Änderungen

<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;">1.2.40.0.34.6.0.11.2.164</td><th style="width: 20em; text-align: left;">Gültigkeit ab</th><td style="text-align: left;">2025‑09‑15 15:44:22</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:KyellowKgreen.png|14px]] EntwurfAktiv</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;">1.0.0+20260223</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">atgesber_section_Konsultationsgrund</td><th style="width: 20em; text-align: left;">Bezeichnung</th><td style="text-align: left;">Konsultationsgrund</td></tr><tr style="vertical-align: top;"><th td style="width: 20em; text-align: left;" colspan="4">Klassifikation</th><td styletable id="templateDescTable" width="100%" border="text-align: left;0" colspancellspacing="3">CDA Section level template</tdcellpadding="2" class="artdecor treetable" style="background: transparent;"></trclass="desclabel"><tr td style="vertical-alignheight: top1.5em;">Beschreibung<th style="width: 20em; text-align: left;"/td>Offen/Geschlossen</thtr><td style="text-align: left;" colspan="3"tr>Offen (auch andere als die definierten Elemente sind erlaubt)</td></trdiv>Diese Section beschreibt Informationen, die vom Anrufer <tr style="vertical-align: top;"strong>über den eigenen gesundheitlichen Zustand</strong>bereitgestellt werden. Dazu können insbesondere Angaben zu <th style="width: 20em; text-align: left;"strong>BenutztVorerkrankungen</thstrong>, <strong>Allergien<td style="text-align: left;" colspan="3"/strong>, <strong>Behinderungen</strong>, <strong>eingenommener Medikation</strong> sowie <strong>aktuellen Beschwerden<table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"/strong>gehören. Diese selbst berichteten Gesundheitsdaten werden strukturiert erfasst, um behandelnden oder beratenden Stellen einen vollständigen und verständlichen Überblick über den relevanten medizinischen Hintergrund der Person zu ermöglichen.<tr class="desclabel"><td style="height: 1.5em;"/div>Benutzt 3 Templates</td></tr><tr/table></td><div/tr><table width="100%" border="0" cellspacing="1" cellpadding="3" class="artdecor " tr style="backgroundvertical-align: transparenttop;"><tr><th style="width: 20%20em; text-align: left;">BenutztKontext</th><th td style="width: 1%; text-align: left;"colspan="3">Elternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.2.164</td> als </thtr><th tr style="width: 60%; textvertical-align: lefttop;">Name</th><th style="width: 19%20em; text-align: left;">VersionKlassifikation</th></tr><tr><td style="text-align: left;" colspan="3">1.2.40.0.34.6.0.11.9.36CDA Section level template</td><td /tr><tr style="textvertical-align: lefttop;">Containment</td><td th style="width: 20em; text-align: left;">[[File:Kgreen.png|14px]] Author Body (1.0.1+20230717)Offen/Geschlossen</tdth><td style="text-align: left;" colspan="3">DYNAMICGeschlossen (nur definierte Elemente sind erlaubt)</td></tr><tr><td style="textvertical-align: lefttop;">1.2.40.0.34.6.0.11.9.3</td><td th style="width: 20em; text-align: left;">ContainmentBenutzt</tdth><td style="text-align: left;">[[File:Kgreen.png|14px]] Informant Body (1.0.1+20211213)</td><td stylecolspan="text-align: left;3">DYNAMIC</td></trtable width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><trclass="desclabel"><td style="text-alignheight: left1.5em;">1.2.40.0.34.6.0.11.Benutzt 3.19Templates</td></tr><tr><td style="text-align: left;">Containment</tddiv><td styletable width="text100%" border="0" cellspacing="1" cellpadding="3" class="artdecor " style="background: transparent;"><tr><th style="width: 20%; text-align: left;">[[File:Kgreen.png|14px]] Eingebettetes Objekt Entry (1.0.2+20230717)<Benutzt</tdth><td th style="width: 1%; text-align: left;">DYNAMICals </tdth></tr></tableth style="width: 60%; text-align: left;">Name</divth></tdth style="width: 19%; text-align: left;">Version</trth></table></tdtr></tr><tr td style="verticaltext-align: topleft;">1.2.40.0.34.6.0.11.9.36</td><td colspanstyle="4" class="tabtabtext-align: left;">Containment</td><table idtd style="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="backgroundtext-align: transparentleft;"><tr><th style="width[[File: 30%; Kgreen.png|14px]] Author Body (1.0.1+20230717)</td><td style="text-align: left;">ItemDYNAMIC</td></thtr><tr><th td style="width: 2em; text-align: left;">DT1.2.40.0.34.6.0.11.9.3</thtd><th td style="width: 2em; text-align: left;">KardContainment</thtd><th td style="width: 2em; text-align: left;">Konf</th><th style="text-align: left;">Beschreibung[[File:Kgreen.png|14px]] Informant Body (1.0.1+20211213)</thtd><th td style="width: 2em; text-align: left;">LabelDYNAMIC</thtd></tr><tr ><td style="verticaltext-align: topleft; background">1.2.40.0.34.6.0.11.3.19</td><td style="text-coloralign: #FFEAEAleft;">Containment</td class="columnName"><table cellpaddingtd style="1" class="artdecor adtext-diffblock-horizontal " style="backgroundalign: transparent;border: noneleft;"><tr><td><span xmlns="" style="font-family[[File: Courier, 'Courier New', monospace; fontKgreen.png|14px]] Eingebettetes Objekt Entry (1.0.2+20230717)</td><td style="text-weightalign: boldleft;">hl7:sectionDYNAMIC</td><br xmlns="http:/tr></www.w3.org/1999/xhtml" /table></spandiv></td></tr></table></td><td><strong></strongtr></td><td><span tr class="explabel " style="colorvertical-align: blacktop;"><strong></strong></span></td><td><span th class="" style="colorwidth: color20em; text-align: blackleft;"><strong>Beispiel</strong></span></tdth><tdcolspan="3" class="explabelblue"></td><td table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background-color: #FFEEEEtransparent;"></td></tr><tr styletr class="vertical-align: top;desclabel"><td style="vertical-alignheight: top1.5em;" class="columnNametogglertreetable"><table cellpadding="1" span class="artdecor " style="background: transparent;border: 0;expcaption">Beispiel<tr/span></td style="vertical-align: top;">[[File:Treetree.png|16px]]</tdtr><tr><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@classCode<br xmlnsspan style="httpdisplay://www.w3.org/1999/xhtmlblock;" class="explrendered" /></spanclass="ppsign">&lt;</tdspan></trspan class="ppelement">section</tablespan></tdspan class="ppattribute"><td>csclassCode</tdspan><tdspan class="ppsign">="</span><strongspan class="ppcontent">0 … 1DOCSECT</strongspan><span class="ppsign">"</span></tdspan class="ppsign">&gt;<td/span>F<br /td><td span style="vertical-aligndisplay: topblock;" colspanclass="2explrendered">DOCSECT  </tdspan class="ppsign">&lt;</trspan><tr stylespan class="vertical-align: top; background-color: #FFEAEA;ppelement">templateId</span><td span class="columnNameppattribute">root</span><table cellpaddingspan class="1ppsign" class="artdecor ad-diffblock-horizontal " style>="background: transparent;border: none;"><tr/span><td stylespan class="vertical-align: top;ppcontent">[[File:Treetree1.2.40.png|16px]]0.34.6.0.11.2.164</tdspan><span class="ppsign">"<td/span><span xmlnsclass="ppsign" style>/</span><span class="font-family: Courier, 'Courier New', monospace; font-weightppsign">&gt;</span></span><span style="display: boldblock;">hl7:templateId<br xmlnsclass="http://www.w3.org/1999/xhtmlexplrendered" />  </spanclass="ppsign">&lt;</tdspan></trspan class="ppelement">code</tablespan></tdspan class="ppattribute">code<td/span><strongspan class="ppsign">II="</strong></td><tdspan><span styleclass="color: black;"ppcontent"><strong>1 … 146239-0</strongspan></spanclass="ppsign">"</td><tdspan><span styleclass="color: color: black;ppattribute">codeSystem<strong/span>M</strongspan class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</tdspan><tdspan class="ppsign">"</tdspan><td stylespan class="background-color: #FFEEEE;ppattribute">displayName</tdspan></tr><tr stylespan class="vertical-align: top;ppsign"><td style="vertical-align: top;" </span><span class="columnNameppcontent">Chief complaint+Reason for visit</span><table cellpadding="1" span class="artdecor ppsign" style=>"background: transparent;border: 0;"><tr/span><td stylespan class="vertical-align: top;ppsign">[[File:Treeblank.png|16px]]/</tdspan><td stylespan class="vertical-align: top;ppsign">[[File:Treetree.png|16px]]&gt;</tdspan><td/span><span xmlnsstyle="display: block;" styleclass="font-family: Courier, 'Courier New', monospace; font-weight: bold;explrendered">@root  <br xmlnsspan class="http://www.w3.org/1999/xhtml" /ppsign">&lt;</span></tdspan class="ppelement">title</trspan></tablespan class="ppsign">&gt;</tdspan><tdspan class="pptext">uidKonsultationsgrund</tdspan><tdspan class="ppsign">&lt;/</span><strongspan class="ppnamespace">1 … 1</strongspan><span class="ppelement">title</span></tdspan class="ppsign">&gt;<td/span>F</tdspan><td span style="vertical-aligndisplay: topblock;" colspanclass="2explrendered">1.2.40.0.34.6.0.11.2.164</td  <span class="ppsign">&lt;</trspan><tr stylespan class="vertical-align: top; background-color: #FFEAEA;ppelement">text<td /span><span class="columnNameppsign">/</span><table cellpadding="1" span class="artdecor ad-diffblock-horizontal " style=ppsign"background: transparent>&gt;border: none;"</span><tr/span><td span style="vertical-aligndisplay: topblock;" class="explrendered">[[File:Treetree.png|16px]]  </tdspan class="ppsign">&lt;<td/span><span xmlnsclass="ppelement" style>author</span><span class="font-family: Courier, 'Courier New', monospace; font-weight: bold;"ppsign">&gt;</span>hl7:code<br xmlns/><span style="httpdisplay://www.w3.org/1999/xhtmlblock;" />    </spanstyle="color:green">&lt;!-- template 1.2.40.0.34.6.0.11.9.36 'Author Body' (2023-04-05T13:52:41) --&gt;<br /td></trspan></tablespan>  </td><tdspan class="ppsign">&lt;/<strong/span>CE</strongspan class="ppnamespace"></td><tdspan><span styleclass="color: black;ppelement">author<strong/span>1 … 1</strongspan class="ppsign">&gt;</span></td><tdspan><span style="colordisplay: color: black;block;" class="explrendered">  <strongspan class="ppsign">M&lt;</strongspan><span class="ppelement">informant</span></tdspan class="ppsign">&gt;<td/span><br /td><td span style="background-colordisplay: #FFEEEEblock;">    </td></tr><tr span style="vertical-aligncolor: top;green"><td><table cellpadding="&lt;!-- template 1" class="artdecor " style="background: transparent;border: .2.40.0.34.6.0.11.9.3 'Informant Body' (2021-10-04T08:03:25) --&gt;"<br /></span><tr/span>  <td stylespan class="vertical-align: top;ppsign">[[File:Treeblank.png|16px]]&lt;/</tdspan><td stylespan class="vertical-align: top;ppnamespace">[[File:Treetree.png|16px]]</tdspan><span class="ppelement">informant<td/span><span xmlnsclass="ppsign" >&gt;</span></span><span style="font-familydisplay: Courier, 'Courier New', monospace; font-weight: boldblock;" class="explrendered">@code  <br xmlnsspan class="http:ppsign">&lt;<//www.w3.org/1999/xhtmlspan><span class="ppelement" />entry</span></td></tr></table></td><td rowspan="4" span class="confppsign">CONF&gt;</tdspan><tdbr /><span style="colordisplay: blackblock;">    <strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspanstyle="2color:green">46239&lt;!--template 1.2.40.0.34.6.0.11.3.19 'Eingebettetes Objekt Entry' (2023-05-09T16:42:36) --&gt;<br /></tdspan></trspan>  <tr stylespan class="vertical-align: top;ppsign">&lt;/<td/span><table cellpaddingspan class="1ppnamespace" ></span><span class="artdecor ppelement" style>entry</span><span class="background: transparentppsign">&gt;border: 0;"</span><tr/span><td stylespan class="vertical-align: topppsign">&lt;">[[File:Treeblank.png|16px]]/</tdspan><td stylespan class="vertical-align: top;ppnamespace">[[File:Treetree.png|16px]]</td><tdspan><span xmlnsclass="ppelement" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@codeSystemsection</span><br xmlnsspan class="http://www.w3.org/1999/xhtmlppsign" />&gt;</span></span></span></td></tr></table></td><td/tr><span tr style="colorvertical-align: blacktop;"><strong>1 … 1</strong></span></tdcolspan="4" class="tabtab"><td><strong>F</strong></td><td colspantable id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2">2.16.840.1.113883.6.1 (LOINC)</tdclass="artdecor treetable" style="background: transparent;"></tr><tr th style="verticalwidth: 30%; text-align: topleft;">Item<td/th><table cellpadding="1" class="artdecor " th style="backgroundwidth: 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:section<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;"></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">DOCSECT</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></td><td style="background-color: #FFEEEE;"></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">1.2.40.0.34.6.0.11.2.164</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></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:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: transparentCourier, 'Courier New', monospace;borderfont-weight: 0bold;">@code<tr><td stylebr xmlns="vertical-alignhttp: top;//www.w3.org/1999/xhtml"/></span>[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;"/tr>[[File:Treetree.png|16px]]</tdtable></td><span xmlnstd rowspan="2" styleclass="font-family: Courier, 'Courier New', monospace; font-weight: bold;conf">@codeSystemName<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table>CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">LOINC46239-0</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;">@displayNamecodeSystem<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">Chief complaint+Reason for visit2.16.840.1.113883.6.1 (LOINC)</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: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 "Konsultationsgrund" 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 style="vertical-align: top;">[[File:Treetree.png|16px]]</td><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>ED</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>Sollten keine Information vorhanden sein, so kann ein Standardtext eingefügt werden (z.B.: „Konsultationsgrund wird nicht bekannt gegeben“).</td><td style="background-color: #FFEEEE;"></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:author<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.40.0.34.6.0.11.9.36 <i>Author Body</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"></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:informant<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.40.0.34.6.0.11.9.3 <i>Informant Body</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"></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:entry<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Beinhaltet 1.2.40.0.34.6.0.11.3.19 <i>Eingebettetes Objekt Entry</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"></td></tr></table></td></tr></table><!--9e525824f5d171ea0b53a34b78f4dc4d54b59717fb6743bb147a1933553244b37fc4b8e84010018f-->