Änderungen

<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;">1.2.40.0.34.10.48</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2014‑09‑04</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kgreen.png|14px]] Definitiv</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;">2.8</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">ELGA_SectionsEntlassungAerztl</td><th style="width: 20em; text-align: left;">Bezeichnung</th><td style="text-align: left;">ELGA_SectionsEntlassungAerztl</td></tr><tr class="headinglabel"><th style="vertical-align: top; text-align: left;">2 Quell-Codesysteme</th><td colspan="3" class="tabtab"><div style="width: 100%; margin: 4px 0px; background-color: #fff;">2.16.840.1.113883.6.1 - <i>Logical Observation Identifier Names and Codes</i> - FHIR: <i>http://loinc.org</i></div><div style="width: 100%; margin: 4px 0px; background-color: #eee;">1.2.40.0.34.5.40 - FHIR: <i>urn:oid:1.2.40.0.34.5.40</i></div></td></tr><tr><td colspan="4" class="tabtab"><table width="100%" border="0" cellspacing="0" cellpadding="5" id="transactionTable" class="artdecor treetable" style="background: transparent;"><tr style="background-color: #F6F3EE;"><th style="text-align: left;">Level/ Typ</th><th style="width: 100px; text-align: left;">Code</th><th style="text-align: left;">Bezeichnung</th><th style="width: 200px; text-align: left;">Codesystem</th></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">10160-0</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">History of medication use Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">10164-2</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">History of present illness Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">10183-2</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Hospital discharge medications Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">11348-0</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">History of past illness Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">11493-4</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Hospital discharge studies summary Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">11535-2</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Hospital discharge Dx Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">18610-6</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Medication administered Set</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">18776-5</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Plan of treatment (narrative)</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">29554-3</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Procedure Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">38212-7</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Pain assessment panel</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">42346-7</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Medications on admission (narrative)</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">42348-3</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Advance directives (narrative)</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">42349-1</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Reason for referral (narrative)</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">47420-5</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Functional status assessment note</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">48765-2</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Allergies and adverse reactions Document</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">51898-5</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Risk factors Document</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">56447-6</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Plan of care note</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">8648-8</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Hospital course Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">8650-4</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Hospital discharge disposition Narrative</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">8716-3</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Vital signs</div></td><td style="vertical-align: top;">Logical Observation Identifier Names and Codes</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">ABBEM</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Abschließende Bemerkungen</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">ANM</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Anmerkungen</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">BEFAUS</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Ausstehende Befunde</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">BEFBEI</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Beigelegte erhobene Befunde</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">BEFERH</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Auszüge aus erhobenen Befunden</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">BEIL</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Beilagen</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">BRIEFT</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Brieftext</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFATM</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Atmung</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFAUS</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Ausscheidung</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFDIAG</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Pflege- und Betreuungsdiagnosen</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFERN</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Ernährung</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFHAUT</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Hautzustand</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFKLEI</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Körperpflege und Kleiden</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFKOMM</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Kommunikation</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFMED</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Medikamentenverabreichung</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFMOB</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Mobilität</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFORIE</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Orientierung und Bewusstseinslage</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFROLL</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Rollenwahrnehmung und Sinnfindung</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFSCHL</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Schlafen</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">PFSOZV</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Soziales Verhalten</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">RES</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Hilfsmittel und Ressourcen</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td style="vertical-align: top;">0‑L</td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">TERMIN</div></td><td style="vertical-align: top;" class="columnName"><div style="padding-left: 0px;">Termine, Kontrollen, Wiederbestellung</div></td><td style="vertical-align: top;">1.2.40.0.34.5.40</td></tr><tr><td colspan="4"><hr /></td></tr></table></td></tr><tr class="desclabel"><td colspan="4">Legende: Typ L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavor OTH (other) schlägt Text in originalText vor. HL7 V3: NullFlavors werden im @nullFlavor Attribut statt in @code angegeben. NullFlavor OTH (other) schlägt Text in originalText vor.</td></tr></table><!--efe68f21881b19e2a37b561d8f86c7c2b890ca9ace273cd9b93a06657c5bf5fc3e21fb11325f1d4c-->