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;">1.2.40.0.34.6.0.11.1.39</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2023‑11‑30 08:12:34<div>Andere Versionen mit dieser Id:<ul><li>[[File:Kblank.png|14px]] atcdabbr_header_RecordTargetDeIdentified vom 2021‑02‑19 11:22:28</li><li>[[File:Kblank.png|14px]] atcdabbr_header_RecordTargetDeIdentified vom 2020‑03‑31 10:49:11</li></ul></div></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png|14px]] Entwurf</td><th style="width: 20em; text-align: left;">Versions-Label</th><td style="text-align: left;">1.0.1</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">atcdabbr_header_RecordTargetDeIdentified</td><th style="width: 20em; text-align: left;">Bezeichnung</th><td style="text-align: left;">Record Target de-identified</td></tr><tr style="vertical-align: top;"><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><p>Das RecordTarget-Element enthält den " <bstrong>Patienten</bstrong> ", wobei die Identifikationsmerkmale der Person zur Anonymisierung oder Pseudonymisierung entfallen können. <br /> Die Person, die von einem Gesundheitsdiensteanbieter (Arzt, einer Ärztin oder einem Angehörigen anderer Heilberufe) im Rahmen der medizinischen Versorgung oder Forschung behandelt und über die bzw. über deren Gesundheitsdaten im Dokument berichtet wird. <br /> <br /></p></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Header 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;">Assoziiert mit</th><td style="text-align: left;" colspan="3"><table id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" class="artdecor treetable" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Assoziiert mit 13 Konzepte</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;">Id</th><th style="width: 60%; text-align: left;">Name</th><th style="width: 20%; text-align: left;">Datensatz</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-100</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] Sprachfähigkeit </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-101</td><td style="vertical-align: top;" title="Headerelemente / Patient / Sprachfähigkeit / ">[[File:Kyellow.png|14px]] Sprache </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-102</td><td style="vertical-align: top;" title="Headerelemente / Patient / Sprachfähigkeit / ">[[File:Kyellow.png|14px]] Grad der Sprachkenntnis </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-103</td><td style="vertical-align: top;" title="Headerelemente / Patient / Sprachfähigkeit / ">[[File:Kyellow.png|14px]] Sprachpräferenz </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-191</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] Todesdatum </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-192</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] Verstorben-Kennzeichen </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-64</td><td style="vertical-align: top;" title="Headerelemente / ">[[File:Kyellow.png|14px]] Patient </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-65</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] LokaleID </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-74</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] Geschlecht </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-75</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] Geburtsdatum </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-76</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] Geburtsort </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-98</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] Familienstand </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">at-cda-bbr-data&#8203;element-99</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] Religionsbekenntnis </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr></table></div></td></tr></table></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 2 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;">1.2.40.0.34.6.0.11.9.10</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Address Compilation Minimal (1.0.2+20230717)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.9.25</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Address Compilation (1.0.1+20230717)</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Beziehung</th><td style="text-align: left;" colspan="3">Spezialisierung: Template 1.2.40.0.34.6.0.11.1.39 <i>Record Target de-identified </i> (2021‑02‑19 11:22:28) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">at-cda-bbr-</div></span><br />Version: Template 1.2.40.0.34.6.0.11.1.39 <i>Record Target de-identified </i> (2020‑03‑31 10:49:11) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">at-cda-bbr-</div></span><br />Adaptation: Template 1.2.40.0.34.6.0.11.1.3 <i>Record Target </i> (2019‑02‑20 12:10:02) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">at-cda-bbr-</div></span></td></tr><tr class="explabel " style="vertical-align: top;"><th class="" style="width: 20em; text-align: left;">Beispiel</th><td colspan="3" class="explabelgreen"><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"><span class="expcaption">Beispiel</span></td></tr><tr><td><span style="font-family: Courier, 'Courier New', monospace; "><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">recordTarget</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">RCT</span><span class="ppsign">"</span> <span class="ppattribute">contextControlCode</span><span class="ppsign">="</span><span class="ppcontent">OP</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">patientRole</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">PAT</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">nullFlavor</span><span class="ppsign">="</span><span class="ppcontent">MSK</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">patientRole</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">recordTarget</span><span class="ppsign">&gt;</span></span></span></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><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">hl7:recordTarget<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td>Komponente für die Patientendaten.</td><td style="background-color: #FFEEEE;"><span title="">(atc...ied)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table width="100%" border="0" cellspacing="2" cellpadding="2" class="artdecor " style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="2">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">at-cda-bbr-data&#8203;element-64</td><td style="vertical-align: top;" title="Headerelemente / ">[[File:Kyellow.png|14px]] Patient </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr></table></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:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@typeCode<br xmlns="http://www.w3.org/1999/xhtml" /></span></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">RCT</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:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@context&#8203;Control&#8203;Code<br xmlns="http://www.w3.org/1999/xhtml" /></span></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 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:patientRole<br xmlns="http://www.w3.org/1999/xhtml" /></span></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>M</strong></span></td><td>Patientendaten. <br /></td><td style="background-color: #FFEEEE;"><span title="">(atc...ied)</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:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: Courier, 'Courier New', monospace; font-weight: bold;">@classCode<br xmlns="http://www.w3.org/1999/xhtml" /></span></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">PAT</td></tr><tr class="choice"><td style="font-style: italic;" colspan="2">Auswahl</td><td><span style="color: black;"><strong>1 … *</strong></span></td><td></td><td colspan="2">Elemente in der Auswahl:<ul><li>hl7:id[not(@nullFlavor)]</li><li>hl7:id[@nullFlavor='MSK']</li><li>hl7:id[@nullFlavor='UNK']</li></ul></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: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;">hl7:id<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Anonymisierte oder pseudonymisierte Patientenidentifikatoren. Anhand dieser Identifikatoren DARF ein direkter Rückschluss auf die tatsächliche Identität der Person NICHT möglich sein. </td><td style="background-color: #FFEEEE;"><span title="">(atc...ied)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"> wo <i> [not(@nullFlavor)]</i></td><td></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table width="100%" border="0" cellspacing="2" cellpadding="2" class="artdecor " style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="2">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">at-cda-bbr-data&#8203;element-65</td><td style="vertical-align: top;" title="Headerelemente / Patient / ">[[File:Kyellow.png|14px]] LokaleID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] Dataset A Allgemeiner Leitfaden </td></tr></table></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: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;">hl7:id<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(atc...ied)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"> wo <i> [@nullFlavor='MSK']</i></td><td></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: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;">@nullFlavor<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">MSK</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: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;">hl7:id<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(atc...ied)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"> wo <i> [@nullFlavor='UNK']</i></td><td></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: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;">@nullFlavor<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">UNK</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: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;">hl7:patient<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(atc...ied)</span></td></tr><tr class="choice"><td style="font-style: italic;" colspan="2">Auswahl</td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td></td><td colspan="2"><div><div><div>Das "administrative Geschlecht" ist das soziale oder gesellschaftliche Geschlecht ("Gender"). Das administrative Geschlecht ist daher grundsätzlich getrennt von den biologischen Merkmalen der Person zu sehen. Grundsätzlich soll das administrative Geschlecht dem im Zentralen Melderegister (ZMR) eingetragenen Geschlecht