1.2.40.0.34.11.10007/static-2014-01-31T000000: Unterschied zwischen den Versionen
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Granularitätsstufe 1 zu befolgen. | Granularitätsstufe 1 zu befolgen. | ||
− | </p> Granularitätsstufe 2 oder 3 ist auch bei EIS Enhanced und Full Support nicht erforderlich. <br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td colspan="2"> von 1.2.40.0.34.11.90017 <i>Language Communication</i> (DYNAMIC)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class=" | + | </p> Granularitätsstufe 2 oder 3 ist auch bei EIS Enhanced und Full Support nicht erforderlich. <br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td colspan="2"> von 1.2.40.0.34.11.90017 <i>Language Communication</i> (DYNAMIC)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:language​Communication<br /></strong></tt></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></strong></span></td><td><div>Komponente zur Angabe der Sprachfähigkeiten des Patienten.</div></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:language​Code<br /></strong></tt></td></tr></table></td><td><strong>CS</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Sprache, die vom Patienten zu einem bestimmten Grad beherrscht wird (geschrieben oder gesprochen).<br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Der Wert von @code muss gewählt werden aus dem Value Set 1.2.40.0.34.10.173 <i>ELGA_HumanLanguage </i>(DYNAMIC)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:modeCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Ausdrucksform der Sprache.<br /><span lang="DE-AT" style="font-size:10.0pt;font-family: "Arial",sans-serif;mso-fareast-font-family:Arial;mso-fareast-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi; mso-ansi-language:DE-AT;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">@codeSystem Fester Wert: <b>2.16.840.1.113883.5.60</b></span><br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Der Wert von @code muss gewählt werden aus dem Value Set 1.2.40.0.34.10.175 <i>ELGA_LanguageAbilityMode </i>(DYNAMIC)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:proficiency​Level​Code<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Grad der Sprachkenntnis in der Sprache.<br /><span lang="DE-AT" style="font-size:10.0pt;font-family: "Arial",sans-serif;mso-fareast-font-family:Arial;mso-fareast-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi; mso-ansi-language:DE-AT;mso-fareast-language:EN-US;mso-bidi-language:AR-SA"><span style="font-size: 13.3333px;">@codeSystem </span>Fester Wert: <b>2.16.840.1.113883.5.61</b></span><br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>Der Wert von @code muss gewählt werden aus dem Value Set 1.2.40.0.34.10.174 <i>ELGA_ProficiencyLevelCode </i>(DYNAMIC)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:preference​Ind<br /></strong></tt></td></tr></table></td><td><strong>BL</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Kennzeichnung, ob die Sprache in der angegebenen Ausdrucksform vom Patienten bevorzugt wird.<br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> von 1.2.40.0.34.11.20002 <i>HeaderAuthor</i> (DYNAMIC)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:author<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Verfasser des Dokuments.<br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></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">AUT</td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@context​Control​Code<br /></strong></tt></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">OP</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:functionCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td><div>Funktionscode des Verfassers des Dokuments</div><div>z.B: „Diensthabender Oberarzt“, „Verantwortlicher Arzt für Dokumentation“,„Stationsschwester“, …</div><div>Eigene Codes und Bezeichnungen können verwendet werden. </div><div><br />Grundsätzlich sind die Vorgaben für „code-Element CE CWE“ zu befolgen.</div></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:time<br /></strong></tt></td></tr></table></td><td><strong>TS.AT.TZ</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td><p align="left" class="MsoNormal"><span lang="DE-AT"><span style="font-size: 10pt;">Der Zeitpunkt an dem das Dokument verfasst wurde.</span><span style="font-size: 13.3333px;"><br /></span></span><span class="Standard10inTabelleZchn"><span lang="DE-AT">Grundsätzlich sind die Vorgaben für </span></span><span lang="DE-AT">„</span><span lang="DE-AT">Zeit-Elemente</span><span lang="DE-AT">“ zu befolgen.</span></p><span lang="DE-AT" style="font-size: 10pt; font-family: Arial, sans-serif;">Zugelassene nullFlavor: <b>UNK</b></span><br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:assignedAuthor<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Organisation, in deren Auftrag der Verfasser des Dokuments die Dokumentation verfasst hat.<br /></td><td style="background-color: #FFEEEE;"><span title="">cdaemrez</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></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">ASSIGNED</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"><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">assignedAuthor</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">ASSIGNED</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">ied8984938</span><span class="ppsign">"</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.276.0.76.3.1.139.933</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">assignedPerson</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">PSN</span><span class="ppsign">"</span> <span class="ppattribute">determinerCode</span><span class="ppsign">="</span><span class="ppcontent">INSTANCE</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- ... --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">assignedPerson</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">assignedAuthor</span><span class="ppsign">></span></span></tt></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td><p align="left" class="MsoNormal"><span lang="DE-AT" style="font-size: 10pt;">Identifikation des Verfassers des Dokuments im lokalen System/<span lang="DE-AT" style="font-size: 10pt; font-family: Arial, sans-serif;"> des/der datenerstellenden Gerätes/Software.<br /></span>ODER<br /></span><span style="font-size: 10pt;">Identifikation des/der datenerstellenden Gerätes/Software.</span></p><p align="left" class="MsoNormal"><span lang="DE-AT"></span></p><p class="Standard10inTabelle"><span lang="DE-AT">Grundsätzlich sind die Vorgaben für</span><span lang="DE-AT"> „</span><span lang="DE-AT">Identifikations-Elemente</span><span lang="DE-AT">“ zu befolgen.<br /><span style="font-size: 10pt;"><br />Zugelassene nullFlavor:</span><br /></span></p><ul type="disc" style="margin-top:0in"><p class="Standard10inTabelle"></p><ul><li><b><span lang="DE-AT" style="font-size:10.0pt;line-height:120%">NI</span></b><span lang="DE-AT" style="font-size: 10pt; line-height: 120%;"> … Person hat keine |
ID / </span>Gerät/Software hat keine ID<br /></li><li><b><span lang="DE-AT" style="font-size:10.0pt;font-family:"Arial",sans-serif; mso-fareast-font-family:Arial;mso-fareast-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;mso-ansi-language:DE-AT; mso-fareast-language:EN-US;mso-bidi-language:AR-SA">UNK</span></b><span lang="DE-AT" style="font-size: 10pt; font-family: Arial, sans-serif;"> … Person hat eine ID, diese ist jedoch | ID / </span>Gerät/Software hat keine ID<br /></li><li><b><span lang="DE-AT" style="font-size:10.0pt;font-family:"Arial",sans-serif; mso-fareast-font-family:Arial;mso-fareast-theme-font:minor-latin;mso-bidi-font-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;mso-ansi-language:DE-AT; mso-fareast-language:EN-US;mso-bidi-language:AR-SA">UNK</span></b><span lang="DE-AT" style="font-size: 10pt; font-family: Arial, sans-serif;"> … Person hat eine ID, diese ist jedoch | ||
unbekannt /</span>Gerät/Software hat eine ID, diese ist jedoch unbekannt<br /></li></ul><p> | unbekannt /</span>Gerät/Software hat eine ID, diese ist jedoch unbekannt<br /></li></ul><p> | ||
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