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Template Handover 2017‑09‑08 10:23:39

Id2.16.756.5.30.1.1.10.3.15Effective Date2017‑09‑08 10:23:39
Statuspending Under pre-publication reviewVersion Label2017
NameHandoverSectionDisplay NameHandover
DescriptionHandover Section
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.3.15
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 1 concept
IdNameData Set
cdachresp-dataelement-22draft Übergabe draft  1
Used by / Uses
Used by 1 transaction and 1 template, Uses 4 templates
Used by as NameVersion
2.16.756.5.30.1.127.77.5.4.12Transactiondraft Emergency Service Protocol (2017)2017‑01‑25 22:10:05
2.16.756.5.30.1.1.10.1.2Containmentpending EmergencyMedicalServiceProtocol (2017)2017‑06‑13 17:19:29
Uses as NameVersion
1.2.276.0.76.10.4034Containmentactive Glasgow Coma ScaleDYNAMIC
1.2.276.0.76.10.4167Containmentdraft Injury Severity ObservationDYNAMIC
2.16.756.5.30.1.1.10.4.65Containmentpending Patient Condition Change (2017)DYNAMIC
2.16.756.5.30.1.1.10.4.66Containmentpending Patient Status Priority (2017)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.15"/>  <code code="1100011" codeSystem="2.16.756.5.30.1.143.5.1" displayName="Übergabe" codeSystemName="IVR Codesystem RESP"/>  <title>Übergabe</title>  <text>
    <paragraph>Schmerz 4 </paragraph>    <table>
      <tbody>
        <tr>
          <th>GCS</th>        </tr>        <tr>
          <td ID="gcs2">15(4/5/6) um 13.03</td>        </tr>        <tr>
          <th>NACA</th>        </tr>        <tr>
          <td ID="naca">NACA: III</td>        </tr>        <tr>
          <th>Zustand</th>        </tr>        <tr>
          <td ID="statusdischarge">der Zustand des Patienten hat sich im Verlauf des
Einsatzes verbessert </td>        </tr>      </tbody>    </table>    <paragraph> Übergabe an USZ Wertsachenbeutel mit Portemonaie,
Handy, Uhr, Schlüssel, Bargel sowie Wertsachenverzeichnis
</paragraph>  </text>  <entry>
    <!-- cdachresp-dataelement-108 GCS -->
    <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="9B19B61B-B0B9-49C9-85C7-15B25D1B26D9"/>      <code code="9269-2" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score total"/>      <text>
        <reference value="#gcs1"/>      </text>      <statusCode code="completed"/>      <effectiveTime value="20161210120300.0000+0100"/>      <!-- cdachresp-dataelement-109 -->
      <value xsi:type="PQ" value="15" 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"/>          <!-- cdachresp-dataelement-110 -->
          <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"/>          <!-- cdachresp-dataelement-111 -->
          <value xsi:type="PQ" value="5" 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"/>          <!-- cdachresp-dataelement-112 -->
          <value xsi:type="PQ" value="6" unit="{score}"/>        </observation>      </entryRelationship>    </observation>  </entry>  <entry>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.2.276.0.76.10.4167"/>      <code code="X-NACA" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="NACA Score"/>      <statusCode code="completed"/>      <value xsi:type="CE" code="III" codeSystem="1.2.276.0.76.5.82"/>    </observation>  </entry>  <entry>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.65"/>      <code code="75527-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital status at discharge"/>      <text>
        <reference value="#statusdischarge"/>      </text>      <statusCode code="completed"/>      <value xsi:type="CD" code="385425000" codeSystem="2.16.840.1.113883.6.96" displayName="Improved"/>    </observation>  </entry></section>
ItemDTCardConfDescriptionLabel
hl7:section
Handdotstion
 
target
cdachresp-dataelement-22draft Übergabe draft  1
@classCode
cs0 … 1FDOCSECT
@moodCode
cs0 … 1FEVN
hl7:templateId
II1 … 1MHanddotstion
@root
uid1 … 1F2.16.756.5.30.1.1.10.3.15
hl7:code
CE1 … 1MHanddotstion
@code
CONF1 … 1F1100011
@codeSystem
1 … 1F2.16.756.5.30.1.143.5.1
@codeSystemName
1 … 1FIVR Codesystem RESP
@displayName
1 … 1FÜbergabe
hl7:title
ST1 … 1M Fixed human readable title of this section.
  • [ge]: 'Übergabe'
  • [fr]: 'TODO'
  • [it]: 'TODO'
  • [en]: 'TODO'
The German title must read 'Übergabe'		Handdotstion
hl7:text
SD.TEXT1 … 1MHuman readable text of this section.Handdotstion
hl7:entry
0 … 1Contains 2.16.756.5.30.1.1.10.4.66 Patient Status Priority (DYNAMIC)Handdotstion
hl7:entry
0 … 1Contains 2.16.756.5.30.1.1.10.4.65 Patient Condition Change (DYNAMIC)Handdotstion
hl7:entry
0 … 1Contains 1.2.276.0.76.10.4167 Injury Severity Observation (DYNAMIC)Handdotstion
hl7:entry
0 … 1Contains 1.2.276.0.76.10.4034 Glasgow Coma Scale (DYNAMIC)Handdotstion