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Template Klinische Basisinformationen 2016‑08‑02

Id1.2.276.0.76.10.3047Effective Date2016‑08‑02
Statusactive ActiveVersion Label
NameClinicalInformationDisplay NameKlinische Basisinformationen
DescriptionClinical Information Section
ContextParent nodes of template element with id 1.2.276.0.76.10.3047
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 2 concepts
IdNameData Set
aktin-dataelement2015(1)-10016final de-DE Klinische Basisdaten Patient final de-DE Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-10016final de-DE Klinische Basisdaten Patient final de-DE Basismodul-Datensatz v2015.2-b
Used by / Uses
Used by 1 transaction and 1 template, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.2.6.60.3.4.9Transactionfinal de-DE Dokument Basis-Modul (v2015.2)2016‑06‑01
1.2.276.0.76.10.1019Containmentactive Emergency medicine Note CDA document (v2)2016‑06‑01
Uses as NameVersion
1.2.276.0.76.10.4043Containmentactive Status SchwangerschaftDYNAMIC
1.2.276.0.76.10.4044Containmentactive Immunisierung Clostridium tetaniDYNAMIC
1.2.276.0.76.10.4045Containmentactive Modified Rankin ScaleDYNAMIC
1.2.276.0.76.10.4072Containmentactive Problem Concern Act (Multidrug-resistant organism)2017‑03‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-
Example
Example
<section classCode="DOCSECT">
  <templateId root="1.2.276.0.76.10.3047"/>  <code code="55752-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical information"/>  <title>Klinische Basisinformationen</title>  <text>
    <list>
      <item>Schwanger: nein</item>      <item>Tetanusschutz: ja</item>      <item>Rankin Skala Score: 1</item>    </list>
    <caption>Multiresistente Keime:</caption>    <list>
      <item ID="mdro-1">MRSA</item>      <item ID="mdro-2">Verdacht auf 4MRGN</item>    </list>
  </text>
  <entry>
    <!-- .. -->
  </entry>
</section>
ItemDTCardConfDescriptionLabel
hl7:section
Clindotstion
 
target
aktin-dataelement2015(1)-10016final de-DE Klinische Basisdaten Patient final de-DE Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-10016final de-DE Klinische Basisdaten Patient final de-DE Basismodul-Datensatz v2015.2-b
@classCode
cs0 … 1FDOCSECT
hl7:templateId
II1 … 1Clindotstion
@root
uid1 … 1F1.2.276.0.76.10.3047
hl7:code
CD1 … 1MClindotstion
@code
CONF1 … 1F55752-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:title
ST1 … 1MClindotstion
 CONF
element content shall be "Klinische Basisinformationen"
hl7:text
SD.TEXT1 … 1MClindotstion
hl7:entry
0 … 1CContains 1.2.276.0.76.10.4043 Status Schwangerschaft (DYNAMIC)Clindotstion
@typeCode
cs1 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
hl7:entry
0 … 1RContains 1.2.276.0.76.10.4044 Immunisierung Clostridium tetani (DYNAMIC)Clindotstion
@typeCode
cs1 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
hl7:entry
0 … 1RContains 1.2.276.0.76.10.4045 Modified Rankin Scale (DYNAMIC)Clindotstion
@typeCode
cs1 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
hl7:entry
0 … 1RContains 1.2.276.0.76.10.4072 Problem Concern Act (Multidrug-resistant organism) (2017‑03‑01)Clindotstion
@typeCode
cs1 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue