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1.2.40.0.34.6.0.11.3.115/static-2020-10-01T145631

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<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;">1.2.40.0.34.6.0.11.3.115</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2020‑10‑01 14:56:31</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:~~Kyellow~~Kgreen.png|14px]] ~~Entwurf~~Aktiv</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;">~~2020~~1.0.0+20210310</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">exnds_entry_FamilienanamneseProblemConcern</td><th style="width: 20em; text-align: left;">Bezeichnung</th><td style="text-align: left;">EXNDS Familienanamnese Problem Concern Entry</td></tr><td style="text-align: left;" colspan="4"><table id="templateDescTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Beschreibung</td></tr><tr><td><div><div>

Dieses Template entspricht strukturell dem Problem Concern Entry wie er in der eHealth Austria Domaine verwendet wird. Es musste jedoch angepasst werden um im Zuge der Familienanamnese das entsprechende Familienmitglied anzugeben als auch verpflichtend den informant (recordTarget des Dokuments).

<li>effectiveTime.high („Ende des Bedenkens“): Gibt den Zeitpunkt an, seitdem das Problem nicht mehr von Interesse ist. Es MUSS vorhanden sein, wenn das Bedenken nicht mehr besteht (statusCode completed).</li>

</ul>

</div></div></td></tr></table></td><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Elternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.3.115</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Entry Level Template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Offen/Geschlossen</th><td style="text-align: left;" colspan="3">Geschlossen (nur definierte Elemente sind erlaubt)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Benutzt</th><td style="text-align: left;" colspan="3"><table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt 7 Templates</td></tr><tr><td><div><table width="100%" border="0" cellspacing="1" cellpadding="3" class="artdecor " style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Benutzt</th><th style="width: 1%; text-align: left;"> als </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.116</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:~~Kyellow~~Kgreen.png|14px]] EXNDS Familienanamnese Subject (~~2020~~1.0.0+20210310)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.9.17</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Performer Body (1.0.0+20210219)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.9.36</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Author Body (1.0.0+20210219)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.9.3</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Informant Body (1.0.0+20210219)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.9.13</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Participant Body (1.0.0+20210219)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.6</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Problem Entry (1.1.0+20210219)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.3.14</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] External Document Entry (1.0.0+20210219)</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><tr class="explabel " style="vertical-align: top;"><th class="" style="width: 20em; text-align: left;">Beispiel</th><td colspan="3" class="explabelblue"><table width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable">Beispiel</td></tr><tr><td><hl7:act classCode="ACT" moodCode="EVN"> <hl7:templateId root="1.2.40.0.34.6.0.11.3.115"/> <hl7:id root="1.2.3.999" extension="--example only--"/> <hl7:code nullFlavor="NA"/> <hl7:statusCode code="active"/> <hl7:effectiveTime> <hl7:low value="20210212"/> <hl7:high value="20210212"/> </hl7:effectiveTime> <hl7:subject>  </hl7:subject> <hl7:performer>  </hl7:performer> <hl7:author>  </hl7:author> <hl7:informant>  </hl7:informant> <hl7:participant>  </hl7:participant> <hl7:entryRelationship typeCode="SUBJ" contextConductionInd="true" inversionInd="false">  </hl7:entryRelationship> <hl7:reference typeCode="REFR">  </hl7:reference></hl7:act></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th 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"><table cellpadding="1" class="artdecor ad-diffblock-horizontal " style="background: transparent;border: none;"><tr><td>hl7:act </td></tr></table></td><td></td><td></td><td></td><td></td><td style="background-color: #FFEEEE;">(exn...ern)</td></tr><tr><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>@classCode </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">ACT</td></tr><tr><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>@moodCode </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">EVN</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>hl7:templateId </td></tr></table></td><td>II</td><td>1 … 1</td><td>M</td><td></td><td style="background-color: #FFEEEE;">(exn...ern)</td></tr><tr><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>@root </td></tr></table></td><td>uid</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">1.2.40.0.34.6.0.11.3.115</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>hl7:id </td></tr></table></td><td>II</td><td>0 … 1</td><td>R</td><td><div>ID des Problem/Bedenken-Entry</div>

<div>Grundsätzlich sind die Vorgaben gemäß Kapitel „Identifikations-Elemente“ zu befolgen.</div></td><td style="background-color: #FFEEEE;">(exn...ern)</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>hl7:code </td></tr></table></td><td>CE</td><td>1 … 1</td><td>R</td><td>Code des Problem/Bedenken-Entry. </td><td style="background-color: #FFEEEE;">(exn...ern)</td></tr><tr><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>@nullFlavor </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">NA</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>hl7:statusCode </td></tr></table></td><td>CS</td><td>1 … 1</td><td>M</td><td>statusCode zeigt den Zustand an, in dem sich das angegebene "Bedenken" zum Zeitpunkt der Dokumentation befindet. Folgende Werte sind empfohlen:

<ul>

<div>Für die Anwendung dieses Elements im Kontext spezieller Implementierungsleitfäden in Österreich wird die Kardinalität [1..1] STRENG EMPFHOLEN.</div></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>hl7:reference </td></tr></table></td><td></td><td>0 … 1</td><td>R</td><td><div>Referenz auf einen weiteren Befund

</div> Beinhaltet 1.2.40.0.34.6.0.11.3.14 External Document Entry (DYNAMIC)</td><td style="background-color: #FFEEEE;">(exn...ern)</td></tr><tr><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>@typeCode </td></tr></table></td><td>cs</td><td>1 … 1</td><td>F</td><td style="vertical-align: top;" colspan="2">REFR</td></tr></table></td></tr></table>

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