Level/ Typ |
Code |
Bezeichnung |
Codesystem |
0‑L |
BRIEFT
|
Brieftext
|
1.2.40.0.34.5.40 |
0‑L |
ABBEM
|
Abschließende Bemerkungen
|
1.2.40.0.34.5.40 |
0‑L |
TERMIN
|
Termine, Kontrollen, Wiederbestellung
|
1.2.40.0.34.5.40 |
0‑L |
BEFAUS
|
Ausstehende Befunde
|
1.2.40.0.34.5.40 |
0‑L |
BEFERH
|
Auszüge aus erhobenen Befunden
|
1.2.40.0.34.5.40 |
0‑L |
BEFBEI
|
Beigelegte erhobene Befunde
|
1.2.40.0.34.5.40 |
0‑L |
BEIL
|
Beilagen
|
1.2.40.0.34.5.40 |
0‑L |
ANM
|
Anmerkungen
|
1.2.40.0.34.5.40 |
0‑L |
RES
|
Hilfsmittel und Ressourcen
|
1.2.40.0.34.5.40 |
0‑L |
PFDIAG
|
Pflegediagnosen
|
1.2.40.0.34.5.40 |
0‑L |
PFMOB
|
Mobilität
|
1.2.40.0.34.5.40 |
0‑L |
PFKLEI
|
Körperpflege und Kleiden
|
1.2.40.0.34.5.40 |
0‑L |
PFERN
|
Ernährung
|
1.2.40.0.34.5.40 |
0‑L |
PFAUS
|
Ausscheidung
|
1.2.40.0.34.5.40 |
0‑L |
PFHAUT
|
Hautzustand
|
1.2.40.0.34.5.40 |
0‑L |
PFATM
|
Atmung
|
1.2.40.0.34.5.40 |
0‑L |
PFSCHL
|
Schlaf
|
1.2.40.0.34.5.40 |
0‑L |
PFORIE
|
Orientierung und Bewusstseinslage
|
1.2.40.0.34.5.40 |
0‑L |
PFSOZV
|
Soziales Verhalten
|
1.2.40.0.34.5.40 |
0‑L |
PFKOMM
|
Kommunikation
|
1.2.40.0.34.5.40 |
0‑L |
PFROLL
|
Rollenwahrnehmung und Sinnfindung
|
1.2.40.0.34.5.40 |
0‑L |
PFMEDBEH
|
Pflegerelevante Informationen zur medizinischen Behandlung
|
1.2.40.0.34.5.40 |
0‑L |
PFMED
|
Medikamentenverabreichung
|
1.2.40.0.34.5.40 |
0‑L |
42348-3
|
Advance directives
|
Logical Observation Identifier Names and Codes |
0‑L |
8716-3
|
Vital signs
|
Logical Observation Identifier Names and Codes |
0‑L |
51898-5
|
Risk factors
|
Logical Observation Identifier Names and Codes |
0‑L |
42349-1
|
Reason for Referral
|
Logical Observation Identifier Names and Codes |
0‑L |
11535-2
|
Hospital Discharge DX
|
Logical Observation Identifier Names and Codes |
0‑L |
29554-3
|
Procedure Narrative
|
Logical Observation Identifier Names and Codes |
0‑L |
10160-0
|
History of medication use
|
Logical Observation Identifier Names and Codes |
0‑L |
10183-2
|
Hospital discharge medications
|
Logical Observation Identifier Names and Codes |
0‑L |
18776-5
|
Treatment plan
|
Logical Observation Identifier Names and Codes |
0‑L |
47420-5
|
Functional status assessment
|
Logical Observation Identifier Names and Codes |
0‑L |
8648-8
|
Hospital course
|
Logical Observation Identifier Names and Codes |
0‑L |
48765-2
|
Allergies, adverse reactions, alerts
|
Logical Observation Identifier Names and Codes |
0‑L |
11493-4
|
Hospital discharge studies summary
|
Logical Observation Identifier Names and Codes |
0‑L |
10164-2
|
History of present illness
|
Logical Observation Identifier Names and Codes |
0‑L |
11348-0
|
History of past illness
|
Logical Observation Identifier Names and Codes |
0‑L |
42346-7
|
Medications on admission
|
Logical Observation Identifier Names and Codes |
0‑L |
18610-6
|
Medication administered
|
Logical Observation Identifier Names and Codes |
0‑L |
38212-7
|
Pain Assessment Panel
|
Logical Observation Identifier Names and Codes |
0‑L |
8650-4
|
Hospital discharge disposition
|
Logical Observation Identifier Names and Codes |
|