Level/Type | Code | Display Name | | | | Codesystem | | | | Description |
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0-L | 371537001 | Consent report (record artifact) preferred: Consentement du patient preferred: Consenso del paziente preferred: Patient Consent | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371538006 | Advance directive report (record artifact) preferred: Patientenverfügung preferred: Directives anticipées du patient preferred: Direttive anticipate del paziente preferred: Advance directive report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371534008 | Summary report (record artifact) preferred: Patient Summary (medizinische Zusammenfassung) preferred: Résumé du dossier médical preferred: Patient Summary (riassunto medico) preferred: Patient Summary | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 721912009 | Medication summary document (record artifact) preferred: Medikamentenliste (aktuell) preferred: Liste des médicaments preferred: Elenco dei medicamenti preferred: Medication summary | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 440545006 | Prescription record (record artifact) preferred: Rezept preferred: Ordonnance preferred: Ricetta medica preferred: Prescription for Medication | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 275670009 | Prescription exemption certificate (record artifact) preferred: Dispensation preferred: Dispensation preferred: Dispensazione preferred: Medication Dispensation | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 1221000195109 | Medication Comment (record artifact) preferred: medication comment preferred: Commentaire sur la médication preferred: Commento alla terapia farmacologica preferred: Medication Comment | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 721915006 | Admission request document (record artifact) preferred: Zuweisungsschreiben/Einweisungsschreiben preferred: Demande d'admission preferred: Richiesta di ricovero/ammissione preferred: Admission request | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371542009 | Admission history and physical report (record artifact) preferred: Eintrittsbericht preferred: Rapport d'admission preferred: Rapporto di ammissione preferred: Admission report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 721917003 | Physician discharge concise summary (record artifact) preferred: Kurz-Austrittsbericht (ärztlich) preferred: Avis de sortie preferred: Rapporto breve d'uscita preferred: Physician discharge concise summary | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 373942005 | Discharge summary (record artifact) preferred: Austrittsbericht (ärztlich) preferred: Lettre de sortie preferred: Rapporto/lettera d'uscita preferred: Discharge summary | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371535009 | Transfer summary report (record artifact) preferred: Verlegungsbericht preferred: Rapport de transfert preferred: Rapporto di trasferimento preferred: Transfer summary report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 278448002 | Care plan (qualifier value) preferred: Pflegeplan (allgemein) preferred: Plan de soins preferred: Piano di cura preferred: Care plan | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 5531000179105 | Nursing report (record artifact) preferred: Pflegebericht preferred: Rapport de soins infirmiers preferred: Rapporto infermieristico preferred: Nursing report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 721927009 | Referral note (record artifact) preferred: Konsilauftrag (allgemein) preferred: Demande de consultation preferred: Richiesta di consulto preferred: Referral request | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371530004 | Clinical consultation report (record artifact) preferred: Konsultationsbericht preferred: Rapport de consultation preferred: Rapporto di consultazione preferred: Consultation report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371525003 | Clinical procedure report (record artifact) preferred: Untersuchungsbefund (allgemein) preferred: Rapport d'examen preferred: Risultato d'esame (generale) preferred: Clinical procedure report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 4241000179101 | Laboratory report (record artifact) preferred: Labor-Befund preferred: Résultat de laboratoire preferred: Referto di laboratorio preferred: Laboratory report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371528001 | Pathology report (record artifact) preferred: Pathologie-Befund preferred: Rapport de pathologie preferred: Referto di patologia preferred: Pathology report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 721631001 | Bone marrow pathology biopsy report (record artifact) preferred: Knochenmark-Biopsie-Befund preferred: Rapport de la biopsie de la moelle osseuse preferred: Referto di biopsia del midollo osseoBone marrow Pathology biopsy report preferred: Bone marrow Pathology biopsy report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 721968000 | Cardiac catheterization report (record artifact) preferred: Herzkatheter-Befund preferred: Rapport du cathétérisme cardiaque preferred: Referto di cateterismo cardiaco preferred: Cardiac catheterization report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 399345000 | Adult echocardiography procedure report (record artifact) preferred: EKG-Befund preferred: Rapport de l'ECG preferred: Referto di ECG preferred: Electrocardiogram report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 4221000179107 | Ultrasound imaging report (record artifact) preferred: Ultraschall-Befund preferred: Rapport de l'ultrason preferred: Referto ecografico preferred: Ultrasound imaging report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371527006 | Radiology report (record artifact) preferred: Radiologie-Befund preferred: Rapport de l'examen radiologique preferred: Referto radiologico preferred: Radiology report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 721969008 | Pulmonary function report (record artifact) preferred: Lungenfunktions-Befund preferred: Rapport de l'examen pulmonaire preferred: Referto spirometrico preferred: Pulmonary function report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 416779005 | Anesthesia record (record artifact) preferred: Anästhesie-Befund preferred: Rapport de l'anésthésie preferred: Referto anestesiologico preferred: Anesthesia record | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371526002 | Operative report (record artifact) preferred: OP-Bericht preferred: Protocole opératoire preferred: Referto operatorio preferred: Operative report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 444561001 | Birth certificate (record artifact) preferred: Geburtsurkunde preferred: Certificat de naissance preferred: Cerificato di nascita preferred: Birth certificate | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 307930005 | Death certificate (record artifact) preferred: Todesbescheinigung preferred: Certificat de décès preferred: Certificato di morte preferred: Death certificate | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 721599005 | Wound care management note (record artifact) preferred: Wund-Befund preferred: Rapport sur les blessures preferred: Rapporto sulle ferite preferred: Wound report | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 371532007 | Progress report (record artifact) preferred: Klinisches Verlaufsblatt preferred: Note de suite preferred: Diario clinico preferred: Progress note | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 722091001 | Conclusion interpretation document (record artifact) preferred: Beschlussprotokoll preferred: Rapport de décision preferred: Rapporto decisionale preferred: Conclusion interpretation document | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 900000000000471000 | Image reference (foundation metadata concept) preferred: Referenz auf Bilddaten preferred: Référence d'Image preferred: Referenza nei dati immagine preferred: Image reference | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 41000179103 | Immunization record (record artifact) preferred: Impfausweis/Impfdossier preferred: Certificat / carnet de vaccination preferred: Certificato/libretto di vaccinazione preferred: Immunization record | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 424975005 | Record entry (record artifact) preferred: Anderer EPD Dokumenten-Typ preferred: Autre type de document DEP preferred: Altri tipi di documento CIP preferred: Other EPD-document type | | | | 2.16.840.1.113883.6.96 | | | | |
0-L | 722160009 | Audit trail report (record artifact) | | | | 2.16.840.1.113883.6.96 | | | | |