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Template eWundbericht 2016‑01‑27 14:55:40

Id1.2.276.0.76.3.1.85.200.77.10.47Effective Date2016‑01‑27 14:55:40
Statuscancelled CancelledVersion Labelfehlerhafte Anlage ohne Basistemplate
NameeWundberichtDisplay NameeWundbericht
ContextPathname /
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 6 templates
Uses as NameVersion
1.2.276.0.76.3.1.85.200.77.10.1Includedraft AnamneseDYNAMIC
1.2.276.0.76.10.2001Includeactive CDA recordTargetDYNAMIC
1.2.276.0.76.10.90002Includedraft CDA realmCodeDYNAMIC
1.2.276.0.76.10.90003Includedraft CDA typeIdDYNAMIC
1.2.276.0.76.10.90004Includedraft CDA idDYNAMIC
1.2.276.0.76.10.90006Includedraft CDA effectiveTimeDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.2.6.60.10.1.1 (DYNAMIC)
ItemDTCardConfDescriptionLabel
hl7:ClinicalDocument
1 … 1MeWundotsicht
@classCode
cs0 … 1FDOCCLIN
@moodCode
cs0 … 1FEVN
Included1 … 1M from 1.2.276.0.76.10.90002 CDA realmCode (DYNAMIC)
hl7:realmCode
CS1 … 1MCDArdotsCode
@code
cs1 … 1R
 CONF
@code shall be "DE"
 Example<realmCode code="DE"/>
Included1 … 1M from 1.2.276.0.76.10.90003 CDA typeId (DYNAMIC)
hl7:typeId
II1 … 1MCDAtypeId
@extension
st1 … 1FPOCD_HD000040
@root
uid1 … 1F2.16.840.1.113883.1.3
hl7:templateId
II1 … 1Mde-DE TemplateId Ärztlicher Entlassbrief Version 2015/2015eWundotsicht
@root
uid1 … 1F1.2.276.0.76.10.1013
Included1 … 1M from 1.2.276.0.76.10.90004 CDA id (DYNAMIC)
hl7:id
II1 … 1MCDAid
hl7:code
CE1 … 1MeWundotsicht
@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
hl7:title
ST1 … 1Mde-DE Dokumententitel. Dieses Element enthält den für den lesenden Dokumentempfänger gedachten Titel. Der Dokumententitel soll nicht den Patientennamen oder andere identifizierende Merkmale enthalten.eWundotsicht
Included1 … 1M from 1.2.276.0.76.10.90006 CDA effectiveTime (DYNAMIC)
hl7:effectiveTime
TS.DATETIME.MIN1 … 1MCDAedotsTime
Included0 … * from 1.2.276.0.76.10.2001 CDA recordTarget (DYNAMIC)
hl7:recordTarget
0 … *Headdotsrget
@typeCode
cs0 … 1FRCT
@contextControlCode
cs0 … 1FOP
 Example<recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <!-- ... -->
  </patientRole></recordTarget>
hl7:patientRole
1 … 1Headdotsrget
@classCode
cs0 … 1FPAT
 Example<patientRole classCode="PAT">
  <id extension="186245" root="1.2.276.0.76.3.1.139.3.871"/>  <patient classCode="PSN" determinerCode="INSTANCE">
    <!-- ... -->
  </patient></patientRole>
hl7:id
II1 … *Headdotsrget
 Example<id extension="6245" root="2.16.840.1.113883.3.933"/><id extension="1543627549" root="1.2.276.0.76.4.1"/>
hl7:addr
AD0 … *de-DE Adresse des PatientenHeaddotsrget
 Example<addr use="HP">
  <streetName>Dorfstraße</streetName>  <houseNumber>54</houseNumber>  <postalCode>51371</postalCode>  <city>Leverkusen</city></addr>
hl7:telecom
TEL0 … *de-DE Kontaktdaten des PatientenHeaddotsrget
 Example<telecom use="H" value="tel:+4930140400"/><telecom use="MC" value="tel:+492211234567"/><telecom value="mailto:herberthannes.mustermann@provider.de"/>
hl7:patient
0 … 1Headdotsrget
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
 Example<patient classCode="PSN" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>  <birthTime value="19541223"/></patient>
Included1 … 1M from 1.2.276.0.76.10.90030 Personenname (DYNAMIC)
hl7:name
PN1 … 1Mde-DE Die Reihenfolge der Namensbestandteile soll der typischen Schreibweise entsprechen. Zu beachten ist, dass prefix- und suffix-Elemente mit einem Leerzeichen enden müssen, wenn sie nicht unmittelbar an den folgenden Namensbestandteil anschließen sollen.
Persdotsname
 Example
Dr. med. Sine Johanna Gräfin von Oberberg
<name>
  <prefix qualifier="AC">Dr. med. </prefix>  <given>Sine Johanna</given>  <prefix qualifier="NB">Gräfin </prefix>  <prefix qualifier="VV">von </prefix>  <family>Oberberg</family></name>
 Example
Prof. Dr. med. Dr. rer. nat. Fritz Julius Karl Freiherr von und zu Rathenburg vor der Isar, MdB
<name>
  <prefix qualifier="AC">Prof. Dr. med. Dr. rer. nat. </prefix>  <given>Fritz</given>  <given>Julius</given>  <given>Karl</given>  <prefix qualifier="NB">Freiherr </prefix>  <prefix qualifier="VV">von und zu </prefix>  <family>Rathenburg vor der
Isar</family>  <suffix>, MdB</suffix></name>
hl7:prefix
ENXP0 … *de-DE TitelPersdotsname
where [@qualifier='AC']
@qualifier
set_cs1 … 1FAC
hl7:given
ENXP0 … *de-DE VornamePersdotsname
hl7:prefix
ENXP0 … *de-DE NamenszusatzPersdotsname
where [@qualifier='NB']
@qualifier
set_cs1 … 1FNB
hl7:prefix
ENXP0 … *de-DE VorsatzwortPersdotsname
where [@qualifier='VV']
@qualifier
set_cs1 … 1FVV
hl7:family
ENXP0 … *de-DE NachnamePersdotsname
hl7:suffix
ENXP0 … *de-DE SuffixPersdotsname
hl7:administrativeGenderCode
CE1 … 1Rde-DE Geschlecht (administrativ) des PatientenHeaddotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)
 Example<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
hl7:birthTime
TS.DATE.MIN1 … 1Rde-DE Geburtsdatum des PatientenHeaddotsrget
 Example<birthTime value="19491224"/>
hl7:maritalStatusCode
CE0 … 1de-DE Familienstand des PatientenHeaddotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12212 Marital Status (DYNAMIC)
 Example<maritalStatusCode code="S" displayName="Never Married" codeSystem="2.16.840.1.113883.5.2"/>
hl7:religiousAffiliationCode
CE0 … 1de-DE Religionszugehörigkeit des PatientenHeaddotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19185 Religious Affiliation (DYNAMIC)
 Example<religiousAffiliationCode code="1077" displayName="Protestant" codeSystem="2.16.840.1.113883.5.1076"/>
hl7:raceCode
NPde-DE darf nicht verwendet werdenHeaddotsrget
hl7:ethnicGroupCode
NPde-DE darf nicht verwendet werdenHeaddotsrget
hl7:guardian
0 … *de-DE Vormund/Sachwalter des PatientenHeaddotsrget
hl7:addr
AD0 … 1Headdotsrget
hl7:telecom
TEL0 … *Headdotsrget
Choice1 … 1Elements to choose from:
  • hl7:guardianPerson
  • hl7:guardianOrganization
hl7:guardianPerson
Headdotsrget
hl7:name
PN1 … 1MHeaddotsrget
hl7:guardianOrganization
Headdotsrget
hl7:name
ON1 … 1MHeaddotsrget
hl7:birthplace
0 … 1de-DE Geburtsort des PatientenHeaddotsrget
 Example<birthplace>
  <place>
    <addr>Hamburg</addr>  </place></birthplace>
hl7:place
1 … 1MHeaddotsrget
hl7:addr
AD1 … 1MHeaddotsrget
hl7:languageCommunication
0 … *Headdotsrget
hl7:languageCode
CS0 … 1Headdotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:modeCode
CE0 … 1Headdotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12249 LanguageAbilityMode (DYNAMIC)
hl7:proficiencyLevelCode
CE0 … 1Headdotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12199 LanguageAbilityProficiency (DYNAMIC)
hl7:preferenceInd
BL0 … 1Headdotsrget
Included0 … 1R from 1.2.276.0.76.3.1.85.200.77.10.1 Anamnese (DYNAMIC)
hl7:section
0 … 1RAnamnese
@classCode
cs0 … 1FDOCSECT
@moodCode
cs0 … 1FEVN
hl7:templateId
II1 … 1MAnamnese
@root
uid1 … 1F1.2.276.0.76.3.1.85.200.77.10.1
hl7:templateId
II1 … 1RAnamnese
@root
uid1 … 1F2.16.840.1.113883.10.12.201
hl7:code
CE0 … 1Anamnese
@codeSystemName
st0 … 1FLOINC
@displayName
st0 … 1 
@codeSystem
oid0 … 1F2.16.840.1.113883.6.1
@code
cs0 … 1 
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10871 DocumentSectionType (DYNAMIC)
hl7:title
ST1 … 1RAnamnese
 CONF
element content shall be "Anamnese"
hl7:text
SD.TEXT0 … 1RAnamnese
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.4 Wundbeurteilung (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.6 aktueller Status (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.7 psychosoziale Faktoren (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.8 individuelle Risikofaktoren (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.9 Risikoasssessment (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.10 HygieneAssessment (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.11 Hautassessment (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.12 Details über geheilte Wunden (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.13 gesundheitsrelevantes Patientenverhalten (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.14 körperliche Beeinträchtigungen (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP
hl7:component
0 … 1RContains 1.2.276.0.76.3.1.85.200.77.10.15 psychosoziale Beeinträchtigungen (DYNAMIC)Anamnese
@typeCode
cs0 … 1FCOMP