ELGA Repository - Terminology associations

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ELGA Repository - Terminology associations

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SNOMED CT

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LOINC

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Value Set Association

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Identifier Association

Concepts

true50

Terminology associations

Code	Display Name	Codesystem	Equivalence

Anamnese

Id elgabbr-dataelement(v2)-45 Version 2017-06-10 15:27:27

Status Draft Version Label v2

Synonym

Aktuelle Anamnese

Description

Die Anamnese enthält die professionelle Erfragung von potenziell medizinisch relevanten Informationen durch Fachpersonal (z.B. einen Arzt) basierend auf den Aussagen des Patienten (Eigenanamnese) oder einer dritten Person (Fremdanamnese) zum aktuellen Konsultationsanlass. Die Anamnese kann sich in mehrere Abschnitte gliedern, z.B.

biografische Anamnese, allgemeine Anamnese,
vegetative Anamnese,
Ernährungsanamnese,
Suchtanamnese,
psychosoziale Anamnese,
Sexualanamnese,
Familienanamnese
Sozialanamnese
Fachspezifische Anamnese

Comment

Nur Freitext.

Gutes Beispiel: „Thoraxschmerzen bei leichter Belastung seit zwei Wochen. Vorherige Herzprobleme bekannt.“
Schlechtes Beispiel: Kopie sämtlicher Vordiagnosen

LOINC: 10164-2, „History of present illness“
OID 1.2.40.0.34.11.14.2.6

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false

Usage (2)

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Dataset	Path	Project
Datensatz	Fachlicher Inhalt (Sektionen) /	ELGA generischer Arztbrief
Outpatient Report	Body /	ELGA Basisleitfäden

false

Issues (0)

false

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