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Template Problem Observation (Multidrug-resistant organism) 2015‑09‑18

Id1.2.276.0.76.10.4073Effective Date2015‑09‑18
Statusactive ActiveVersion Label
NameProblemobservationMDRODisplay NameProblem Observation (Multidrug-resistant organism)
Descriptionde-DE Besiedlung mit multiresistenten Keimen
ContextParent nodes of template element with id 1.2.276.0.76.10.4073
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 4 concepts
IdNameData Set
aktin-dataelement2015(1)-806final de-DE multiresistenter Erreger Ja/Nein/Verdacht final de-DE Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(1)-807final de-DE Erregertyp final de-DE Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-806final de-DE multiresistenter Erreger Ja/Nein/Verdacht final de-DE Basismodul-Datensatz v2015.2-b
aktin-dataelement2015(2)-807final de-DE Erregertyp final de-DE Basismodul-Datensatz v2015.2-b
Used by / Uses
Used by 2 transactions and 3 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.2.6.60.3.4.5Transactionfinal de-DE Basis-Modul (v2015.1)2015‑01‑15
2.16.840.1.113883.2.6.60.3.4.7Transactiondeprecated de-DE Basis-Modul (v2015.2)2015‑10‑31
1.2.276.0.76.10.1015linkactive Emergency medicine Note CDA document (v1)2014‑09‑18
1.2.276.0.76.10.3047linkactive Klinische Basisinformationen2015‑01‑10
1.2.276.0.76.10.4072Containmentactive Problem Concern Act (Multidrug-resistant organism)2015‑06‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 2.16.840.1.113883.10.20.22.4.4 (DYNAMIC)
Example
MRSA
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4073"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="3564b7c0-2111-43f2-a784-9a5fdfaa67f2"/>  <code code="COND" codeSystem="2.16.840.1.113883.5.4" displayName="Condition"/>  <text>
    <reference value="#mdro-1"/>  </text>  <statusCode code="completed"/>  <effectiveTime>
    <low value="20150304"/>  </effectiveTime>  <value xsi:type="CD" code="PB" codeSystem="1.2.276.0.76.3.1.195.5.51" displayName="path. Befund">
    <qualifier>
      <name code="IBB" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="in Bezug auf Befund"/>      <value code="BACP" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="Bakterienbesiedelung"/>    </qualifier>    <qualifier>
      <name code="URAG" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="Auslösendes Agenz"/>      <value code="MRSA" codeSystem="1.2.276.0.76.5.441" displayName="MRSA"/>    </qualifier>  </value></observation>
Example
Keine multiresistenten Keime
<observation classCode="OBS" moodCode="EVN" negationInd="true">
  <templateId root="1.2.276.0.76.10.4073"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4464b7c0-2111-43f2-a784-9a5fdfaa67f7"/>  <code code="COND" codeSystem="2.16.840.1.113883.5.4" displayName="Condition"/>  <text>
    <reference value="#mdro-1"/>  </text>  <statusCode code="completed"/>  <effectiveTime>
    <low value="20150304"/>  </effectiveTime>  <value xsi:type="CD" code="PB" codeSystem="1.2.276.0.76.3.1.195.5.51" displayName="path. Befund">
    <qualifier>
      <name code="IBB" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="in Bezug auf Befund"/>      <value code="BACP" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="Bakterienbesiedelung"/>    </qualifier>    <qualifier>
      <name code="URAG" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="Auslösendes Agenz"/>      <value code="AMRO" codeSystem="1.2.276.0.76.5.441" displayName="Multiresistenter Keim"/>    </qualifier>  </value></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
1 … 1ProbdotsMDRO
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1ProbdotsMDRO
@root
uid1 … 1F1.2.276.0.76.10.4073
hl7:id
II1 … *MProbdotsMDRO
hl7:code
CE1 … 1MProbdotsMDRO
@code
CONF1 … 1FCOND
@codeSystem
1 … 1F2.16.840.1.113883.5.4
hl7:text
ED0 … 1de-DE Textform, enthält hier lediglich reference in den Text der SectionProbdotsMDRO
hl7:reference
URL1 … 1ProbdotsMDRO
hl7:statusCode
CS1 … 1MProbdotsMDRO
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1Rde-DE effectiveTime wird auch als "biologisch relevante Zeit" bezeichnet und ist der Zeitpunkt oder Zeitraum, für den die Beobachtung für den Patienten gilt.ProbdotsMDRO
hl7:low
TS1 … 1RProbdotsMDRO
hl7:high
TS0 … 1RProbdotsMDRO
hl7:value
CD1 … 1Rde-DE Multiresistenter Keim Ja/Nein/VerdachtProbdotsMDRO
 
target
aktin-dataelement2015(1)-806final de-DE multiresistenter Erreger Ja/Nein/Verdacht final de-DE Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-806final de-DE multiresistenter Erreger Ja/Nein/Verdacht final de-DE Basismodul-Datensatz v2015.2-b
 CONF
The value of @code shall be drawn from value set 1.2.276.0.76.11.51 Finding situation (DYNAMIC)
 Example
MRSA
<value xsi:type="CD" code="PB" codeSystem="1.2.276.0.76.3.1.195.5.51" displayName="path. Befund">
  <qualifier>
    <name code="IBB" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="in Bezug auf Befund"/>    <value code="BACP" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="Bakterienbesiedelung"/>  </qualifier>  <qualifier>
    <name code="URAG" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="Auslösendes Agenz"/>    <value code="MRSA" codeSystem="1.2.276.0.76.5.441" displayName="MRSA"/>  </qualifier></value>
 Example
Verdacht auf 4MRGN
<value xsi:type="CD" code="SUSP" codeSystem="1.2.276.0.76.3.1.195.5.51" displayName="Verdacht">
  <qualifier>
    <name code="IBB" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="in Bezug auf Befund"/>    <value code="BACP" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="Bakterienbesiedelung"/>  </qualifier>  <qualifier>
    <name code="URAG" codeSystem="1.2.276.0.76.3.1.195.5.1" displayName="Auslösendes Agenz"/>    <value code="4MRGN" codeSystem="1.2.276.0.76.5.441" displayName="gramnegative Stäbchen, die gegen alle vier Gruppen resistent sind"/>  </qualifier></value>
hl7:qualifier
1 … 1MProbdotsMDRO
where [hl7:name/@code='IBB']
hl7:name
CV1 … 1MProbdotsMDRO
@code
CONF1 … 1FIBB
@codeSystem
1 … 1F1.2.276.0.76.3.1.195.5.1
hl7:value
CV1 … 1MProbdotsMDRO
@code
CONF1 … 1FBACP
@codeSystem
1 … 1F1.2.276.0.76.3.1.195.5.1
hl7:qualifier
1 … 1MProbdotsMDRO
where [hl7:name/@code='URAG']
hl7:name
CV1 … 1MProbdotsMDRO
@code
CONF1 … 1FURAG
@codeSystem
1 … 1F1.2.276.0.76.3.1.195.5.1
hl7:value
CV1 … 1RProbdotsMDRO
 
target
aktin-dataelement2015(1)-807final de-DE Erregertyp final de-DE Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-807final de-DE Erregertyp final de-DE Basismodul-Datensatz v2015.2-b
 CONF
The value of @code shall be drawn from value set 1.2.276.0.76.11.60 Multiresistant Organisms (Carrier) (DYNAMIC)
 Variable letNameseq 
 Value//hl7:observation [hl7:templateId/@root = '1.2.276.0.76.10.4073']/hl7:value/hl7:qualifier [hl7:name/@code = 'URAG']/hl7:value 
 Schematron assertrolered error 
 testempty($seq[count(index-of($seq/@code|$seq/@nullFlavor,./@code|./@nullFlavor)) > 1]) 
 MessageNur eine Angabe pro Erreger bei multiresistenten Keimen