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Template Dienstleistung/Behandlung (Trauma) 2017‑04‑20

Id	1.2.276.0.76.10.2042	Effective Date	2017‑04‑20
Status	Draft	Version Label
Name	CDADocumentationOfTrauma	Display Name	Dienstleistung/Behandlung (Trauma)
Classification	CDA Header Level Template
Open/Closed	Open (other than defined elements are allowed)
Associated with	Associated with 8 concepts Id Name Data Set aktin-dataelement2016(1)-469   Unterschrift Traumaleader   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-12   Schockraumteam   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-591   Notaufnahmeteam: MTRA   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-590   Notaufnahmeteam: sonstiges Teammitglied   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-589   Notaufnahmeteam: Notaufnahmepersonal   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-588   Notaufnahmeteam: Radiologie   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-587   Notaufnahmeteam: Chirurgie   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-586   Notaufnahmeteam: Anästhesie   Traumamodul-Datensatz v2015.1-t
Used by / Uses	Used by 1 transaction and 1 template, Uses 0 templates Used by as Name Version 2.16.840.1.113883.2.6.60.3.4.11 Transaction Dokument Trauma-Modul (v2016) 2016‑11‑01 1.2.276.0.76.10.1021 Include Trauma Summary CDA document (v1) 2016‑11‑01
Relationship	Adaptation: template 1.2.276.0.76.10.2027 CDA encompassingEncounter Patientenkontakt (2014‑08‑25) ref hl7de-
Example	Example <documentationOf typeCode="DOC">   <serviceEvent classCode="ACT" moodCode="EVN">     <performer typeCode="PRF">       <functionCode code="LA18712-2" displayName="Primary patient caregiver-at scene" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>      <assignedEntity classCode="ASSIGNED">         <id nullFlavor="NA"/>        <assignedPerson>           <name>Dr. No T. Fall</name>        </assignedPerson>      </assignedEntity>    </performer>    <performer typeCode="SPRF">       <functionCode code="ANAE" codeSystem="1.2.276.0.76.5.86" displayName="Anästhesist"/>      <assignedEntity classCode="ASSIGNED">         <id nullFlavor="NA"/>        <assignedPerson>           <name>Dr. Anasthesia Narkos</name>        </assignedPerson>      </assignedEntity>    </performer>    <performer typeCode="SPRF">       <functionCode code="CHIR" codeSystem="1.2.276.0.76.5.86" displayName="Chirurg"/>      <assignedEntity classCode="ASSIGNED">         <id nullFlavor="NA"/>        <assignedPerson>           <name>Dr. B. Schnitt</name>        </assignedPerson>      </assignedEntity>    </performer>  </serviceEvent></documentationOf>
Expand AllCollapse All Item DT Card Conf Description Label hl7:documentationOf CDADauma @typeCode cs 1 … 1 F DOC hl7:serviceEvent 1 … 1 R CDADauma @classCode cs 1 … 1 F ACT @moodCode cs 1 … 1 F EVN hl7:performer 0 … 1 R CDADauma where [@typeCode='PRF']   aktin-dataelement2016(1)-469   Unterschrift Traumaleader   Traumamodul-Datensatz v2015.1-t @typeCode cs 1 … 1 F PRF hl7:functionCode CE 1 … 1 M CDADauma @code CONF 1 … 1 F LA18712-2 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 hl7:assignedEntity 1 … 1 M CDADauma @classCode cs 1 … 1 F ASSIGNED   Example <assignedEntity classCode="ASSIGNED">   <id nullFlavor="NA"/>  <assignedPerson>     <name>Dr. No T. Fall</name>  </assignedPerson></assignedEntity> hl7:id II 1 … 1 R CDADauma @nullFlavor cs 1 … 1 F NA hl7:assignedPerson 1 … 1 R CDADauma hl7:name PN 1 … 1 R Name CDADauma hl7:performer 0 … * R CDADauma where [@typeCode='SPRF']   aktin-dataelement2016(1)-12   Schockraumteam   Traumamodul-Datensatz v2015.1-t @typeCode cs 1 … 1 F SPRF   Example <performer typeCode="SPRF">   <assignedEntity>     <id nullFlavor="NA"/>    <functionCode code="ANAE" codeSystem="1.2.276.0.76.5.86" displayName="Anästhesist"/>    <assignedPerson>       <name>Dr. Anasthesia Narkos</name>    </assignedPerson>  </assignedEntity></performer> hl7:functionCode CE 1 … 1 M CDADauma   CONF The value of @code shall be drawn from value set 1.2.276.0.76.11.86 Notaufnahmeteam (DYNAMIC) hl7:assignedEntity 1 … 1 M CDADauma @classCode cs 1 … 1 F ASSIGNED hl7:id II 1 … 1 R CDADauma @nullFlavor cs 1 … 1 F NA hl7:assignedPerson 1 … 1 R CDADauma hl7:name PN 1 … 1 R Name CDADauma   aktin-dataelement2016(1)-591   Notaufnahmeteam: MTRA   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-590   Notaufnahmeteam: sonstiges Teammitglied   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-589   Notaufnahmeteam: Notaufnahmepersonal   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-588   Notaufnahmeteam: Radiologie   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-587   Notaufnahmeteam: Chirurgie   Traumamodul-Datensatz v2015.1-t aktin-dataelement2016(1)-586   Notaufnahmeteam: Anästhesie   Traumamodul-Datensatz v2015.1-t