Änderungen

<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&#8203;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 1 Template2 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;">1.2.40.0.34.11.1.3.1</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><tr class="explabel " style="verticaltext-align: topleft;"><td style="width: 20em; 1.2.40.0.34.6.0.11.2.8</td><td style="text-align: left;">BeispielContainment</td><td colspanstyle="3" class="explabelgreentext-align: left;"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" [[File:Kyellow.png|14px]] Übersetzung (2019)</td><td style="backgroundtext-align: transparentleft;">DYNAMIC<tr class="desclabel"/td><td style="height: 1.5em;" class="togglertreetable"/tr><span class="expcaption"/table>Beispiel</spandiv></td></tr><tr/table></td><tt/tr><span tr class="explabel " style="displayvertical-align: blocktop;" class="explrendered"><span classtd style="ppsignwidth: 20em; text-align: left;">&lt;Beispiel</spantd><span td colspan="3" class="ppelementexplabelgreen">section</span><span table class="ppsigntreetable">&gt;</span><br /><span stylewidth="display: block;100%" classborder="explrendered0">  <span classcellspacing="ppsign3" cellpadding=">&lt2" style="background: transparent;</span"><span tr class="ppelementdesclabel">templateId</span> <span td style="height: 1.5em;" class="ppattributetogglertreetable">root</span><span class="ppsignexpcaption">="Beispiel</span><span class="ppcontent"/td>1.2.40.0.34.6.0.11.2.20</spantr><tr><span class="ppsign"td>"</spantt><span classstyle="ppsigndisplay: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">section</span><span class="ppsign">&gt;</span><br /span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">codetemplateId</span> <span class="ppattribute">coderoot</span><span class="ppsign">="</span><span class="ppcontent">29545-1</span>.2.40.0.34.6.0.11.2.20</span><span class="ppsign">"</span> <span class="ppattributeppsign">codeSystem/</span><span class="ppsign">="&gt;</span></span><span style="display: block;" class="ppcontentexplrendered">2.16.840.1.113883.6.1  <span class="ppsign">&lt;</span><span class="ppsignppelement">"code</span> <span class="ppattribute">codeSystemNamecode</span><span class="ppsign">="</span><span class="ppcontent">LOINC29545-1</span><span class="ppsign">"</span> <span class="ppattribute">displayNamecodeSystem</span><span class="ppsign">="</span><span class="ppcontent">Physical findings Narrative2.16.840.1.113883.6.1</span><span class="ppsign">"</span><span class="ppsignppattribute">/codeSystemName</span><span class="ppsign">&gt;</span>="</span><span style="display: block;" class="explrenderedppcontent">  LOINC</span><span class="ppsign">&lt;"</span><span class="ppelementppattribute">titledisplayName</span><span class="ppsign">&gt;="</span><span class="pptextppcontent">Körperliche UntersuchungPhysical findings Narrative</span><span class="ppsign">&lt;/"</span><span class="ppnamespaceppsign"></span><span class="ppelement">title</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span styleclass="color:green">&lt;!-- Textbereich der Sektion --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsignppsign">&lt;</span><span class="ppelement">texttitle</span><span class="ppsign">&gt;</span><span class="pptext"> ... Lesbarer Textbereich ... Körperliche Untersuchung</span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">texttitle</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="explrendered">  <span classstyle="ppsigncolor:green">&lt;!-- Textbereich der Sektion --&gt;<br /span></span class="ppelement">entry</span><span style="display: block;" class="ppsignexplrendered">&gt;  </spanclass="ppsign">&lt;<br /span><span styleclass="display: block;ppelement">    text</span><span styleclass="color:greenppsign">&ltgt;!-- template 1.2.40</span><span class="pptext"> .0.34.11Lesbarer Textbereich .1.3.1 'Eingebettetes Objekt Entry' (2017-05-05T00:00:00) --&gt;<br /></span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">entrytext</span><span class="ppsign">&gt;</span></span><span style="display: block;" class="ppsignexplrendered">&lt;/</span>  <span class="ppnamespaceppsign">&lt;</span><span class="ppelement">sectionentry</span><span class="ppsign">&gt;</span><br /span></ttspan style="display: block;">    </td></tr></table></td></tr><tr style="vertical-alignspan style="color: top;green"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="&lt;!-- template 1.2.40.0" cellspacing=".34.11.1.3" cellpadding="2" style="background.1 'Eingebettetes Objekt Entry' (2017-05-05T00: transparent;"><tr><th style="width00: 30%; text00) --align: left&gt;"<br />Item</thspan><th style/span>  <span class="width: 2em; text-align: left;ppsign">DT&lt;/</thspan><th stylespan class="width: 2em; text-align: left;ppnamespace">Kard</thspan><th stylespan class="width: 2em; text-align: left;ppelement">Konfentry</thspan><th stylespan class="text-align: leftppsign">&gt;"</span>Beschreibung</thspan><th stylespan class="width: 2em; text-align: leftppsign">&lt;">Label</th></trspan><tr stylespan class="vertical-align: top; background-color: #FFEAEA;ppnamespace"><td /span><span class="columnNameppelement">section<table /span><span class="ad-diffblock-horizontal ppsign" cellpadding="1" style="background: transparent>&gt;"><tr><td><tt><strong>hl7:section<br /span></strongspan></tt></td></tr></table></td><td/tr><strong></strong></td><td><span tr style="colorvertical-align: blacktop;"><strong></strong></span></td><td><span stylecolspan="4" class="color: color: black;tabtab"><strong></strong></span></td><td></td><td styletable class="background-color: #FFEEEE;treetable"><span titleid="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;">(elg...ung)</span></td></tr><tr th style="verticalwidth: 30%; text-align: topleft;">Item</th><td th style="backgroundwidth: 2em; text-coloralign: whiteleft;"> DT</tdth><td colspan="5" th style="background-colorwidth: #F4FFF42em;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="backgroundtext-align: transparentleft;">Kard<tr/th><td th style="verticalwidth: 2em; text-align: topleft; width: 20px" rowspan="2">[[File:Target.png|14px]]Konf</tdth></tr><tr xmlns="" th style="backgroundtext-coloralign: #F4FFF4left;">Beschreibung</th><td th style="width: 25%2em; verticaltext-align: topleft;">elgagab-data&#8203;element-204Label</th></tdtr><td tr style="vertical-align: top; background-color: #FFEAEA;" title><td class="Fachlicher Inhalt (Sektionen) / Befunde / columnName">[[File:Kyellow.png|14px]] Körperliche Untersuchung </td><td table class="ad-diffblock-horizontal " cellpadding="1" style="widthbackground: 35%transparent; vertical-align"><tr><td><tt><strong>hl7: top;"section<br /></strong></tt>[[File:Kyellow.png|14px]] Datensatz </td></tr></table></td></trtd><tr strong></strong></td><td><span style="vertical-align: top; background-color: #FFEAEAblack;"><strong></strong></span></td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" td><span style="backgroundcolor: color: transparentblack;"><trstrong></strong></span></td><td></td><td style="verticalbackground-aligncolor: top#FFEEEE;">[[File:Treetree.png|16px]]</td><td><ttspan title="">(elg...ung)<strong>hl7:templateId<br /span></strongtd></tttr></td></tr></table></tdtr style="vertical-align: top;"><td><strong>II</strong></td><td><span style="background-color: blackwhite;"><strong>1 … 1</strong></span> </td><td><span colspan="5" style="background-color: color: black#F4FFF4;" class="tabtab"><strong>M</strong></spantable class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"></td><td>ELGA.</tdtr><td style="backgroundvertical-coloralign: #FFEEEEtop;width: 20px"><span titlerowspan="2">(elg[[File:Target...ung)</span>png|14px]]</td></tr><tr><td xmlns="" style="verticalbackground-aligncolor: top#F4FFF4;" class="columnName">><table class="artdecor" cellpadding="1" td style="backgroundwidth: 25%; vertical-align: transparenttop;">elgagab-data&#8203;element-204<tr/td><td style="vertical-align: top;">[[title="Fachlicher Inhalt (Sektionen) / Befunde / ">[[File:TreeblankKyellow.png|16px14px]] Körperliche Untersuchung </td><td style="width: 35%; vertical-align: top;">[[File:TreetreeKyellow.png|16px14px]] Datensatz </td><td><tt/tr><strong>@root<br /table></strongtd></tttr></tdtr style="vertical-align: top; background-color: #FFEAEA;"></trtd class="columnName"></tableclass="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"></td><td>oid</td><td><span><strong>1 … 1</strong></span></td><td>F</tdtr><td style="vertical-align: top;" colspan="2">1>[[File:Treetree.2.40.0.34.6.0.11.2.20png|16px]]</td><td><tt><strong>hl7:templateId<br /tr></strong></tt></td></tr style="vertical-align: top; background-color: #FFEAEA;"></table></td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"td><strong>II</strong><tr/td><td ><span style="vertical-aligncolor: topblack;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code<br />1 … 1</strong></ttspan></td></tr></table></td><tdspan style="color: color: black;"><strong>CEM</strong></tdspan></td><span td>ELGA.</td><td style="background-color: black#FFEEEE;"><strongspan title="">1 … 1(elg...ung)</strongspan></spantd></tdtr><tdtr><span td style="colorvertical-align: color: blacktop;" class="columnName"><strong>M</strong></span></td><td></td><td table class="artdecor" cellpadding="1" style="background-color: #FFEEEEtransparent;"><span titletr><td style="vertical-align: top;">(elg[[File:Treeblank...ung)png|16px]]</spantd></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank[[File:Treetree.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt>><tt><strong>@coderoot<br /></strong></tt></td></tr></table></td><td rowspan="4" class="conf">CONFoid</td><td><span style="color: black;"><><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td style="vertical-align: top;" colspan="2">29545-1.2.40.0.34.6.0.11.2.20</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:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystemhl7:code<br /></strong></tt></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>FM</strong></span></td><td></td colspan><td style="background-color: #FFEEEE;"><span title="2">2(elg.16.840.1.113883.6.1 (LOINCung)</span></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>@codeSystemNamecode<br /></strong></tt></td></tr></table></td><td><span stylerowspan="color: black;4" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">LOINC29545-1</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>@displayNamecodeSystem<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">Physical findings Narrative</td></2.16.840.1.113883.6.1 (LOINC)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:TreetreeTreeblank.png|16px]]</td><tdstyle="vertical-align: top;"><tt[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:title@codeSystemName<br /></strong></tt></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>MF</strong></strongtd></spantd colspan="2">LOINC</td><td></tdtr><td tr style="backgroundvertical-coloralign: #FFEEEEtop;"><span titletd><table class="artdecor" cellpadding="1" style="background: transparent;">(elg...ung)</span></td></tr><tr td style="vertical-align: top; background-color: #FFEEEE;">[[File:Treeblank.png|16px]]</td><td style="backgroundvertical-coloralign: whitetop;" colspan="1"> [[File:Treetree.png|16px]]</td><td class="conf">CONF<tt><strong>@displayName<br /td><td colspan="4" /strong></tt></td></tr></table></td><td><span style="background-color: whiteblack;"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"strong>1 … 1</strong></span><tr style="vertical-align: top;"/td><td>Elementinhalt muss "Körperliche Untersuchung" sein<strong>F</tdstrong></trtd></tabletd colspan="2">Physical findings Narrative</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:texttitle<br /></strong></tt></td></tr></table></td><td><strong>SD.TEXTST</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>Information für den menschlichen Leser.</td><td style="background-color: #FFEEEE;"><span title="">(elg...ung)</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEAFFEEEE;"><td classstyle="columnNamebackground-color: white;"><table class="ad-diffblock-horizontal " cellpaddingcolspan="1" style> </td><td class="background: transparent;conf">CONF<tr/td><td colspan="4" style="verticalbackground-aligncolor: topwhite;">[[File<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background:Treetree.png|16px]]</tdtransparent;"><td><tt><strong>hl7tr style="vertical-align:entry<br /top;"></strong></tttd>Elementinhalt muss "Körperliche Untersuchung" sein</td></tr></table></td><td><strong></strongtr></td>tr style="vertical-align: top; background-color: #FFEAEA;"><tdclass="columnName"><span table class="ad-diffblock-horizontal " cellpadding="1" style="colorbackground: blacktransparent;"><strongtr>0 … *</strongtd style="vertical-align: top;">[[File:Treetree.png|16px]]</spantd></td><tdtt><span style="colorstrong>hl7: color: black;">text<strongbr /></strong></spantt></td></tr></table></td><td>Beinhaltet 1.2.40.0.34.11.1.3.1 <istrong>Eingebettetes Objekt EntrySD.TEXT</istrong> (DYNAMIC)</td><td ><span style="background-colorcolor: #FFEEEEblack;"><span title=""strong>1 … 1</strong>(elg...ung)</span></td></trtd><tr span style="vertical-aligncolor: top; background-color: #FFEAEAblack;"><td colspan="5" strong>M</strong></span></td><td>Information für den menschlichen Leser.</td><td style="background-color: #FFEAEAFFEEEE;"><table classspan title="artdecor" cellpadding="1" style="background: transparent;">(elg...ung)</span></td></tr><td tr style="vertical-align: top; background-color: #FFEAEA;">[[File:Treeblank.png|16px]]</tdclass="columnName"><td> wo <i> [hl7table class="ad-diffblock-horizontal " cellpadding="1" style="background:observationMedia]</itransparent;"></td></tr></table></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 1.2.40.0.34.11.1.3.1 <i>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:component<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>Optionale Subsections zur Angabe von Übersetzungen des Elements<br /><br />Beinhaltet 1.2.40.0.34.6.0.11.2.8 <i>Übersetzung</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:section]</i></td></tr></table></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:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></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">COMP</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><tt><strong>@context&#8203;Conduction&#8203;Ind<br /></strong></tt></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">true</td></tr></table></td></tr></table>