Änderungen

<table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.2.40.0.34.6.0.11.1.40</td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2020‑04‑15 13:45:50</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;">2019</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">elgainfk_header_DocumentationOfServiceEvent_Infektionsmeldung</td><th style="width: 20em; text-align: left;">Bezeichnung</th><td style="text-align: left;">Documentation Of Service Event - Infektionsmeldung</td></tr><td style="text-align: left;" colspan="4"><table class="treetable" id="templateDescTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Beschreibung</td></tr><tr><td><div>Dokumentation der Gesundheitsdienstleistung. <b>Infektionsdiagnostik</b><br /><br />Mit der Assoziation documentationOf/serviceEvent wird die eigentliche Gesundheitsdienstleistung repräsentiert, die in dem Dokument dokumentiert wird (z.B. eine Koloskopie, Appendektomie, etc.). Dies ist in engem Zusammenhang mit dem Dokumententyp zu sehen, der in ClinicalDocument/code wiedergegeben ist. Mit der documentationOf Beziehung kann die dokumentierte Gesundheitsdienstleistung näher spezifiziert werden. Dies darf natürlich nicht im Widerspruch zum Dokumententyp stehen.<br /><br /><b>↔ Hinweis zum XDS-Mapping:</b><br />Da diese <b>Informationen in die XDS-Metadaten übernommen</b> werden, ergeben sich folgende Implikationen:<br /><ul><li>Es <b>SOLL mindestens eine Gesundheitsdienstleistung</b> als documentationOf/serviceEvent-Element angegeben werden</li><li>Es <b>können beliebig viele</b> weitere Gesundheitsdienstleistungen als weitere documentationOf/serviceEvent-Elemente angegeben werden</li><li>Die serviceEvents sind die einzigen medizinischen Informationen zum Dokument im XDS-Dokumentenregister</li><li>Können daher als <b>Such-/Filterkriterium</b> verwendet werden und scheinen ggf. in den Ergebnissen der Suchabfragen auf</li><li>Die Zeitangaben des <b>ersten </b>documentationOf/serviceEvent-Elements werden in die Dokument-Metadaten übernommen</li><li>Die ServiceEvents stellen eine wertvolle Information zum Suchen und Filtern in den Dokument-Metadaten dar!</li></ul></div></td></tr></table></td><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">Offen (auch andere als die definierten 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 class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt 2 Templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" 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;">1.2.40.0.34.6.0.11.9.15</td><td style="text-align: left;">Inklusion</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Time Interval Information minimal (2020)</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">1.2.40.0.34.6.0.11.1.41</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Performer Header - Laboratory (2020)</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">Adaptation: Template 1.2.40.0.34.6.0.11.1.17 <i>Documentation Of Service Event </i> (2019‑03‑14 15:08:34) <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 style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" 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 class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td><span xmlns="" style="font-family: 'Courier New', Courier, monospace; font-weight: bold;">hl7:documentationOf<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 Gesundheitsdienstleistung.<br /></td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: 'Courier New', Courier, 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">DOC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: 'Courier New', Courier, monospace; font-weight: bold;">hl7:serviceEvent<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></td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><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 New', Courier, 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">ACT</td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><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 New', Courier, monospace; font-weight: bold;">@moodCode<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">EVN</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><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 New', Courier, monospace; font-weight: bold;">hl7:code<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>CE</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>Code der Gesundheitsdienstleistung.<br /><br /><b>↔ Hinweis zum XDS-Mapping:</b><br /> Dieses Element wird ins XDS-Attribut <i>eventCodeList</i> gemappt.<br /></td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</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;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>@code muss "1100" sein</td></tr><tr style="vertical-align: top;"><td>@codeSystem muss "1.2.40.0.34.5.11" sein</td></tr><tr style="vertical-align: top;"><td>oder</td></tr><tr style="vertical-align: top;"><td>@code muss "840544004" sein</td></tr><tr style="vertical-align: top;"><td>@codeSystem muss "2.16.840.1.113883.6.96" sein</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><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 New', Courier, 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>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Zeitraum der Gesundheitsdienstleistung.<br />Die semantische Bedeutung dieser Zeitpunkte wird in den speziellen Implementierungsleitfäden festgelegt.<br /><br /><b>↔ Hinweis zum XDS-Mapping:</b><br /> Dieses Element wird in die XDS-Attribute <i>serviceStartTime</i> und <i>serviceStopTime</i> gemappt.<br />Für die automatisierte Datenübernahme aus dem CDA-Dokument in die XDS-Dokumentmetadaten ist stets ein Zeitintervall anzugeben.<br />ACHTUNG: Die <b>Zeitangaben</b> der jeweils ersten Gesundheitsdienstleistung (erstes documentationOf/serviceEvent-Element) werden in die Dokument-Metadaten übernommen!<br />Die Bedeutung der Dokument-Metadaten-Elemente lautet daher wie folgt:<br /><div><ul><li>serviceStartTime: Beginn des ersten documentationOf/serviceEvent-Elements</li><li>serviceStopTime: Ende des ersten documentationOf/serviceEvent-Elements </li></ul></div></td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Eingefügt</td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td colspan="2"> von 1.2.40.0.34.6.0.11.9.15 <i>Time Interval Information minimal</i> (DYNAMIC)</td></tr><tr class="choice"><td style="font-style: italic;" colspan="2">Auswahl</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td></td><td colspan="2">Elemente in der Auswahl:<ul><li>hl7:low[@value]</li><li>hl7:low[@nullFlavor='UNK']</li></ul></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><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 New', Courier, monospace; font-weight: bold;">hl7:low<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>TS.AT.TZ</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="">(elg...ung)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"> wo <i> [@value]</i></td><td></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><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 New', Courier, monospace; font-weight: bold;">hl7:low<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>TS.AT.TZ</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="">(elg...ung)</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><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><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:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: 'Courier New', Courier, 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 class="choice"><td style="font-style: italic;" colspan="2">Auswahl</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td></td><td colspan="2">Elemente in der Auswahl:<ul><li>hl7:high[@value]</li><li>hl7:high[@nullFlavor='UNK']</li></ul></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><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 New', Courier, monospace; font-weight: bold;">hl7:high<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>TS.AT.TZ</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="">(elg...ung)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"> wo <i> [@value]</i></td><td></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><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 New', Courier, monospace; font-weight: bold;">hl7:high<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong>TS.AT.TZ</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="">(elg...ung)</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><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><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:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><span xmlns="" style="font-family: 'Courier New', Courier, 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 class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><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 New', Courier, monospace; font-weight: bold;">hl7:performer<br xmlns="http://www.w3.org/1999/xhtml" /></span></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Person oder Organisation, die die Gesundheitsdienstleistung durchführt.<br /><b>Verweis auf speziellen Implementierungsleitfaden:</b> Ob und welche durchführende Entität eingetragen werden soll, ergibt sich aus dem jeweiligen speziellen Implementierungsleitfaden.<br /><br />Beinhaltet 1.2.40.0.34.6.0.11.1.41 <i>Performer Header - Laboratory</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</span></td></tr></table></td></tr></table><!--107ef4e67296ed7f55c77aba08a4b806e3e4f67e2a1c62be3a25fc2e79a42e4419ab1b7deb52187d-->