elga-cdalab-2.06.2:Überblick: Unterschied zwischen den Versionen
| [unmarkierte Version] | [gesichtete Version] |
K (Lahnsteiner verschob die Seite Lab-2.06.2-Überblick nach elga-cdalab-2.06.2:Überblick und überschrieb dabei eine Weiterleitung: zurück verschieben) |
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! style="text-align:left" colspan="4" | ''Daten zum Dokument'' | ! style="text-align:left" colspan="4" | ''Daten zum Dokument'' | ||
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Realm Code||ClinicalDocument/realmCode||''M''|| | + | |Realm Code||ClinicalDocument/realmCode||''M''|| [[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Dokumentenformat||ClinicalDocument/typeId||''M''|| | + | |Dokumentenformat||ClinicalDocument/typeId||''M''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Dokumenten-ID||ClinicalDocument/id||''M''|| | + | |Dokumenten-ID||ClinicalDocument/id||''M''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Vertraulichkeitscode||ClinicalDocument/confidentialityCode||''M''|| | + | |Vertraulichkeitscode||ClinicalDocument/confidentialityCode||''M''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Sprachcode||ClinicalDocument/languageCode||''M''|| | + | |Sprachcode||ClinicalDocument/languageCode||''M''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Template||ClinicalDocument/templateId||''M''|| | + | |Template||ClinicalDocument/templateId||''M''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Dokumenttitel||ClinicalDocument/title||''M''|| | + | |Dokumenttitel||ClinicalDocument/title||''M''||[[ILF:Laborbefund#Dokumenttitel_.28.E2.80.9EClinicalDocument.2Ftitle.E2.80.9C.29|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Dokumentenklasse||ClinicalDocument/code||''M''|| | + | |Dokumentenklasse||ClinicalDocument/code||''M''|| [[ILF:Laborbefund#Dokumentenklasse_.28.E2.80.9CClinicalDocument.2Fcode.E2.80.9D.29|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Dokumentdatum||ClinicalDocument/effectiveTime||''M''|| | + | |Dokumentdatum||ClinicalDocument/effectiveTime||''M''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Versionierung des Dokuments||ClinicalDocument/setId<br>ClinicalDocument/versionNumber<br>||''M''|| | + | |Versionierung des Dokuments||ClinicalDocument/setId<br>ClinicalDocument/versionNumber<br>||''M''||[[ILF:Laborbefund#Versionierung_des_Dokuments_.28.E2.80.9EsetId.E2.80.9C_und_.E2.80.9EversionNumber.E2.80.9C.29|Link]] |
|- | |- | ||
! style="text-align:left" colspan="4" | ''Teilnehmende Parteien'' | ! style="text-align:left" colspan="4" | ''Teilnehmende Parteien'' | ||
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Patient||ClinicalDocument/recordTarget||''M''|| | + | |Patient||ClinicalDocument/recordTarget||''M''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben_2|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Verwalter des originalen Dokuments||ClinicalDocument/custodian||''M''|| | + | |Verwalter des originalen Dokuments||ClinicalDocument/custodian||''M''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben_2|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Rechtlicher Unterzeichner||ClinicalDocument/legalAuthenticator||''M''<br/>''[1..1]''|| | + | |Rechtlicher Unterzeichner||ClinicalDocument/legalAuthenticator||''M''<br/>''[1..1]''||[[ILF:Laborbefund#Medizinischer_Validator_.28.E2.80.9EClinicalDocument.2FlegalAuthenticator.E2.80.9C.29|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Verfasser des Dokuments||ClinicalDocument/author||''M''<br/>''[1..*]''|| | + | |Verfasser des Dokuments||ClinicalDocument/author||''M''<br/>''[1..*]''||[[ILF:Laborbefund#Verfasser_des_Dokuments_.28.E2.80.9EClinicalDocument.2Fauthor.E2.80.9C.29|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Vorgesehener Empfänger||ClinicalDocument/informationRecipient||''O''<br/>''[0..*]''|| | + | |Vorgesehener Empfänger||ClinicalDocument/informationRecipient||''O''<br/>''[0..*]''||[[ILF:Laborbefund#Elemente_ohne_spezielle_Vorgaben_2|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Validatoren||ClinicalDocument/authenticator||''O''<br/>''[0..*]''|| | + | |Validatoren||ClinicalDocument/authenticator||''O''<br/>''[0..*]''||[[ILF:Laborbefund#Validator_.28.E2.80.9EClinicalDocument.2Fauthenticator.E2.80.9C.29|Link]] |
|- | |- | ||
! style="text-align:left" colspan="4" | ''Referenz zum Auftrag'' | ! style="text-align:left" colspan="4" | ''Referenz zum Auftrag'' | ||
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Auftraggeber (IHE „Ordering Provider“)||ClinicalDocument/participant@typeCode=“REF“||''R''<br/>''[1..1]''|| | + | |Auftraggeber (IHE „Ordering Provider“)||ClinicalDocument/participant@typeCode=“REF“||''R''<br/>''[1..1]''||[[ILF:Laborbefund#Auftragsdatum_.28.E2.80.9EClinicalDocument.2Fparticipant.40typeCode.3D.22REF.22.2Ftime.E2.80.9C.29|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Auftragsidentifikation||ClinicalDocument/inFulfillmentOf/order||''M''<br/>''[1..1]''|| | + | |Auftragsidentifikation||ClinicalDocument/inFulfillmentOf/order||''M''<br/>''[1..1]''||[[ILF:Laborbefund#Auftragsidentifikation_.28.E2.80.9EClinicalDocument.2FinFulfillmentOf.2Forder.E2.80.9C.29|Link]] |
|- | |- | ||
! style="text-align:left" colspan="4" | ''Dokumentation der Gesundheitsdienstleistung'' | ! style="text-align:left" colspan="4" | ''Dokumentation der Gesundheitsdienstleistung'' | ||
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Service Events||ClinicalDocument/documentationOf/serviceEvent||''M''<br/>''[1..*]''|| | + | |Service Events||ClinicalDocument/documentationOf/serviceEvent||''M''<br/>''[1..*]''||[[ILF:Laborbefund#Service_Events_.28.E2.80.9EClinicalDocument.2FdocumentationOf.2FserviceEvent.E2.80.9C.29|Link]] |
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Durchführende Labors||ClinicalDocument/documentationOf/serviceEvent/performer||''O''<br/>''[0..*]''|| | + | |Durchführende Labors||ClinicalDocument/documentationOf/serviceEvent/performer||''O''<br/>''[0..*]''||[[ILF:Laborbefund#Durchf.C3.BChrende_Labors_.28.E2.80.9EClinicalDocument.2FdocumentationOf.2FserviceEvent.2Fperformer.E2.80.9C.29|Link]] |
|- | |- | ||
! style="text-align:left" colspan="4" | ''Informationen zum Patientenkontakt'' | ! style="text-align:left" colspan="4" | ''Informationen zum Patientenkontakt'' | ||
|- style="background:#FFFFFF" | |- style="background:#FFFFFF" | ||
| − | |Encounter||ClinicalDocument/componentOf/encompassingEncounter||''O''<br/>''[0..1]''|| | + | |Encounter||ClinicalDocument/componentOf/encompassingEncounter||''O''<br/>''[0..1]''||[[ILF:Laborbefund#Encounter_.28.E2.80.9CcomponentOf.2FencompassingEncounter.E2.80.9D.29|Link]] |
| − | |||
|} | |} | ||
| + | ''Tabelle 2: Überblick administrative Daten (Header)'' | ||
Aktuelle Version vom 19. April 2018, 08:24 Uhr
Überblick
| Feld | Element | Opt | Kapitel |
|---|---|---|---|
| Daten zum Dokument | |||
| Realm Code | ClinicalDocument/realmCode | M | Link |
| Dokumentenformat | ClinicalDocument/typeId | M | Link |
| Dokumenten-ID | ClinicalDocument/id | M | Link |
| Vertraulichkeitscode | ClinicalDocument/confidentialityCode | M | Link |
| Sprachcode | ClinicalDocument/languageCode | M | Link |
| Template | ClinicalDocument/templateId | M | Link |
| Dokumenttitel | ClinicalDocument/title | M | Link |
| Dokumentenklasse | ClinicalDocument/code | M | Link |
| Dokumentdatum | ClinicalDocument/effectiveTime | M | Link |
| Versionierung des Dokuments | ClinicalDocument/setId ClinicalDocument/versionNumber |
M | Link |
| Teilnehmende Parteien | |||
| Patient | ClinicalDocument/recordTarget | M | Link |
| Verwalter des originalen Dokuments | ClinicalDocument/custodian | M | Link |
| Rechtlicher Unterzeichner | ClinicalDocument/legalAuthenticator | M [1..1] |
Link |
| Verfasser des Dokuments | ClinicalDocument/author | M [1..*] |
Link |
| Vorgesehener Empfänger | ClinicalDocument/informationRecipient | O [0..*] |
Link |
| Validatoren | ClinicalDocument/authenticator | O [0..*] |
Link |
| Referenz zum Auftrag | |||
| Auftraggeber (IHE „Ordering Provider“) | ClinicalDocument/participant@typeCode=“REF“ | R [1..1] |
Link |
| Auftragsidentifikation | ClinicalDocument/inFulfillmentOf/order | M [1..1] |
Link |
| Dokumentation der Gesundheitsdienstleistung | |||
| Service Events | ClinicalDocument/documentationOf/serviceEvent | M [1..*] |
Link |
| Durchführende Labors | ClinicalDocument/documentationOf/serviceEvent/performer | O [0..*] |
Link |
| Informationen zum Patientenkontakt | |||
| Encounter | ClinicalDocument/componentOf/encompassingEncounter | O [0..1] |
Link |
Tabelle 2: Überblick administrative Daten (Header)
