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<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;">1.2.40.0.34.6.0.11.2.20 <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">elgagab-</div></span></td><th style="width: 20em; text-align: left;">Gültigkeit</th><td style="text-align: left;">2018‑10‑31 12:39:08</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;">elgagab_section_KoerperlicheUntersuchung</td><th style="width: 20em; text-align: left;">Anzeigename</th><td style="text-align: left;">Körperliche Untersuchung</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>Die körperliche Untersuchung ist die unmittelbare Untersuchung eines Patienten mit den Sinnen des Arztes und einfachen Hilfsmitteln (z.B. Stethoskop). Es ist eine orientierende und grobe Untersuchung des gesamten Körpers beziehungsweise seiner Organsysteme. Meist wird nach dem sogenannten IPPAF-Schema vorgegangen (Inspektion, Palpation, Perkussion, Auskultation, Funktionsprüfung)<br /> <br />Gutes Beispiel: "Temperatur 38°C"<br /> <br />Synonyme: Ganzkörperuntersuchung<br /> <br />Code: 29545-1 "Physical findings Narrative"</div></td></tr></table></td><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Kontext</th><td style="text-align: left;" colspan="3">Elternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.2.20</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Klassifikation</th><td style="text-align: left;" colspan="3">CDA Section 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;">Assoziiert mit</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Assoziiert mit 1 Konzept</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;">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%;">elgagab-data​element-204</td><td style="vertical-align: top;" title="Fachlicher Inhalt (Sektionen) / Befunde / ">[[File:Kyellow.png|14px]] Körperliche Untersuchung </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] Datensatz </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 class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Benutzt 2 Templates1 Template</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;">1.2.40.0.34.11.1.3.1</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Eingebettetes Objekt Entry</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><trclass="explabel " style="vertical-align: top;"><td style="width: 20em; text-align: left;">1.2.40.0.34.11.1.3.3Beispiel</td><td stylecolspan="3" class="text-align: left;explabelgreen">Containment</td><td styletable class="text-align: left;treetable" width="100%" border="0" cellspacing="3" cellpadding="2">[[File:Kyellow.png|14px]] Vitalparameter Gruppe Entry</td><td style="text-alignbackground: lefttransparent;">DYNAMIC</tdtr class="desclabel"></trtd style="height: 1.5em;" class="togglertreetable"></tablespan class="expcaption">Beispiel</divspan></td></tr></tabletr></td></trtt><tr class="explabel " span style="vertical-align: topdisplay: block;" class="explrendered"><td stylespan class="width: 20em; text-align: left;ppsign">Beispiel<</tdspan><td colspan="3" span class="explabelgreenppelement">section</span><table span class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2ppsign" >></span><br /><span style="backgrounddisplay: transparentblock;"><tr class="desclabelexplrendered"> <td stylespan class="height: 1.5emppsign"><" </span><span class="togglertreetableppelement">templateId</span><span class="expcaptionppattribute">Beispielroot</span></tdspan class="ppsign">="</tr><tr><td><ttspan><span styleclass="display: block;" class="explrenderedppcontent">1.2.40.0.34.11.14.2.12</span><span class="ppsign"><"</span><span class="ppelementppsign">section/</span><span class="ppsign">></span><br /span><span style="display: block;" class="explrendered"> <span classstyle="ppsigncolor:green"><!-- Code der Sektion --><br /></span></span><span style="display: block;" class="ppelementexplrendered">templateId</span> <span class="ppattributeppsign">root<</span><span class="ppsignppelement">="code</span><span class="ppcontentppattribute">1.2.40.0.34.11.14.2.12code</span><span class="ppsign">="</span><span class="ppsignppcontent">/29545-1</span><span class="ppsign">>"</span><span class="ppattribute">codeSystem</span><span styleclass="display: block;ppsign"> ="</span style><span class="color:greenppcontent"><!-- Code der Sektion -->2.16.840.1.113883.6.1<br /span></spanclass="ppsign">"</span><span styleclass="display: block;" class="explrendered"ppattribute"> <span class="ppsign"><codeSystemName</span><span class="ppelementppsign">code="</span> <span class="ppattributeppcontent">codeLOINC</span><span class="ppsign">="</span><span class="ppcontentppsign">29545-1/</span><span class="ppsign">"></span> <span class="ppattribute">codeSystem</span><span classstyle="ppsigndisplay: block;">class="</spanexplrendered"> <span class="ppcontentppsign">2.16.840.1.113883.6.1<</span><span class="ppsignppelement">"title</span> <span class="ppattributeppsign">codeSystemName></span><span class="ppsignpptext">="Körperliche Untersuchung</span><span class="ppcontentppsign">LOINC</</span><span class="ppsignppnamespace">"</span><span class="ppsignppelement">/title</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span classstyle="ppsigncolor:green"><!-- Textbereich der Sektion --><br /span></span class="ppelement">title</span><span classstyle="ppsign"display: block;" class="explrendered"> <span class="ppsign">>lt;</span><span class="pptextppelement">Körperliche Untersuchungtext</span><span class="ppsign"><gt;/</span><span class="ppnamespacepptext">... Lesbarer Textbereich ... </span><span class="ppelementppsign">title</</span><span class="ppsignppnamespace">></span></spanclass="ppelement">text</span style="display: block;"> <span styleclass="color:greenppsign"><!-- Textbereich der Sektion --><br /></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">textentry</span><span class="ppsign">></span><br /><span classstyle="pptextdisplay: block;"> ... Lesbarer Textbereich ... </span><span classstyle="ppsigncolor:green"></</span><span class="ppnamespace"></span!-- template 1.2.40.0.34.11.1.3.1 'Eingebettetes Objekt Entry' (2017-05-05T00:00:00) --><br /></span class="ppelement">text</span> <span class="ppsign">>lt;/</span><span class="ppnamespace"></span><span styleclass="ppelement">entry</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">entry</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.2.40.0.34.11.1.3.1 3 'Eingebettetes Objekt Vitalparameter Gruppe Entry' (20172011-0512-05T0019T00:00:00) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">entry</span><span class="ppsign">></span></span><span styleclass="display: blockppsign"><" class="explrendered"/</span> <span class="ppsignppnamespace"><</span><span class="ppelement">entrysection</span><span class="ppsign">></span><br /span><span style="display: block;"/tt> <span style="color:green"/td></tr><!-- template 1.2.40.0.34.11.1.3.3 'Vitalparameter Gruppe Entry' (2011-12-19T00:00:00) --><br /table></spantd></spantr> <span classtr style="ppsignvertical-align: top;"></</span><span classtd colspan="ppnamespace4"></span><span class="ppelementtabtab">entry</span><span table class="ppsigntreetable">></span></span><span classid="transactionTable" width="ppsign100%"></</span><span classborder="ppnamespace0"></span><span classcellspacing="ppelement3">section</span><span classcellpadding="2" style="ppsignbackground: transparent;">></spantr></spanth style="width: 30%; text-align: left;">Item</ttth></td></trth style="width: 2em; text-align: left;">DT</tableth></tdth style="width: 2em; text-align: left;">Kard</trth><tr th style="verticalwidth: 2em; text-align: topleft;">Konf<td colspan/th><th style="4text-align: left;" class>Beschreibung</th><th style="tabtabwidth: 2em; text-align: left;">Label<table class/th></tr><tr style="treetablevertical-align: top; background-color: #FFEAEA;" id><td class="transactionTablecolumnName" width><table class="100%" border="0" cellspacing="3ad-diffblock-horizontal " cellpadding="21" style="background: transparent;"><tr><th style="widthtd><tt><strong>hl7: 30%; text-align: left;"section<br /></strong>Item</thtt><th style="width: 2em; text-align: left;"/td>DT</thtr><th style="width: 2em; text-align: left;"/table></td><td><strong></strong>Kard</thtd><td><th span style="widthcolor: 2em; text-align: leftblack;">Konf</thstrong><th style="text-align: left;"/strong></span>Beschreibung</thtd><td><th span style="widthcolor: 2em; text-aligncolor: leftblack;">Label<strong></strong></thspan></trtd><tr style=td></td><td style="vertical-align: top; background-color: #FFEAEAFFEEEE;"><td classspan title="columnName">(elg...ung)</span></td><table class/tr><tr style="advertical-diffblock-horizontal " cellpadding="1align: top;" ><td style="background-color: transparentwhite;"> <tr/td><tdcolspan="5" style="background-color: #F4FFF4;" class="tabtab"><tt><strong>hl7table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background:section<br /transparent;"></strong></tttr></tdstyle="vertical-align: top; width: 20px" rowspan="2"></tr></table>[[File:Target.png|14px]]</td><td><strong></strongtr></td><td><span styletr xmlns="" style="background-color: black#F4FFF4;"><strong></strong></spantd style="width: 25%; vertical-align: top;">elgagab-data​element-204</td><td><span style="color: colorvertical-align: blacktop;"><strong><title="Fachlicher Inhalt (Sektionen) /strong><Befunde /span></td><td">[[File:Kyellow.png|14px]] Körperliche Untersuchung </td><td style="background-colorwidth: #FFEEEE35%; vertical-align: top;">[[File:Kyellow.png|14px]] Datensatz </td><span title=""/tr>(elg...ung)</spantable></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td styleclass="background-color: white;columnName"> </td><td colspantable class="ad-diffblock-horizontal " cellpadding="51" style="background-color: #F4FFF4transparent;" class="tabtab"><table classtr><td style="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparentvertical-align: top;">[[File:Treetree.png|16px]]<tr/td><td style="vertical-align><tt><strong>hl7: top; width: 20px" rowspan="2"templateId<br /></strong></tt>[[File:Target.png|14px]]</td></tr><tr xmlns="" /table></td><td><strong>II</strong></td><td><span style="background-color: #F4FFF4black;"><strong>1 … 1</strong></span></td><td ><span style="widthcolor: 25%; vertical-aligncolor: topblack;">elgagab-data​element-204<strong>M</strong></span></td><td>ELGA.</td><td style="verticalbackground-aligncolor: top#FFEEEE;" ><span title="Fachlicher Inhalt ">(Sektionenelg...ung) </ Befunde span></ "td>[[File:Kyellow.png|14px]] Körperliche Untersuchung </tdtr><tr><td style="width: 35%; vertical-align: top;" class="columnName">[[File<table class="artdecor" cellpadding="1" style="background:Kyellow.png|14px]] Datensatz </tdtransparent;"></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background[[File: transparent;">Treeblank.png|16px]]<tr/td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId@root<br /></strong></tt></td></tr></table></td><td>oid<strong>II</strong><//td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><span td style="colorvertical-align: color: blacktop;" colspan="2"><strong>M</strong>1.2.40.0.34.6.0.11.2.20</span></td><td>ELGA.</tdtr><td tr style="vertical-align: top; background-color: #FFEEEEFFEAEA;"><span titletd class="columnName">(elg...ung)</span></td></tr><tr><td styletable class="verticalad-diffblock-align: top;" class="columnName"><table class="artdecorhorizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:TreeblankTreetree.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><<tt><strong>@roothl7:code<br /></strong></tt></td></tr></table></td><td>oid<strong>CE</strong></td><td><spanstyle="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td span style="vertical-aligncolor: color: topblack;" colspan="2">1.2.40.0.34.6.0.11.2.20<strong>M</strong></span></td><td></trtd><tr td style="vertical-align: top; backgroundbackground-color: #FFEAEAFFEEEE;"><span title="">(elg...ung)</span></td class></tr><tr style="columnNamevertical-align: top;"><td><table class="ad-diffblock-horizontal "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><tt><strong>hl7:@code<br /></strong></tt></td></tr></table></td><tdrowspan="4" class="conf">CONF<strong>CE</strong></td/td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>MF</strong></spantd></tdcolspan="2">29545-1</td></tdtr><td tr style="backgroundvertical-coloralign: #FFEEEEtop;"><span title="">(elg...ung)</span></td></tr><tr style="vertical-align: top;"><td>td><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><tt><strong>@codecodeSystem<br /></strong></tt></td></tr></table></td><td rowspan><span style="4" class="conf">CONF</td><td><span style="color: color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">29545-2.16.840.1.113883.6.1(LOINC)</td></tr><tr style="vertical-align: top;"><td><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><tt><strong>@codeSystemcodeSystemName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">2.16.840.1.113883.6.1 (LOINC)</td>LOINC</td></tr><tr style="vertical-align: top;"><td><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><tt><strong>@codeSystemNamedisplayName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">LOINCPhysical findings Narrative</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><tdclass="columnName"><table class="artdecorad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:TreeblankTreetree.png|16px]]</td><td style="vertical-align: top;">[[File<tt><strong>hl7:Treetree.png|16px]]title<br /td><td/strong></tt><strong/td>@displayName<br /tr></strongtable></tttd></td></trstrong>ST</tablestrong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>Fspan style="color: color: black;"><strong>M</strong></tdspan></td colspan="2">Physical findings Narrative</td></trtd><tr td style="vertical-align: top; background-color: #FFEAEAFFEEEE;"><td classspan title="columnName">(elg...ung)<table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"/span></td></tr><td tr style="vertical-align: top; background-color: #FFEEEE;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7style="background-color:title<br /white;" colspan="1"> </strongtd></tttd class="conf">CONF</td></tr></table></td><td><strong>ST</strong></td><td><span colspan="4" style="background-color: blackwhite;"><strong>1 … 1</strong></spantable class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"></td><td><span tr style="colorvertical-align: color: blacktop;"><strong>M</strong></spantd>Elementinhalt muss "Körperliche Untersuchung" sein</td><td></td><td style="background-color: #FFEEEE;"tr><span title="">(elg...ung)</spantable></td></tr><tr style="vertical-align: top; background-color: #FFEEEEFFEAEA;"><td styleclass="backgroundcolumnName"><table class="ad-diffblock-color: white;horizontal " colspancellpadding="1"> </td><td classstyle="confbackground: transparent;">CONF</tdtr><td colspan="4" style="backgroundvertical-coloralign: whitetop;"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background[[File: transparent;"Treetree.png|16px]]</td><tr style="vertical-aligntd><tt><strong>hl7: top;"text<br /></strong><td/tt>Elementinhalt muss "Körperliche Untersuchung" sein</td></tr></table></td><td><strong>SD.TEXT</trstrong><tr style="vertical-align: top; background-color: #FFEAEA;">/td><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" span style="backgroundcolor: transparentblack;"><trstrong>1 … 1<td style="vertical-align: top;"/strong></span>[[File:Treetree.png|16px]]</td><td><ttspan style="color: color: black;"><strong>hl7:text<br />M</strong></ttspan></td></tr></tabletd>Information für den menschlichen Leser.</td><tdstyle="background-color: #FFEEEE;"><strongspan title="">SD(elg...TEXTung)</strongspan></td><td/tr><span tr style="vertical-align: top; background-color: black#FFEAEA;"><strong>1 … 1</strong></span></tdclass="columnName"><td><span table class="ad-diffblock-horizontal " cellpadding="1" style="colorbackground: color: blacktransparent;"><strongtr>M</strongtd style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entry<br /span></tdstrong><td/tt>Information für den menschlichen Leser.</td><td style="background-color: #FFEEEE;"/tr></table></td><td><span title=""strong>(elg...ung)</spanstrong></td></trtd><tr span style="vertical-aligncolor: top; background-color: #FFEAEAblack;"><td class="columnName"strong>0 … *</strong><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"/span><tr/td><td ><span style="vertical-aligncolor: color: topblack;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entry<br /></strong></tt></td></tr></tablespan></td><td>Beinhaltet 1.2.40.0.34.11.1.3.1 <strongi>Eingebettetes Objekt Entry</strongi>(DYNAMIC)</td><td><span style="background-color: black#FFEEEE;"><strong>0 … *</strongspan title="">(elg...ung)</span></td><td/tr><span tr style="colorvertical-align: top; background-color: black#FFEAEA;"><strong></strong></span></tdcolspan="5" style="background-color: #FFEAEA;"><td>Beinhaltet table class="artdecor" cellpadding="1.2.40.0.34.11.1.3.1 <i" style="background: transparent;">Eingebettetes Objekt Entry</i> (DYNAMIC)</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;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo <i> [hl7:observationMedia]</i></td></tr></table></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:Treetree.png|16px]]</td><td><tt><strong>hl7:entry<br /></strong></tt></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></strong></span></td><td>Beinhaltet 1.2.40.0.34.11.1.3.3 <i>Vitalparameter Gruppe Entry</i> (DYNAMIC)</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;"><table class="artdecor" cellpadding="1" style="background: transparent;"><trtr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> wo <i> [hl7:organizer [hl7:code [(@code = '46680005' and @codeSystem = '2.16.840.1.113883.6.96')]]observationMedia]</i></td></tr></table></td><td></td></tr></table></td></tr></table>
