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">2015‑01‑31elgabbr-</div>Andere Versionen mit dieser Id:<ul><li>PflegeBetreuungsdiagnosenAlleEIS vom 2017‑08‑25 09:58:18</li></ul></divspan></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">StatusGültigkeit ab</th><td style="text-align: left;">2015‑01‑31<div>Andere Versionen mit dieser Id:<ul><li>[[File:KgreenKblank.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 style/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="vertical-align: top;"><th style="width: 20em; textwidth: 20em; text-align: left;">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;"><td colspanth style="4" class="tabtabwidth: 20em; text-align: left;">Offen/Geschlossen</th><table classtd style="treetabletext-align: left;" id="transactionTable" width="100%" border="0" cellspacingcolspan="3" cellpadding="2" >Offen (auch andere als die definierten Elemente sind erlaubt)</td></tr><tr style="backgroundvertical-align: transparenttop;"><tr><th style="width: 30%20em; text-align: left;">ItemBeziehung</th><th td style="width: 2em; text-align: left;">DT</th><th stylecolspan="width: 2em; text-align: left;3">Kard</th><th style="widthVersion: 2em; textTemplate 1.2.40.0.34.11.30011 <i>Pflege-align: left;">Konfund Betreuungsdiagnosen (alle EIS) </thi>(2015‑01‑31) <th stylespan xmlns="" class="repobox"><div class="text-align: left;repo ref sspacing">Beschreibungref</thdiv><th stylediv class="width: 2em; textnon-align: left;selectable repo refvalue sspacing">Labelelgabbr-</thdiv></span></td></tr><tr class="explabel " style="vertical-align: top; background-color: #FFEAEA;"><td th class="columnName"><table class="artdecor" cellpadding="1" style="backgroundwidth: transparent20em; text-align: left;">Beispiel<tr/th><tdcolspan="3" class="explabelgreen"><tt><strong>hl7:code<br /table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"></strongtr class="desclabel"></tttd style="height: 1.5em;" class="togglertreetable"></tdspan class="expcaption">Strukturbeispiel</tr></tablespan></td><td><strong>CE</strongtr></tdtr><td><span style="colorfont-family: blackCourier, 'Courier New', monospace;"><strongspan style="display: block;" class="explrendered">1 … 1</strongspan class="ppsign">&lt;</span></td><td><span styleclass="color: color: black;ppelement"><strong>Msection</strongspan></spanclass="ppsign">&gt;</td><tdspan><br /td><td span style="background-colordisplay: #FFEEEEblock;">  <span titlestyle="color:green">(Pfl...&lt;!-- Im Falle von EIS)„Enhanced” --&gt;<br /span></tdspan></trspan><tr span style="vertical-aligndisplay: topblock;" class="explrendered">  <td><table span class="artdecorppsign" cellpadding>&lt;</span><span class="1ppelement" style>templateId</span> <span class="background: transparent;ppattribute">root<tr/span><td stylespan class="vertical-align: top;ppsign">[[File:Treetree.png|16px]]="</tdspan><td><ttspan class="ppcontent">1.2.40.0.34.11.3.2.1<strong/span>@code<br /span class="ppsign">"</strongspan><span class="ppsign">/tt></tdspan></tr></table></td><td rowspan="2" span class="confppsign">CONF&gt;</tdspan><td/span><span style="colordisplay: blackblock;">  <strongspan style="color:green">1 … 1&lt;!-- ELGA EIS „Enhanced” --&gt;<br /strong></span></tdspan>  <tdspan class="pptext">... oder ... <strong/span>F</strongspan style="display: block;">  </td><td colspanspan style="2color:green">PFDIAG&lt;!-- Im Falle von EIS „Full support” --&gt;<br /td></trspan><tr /span><span style="vertical-aligndisplay: topblock;" class="explrendered">  <td><table span class="artdecorppsign" cellpadding>&lt;</span><span class="1" style="background: transparent;ppelement">templateId<tr/span><td stylespan class="vertical-align: top;ppattribute">[[File:Treetree.png|16px]]root</tdspan><tdspan class="ppsign">="<tt/span><strongspan class="ppcontent">@codeSystem1.2.40.0.34.11.3.2.2<br /span></strongspan class="ppsign">"</ttspan><span class="ppsign">/td></trspan></tablespan class="ppsign">&gt;</tdspan><td/span><span style="colordisplay: blackblock;">  <strongspan style="color:green">1 … 1&lt;!-- ELGA EIS „Full support” --&gt;<br /strong></span></tdspan><tdspan style="display: block;">  <strongspan style="color:green">&lt;!-- Code der Sektion --&gt;<br />F</strongspan></tdspan><td colspanspan style="display: block;" class="2explrendered">1.2.40.0.34.5.40  </tdspan class="ppsign">&lt;</trspan><tr span class="explabel" style="vertical-align: top;ppelement">code</span><td stylespan class="background-color: white;ppattribute" colspan>code</span><span class="1ppsign"> ="</tdspan><td>Beispiel</td><td colspan="4" span class="explabelblueppcontent">PFDIAG<tt/span><span styleclass="display: block;ppsign" class="explrendered>"</span><span class="ppsignppattribute">&lt;displayName</span><span class="ppelementppsign">code="</span> <span class="ppattributeppcontent">codePflegediagnosen</span><span class="ppsign">="</span><span class="ppcontentppattribute">PFDIAGcodeSystem</span><span class="ppsign">="</span> <span class="ppattributeppcontent">displayName1.2.40.0.34.5.40</span><span class="ppsign">="</span><span class="ppcontentppattribute">PflegediagnosencodeSystemName</span><span class="ppsign">="</span> <span class="ppattributeppcontent">codeSystemELGA_Sections</span><span class="ppsign">="</span><span class="ppcontentppsign">1.2.40.0.34.5.40/</span><span class="ppsign">"&gt;</span> <span class="ppattribute">codeSystemName</span><span classstyle="ppsign">=display: block;"</span>  <span classstyle="ppcontentcolor:green">ELGA_Sections&lt;!-- Titel der Sektion --&gt;<br /span></span class="ppsign">"</span><span classstyle="ppsigndisplay: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">title</span><span class="ppsign">&gt;</span></spanclass="pptext">Pflegediagnosen</ttspan><span class="ppsign">&lt;/td></trspan><tr stylespan class="vertical-align: top; background-color: #FFEAEA;ppnamespace"><td /span><span class="columnNameppelement">title</span><table span class="artdecorppsign" cellpadding>&gt;</span></span><span style="1display: block;" >  <span style="backgroundcolor: transparent;green"><tr><td><tt><strong>hl7:title&lt;!-- Textbereich der Sektion --&gt;<br /></strongspan></ttspan></td></trspan style="display: block;" class="explrendered">  </tablespan class="ppsign">&lt;</tdspan><tdspan class="ppelement"><strong>STtext</strongspan></tdspan class="ppsign">&gt;<td/span><span styleclass="color: black;pptext"><strong>1 … 1... Lesbarer Textbereich ... </strongspan></spanclass="ppsign">&lt;/</td><td/span><span styleclass="color: color: black;ppnamespace"><strong>M</strongspan></spanclass="ppelement">text</tdspan><tdspan class="ppsign">&gt;</span></tdspan><td span style="background-colordisplay: #FFEEEEblock;">  <span titlestyle="color:green">(Pfl...&lt;!-- Maschinenlesbare Elemente der Sektion in EIS)„Full support” --&gt;<br /span></tdspan></trspan><tr span style="vertical-aligndisplay: top; background-color: #FFEEEEblock;" class="explrendered">  <td stylespan class="background-color: white;ppsign" colspan>&lt;</span><span class="1ppelement"> entry</tdspan><td span class="confppsign">CONF&gt;</span><br /td>    <td colspanspan class="4pptext" style=> : </span><span style="background-colordisplay: whiteblock;">    <table classspan style="artdecorcolor:green" width="100%" border=>&lt;!-- ELGA Pflegediagnosen-Entry --&gt;<br /></span></span><span style="0display: block;" cellspacingclass="2explrendered" cellpadding>    <span class="2ppsign" style="background: transparent>&lt;"</span><tr stylespan class="vertical-align: top;ppelement">templateId<td/span>Elementinhalt muss <span class="Pflegediagnosenppattribute" sein>root</tdspan></trspan class="ppsign">="</tablespan></tdspan class="ppcontent">1.2.40.0.34.11.3.3.1</trspan><tr stylespan class="vertical-align: top; background-color: #FFEAEA;ppsign">"</span><td span class="columnNameppsign">/<table /span><span class="artdecorppsign" cellpadding="1" style="background: transparent>&gt;"><tr/span><td/span>    <ttspan class="pptext"><strong>hl7:text<br /span>  </strong></ttspan class="ppsign"><&lt;/td></trspan></tablespan class="ppnamespace"></tdspan><tdspan class="ppelement"><strong>SD.TEXTentry</strongspan><span class="ppsign">&gt;</tdspan><td/span><span styleclass="color: black;ppsign">&lt;/<strong/span>1 … 1</strongspan class="ppnamespace"></span></tdspan class="ppelement">section<td/span><span styleclass="color: color: black;ppsign">&gt;<strong/span>M</strongspan></span></td><td/tr></table></td><td style/tr><tr style="backgroundvertical-coloralign: #FFEEEEtop;"><span titletd colspan="4" class="tabtab">(Pfl...EIS)</span></tdtable id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"></tr></tableth style="width: 30%; text-align: left;">Item</tdth></trth 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"><tablecellpadding="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: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></td><td style="background-color: #FFEEEE;"></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;">@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-->