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| Id | 1.2.40.0.34.6.0.11.3.194 | Gültigkeit ab | 2026‑07‑17 11:18:10 |
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| Status |  Entwurf | Versions-Label | 1.0.0 |
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| Name | patho_entry_ProblemOrganizer | Bezeichnung | Problem Organizer |
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| Beschreibung | Template CDA Organizer (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF) |
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| Kontext | Elternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.3.194 |
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| Label | atpatho_entry_ProblemOrganizer
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| Klassifikation | CDA Entry Level Template |
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| Offen/Geschlossen | Geschlossen (nur definierte Elemente sind erlaubt) |
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| Benutzt | | Benutzt 7 Templates | | Benutzt | als | Name | Version |
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| 1.2.40.0.34.6.0.11.9.24 | Containment |  Performer - Laboratory (1.0.0+20211213) | DYNAMIC | | 1.2.40.0.34.6.0.11.9.69 | Inklusion | X Specimen Identified (1.0.0) | DYNAMIC | | 1.2.40.0.34.6.0.11.3.197 | Containment | Komplexe Bewertung Entry | DYNAMIC | | 1.2.40.0.34.6.0.11.3.27 | Containment | Laboratory Observation (2.0.1) | 2023‑06‑01 13:58:20 | | 1.2.40.0.34.6.0.11.3.167 | Containment | Laboratory Isolate Organizer (1.0.1) | DYNAMIC | | 1.2.40.0.34.6.0.11.3.196 | Containment | Embedded Image | DYNAMIC | | 1.2.40.0.34.6.0.11.3.17 | Containment | Comment Entry - Single Author / Informant (1.0.0+20230717) | DYNAMIC |
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| Beziehung | Adaptation: Template 2.16.840.1.113883.10.12.305 CDA Organizer (2005‑09‑07) ref ad1bbr- |
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| Beispiel | | Beispiel | <organizer classCode="BATTERY" moodCode="EVN">
<templateId root="1.2.40.0.34.6.0.11.3.194"/> <id root="1.2.3.999" extension="--example only--"/> <code displayName="displayName" codeSystemName="LOINC" code="75326-9" codeSystem="2.16.840.1.113883.6.1"/> <statusCode code="completed"/> <effectiveTime>
<low value="20260914151422"/> </effectiveTime> <performer>
<!-- template 1.2.40.0.34.6.0.11.9.24 'Performer - Laboratory' (2021-04-08T11:49:48) -->
</performer> <!-- include template 1.2.40.0.34.6.0.11.9.69 'X Specimen Identified' (dynamic) 0..* R -->
<component typeCode="COMP">
<observation>
<code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem"/> <value/> </observation> </component> <component typeCode="COMP" contextConductionInd="true">
<!-- template 1.2.40.0.34.6.0.11.3.197 'Komplexe Bewertung Entry' (2026-08-03T11:52:41) -->
</component> <component typeCode="COMP" contextConductionInd="true">
<!-- template 1.2.40.0.34.6.0.11.3.27 'Laboratory Observation' (2023-06-01T13:58:20) -->
</component> <component typeCode="COMP" contextConductionInd="true">
<!-- template 1.2.40.0.34.6.0.11.3.167 'Laboratory Isolate Organizer' (2023-06-01T13:39:19) -->
</component> <component typeCode="COMP" contextConductionInd="true">
<!-- template 1.2.40.0.34.6.0.11.3.196 'Embedded Image' (2026-07-17T12:13:05) -->
</component> <component typeCode="COMP" contextConductionInd="true">
<!-- template 1.2.40.0.34.6.0.11.3.17 'Comment Entry - Single Author / Informant' (2023-04-03T13:50:56) -->
</component></organizer> |
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| Item | DT | Kard | Konf | Beschreibung | Label |
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| | 0 … * | R |  Problem organizer groups the observations and images investigating a single problem related to one or more specimens | atpa...izer |  | @classCode
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| cs | 1 … 1 | F | BATTERY | | @moodCode
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| cs | 1 … 1 | F | EVN | | hl7:templateId
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| II | 1 … 1 | M | | atpa...izer |  | | @root
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| uid | 1 … 1 | F | 1.2.40.0.34.6.0.11.3.194 | | hl7:id
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| II | 0 … * | R | | atpa...izer | | hl7:code
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| CD (erforderlich) | 0 … 1 | R | Problem
| atpa...izer | | | @displayName
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| st | 0 … 1 | | | | | @codeSystemName
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| st | 1 … 1 | F | LOINC | | | @code
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| CONF | 1 … 1 | F | 75326-9 | | | @codeSystem
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| 1 … 1 | F | 2.16.840.1.113883.6.1 (LOINC) | | hl7:statusCode
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| CS (erforderlich) | 1 … 1 | M |
The status of the organizer is " completed" if the battery of observations for this problem has been performed. It is " aborted" in case some of the intended observations could not be achieve and have been aborted, and appear as such below the organizer. | atpa...izer | | | @code
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| CONF | 1 … 1 | F | completed | | hl7:effectiveTime
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| IVL_TS | 1 … 1 | M | Organizer time.
The period of time (possibly reduced to a point in time) during which the information was collected and assembled.
| atpa...izer | | hl7:performer
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| | 0 … 1 | R |
Wurde der Befund nur von einem Institut erstellt, MUSS dieses in "/ClinicalDocument/documentationOf[1]/serviceEvent/performer" dokumentiert werden.
Sind mehrere Labors an der Erstellung beteiligt, MUSS das Labor im "structuredBody" entweder auf "entry" -Ebene oder im Rahmen eines "organizer" -Elementes oder direkt bei der Analyse ( "observation" -Element) angegeben werden. Angaben in tieferen Ebenen (z.B. "observation"-Ebene) überschreiben solche auf höheren Ebenen (z.B. "organizer"-Ebene).
Für den Fall, dass Analysen von einem externen Labor durchgeführt wurden, MUSS assignedEntity/code mit @code="E", @codeSystem="2.16.840.1.113883.2.16.1.4.9", @codeSystemName="HL7.at.Laborkennzeichnung" und @displayName="EXTERN" angegeben werden.
Beinhaltet 1.2.40.0.34.6.0.11.9.24 Performer - Laboratory (DYNAMIC) | atpa...izer | | Eingefügt | 0 … * | R | von 1.2.40.0.34.6.0.11.9.69 X Specimen Identified (DYNAMIC)
Specimen identification outside an AP observation for differentiating or restituting the problem type
Source: PaLM Suppl. APSR 2.0-3: 6.3.6.9
| | hl7:specimen
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| | 0 … * | R | Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR. | atpa...fied | | | @typeCode
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| cs | 0 … 1 | F | SPC | | | hl7:specimenRole
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| | 1 … 1 | M | | atpa...fied | | cs | 0 … 1 | F | SPEC | | II | 1 … 1 | R | Specimen ID, coming from the LIS | atpa...fied | | hl7:component
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| | 0 … 1 | C | Codierung des Problems | atpa...izer | | | @typeCode
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| cs | 1 … 1 | F | COMP | | | Constraint | Die Codierung des Problems ist empfohlen. Im Fall von negativen Befunden kann sie allerdings entfallen. | | | hl7:observation
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| | 1 … 1 | M | | atpa...izer | | CD (extensible) | 1 … 1 | M | | atpa...izer | | CONF | 1 … 1 | F | 75326-9 | | 1 … 1 | F | 2.16.840.1.113883.6.1 (LOINC) | | 1 … 1 | F | LOINC | | 1 … 1 | F | Problem | | CE (extensible) | 1 … 1 | M |
Codierung des Problems
TODO Value-Set erstellen
| atpa...izer | | hl7:component
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| | 0 … * | R | Any kind of AP observation, for complex observations, e.g. for TNM, ICD-O-3, or Assessment scales, the appropriate templates may be used.
Source: PaLM Suppl. APSR 2.0-3: 6.3.6.7
Beinhaltet 1.2.40.0.34.6.0.11.3.197 Komplexe Bewertung Entry (DYNAMIC) | atpa...izer | | | @typeCode
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| cs | 1 … 1 | F | COMP | | | @contextConductionInd
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| bl | 1 … 1 | F | true | | hl7:component
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| | 0 … 1 | | Laboratory observation
Beinhaltet 1.2.40.0.34.6.0.11.3.27 Laboratory Observation (2023‑06‑01 13:58:20) | atpa...izer | | | @typeCode
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| cs | 1 … 1 | F | COMP | | | @contextConductionInd
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| bl | 1 … 1 | F | true | | hl7:component
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| | 0 … 1 | | Strukturierte Dokumentation von Antibiogrammen
Beinhaltet 1.2.40.0.34.6.0.11.3.167 Laboratory Isolate Organizer (DYNAMIC) | atpa...izer | | | @typeCode
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| cs | 1 … 1 | F | COMP | | | @contextConductionInd
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| bl | 1 … 1 | F | true | | hl7:component
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| | 0 … * | R | Embedded image
This organizer may carry an image focusing on the problem, either directly embedded or encapsulated within a region of interest.
Beinhaltet 1.2.40.0.34.6.0.11.3.196 Embedded Image (DYNAMIC) | atpa...izer | | | @typeCode
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| cs | 1 … 1 | F | COMP | | | @contextConductionInd
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| bl | 1 … 1 | F | true | | hl7:component
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| | 0 … * | R |
General comment on this particular problem
Source: PCC TF-2: 6.3.4.6
Beinhaltet 1.2.40.0.34.6.0.11.3.17 Comment Entry - Single Author / Informant (DYNAMIC) | atpa...izer | | | @typeCode
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| cs | 1 … 1 | F | COMP | | | @contextConductionInd
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| bl | 1 … 1 | F | true |
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Entwurf
