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Template Glasgow Coma Scale 2014‑09‑16

Id1.2.276.0.76.10.4034
ref
aktin-
Effective Date2014‑09‑16
Statusactive ActiveVersion Label
NameGlasgowComaScaleDisplay NameGlasgow Coma Scale
DescriptionGlasgow Coma Scale (GCS)
ContextParent nodes of template element with id 1.2.276.0.76.10.4034
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 10 concepts
IdNameData Set
cdachresp-dataelement-108draft GCS draft  1
cdachresp-dataelement-109draft Gesamtscore draft  1
cdachresp-dataelement-110draft Augenöffnung draft  1
cdachresp-dataelement-111draft verbale Kommunikation draft  1
cdachresp-dataelement-112draft motorische Reaktion draft  1
cdachresp-dataelement-457draft GCS draft  1
cdachresp-dataelement-458draft Gesamtscore draft  1
cdachresp-dataelement-459draft Augenöffnung draft  1
cdachresp-dataelement-460draft verbale Kommunikation draft  1
cdachresp-dataelement-461draft motorische Reaktion draft  1
Used by / Uses
Used by 3 transactions and 7 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
2.16.840.1.113883.2.6.60.3.4.9Transactionfinal de-DE Dokument Basis-Modul (v2015.2)2016‑06‑01
1.2.276.0.76.10.1015linkactive Emergency medicine Note CDA document (v1)2014‑09‑18
1.2.276.0.76.10.1019linkactive Emergency medicine Note CDA document (v2)2016‑06‑01
1.2.276.0.76.10.3044Containmentactive Vitalparameter2014‑09‑16
1.2.276.0.76.10.3044Containmentactive Vitalparameter2015‑09‑18
1.2.276.0.76.10.4101Containmentdraft Vital Sign Observations Organizer2017‑02‑01
2.16.756.5.30.1.1.10.3.14Containmentpending Findings (2017)2017‑09‑08 10:23:39
2.16.756.5.30.1.1.10.3.15Containmentpending Handover (2017)2017‑09‑08 10:23:39
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4034"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="98c1eb7e-dc2d-4d1f-806a-2ad65eba0351"/>  <code code="9269-2" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score total"/>  <statusCode code="completed"/>  <effectiveTime value="20141019"/>  <value xsi:type="PQ" value="9" unit="{score}"/>  <entryRelationship typeCode="COMP" contextConductionInd="true">
    <observation classCode="OBS" moodCode="EVN">
      <code code="9267-6" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score eye opening"/>      <statusCode code="completed"/>      <value xsi:type="PQ" value="4" unit="{score}"/>    </observation>  </entryRelationship>  <entryRelationship typeCode="COMP" contextConductionInd="true">
    <observation classCode="OBS" moodCode="EVN">
      <code code="9270-0" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score verbal"/>      <statusCode code="completed"/>      <value xsi:type="PQ" value="3" unit="{score}"/>    </observation>  </entryRelationship>  <entryRelationship typeCode="COMP" contextConductionInd="true">
    <observation classCode="OBS" moodCode="EVN">
      <code code="9268-4" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score motor"/>      <statusCode code="completed"/>      <value xsi:type="PQ" value="2" unit="{score}"/>    </observation>  </entryRelationship></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
Glasdotscale
 
target
cdachresp-dataelement-108draft GCS draft  1
cdachresp-dataelement-457draft GCS draft  1
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1MGlasdotscale
@root
uid1 … 1F1.2.276.0.76.10.4034
hl7:id
0 … 1RGlasdotscale
hl7:code
CE1 … 1MGlasdotscale
@code
CONF1 … 1F9269-2
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:text
ED0 … 1de-DE Lediglich reference in den Text der zugehörigen SectionGlasdotscale
hl7:reference
URL1 … 1Glasdotscale
hl7:statusCode
CS1 … 1MGlasdotscale
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
TS0 … 1RGlasdotscale
hl7:value
PQ1 … 1RGlasdotscale
 
target
cdachresp-dataelement-109draft Gesamtscore draft  1
cdachresp-dataelement-458draft Gesamtscore draft  1
@value
1 … 1Rde-DE Score
@unit
cs1 … 1F{score}
 CONF
minInclude low boundary is "3"
-and-
maxInclude high boundary is "15"
hl7:entryRelationship
0 … 1CGlasdotscale
where [hl7:observation/hl7:code/@code='9267-6']
@typeCode
cs1 … 1FCOMP
@contextConductionInd
bl1 … 1Ftrue
hl7:observation
1 … 1MGlasdotscale
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:code
CE1 … 1MGlasdotscale
@code
CONF1 … 1F9267-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:statusCode
CS1 … 1MGlasdotscale
@code
CONF1 … 1Fcompleted
hl7:value
PQ1 … 1RGlasdotscale
 
target
cdachresp-dataelement-110draft Augenöffnung draft  1
cdachresp-dataelement-459draft Augenöffnung draft  1
@value
1 … 1Rde-DE Score
@unit
cs1 … 1F{score}
 CONF
minInclude low boundary is "1"
-and-
maxInclude high boundary is "4"
hl7:entryRelationship
0 … 1CGlasdotscale
where [hl7:observation/hl7:code/@code='9270-0']
@typeCode
cs1 … 1FCOMP
@contextConductionInd
bl1 … 1Ftrue
hl7:observation
1 … 1MGlasdotscale
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:code
CE1 … 1MGlasdotscale
@code
CONF1 … 1F9270-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:statusCode
CS1 … 1MGlasdotscale
@code
CONF1 … 1Fcompleted
hl7:value
PQ1 … 1RGlasdotscale
 
target
cdachresp-dataelement-111draft verbale Kommunikation draft  1
cdachresp-dataelement-460draft verbale Kommunikation draft  1
@value
1 … 1Rde-DE Score
@unit
cs1 … 1F{score}
 CONF
minInclude low boundary is "1"
-and-
maxInclude high boundary is "5"
hl7:entryRelationship
0 … 1CGlasdotscale
where [hl7:observation/hl7:code/@code='9268-4']
@typeCode
cs1 … 1FCOMP
@contextConductionInd
bl1 … 1Ftrue
hl7:observation
1 … 1MGlasdotscale
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:code
CE1 … 1MGlasdotscale
@code
CONF1 … 1F9268-4
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:statusCode
CS1 … 1MGlasdotscale
@code
CONF1 … 1Fcompleted
hl7:value
PQ1 … 1RGlasdotscale
 
target
cdachresp-dataelement-112draft motorische Reaktion draft  1
cdachresp-dataelement-461draft motorische Reaktion draft  1
@value
1 … 1Rde-DE Score
@unit
cs1 … 1F{score}
 CONF
minInclude low boundary is "1"
-and-
maxInclude high boundary is "6"