repo ref sspacing">Gültigkeitref</thdiv><td stylediv class="textnon-align: left;selectable repo refvalue sspacing"> gültig ab 2015‑01‑31elgabbr-</tddiv></trspan><tr style="vertical-align: top;"/td><th style="width: 20em; text-align: left;">StatusGültigkeit ab</th><td style="text-align: left;">[[File2015‑01‑31<div>Andere Versionen mit dieser Id:Kgreen<ul><li>[[File:Kblank.png|14px]] AktivPflegeBetreuungsdiagnosenAlleEIS vom 2011‑12‑19</li></ul></div></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Versions-LabelStatus</th><td style="text-align: left;">[[File:Kgreen.png|14px]] Aktiv</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">NameVersions-Label</th><td style="text-align: left;">PflegeBetreuungsdiagnosenAlleEIS</td><th /tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">AnzeigenameName</th><td style="text-align: left;">Pflege- und Betreuungsdiagnosen (alle EIS)PflegeBetreuungsdiagnosenAlleEIS</td></tr><tr th style="verticalwidth: 20em; text-align: top;"><th style="width: 20em; text-align: leftleft;">KlassifikationBezeichnung</th><td style="text-align: left;" colspan="3">CDA Section level templatePflege- und Betreuungsdiagnosen (alle EIS)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Offen/Geschlossen<Klassifikation</th><td style="text-align: left;" colspan="3">Offen (auch andere als die definierten Elemente sind erlaubt)CDA Section level template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Benutzt von Offen/ BenutztGeschlossen</th><td style="text-align: left;" colspan="3">Offen (auch andere als die definierten Elemente sind erlaubt)<table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" /td></tr><tr style="backgroundvertical-align: transparenttop;"><tr classth style="desclabelwidth: 20em; text-align: left;">Beziehung</th><td style="heighttext-align: 1.5emleft;" colspan="3">Benutzt von 0 Transactions und Version: Template 1.2 Templates, Benutzt .40.0 Templates.34.11.30011 </tdi>Pflege- und Betreuungsdiagnosen (alle EIS) </tri>(2015‑01‑31) <trspan xmlns="" class="repobox"><tddiv class="repo ref sspacing">ref</div><table div class="artdecornon-selectable repo refvalue sspacing" width>elgabbr-</div></span></td></tr><tr class="100%explabel " borderstyle="0vertical-align: top;" cellspacing="1" cellpadding><th class="3" style="background: transparent;"><tr><th style="width: 20%20em; text-align: left;">Benutzt vonBeispiel</th><th styletd colspan="3" class="explabelgreen"><table width: 1="100%; text-align" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: lefttransparent;"> als </thtr class="desclabel"><th td style="widthheight: 60%; text-align: left1.5em;" class="togglertreetable"><span class="expcaption">NameStrukturbeispiel</thspan><th style="width: 19%; text-align: left;">Version/td></thtr></tr><trtd><td span style="textfont-alignfamily: leftCourier, 'Courier New', monospace;">1.2.40.0.34.11.3.2.1</td<span style="display: block;" class="explrendered"><td stylespan class="text-align: left;ppsign">Inklusion&lt;</tdspan><td stylespan class="text-align: left;ppelement">[[File:Kgreen.png|14px]] Pflege- und Betreuungsdiagnosen (enhanced)section</tdspan><td stylespan class="text-align: leftppsign">&gt;">2013‑04‑17</tdspan><br /tr><trspan style="display: block;">  <td span style="text-aligncolor: left;green">1.2.40.0.34.11.3.2.2&lt;!-- Im Falle von EIS „Enhanced” --&gt;<br /td><td style="text-align: left;"/span>Inklusion</tdspan><td span style="text-aligndisplay: leftblock;">[[File:Kgreen.png|14px]] Pflege- und Betreuungsdiagnosen (full)</td><td styleclass="text-align: left;explrendered">2013‑04‑17  </tdspan class="ppsign">&lt;</trspan></tablespan class="ppelement">templateId</divspan></tdspan class="ppattribute">root</trspan></table></tdspan class="ppsign">="</trspan><tr style="vertical-align: top;"><td colspan="4" span class="tabtabppcontent"><table class1.2.40.0.34.11.3.2.1</span><span class="treetableppsign" id=>"transactionTable" width</span><span class="100%ppsign" border>/</span><span class="0" cellspacing="3" cellpadding="2ppsign" >&gt;</span></span><span style="backgrounddisplay: transparentblock;">  <tr><th span style="widthcolor: 30%green">&lt; text!-- ELGA EIS „Enhanced” --align: left&gt;"<br /></span>Item</thspan>  <th stylespan class="width: 2em; text-align: left;"pptext">DT... oder ... </thspan><th span style="widthdisplay: 2em; text-align: leftblock;">Kard  </th><th span style="widthcolor: 2emgreen">&lt; text!-- Im Falle von EIS „Full support” --align: left&gt;"<br /></span>Konf</thspan><th span style="text-aligndisplay: leftblock;" class="explrendered">Beschreibung</th>  <th stylespan class="width: 2em; text-align: left;ppsign">Label&lt;</thspan><span class="ppelement">templateId</trspan><tr stylespan class="vertical-align: top; background-color: #FFEAEA;ppattribute">root<td /span><span class="columnNameppsign">="<table /span><span class="artdecor" cellpadding=ppcontent">1" style.2.40.0.34.11.3.2.2</span><span class="background: transparent;ppsign">"<tr/span><td><ttspan class="ppsign">/<strong>hl7:code<br /span></strongspan class="ppsign">&gt;</ttspan></tdspan></trspan style="display: block;">  </tablespan style="color:green">&lt;!-- ELGA EIS „Full support” --&gt;<br /td><td><strong>CE</strongspan></td><tdspan><span style="colordisplay: blackblock;">  <strongspan style="color:green">1 … 1&lt;!-- Code der Sektion --&gt;<br /strong></span></td><tdspan><span style="colordisplay: color: blackblock;" class="explrendered">  <strongspan class="ppsign">M&lt;</strongspan></spanclass="ppelement">code</tdspan><tdspan class="ppattribute">code</tdspan><td stylespan class="background-color: #FFEEEE;ppsign">="</span><span titleclass="ppcontent">(PflegeBetreuungsdiagnosenAlleEIS)PFDIAG</span></tdspan class="ppsign">"</trspan><tr stylespan class="vertical-align: top;ppattribute">displayName<td/span><table span class="artdecorppsign" cellpadding>="1" style</span><span class="background: transparent;ppcontent">Pflegediagnosen<tr/span><td stylespan class="vertical-align: top;ppsign">[[File:Treetree.png|16px]]"</tdspan><tdspan class="ppattribute">codeSystem<tt/span><strongspan class="ppsign">@code="<br /span></strongspan class="ppcontent">1.2.40.0.34.5.40</ttspan></tdspan class="ppsign">"</trspan></tablespan class="ppattribute">codeSystemName</tdspan><td rowspanspan class="2ppsign">=" </span><span class="confppcontent">CONFELGA_Sections</td><tdspan><span styleclass="color: black;ppsign">"<strong/span>1 … 1<span class="ppsign">/strong></span></tdspan class="ppsign"><td><strong>F&gt;</strongspan></tdspan><td colspanspan style="2">PFDIAG</tddisplay: block;">  </tr><tr span style="vertical-aligncolor: top;green">&lt;!-- Titel der Sektion --&gt;<tdbr /><table class=/span></span><span style="artdecordisplay: block;" cellpaddingclass="1explrendered" style>  <span class="background: transparent;ppsign">&lt;<tr/span><td stylespan class="vertical-align: top;ppelement">[[File:Treetree.png|16px]]title</tdspan><tdspan class="ppsign">&gt;<tt/span><strongspan class="pptext">@codeSystemPflegediagnosen<br /span><span class="ppsign">&lt;/strong></ttspan></tdspan class="ppnamespace"></trspan></tablespan class="ppelement">title</td><tdspan><span styleclass="color: black;ppsign"><strong>1 … 1&gt;</strongspan></span></tdspan style="display: block;">  <tdspan style="color:green"><strong&lt;!-- Textbereich der Sektion --&gt;<br />F</strongspan></tdspan><td colspanspan style="display: block;" class="2explrendered">1.2.40.0.34.5.40  <span class="ppsign">&lt;</tdspan><span class="ppelement">text</trspan><tr span class="explabelppsign" style="vertical-align: top>&gt;"</span><td stylespan class="background-color: white;" colspan="1pptext"> ... Lesbarer Textbereich ... </tdspan><tdspan class="ppsign">Beispiel&lt;/</tdspan><td colspan="4" span class="explabelblueppnamespace"><tt/span><span style="display: block;" class="explrenderedppelement">text</span><span class="ppsign">&ltgt;</span></span class=><span style="ppelementdisplay: block;">code</span>   <span classstyle="ppattributecolor:green">code&lt;!-- Maschinenlesbare Elemente der Sektion in EIS „Full support” --&gt;<br /></span></span class=><span style="ppsigndisplay: block;">class="</spanexplrendered">  <span class="ppcontentppsign">PFDIAG&lt;</span><span class="ppsignppelement">"entry</span> <span class="ppattributeppsign">displayName&gt;</span><br />    <span class="ppsignpptext">=": </span><span classstyle="ppcontentdisplay: block;">Pflegediagnosen    </span><span classstyle="ppsigncolor:green">"&lt;!-- ELGA Pflegediagnosen-Entry --&gt;<br /span> </span class="ppattribute">codeSystem</span><span classstyle="ppsigndisplay: block;">class="</spanexplrendered">    <span class="ppcontentppsign">1.2.40.0.34.5.40&lt;</span><span class="ppsignppelement">"templateId</span> <span class="ppattribute">codeSystemNameroot</span><span class="ppsign">="</span><span class="ppcontent">ELGA_Sections1.2.40.0.34.11.3.3.1</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span>    <span class="pptext"> : </ttspan>  <span class="ppsign">&lt;/td></trspan><tr stylespan class="vertical-align: top; background-color: #FFEAEA;ppnamespace"><td /span><span class="columnNameppelement">entry</span><table span class="artdecorppsign" cellpadding="1" style>&gt;</span></span><span class="background: transparent;ppsign">&lt;/<tr/span><tdspan class="ppnamespace"><tt/span><strong>hl7:title<br /span class="ppelement">section</strongspan></ttspan class="ppsign">&gt;</tdspan></trspan></tablespan></td><td/tr><strong>ST</strongtable></td><td/tr><span tr style="colorvertical-align: blacktop;"><strong>1 … 1</strong></span></tdcolspan="4" class="tabtab"><td><span styletable id="colortransactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: color: blacktransparent;"><strongtr>M</strong></span></td><td></td><td th style="backgroundwidth: 30%; text-coloralign: #FFEEEEleft;">Item<span title/th><th style="width: 2em; text-align: left;">(PflegeBetreuungsdiagnosenAlleEIS)DT</spanth></td></tr><tr th style="verticalwidth: 2em; text-align: topleft; background-color: #FFEEEE;"">Kard</th><td th style="backgroundwidth: 2em; text-coloralign: whiteleft;" colspan="1"> Konf</tdth><td classth style="conftext-align: left;">CONFBeschreibung</tdth><td colspan="4" th style="backgroundwidth: 2em; text-coloralign: whiteleft;">Label<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"/th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td>Elementinhalt muss class="PflegediagnosencolumnName" sein></tdtable cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"></tr></table></td></tr><tr span xmlns="" style="verticalfont-alignfamily: topCourier, 'Courier New', monospace; backgroundfont-colorweight: #FFEAEAbold;">hl7:code<td classbr xmlns="columnNamehttp://www.w3.org/1999/xhtml"/><table class="artdecor" cellpadding="1" style="background: transparent;"/span></td></tr></table></td><tttd><strong>hl7:text<br />CE</strong></tttd></td></tr></table></td><td><strong>SD.TEXT</strong></td><td><span stylespan style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title=""/td>(PflegeBetreuungsdiagnosenAlleEIS)</spantr></td></trstyle="vertical-align: top;"></table></td></tr></tablecellpadding="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;">@code<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td rowspan="2" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">PFDIAG</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: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">1.2.40.0.34.5.40</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Beispiel</td><td colspan="4" class="explabelblue"><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">PFDIAG</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Pflegediagnosen</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">1.2.40.0.34.5.40</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">ELGA_Sections</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span></span></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><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:title<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"></td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4" style="background-color: white;"><table width="100%" border="0" cellspacing="2" cellpadding="2" class="artdecor " style="background: transparent;"><tr style="vertical-align: top;"><td>Elementinhalt MUSS "Pflegediagnosen" sein</td></tr></table></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><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:text<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>SD.TEXT</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td><div>Information für den menschlichen Leser.</div><div>Mindestens anzugebende Informationen pro Pflegediagnose: Titel (Kurztext).</div><div>Empfohlen wird die Angabe der kompletten Pflegediagnose gemäß Vorgabe der verwendeten Klassifikation (z.B.: Ätiologie, Risikofaktoren, Voraussetzungen, Symptome, Ressourcen, etc.), das Datum der Pflegediagnose sowie dieDefinition (Langtext).</div><div><u>ACHTUNG</u>: Die zur Pflegediagnose gehörenden Pflegeziel(e) und Pflegeinterventionen(en) respektive Hilfsmittel KÖNNEN in der jeweiligen Fachsektion beschrieben werden, inklusive eines optionalen narrativen Verweises zu der betreffenden Pflegediagnose um die Zugehörigkeit darzustellen.</div><div><u>Die Vorgaben und Empfehlungen zurGestaltung dieses Bereichs im Falle von CDA Level 3 sind zu beachten!</u></div><div> </div></td><td style="background-color: #FFEEEE;"></td></tr></table></td></tr></table><!--c8e04ff92e5b089831ec295b3b2353dc5ff7b522-->