Emergency Department Medical Record

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Emergency Department Medical Record - Datasets

Concepts Basismodul-Datensatz (v2015.1-b)
Datasets


	true50

Ersteinschätzung

Id aktin-dataelement2015(1)-23 Version 2015-01-15

Status Final Version Label

Inherited from: aktin-dataelement2014(1)-23 as of 2014-01-06 16:43:09

Description

Ergebnis der Ersteinschätzung in einem standardisierten 5-stufigen System

Source

Ansprechpartner: Kulla

Rationale

- Manchester Triage Score oder ESI

Comment

options: 1 = rot 2 = orange 3 = gelb 4 = grün 5 = blau

Terminology Association

Code	Display Name	Codesystem
273887006	Triage index (assessment scale)	SNOMED Clinical Terms

false

Value

Type

Ordinal

Value Set Association

Manchester-Triage-System (Dynamic)

Emergency Severity Index (Dynamic)

Concepts

Level/Type	Concept	Synonyms	Ordinal	Exception	Description	Code	Ordinal	Display Name	Codesystem
-	rot					1 1		Resuscitation - Immediate, life-saving intervention required without delay sofort - rot - 0 Minuten	Emergencyseverityindex Manchestertriagesystem
-	orange					2 2		Emergent - High risk of deterioration, or signs of a time-critical problem sehr dringend - orange - 10 Minuten	Emergencyseverityindex Manchestertriagesystem
-	gelb					3 3		Urgent - Stable, with multiple types of resources needed to investigate or treat (such as lab tests plus X-ray imaging) dringend - gelb - 30 Minuten	Emergencyseverityindex Manchestertriagesystem
-	grün					4 4		Less Urgent - Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures) normal - grün - 90 Minuten	Emergencyseverityindex Manchestertriagesystem
-	blau					5 5		Nonurgent - Stable, with no resources anticipated except oral or topical medications, or prescriptions nicht dringend - blau - 120 Minuten	Emergencyseverityindex Manchestertriagesystem

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false

Usage (3)

Transaction	Cardinality / Conformance	Project
Basis-Modul (v2015.1)	1…1 Required	AKTIN

Template	Path (Card/Conf)	Project
Ersteinschätzung 2015-03-03T00:00:00	hl7:observation (1…1 R) / hl7:value (0…1 M)	AKTIN
Ersteinschätzung 2015-09-18T00:00:00	hl7:observation (1…1 R) / hl7:value (0…1 M)	AKTIN

false

Issues (1)

false

Change Request Status = Closed ( aktin-issue-9 ): Ersteinschätzungssysteme Auswahllisten

Type

Change Request

Status

Change Request Status = Closed

Priority

Normal

Current Labels

(nfa) Notfallärzte

(tech) Techniker/Modellierer

Events

Tracking / Status = Closed	2019-11-15 11:20:44 : Tracking by Dominik Brammen nfa tech
Description	Veraltet

Assignment	2015-07-13 13:47:58 : Assigned To Heike Dewenter by Dr. Dominik Brammen nfa tech
Description	MTS (Manchester Triage System) und ESI (Emergency Severity Index) habe ich weder in LOINC noch SNOMED gefunden. Müsste man die dort in den Standardisierungsprozeß einbringen?

Assignment	2015-07-13 13:38:33 : Assigned To Dr. Kai Heitmann by Dr. Dominik Brammen nfa tech
Description	Können wir gerne machen, 1-5 Stufe 1 ist am kränkesten, Stufe 5 am gesündesten. Diese Kodierung wird sowohl von MTS als auch ESI verwendet.

Tracking / Status = Open	2015-06-20 15:51:54 : Tracking by Dr. Kai Heitmann nfa tech
Description	Da nicht alle Ersteinschätzungssysteme Farben kennen ggf mehrere Auswahllisten hantieren.


	true50
Dataset

Basismodul-Datensatz –

aktin-dataset-2

Version

2015-01-15

Status

Final

Version Label

v2015.1-b

false

Description: Datensatz zum Basismodul

false

Usage (1)

Transaction	Project
Basis-Modul (v2015.1)	AKTIN

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