1.2.40.0.34.6.0.11.3.164/static-2021-05-05T101609: Unterschied zwischen den Versionen

[unmarkierte Version]

Version vom 18. Mai 2021, 06:29 Uhr

Id

1.2.40.0.34.6.0.11.3.164

Gültigkeit

2021‑05‑05 10:16:09

Status

Entwurf

Versions-Label

1.0.0

Name

atlab_entry_AnamneseObservationLaborUndMikrobiologie

Bezeichnung

Anamnese Observation - Labor und Mikrobiologie

Beschreibung

Codierung eines Aspekts der Krankengeschichte und ob dieser für einen Patienten zutrifft oder nicht.

Kontext

Elternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.3.164

Klassifikation

CDA Entry Level Template

Offen/Geschlossen

Offen (auch andere als die definierten Elemente sind erlaubt)

Benutzt

Benutzt 1 Template

Benutzt	als	Name	Version
1.2.40.0.34.6.0.11.9.1	Inklusion	Narrative Text Reference (1.0.1+20210512)	DYNAMIC

Beispiel

<tr ID="OBS-1-1">
  <td>Vorgeschichte einer chronischen Harnwegsinfektion</td>  <td>trifft zu</td></tr>


<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.40.0.34.6.0.11.3.164"/>  <code code="441547007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="History of chronic urinary tract infection (situation)"/>  <text>
    <reference value="#OBS-1-1"/>  </text>  <statusCode code="completed"/>  <value xsi:type="BL" value="true"/></observation>

Item

DT

Kard

Konf

Beschreibung

Label

hl7:observation

(atl...gie)

@classCode

cs

1 … 1

F

OBS

@moodCode

cs

1 … 1

F

EVN

hl7:templateId

II

1 … 1

M

Anamnese Observation - Labor und Mikrobiologie

(atl...gie)

@root

uid

1 … 1

F

1.2.40.0.34.6.0.11.3.164

hl7:id

II

0 … 1

Zwecks Rückverfolgbarkeit kann eine ID angegeben werden.

(atl...gie)

hl7:code

CD

1 … 1

M

Code des Aspekts der Krankengeschichte

(atl...gie)

@codeSystem

oid

1 … 1

R

@code

cs

1 … 1

R

Eingefügt

0 … 1

von 1.2.40.0.34.6.0.11.9.1 Narrative Text Reference (DYNAMIC)
Das "text"-Element wird verwendet, um einen Verweis zum narrativen Text ("section/text") herzustellen.

hl7:text

ED

0 … 1

(atl...gie)

hl7:reference

TEL

1 … 1

M

Die Referenz auf den entsprechenden Text im menschenlesbaren Teil muss durch Bezugnahme auf den Inhalt[@ID] angegeben werden: reference[@value='#xxx'].
Die Referenz ist mit einem ID-Attribut anzugeben, dieses Element DARF NUR den Textinhalt des codierten Inhalts mit Zusatzinformationen umschließen.

Alternativ kann @value auch mit dem url-scheme "http" oder "https" beginnen.

(atl...gie)

@value

1 … 1

R

Schematron assert

role

error

test

starts-with(@value,'#') or starts-with(@value,'http')

Meldung

The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding 'content'-element, or begin with the 'http' or 'https' url-scheme.

hl7:statusCode

CS

1 … 1

M

(atl...gie)

@code

CONF

1 … 1

F

completed

hl7:effectiveTime

IVL_TS

0 … 1

Medizinisch relevantes Datum und Zeit.

(atl...gie)

hl7:value

BL

1 … 1

M

Codiert, ob der Aspekt der Krankengeschichte für den Patienten zutrifft oder nicht.

(atl...gie)

wo [@xsi:type='BL']

@@ Zeile 5: / Zeile 5: @@
 <br />Alternativ kann @value auch mit dem url-scheme "http" oder "https" beginnen.<br />
 <br />
-<br /></td><td style="background-color: #FFEEEE;"><span title="">(atl...gie)</span></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: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;">@value<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>R</td><td style="vertical-align: top;" colspan="2"></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td rowspan="3" class="stron">Schematron assert</td><td style="background-color: #FFEEEE;">role</td><td colspan="2"> error</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">test</td><td colspan="2">starts-with(@value,'#') or starts-with(@value,'http')</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">Meldung</td><td colspan="2"><span class="pptext">The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding 'content'-element, or begin with the 'http' or 'https' url-scheme.</span></td><td style="background-color: white;"> </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:statusCode<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>CS</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;"><span title="">(atl...gie)</span></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;">@code<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td rowspan="1" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">completed</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:value<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>BL</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>Codiert, ob der Aspekt der Krankengeschichte für den Patienten zutrifft oder nicht.</td><td style="background-color: #FFEEEE;"><span title="">(atl...gie)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"> wo  <i> [@xsi:type='BL']</i></td><td></td></tr></table></td></tr></table>
+<br /></td><td style="background-color: #FFEEEE;"><span title="">(atl...gie)</span></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: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;">@value<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td></td><td><span><strong>1 … 1</strong></span></td><td>R</td><td style="vertical-align: top;" colspan="2"></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td rowspan="3" class="stron">Schematron assert</td><td style="background-color: #FFEEEE;">role</td><td colspan="2"> error</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">test</td><td colspan="2">starts-with(@value,'#') or starts-with(@value,'http')</td><td style="background-color: white;"> </td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td style="background-color: #FFEEEE;">Meldung</td><td colspan="2"><span class="pptext">The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding 'content'-element, or begin with the 'http' or 'https' url-scheme.</span></td><td style="background-color: white;"> </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:statusCode<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>CS</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;"><span title="">(atl...gie)</span></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;">@code<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td rowspan="1" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">completed</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:effectiveTime<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>IVL_TS</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Medizinisch relevantes Datum und Zeit.</td><td style="background-color: #FFEEEE;"><span title="">(atl...gie)</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 style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:value<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>BL</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>Codiert, ob der Aspekt der Krankengeschichte für den Patienten zutrifft oder nicht.</td><td style="background-color: #FFEEEE;"><span title="">(atl...gie)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"> wo  <i> [@xsi:type='BL']</i></td><td></td></tr></table></td></tr></table>
-<!--2e079953d401147ed9fbde1dc75a095b9f948870-->
+<!--4d8add79d5945741b515ee538e3fca705a5e7b12-->

1.2.40.0.34.6.0.11.3.164/static-2021-05-05T101609: Unterschied zwischen den Versionen

Version vom 18. Mai 2021, 06:29 Uhr

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