Regeln: elga- DECOR Zusammenfassung (Daten-Elemente, Kodes, OIDs und Regeln)

ELGA CDA Dokument Laborbefund / CDALaborbefund 1.2.40.0.34.11.10003 - 2012‑01‑07

Richtung zu Grunde liegendes Modell Templatename Schematron

registrierend POCD_MT000040DE cdalab elga-cdalab.sch

Richtung	zu Grunde liegendes Modell	Templatename	Schematron
	registrierend	POCD_MT000040DE	cdalab	elga-cdalab.sch

Template ELGA CDA Dokument Laborbefund / CDALaborbefund

Id 1.2.40.0.34.11.10003

Kontext Pfadname hl7:ClinicalDocument

Label cdalab

Version gültig ab 2012‑01‑07 Status Aktiv

Item DT Card Conf Desc Label

Eingefügt von 1.2.40.0.34.11.10000

@classCode

0..1

F

DOCCLIN

@moodCode

0..1

F

EVN

hl7:realmCode

CS

1..1

M

cdalab

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_RealmCode

Beispiel

<realmCode code="AT"/>

hl7:typeId

II

1..1

M

cdalab

@root

1..1

F

2.16.840.1.113883.1.3

@extension

1..1

F

POCD_HD000040

Beispiel

<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>

hl7:templateId

II

1..1

M

ELGA TemplateId für den Allgemeinen Implementierungsleitfaden

cdalab

@root

1..1

F

1.2.40.0.34.11.1

Beispiel

<templateId root="1.2.40.0.34.11.1"/>

hl7:templateId

II

1..*

M

ELGA TemplateId für Dokument Laborbefund

cdalab

@root

1..1

F

1.2.40.0.34.11.4

hl7:templateId

II

1..*

M

IHE TemplateId LAB-TF 3

cdalab

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3

hl7:templateId

II

1..1

M

ELGA TemplateId EIS Dokument Laborbefund

cdalab

@root

1..1

@root muss eins aus Auswahl sein:

1.2.40.0.34.11.4.0.1
1.2.40.0.34.11.4.0.2
1.2.40.0.34.11.4.0.3

ELGA CDA Dokument Befund Bildgebende Diagnostik / CDABildiag 1.2.40.0.34.11.10004 - 2012‑01‑17

Richtung zu Grunde liegendes Modell Templatename Schematron

registrierend POCD_MT000040DE cdabgd elga-cdabgd.sch

Richtung	zu Grunde liegendes Modell	Templatename	Schematron
	registrierend	POCD_MT000040DE	cdabgd	elga-cdabgd.sch

Template ELGA CDA Dokument Befund Bildgebende Diagnostik / CDABildiag

Id 1.2.40.0.34.11.10004

Kontext Pfadname hl7:ClinicalDocument

Label cdabgd

Version gültig ab 2012‑01‑17 Status Aktiv

Item DT Card Conf Desc Label

Eingefügt von 1.2.40.0.34.11.10000

@classCode

0..1

F

DOCCLIN

@moodCode

0..1

F

EVN

hl7:realmCode

CS

1..1

M

cdabgd

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_RealmCode

Beispiel

<realmCode code="AT"/>

hl7:typeId

II

1..1

M

cdabgd

@root

1..1

F

2.16.840.1.113883.1.3

@extension

1..1

F

POCD_HD000040

Beispiel

<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>

hl7:templateId

II

1..1

M

ELGA TemplateId für den Allgemeinen Implementierungsleitfaden

cdabgd

@root

1..1

F

1.2.40.0.34.11.1

Beispiel

<templateId root="1.2.40.0.34.11.1"/>

hl7:templateId

II

1..*

M

ELGA TemplateId für Befund Bildgebende Diagnostik

cdabgd

@root

1..1

F

1.2.40.0.34.11.5

ELGA CDA Dokument Entlassung Ärztlich / CDAEntlassbriefAerztlich 1.2.40.0.34.11.10001 - 2011‑12‑19

Richtung zu Grunde liegendes Modell Templatename Schematron

registrierend POCD_MT000040DE cdaea elga-cdaea.sch

Richtung	zu Grunde liegendes Modell	Templatename	Schematron
	registrierend	POCD_MT000040DE	cdaea	elga-cdaea.sch

Template ELGA CDA Dokument Entlassung Ärztlich / CDAEntlassbriefAerztlich

Id 1.2.40.0.34.11.10001

Kontext Pfadname hl7:ClinicalDocument

Label cdaea

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

Eingefügt von 1.2.40.0.34.11.10000

@classCode

0..1

F

DOCCLIN

@moodCode

0..1

F

EVN

hl7:realmCode

CS

1..1

M

cdaea

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_RealmCode

Beispiel

<realmCode code="AT"/>

hl7:typeId

II

1..1

M

cdaea

@root

1..1

F

2.16.840.1.113883.1.3

@extension

1..1

F

POCD_HD000040

Beispiel

<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>

hl7:templateId

II

1..1

M

ELGA TemplateId für den Allgemeinen Implementierungsleitfaden

cdaea

@root

1..1

F

1.2.40.0.34.11.1

Beispiel

<templateId root="1.2.40.0.34.11.1"/>

hl7:templateId

II

1..1

M

ELGA TemplateId für Entlassungsbrief (Ärztlich)

cdaea

@root

1..1

F

1.2.40.0.34.11.2

hl7:templateId

II

1..1

M

ELGA TemplateId EIS Entlassungsbrief (Ärztlich)

cdaea

@root

1..1

@root muss eins aus Auswahl sein:

1.2.40.0.34.11.2.0.1
1.2.40.0.34.11.2.0.2
1.2.40.0.34.11.2.0.3

ELGA CDA Dokument Entlassung Pflege / CDAEntlassbriefPflege 1.2.40.0.34.11.10002 - 2011‑12‑19

Richtung zu Grunde liegendes Modell Templatename Schematron

registrierend POCD_MT000040DE cdaep elga-cdaep.sch

Richtung	zu Grunde liegendes Modell	Templatename	Schematron
	registrierend	POCD_MT000040DE	cdaep	elga-cdaep.sch

Template ELGA CDA Dokument Entlassung Pflege / CDAEntlassbriefPflege

Id 1.2.40.0.34.11.10002

Kontext Pfadname hl7:ClinicalDocument

Label cdaep

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

Eingefügt von 1.2.40.0.34.11.10000

@classCode

0..1

F

DOCCLIN

@moodCode

0..1

F

EVN

hl7:realmCode

CS

1..1

M

cdaep

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_RealmCode

Beispiel

<realmCode code="AT"/>

hl7:typeId

II

1..1

M

cdaep

@root

1..1

F

2.16.840.1.113883.1.3

@extension

1..1

F

POCD_HD000040

Beispiel

<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>

hl7:templateId

II

1..1

M

ELGA TemplateId für den Allgemeinen Implementierungsleitfaden

cdaep

@root

1..1

F

1.2.40.0.34.11.1

Beispiel

<templateId root="1.2.40.0.34.11.1"/>

hl7:templateId

II

1..*

M

ELGA TemplateId für Entlassungsbrief (Pflege)

cdaep

@root

1..1

F

1.2.40.0.34.11.3

hl7:templateId

II

1..1

M

ELGA TemplateId EIS Entlassungsbrief (Ärztlich)

cdaep

@root

1..1

@root muss eins aus Auswahl sein:

1.2.40.0.34.11.3.0.1
1.2.40.0.34.11.3.0.2
1.2.40.0.34.11.3.0.3

AbschliessendeBemerkung 1.2.40.0.34.11.1.2.2 - 2012‑07‑14

Template AbschliessendeBemerkung

Id 1.2.40.0.34.11.1.2.2

Klassifikation cdasectionlevel

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.2

Label AbschliessendeBemerkung
Abschliessende Bemerkung

Version gültig ab 2012‑07‑14 Status Aktiv

Beschreibung Ein am Ende des Briefes formulierter Freitext. Der Text soll keine fachlich relevante Information beinhalten.

Item DT Card Conf Desc Label

hl7:section

AbschliessendeBemerkung

hl7:templateId

II

1..1

AbschliessendeBemerkung

@root

1..1

F

1.2.40.0.34.11.1.2.2

hl7:code

CE

1..1

M

AbschliessendeBemerkung

@code

1..1

F

ABBEM

@codeSystem

1..1

F

1.2.40.0.34.5.40

@displayName

1..1

F

Abschließende Bemerkungen

Beispiel

<code code="ABBEM" displayName="Abschließende Bemerkungen" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

AbschliessendeBemerkung

CONF

Elementinhalt muss "Abschließende Bemerkungen" sein

hl7:text

ST

1..1

AbschliessendeBemerkung

Addendum 1.2.40.0.34.11.5.2.14 - 2012‑01‑12

Template Addendum

Id 1.2.40.0.34.11.5.2.14

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.14

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Addendum)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Addendum)

@root

1..1

F

1.2.40.0.34.11.5.2.14

hl7:code

CE

1..1

M

(Addendum)

@code

1..1

F

55107-7

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Addendum

hl7:title

ST

1..1

M

(Addendum)

CONF

Elementinhalt muss "Addendum" sein

hl7:text

ED

1..1

M

(Addendum)

Aktuelle Untersuchung / AktuelleUntersuchung 1.2.40.0.34.11.5.2.5 - 2012‑01‑12

Template Aktuelle Untersuchung / AktuelleUntersuchung

Id 1.2.40.0.34.11.5.2.5

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.5

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(AktuelleUntersuchung)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(AktuelleUntersuchung)

@root

1..1

F

1.2.40.0.34.11.5.2.5

hl7:code

CE

1..1

M

(AktuelleUntersuchung)

@code

1..1

F

55111-9

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Current imaging procedure descriptions

hl7:title

ST

1..1

M

(AktuelleUntersuchung)

CONF

Elementinhalt muss "Aktuelle Untersuchung" sein

hl7:text

ED

1..1

M

(AktuelleUntersuchung)

Allergien, Unverträglichkeiten und Risiken / AllergienUnvertraeglichkeitenRisiken 1.2.40.0.34.11.2.2.13 - 2012‑07‑14

Template Allergien, Unverträglichkeiten und Risiken / AllergienUnvertraeglichkeitenRisiken

Id 1.2.40.0.34.11.2.2.13

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.13

Version gültig ab 2012‑07‑14 Status Aktiv

Beschreibung Beschreibung der Allergien und Medikamentenunverträglichkeiten und deren beobachteten Nebenwirkungen, sowie sonstiger Risiken

Item DT Card Conf Desc Label

hl7:section

(AllergienUnvertraeglichkeitenRisiken)

hl7:templateId

II

1..1

(AllergienUnvertraeglichkeitenRisiken)

@root

1..1

F

1.2.40.0.34.11.2.2.13

hl7:code

CE

1..1

M

(AllergienUnvertraeglichkeitenRisiken)

@code

1..1

F

48765-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="48765-2" displayName="Allergies, adverse reactions, alerts" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(AllergienUnvertraeglichkeitenRisiken)

CONF

Elementinhalt muss "Allergien, Unverträglichkeiten und Risiken" sein

hl7:text

1..1

M

(AllergienUnvertraeglichkeitenRisiken)

Anamnese (ärztlich) / AnamneseAerztlich 1.2.40.0.34.11.2.2.18 - 2011‑12‑19

Template Anamnese (ärztlich) / AnamneseAerztlich

Id 1.2.40.0.34.11.2.2.18

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.18

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Anamnese des Patienten.

Item DT Card Conf Desc Label

hl7:section

(AnamneseAerztlich)

hl7:templateId

II

1..1

(AnamneseAerztlich)

@root

1..1

F

1.2.40.0.34.11.2.2.18

hl7:templateId

II

1..1

(AnamneseAerztlich)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.4

hl7:code

CE

1..1

M

(AnamneseAerztlich)

@code

1..1

F

10164-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

History of present illness

Beispiel

<code code="10164-2" displayName="History of present illness" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(AnamneseAerztlich)

CONF

Elementinhalt muss "Anamnese" sein

hl7:text

1..1

M

(AnamneseAerztlich)

Anamnese (BildgebendeDiagnostik) / AnamneseBildgebendeDiagnostik 1.2.40.0.34.11.5.2.2 - 2012‑01‑12

Template Anamnese (BildgebendeDiagnostik) / AnamneseBildgebendeDiagnostik

Id 1.2.40.0.34.11.5.2.2

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.2

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(AnamneseBildgebendeDiagnostik)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(AnamneseBildgebendeDiagnostik)

@root

1..1

F

1.2.40.0.34.11.5.2.2

hl7:code

CE

1..1

M

(AnamneseBildgebendeDiagnostik)

@code

1..1

F

11329-0

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

History general

hl7:title

ST

1..1

M

(AnamneseBildgebendeDiagnostik)

CONF

Elementinhalt muss "Anamnese" sein

hl7:text

ED

1..1

M

(AnamneseBildgebendeDiagnostik)

Anforderung 1.2.40.0.34.11.5.2.1 - 2012‑01‑12

Template Anforderung

Id 1.2.40.0.34.11.5.2.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.1

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Anforderung)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Anforderung)

@root

1..1

F

1.2.40.0.34.11.5.2.1

hl7:code

CE

1..1

M

(Anforderung)

@code

1..1

F

55115-0

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Requested imaging studies information

hl7:title

ST

1..1

M

(Anforderung)

CONF

Elementinhalt muss "Anforderung" sein

hl7:text

ED

1..1

M

(Anforderung)

Anmerkungen 1.2.40.0.34.11.1.2.5 - 2011‑12‑19

Template Anmerkungen

Id 1.2.40.0.34.11.1.2.5

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.5

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Anmerkungen)

hl7:templateId

II

1..1

(Anmerkungen)

@root

1..1

F

1.2.40.0.34.11.1.2.5

hl7:code

CE

1..1

M

(Anmerkungen)

@code

1..1

F

ANM

@codeSystem

1..1

F

1.2.40.0.34.5.40

@displayName

1..1

F

Anmerkungen

Beispiel

<code code="ANM" displayName="Anmerkungen" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

(Anmerkungen)

CONF

Elementinhalt muss "Anmerkungen" sein

hl7:text

1..1

(Anmerkungen)

Befundtext (Anmerkungen und Kommentare) / Annotation 1.2.40.0.34.11.30029 - 2012‑01‑07

Template (intern) Befundtext (Anmerkungen und Kommentare) / Annotation

Id 1.2.40.0.34.11.30029

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 3 Templates

Id	Name	vom
elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
elga-template-30023	LaboratoryBatteryOrganizer Befundgruppen (Laboratory Battery Organizer	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30026	Antibiogram Antibiogram (Laboratory Isolate Organzier)	2012‑07‑07
Abhängigkeit: elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
elga-template-4.2.2	LaboratoryReportCommentSection Bereichsübergreifende Befundbewertung (Laboratory Report Comment Section)	2012‑01‑07

Item DT Card Conf Desc Label

hl7:act

(Annotation)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(Annotation)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.2

hl7:code

CD

1..1

M

(Annotation)

@code

1..1

F

48767-8

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Annotation Comment

hl7:text

ED

1..1

M

(Annotation)

hl7:reference

1..1

M

(Annotation)

@value

1..1

F

Antibiogram (Laboratory Isolate Organzier) / Antibiogram 1.2.40.0.34.11.30026 - 2012‑07‑07

Template (intern) Antibiogram (Laboratory Isolate Organzier) / Antibiogram

Id 1.2.40.0.34.11.30026

Version gültig ab 2012‑07‑07 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07

Item DT Card Conf Desc Label

hl7:organizer

(Antibiogram)

@classCode

1..1

F

CLUSTER

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(Antibiogram)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.5

hl7:statusCode

CS

1..1

M

(Antibiogram)

@code

1..1

F

completed

hl7:effectiveTime

IVL_TS

0..1

O

(Antibiogram)

hl7:specimen

1..1

M

(Antibiogram)

@typeCode

1..1

F

SPC

hl7:specimenRole

1..1

M

(Antibiogram)

@typeCode

1..1

F

SPEC

hl7:id

II

1..1

(Antibiogram)

hl7:specimenPlayingEntity

1..1

M

(Antibiogram)

@typeCode

1..1

F

MIC

Schematron assert role error

test not(hl7:code/@nullFlavor) or string-length(hl7:code/hl7:originalText)>0

Meldung specimenPlayingEntity: if code/@nullFlavor is set originalText SHALL contain text.

hl7:code

CD

1..1

(Antibiogram)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_SignificantPathogens

hl7:originalText

ST

0..1

O

(Antibiogram)

hl7:component
wo
[hl7:organizer [hl7:code [(@code='1' and @codeSystem='1.2.40.0.34.5.11') or (@code='10' and @codeSystem='1.2.40.0.34.5.11') or (@code='20' and @codeSystem='1.2.40.0.34.5.11') or (@code='100' and @codeSystem='1.2.40.0.34.5.11') or (@code='101' and @codeSystem='1.2.40.0.34.5.11') or (@code='102' and @codeSystem='1.2.40.0.34.5.11') or (@code='103' and @codeSystem='1.2.40.0.34.5.11') or (@code='200' and @codeSystem='1.2.40.0.34.5.11') or (@code='201' and @codeSystem='1.2.40.0.34.5.11') or (@code='202' and @codeSystem='1.2.40.0.34.5.11') or (@code='203' and @codeSystem='1.2.40.0.34.5.11') or (@code='300' and @codeSystem='1.2.40.0.34.5.11') or (@code='301' and @codeSystem='1.2.40.0.34.5.11') or (@code='302' and @codeSystem='1.2.40.0.34.5.11') or (@code='303' and @codeSystem='1.2.40.0.34.5.11') or (@code='304' and @codeSystem='1.2.40.0.34.5.11') or (@code='400' and @codeSystem='1.2.40.0.34.5.11') or (@code='401' and @codeSystem='1.2.40.0.34.5.11') or (@code='402' and @codeSystem='1.2.40.0.34.5.11') or (@code='403' and @codeSystem='1.2.40.0.34.5.11') or (@code='500' and @codeSystem='1.2.40.0.34.5.11') or (@code='501' and @codeSystem='1.2.40.0.34.5.11') or (@code='502' and @codeSystem='1.2.40.0.34.5.11') or (@code='503' and @codeSystem='1.2.40.0.34.5.11') or (@code='504' and @codeSystem='1.2.40.0.34.5.11') or (@code='505' and @codeSystem='1.2.40.0.34.5.11') or (@code='506' and @codeSystem='1.2.40.0.34.5.11') or (@code='507' and @codeSystem='1.2.40.0.34.5.11') or (@code='508' and @codeSystem='1.2.40.0.34.5.11') or (@code='509' and @codeSystem='1.2.40.0.34.5.11') or (@code='600' and @codeSystem='1.2.40.0.34.5.11') or (@code='601' and @codeSystem='1.2.40.0.34.5.11') or (@code='602' and @codeSystem='1.2.40.0.34.5.11') or (@code='603' and @codeSystem='1.2.40.0.34.5.11') or (@code='604' and @codeSystem='1.2.40.0.34.5.11') or (@code='605' and @codeSystem='1.2.40.0.34.5.11') or (@code='606' and @codeSystem='1.2.40.0.34.5.11') or (@code='700' and @codeSystem='1.2.40.0.34.5.11') or (@code='701' and @codeSystem='1.2.40.0.34.5.11') or (@code='800' and @codeSystem='1.2.40.0.34.5.11') or (@code='801' and @codeSystem='1.2.40.0.34.5.11') or (@code='900' and @codeSystem='1.2.40.0.34.5.11') or (@code='901' and @codeSystem='1.2.40.0.34.5.11') or (@code='902' and @codeSystem='1.2.40.0.34.5.11') or (@code='1000' and @codeSystem='1.2.40.0.34.5.11') or (@code='1001' and @codeSystem='1.2.40.0.34.5.11') or (@code='1002' and @codeSystem='1.2.40.0.34.5.11') or (@code='1003' and @codeSystem='1.2.40.0.34.5.11') or (@code='1004' and @codeSystem='1.2.40.0.34.5.11') or (@code='1005' and @codeSystem='1.2.40.0.34.5.11') or (@code='1006' and @codeSystem='1.2.40.0.34.5.11') or (@code='1100' and @codeSystem='1.2.40.0.34.5.11') or (@code='1101' and @codeSystem='1.2.40.0.34.5.11') or (@code='1102' and @codeSystem='1.2.40.0.34.5.11') or (@code='1103' and @codeSystem='1.2.40.0.34.5.11') or (@code='1104' and @codeSystem='1.2.40.0.34.5.11') or (@code='1105' and @codeSystem='1.2.40.0.34.5.11') or (@code='1106' and @codeSystem='1.2.40.0.34.5.11') or (@code='1107' and @codeSystem='1.2.40.0.34.5.11') or (@code='1108' and @codeSystem='1.2.40.0.34.5.11') or (@code='1200' and @codeSystem='1.2.40.0.34.5.11') or (@code='1201' and @codeSystem='1.2.40.0.34.5.11') or (@code='1202' and @codeSystem='1.2.40.0.34.5.11') or (@code='1203' and @codeSystem='1.2.40.0.34.5.11') or (@code='1204' and @codeSystem='1.2.40.0.34.5.11') or (@code='1205' and @codeSystem='1.2.40.0.34.5.11') or (@code='1206' and @codeSystem='1.2.40.0.34.5.11') or (@code='1207' and @codeSystem='1.2.40.0.34.5.11') or (@code='1208' and @codeSystem='1.2.40.0.34.5.11') or (@code='1300' and @codeSystem='1.2.40.0.34.5.11') or (@code='1301' and @codeSystem='1.2.40.0.34.5.11') or (@code='1302' and @codeSystem='1.2.40.0.34.5.11') or (@code='1303' and @codeSystem='1.2.40.0.34.5.11') or (@code='1304' and @codeSystem='1.2.40.0.34.5.11') or (@code='1305' and @codeSystem='1.2.40.0.34.5.11') or (@code='1306' and @codeSystem='1.2.40.0.34.5.11') or (@code='1307' and @codeSystem='1.2.40.0.34.5.11') or (@code='1308' and @codeSystem='1.2.40.0.34.5.11') or (@code='1309' and @codeSystem='1.2.40.0.34.5.11') or (@code='1310' and @codeSystem='1.2.40.0.34.5.11') or (@code='1400' and @codeSystem='1.2.40.0.34.5.11') or (@code='1401' and @codeSystem='1.2.40.0.34.5.11') or (@code='1402' and @codeSystem='1.2.40.0.34.5.11') or (@code='1403' and @codeSystem='1.2.40.0.34.5.11') or (@code='1404' and @codeSystem='1.2.40.0.34.5.11') or (@code='1405' and @codeSystem='1.2.40.0.34.5.11') or (@code='1500' and @codeSystem='1.2.40.0.34.5.11') or (@code='1501' and @codeSystem='1.2.40.0.34.5.11') or (@code='1600' and @codeSystem='1.2.40.0.34.5.11') or (@code='1601' and @codeSystem='1.2.40.0.34.5.11') or (@code='1700' and @codeSystem='1.2.40.0.34.5.11') or (@code='1701' and @codeSystem='1.2.40.0.34.5.11') or (@code='1702' and @codeSystem='1.2.40.0.34.5.11') or (@code='1800' and @codeSystem='1.2.40.0.34.5.11') or (@code='1801' and @codeSystem='1.2.40.0.34.5.11') or (@code='1900' and @codeSystem='1.2.40.0.34.5.11') or (@code='1901' and @codeSystem='1.2.40.0.34.5.11') or (@code='1902' and @codeSystem='1.2.40.0.34.5.11') or (@code='1903' and @codeSystem='1.2.40.0.34.5.11') or (@code='1904' and @codeSystem='1.2.40.0.34.5.11') or (@code='1905' and @codeSystem='1.2.40.0.34.5.11') or (@code='1906' and @codeSystem='1.2.40.0.34.5.11') or (@code='1907' and @codeSystem='1.2.40.0.34.5.11') or (@code='1908' and @codeSystem='1.2.40.0.34.5.11') or (@code='1909' and @codeSystem='1.2.40.0.34.5.11') or (@code='1910' and @codeSystem='1.2.40.0.34.5.11') or (@code='1911' and @codeSystem='1.2.40.0.34.5.11') or (@code='1912' and @codeSystem='1.2.40.0.34.5.11') or (@code='1913' and @codeSystem='1.2.40.0.34.5.11') or (@code='1914' and @codeSystem='1.2.40.0.34.5.11') or (@code='1915' and @codeSystem='1.2.40.0.34.5.11') or (@code='1916' and @codeSystem='1.2.40.0.34.5.11') or (@code='1917' and @codeSystem='1.2.40.0.34.5.11') or (@code='1918' and @codeSystem='1.2.40.0.34.5.11') or (@code='1919' and @codeSystem='1.2.40.0.34.5.11') or (@code='1920' and @codeSystem='1.2.40.0.34.5.11') or (@code='1921' and @codeSystem='1.2.40.0.34.5.11') or (@code='1922' and @codeSystem='1.2.40.0.34.5.11') or (@code='2000' and @codeSystem='1.2.40.0.34.5.11') or (@code='2100' and @codeSystem='1.2.40.0.34.5.11')]]]

(Antibiogram)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln LaboratoryBatteryOrganizer mit überschriebener Kardinalität 0 .. *

hl7:organizer

(Antibiogram)

hl7:code

CE

1..1

M

(Antibiogram)

@code

1..1

F

29576-6

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Antibiogramm

Arznei Entry / ArzneiEntry 1.2.40.0.34.11.2.3.4 - 2012‑07‑14

Template Arznei Entry / ArzneiEntry

Id 1.2.40.0.34.11.2.3.4

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.3.4

Version gültig ab 2012‑07‑14 Status Aktiv

Benutzt in

Benutzt in 2 Templates

Id	Name	vom
elga-template-2.3.2	MedikationVerordnungEntry Medikation Verordnung Entry	2012‑07‑14
Abhängigkeit: elga-template-2.2.21	MedikationEinweisungFull Medikation bei Einweisung (full)	2011‑12‑19
Abhängigkeit: elga-template-2.2.8	EmpfohleneMedikationFull Empfohlene Medikation (full support)	2011‑12‑19
Abhängigkeit: elga-template-2.3.3	MedikationAbgabeEntry Medikation Abgabe Entry	2012‑07‑14
elga-template-2.3.3	MedikationAbgabeEntry Medikation Abgabe Entry	2012‑07‑14

Beispiel

<manufacturedProduct classCode="MANU"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.2"/> <templateId root="2.16.840.1.113883.10.20.1.53"/> <manufacturedMaterial classCode="MMAT" determinerCode="KIND"> <templateId root="1.2.40.0.34.11.2.3.4"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/>  </manufacturedMaterial> </manufacturedProduct>

Item DT Card Conf Desc Label

hl7:manufacturedProduct

(ArzneiEntry)

@classCode

1..1

F

MANU

hl7:templateId

II

1..1

(ArzneiEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.2

hl7:templateId

II

1..1

(ArzneiEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.53

hl7:manufacturedMaterial

1..1

M

(ArzneiEntry)

@classCode

1..1

F

MMAT

@determinerCode

1..1

F

KIND

hl7:templateId

II

1..1

(ArzneiEntry)

@root

1..1

F

1.2.40.0.34.11.2.3.4

hl7:templateId

II

1..1

(ArzneiEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.1

hl7:code

1..1

Pharmazentralnummer der Arznei, zugelassene nullFlavor:

NI Arznei hat keine PZN
NA Arznei ist eine magistrale Zubereitung
UNK Arznei hat eine PZN, diese ist jedoch unbekannt

(ArzneiEntry)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

1..1

(ArzneiEntry)

hl7:translation

CE

0..*

O

(ArzneiEntry)

hl7:name

EN

1..1

M

(ArzneiEntry)

Schematron assert role error

test hl7:code/@nullFlavor or (hl7:code/@code and count(pharm:asContent)>0)

Meldung pharm:asContent Komponente zur Aufnahme der Packungsangaben ist mandatory wenn PZN vorhanden

pharm:asContent

0..1

O

(ArzneiEntry)

@classCode

1..1

F

CONT

pharm:containerPackagedMedicine

1..1

M

(ArzneiEntry)

@classCode

1..1

F

CONT

@determinerCode

1..1

F

INSTANCE

pharm:code

1..1

M

Pharmazentralnummer der Arznei

(ArzneiEntry)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

0..1

O

(ArzneiEntry)

pharm:name

EN

1..1

M

(ArzneiEntry)

pharm:capacityQuantity

PQ

1..1

M

(ArzneiEntry)

pharm:ingredient

0..*

O

Komponente zur Aufnahme des Wirkstoffs

(ArzneiEntry)

@classCode

1..1

F

ACTI

pharm:quantity

1..1

(ArzneiEntry)

pharm:numerator

PQ

1..1

(ArzneiEntry)

pharm:denominator

PQ

1..1

(ArzneiEntry)

pharm:ingredient

1..1

M

Code und Name des Wirkstoffs

(ArzneiEntry)

pharm:code

CE

1..1

(ArzneiEntry)

@codeSystem

1..1

F

2.16.840.1.113883.6.73

hl7:originalText

ED

0..1

O

(ArzneiEntry)

hl7:translation

CE

0..*

O

(ArzneiEntry)

pharm:name

EN

1..1

M

(ArzneiEntry)

AssignedEntityElements 1.2.40.0.34.11.90003 - 2011‑12‑19

Template (intern) AssignedEntityElements

Id 1.2.40.0.34.11.90003

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 6 Templates

Id	Name	vom
elga-template-20003	HeaderDataEnterer	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20006	HeaderLegalAuthenticator	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20007	HeaderAuthenticator	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20010	HeaderServiceEvent	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20013	HeaderEncompassingEncounter	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-30021	SpecimenCollection Abnahmeinformationen (Specimen Collection)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-4.3.1	LaboratorySpecimenEntry Laboratory Specimen Entry	2012‑01‑07
Abhängigkeit: elga-template-4.2.1	SpezimenSection Spezimen-Section	2012‑01‑07

Item DT Card Conf Desc Label

hl7:id

II

1..*

(AssignedEntityElements)

hl7:addr

AD

0..1

O

(AssignedEntityElements)

hl7:telecom

TEL

0..*

O

(AssignedEntityElements)

hl7:assignedPerson

1..1

M

(AssignedEntityElements)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(AssignedEntityElements)

hl7:representedOrganization

0..1

O

(AssignedEntityElements)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(AssignedEntityElements)

hl7:name

ON

1..1

M

(AssignedEntityElements)

hl7:telecom

TEL

0..*

O

(AssignedEntityElements)

hl7:addr

AD

0..1

O

(AssignedEntityElements)

Atmung 1.2.40.0.34.11.3.2.8 - 2011‑12‑19

Template Atmung

Id 1.2.40.0.34.11.3.2.8

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.8

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Atmung)

hl7:templateId

II

1..1

(Atmung)

@root

1..1

F

1.2.40.0.34.11.3.2.8

hl7:code

CE

1..1

M

(Atmung)

@code

1..1

F

PFATM

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFATM" displayName="Atmung" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(Atmung)

CONF

Elementinhalt muss "Atmung" sein

hl7:text

1..1

M

(Atmung)

Zusammenfassung des Aufenthalts / Aufenthaltszusammenfassung 1.2.40.0.34.11.2.2.12 - 2011‑12‑19

Template Zusammenfassung des Aufenthalts / Aufenthaltszusammenfassung

Id 1.2.40.0.34.11.2.2.12

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.12

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Kurzbeschreibung des Verlaufs des stat. Aufenthaltes (Dekurs).

Item DT Card Conf Desc Label

hl7:section

(Aufenthaltszusammenfassung)

hl7:templateId

II

1..1

(Aufenthaltszusammenfassung)

@root

1..1

F

1.2.40.0.34.11.2.2.12

hl7:templateId

II

1..1

(Aufenthaltszusammenfassung)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.5

hl7:code

CE

1..1

M

(Aufenthaltszusammenfassung)

@code

1..1

F

8648-8

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="8648-8" displayName="Hospital course" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(Aufenthaltszusammenfassung)

CONF

Elementinhalt muss "Zusammenfassung des Aufenthalts" sein

hl7:text

1..1

M

(Aufenthaltszusammenfassung)

Aufnahmegrund 1.2.40.0.34.11.2.2.1 - 2011‑12‑19

Template Aufnahmegrund

Id 1.2.40.0.34.11.2.2.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.1

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Der Grund der Einweisung. Beschreibung der Symptome, Verdachtsdiagnosen, etc.

Item DT Card Conf Desc Label

hl7:section

(Aufnahmegrund)

hl7:templateId

II

1..1

(Aufnahmegrund)

@root

1..1

F

1.2.40.0.34.11.2.2.1

hl7:templateId

II

1..1

(Aufnahmegrund)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.1

hl7:code

CE

1..1

M

(Aufnahmegrund)

@code

1..1

F

42349-1

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Reason for Referral

Beispiel

<code code="42349-1" displayName="Reason for Referral" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(Aufnahmegrund)

CONF

Elementinhalt muss "Aufnahmegrund" sein

hl7:text

1..1

(Aufnahmegrund)

Ausscheidung 1.2.40.0.34.11.3.2.6 - 2011‑12‑19

Template Ausscheidung

Id 1.2.40.0.34.11.3.2.6

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.6

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Ausscheidung)

hl7:templateId

II

1..1

(Ausscheidung)

@root

1..1

F

1.2.40.0.34.11.3.2.6

hl7:code

CE

1..1

M

(Ausscheidung)

@code

1..1

F

PFAUS

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFAUS" displayName="Ausscheidung" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(Ausscheidung)

CONF

Elementinhalt muss "Ausscheidung" sein

hl7:text

1..1

M

(Ausscheidung)

Ausstehende Befunde / AusstehendeBefunde 1.2.40.0.34.11.2.2.15 - 2011‑12‑19

Template Ausstehende Befunde / AusstehendeBefunde

Id 1.2.40.0.34.11.2.2.15

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.15

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Beinhaltet die Hinweise auf noch ausstehende Befunde in narrativer Form als Information für den Dokumentempfänger.
In vorläufigen Entlassungsdokumenten sind oftmals noch nicht alle Befunde ausformuliert. Diese Sektion dient dazu, die noch ausstehenden Befunde als Information für den Dokumentempfänger bekanntzugeben. Dabei soll ein kurzer Vermerk für jeden ausstehenden Befund angegeben werden.

Item DT Card Conf Desc Label

hl7:section

(AusstehendeBefunde)

hl7:templateId

II

1..1

(AusstehendeBefunde)

@root

1..1

F

1.2.40.0.34.11.2.2.15

hl7:code

CE

1..1

M

(AusstehendeBefunde)

@code

1..1

F

BEFAUS

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="BEFAUS" displayName="Ausstehende Befunde" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(AusstehendeBefunde)

CONF

Elementinhalt muss "Ausstehende Befunde" sein

hl7:text

1..1

M

(AusstehendeBefunde)

Auszüge aus erhobenen Befunden / AuszuegeBefunde 1.2.40.0.34.11.2.2.16 - 2011‑12‑19

Template Auszüge aus erhobenen Befunden / AuszuegeBefunde

Id 1.2.40.0.34.11.2.2.16

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.16

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Beinhaltet Auszüge von Befunden in narrativer Form.
Die Angabe der Auszüge erfolgt nach Ermessen des Dokumenterstellers, allerdings soll zu jedem Auszug mindestens das Datum und die Art des Ursprungsbefundes angegeben werden.

Item DT Card Conf Desc Label

hl7:section

(AuszuegeBefunde)

hl7:templateId

II

1..1

(AuszuegeBefunde)

@root

1..1

F

1.2.40.0.34.11.2.2.16

hl7:code

CE

1..1

M

(AuszuegeBefunde)

@code

1..1

F

BEFERH

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="BEFERH" displayName="Auszüge aus erhobenen Befunden" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(AuszuegeBefunde)

CONF

Elementinhalt muss "Auszüge aus erhobenen Befunden" sein

hl7:text

1..1

M

(AuszuegeBefunde)

AuthorElements 1.2.40.0.34.11.90004 - 2011‑12‑19

Template (intern) AuthorElements

Id 1.2.40.0.34.11.90004

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-30001	BodySection BodySection	2011‑12‑19

Item DT Card Conf Desc Label

hl7:author

(AuthorElements)

@typeCode

0..1

F

AUT

@contextControlCode

0..1

F

OP

Beispiel

<author typeCode="AUT" contextControlCode="OP"> <time value="201106101654"/> <assignedAuthor classCode="ASSIGNED">  </assignedAuthor> </author>

hl7:functionCode

CE

0..1

O

(AuthorElements)

Beispiel

<functionCode code="OA" displayName="Diensthabender Oberarzt" codeSystem="1.2.40.0.34.99.111.2.1" codeSystemName="Amadeus Spital - Funktionscodes"/>

hl7:time

TS.DATE.MIN

1..1

(AuthorElements)

Beispiel

<time value="20080324082015+0100"/>

hl7:assignedAuthor

1..1

(AuthorElements)

@classCode

0..1

F

ASSIGNED

Beispiel

<assignedAuthor classCode="ASSIGNED"> <id extension="ied8984938" root="1.2.276.0.76.3.1.139.933"/> <assignedPerson classCode="PSN" determinerCode="INSTANCE">  </assignedPerson> </assignedAuthor>

hl7:id

II

1..*

(AuthorElements)

Beispiel

<id root="1.2.40.0.34.99.111.1.3" extension="1111" assigningAuthorityName="Amadeus Spital"/>

hl7:code

CE

0..1

O

(AuthorElements)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_AuthorSpeciality

Beispiel

<code code="108" codeSystem="1.2.40.0.34.5.2" displayName="Fachärztin/Facharzt für Frauenheilkunde und Geburtshilfe"/>

hl7:telecom

TEL

0..*

O

(AuthorElements)

Auswahl: Elemente in der Auswahl:

hl7:assignedPerson
hl7:assignedAuthoringDevice

min 1 Element(e) max 1 Element(e)

hl7:assignedPerson

1..1

M

(AuthorElements)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Beispiel

<assignedPerson classCode="PSN" determinerCode="INSTANCE"> <name>  </name> </assignedPerson>

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(AuthorElements)

hl7:assignedAuthoringDevice

1..1

M

(AuthorElements)

@classCode

0..1

F

DEV

@determinerCode

0..1

F

INSTANCE

Beispiel

<assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE"> <manufacturerModelName>xxx</manufacturerModelName> <softwareName>yyy</softwareName> </assignedAuthoringDevice>

hl7:manufacturerModelName

SC

1..1

(AuthorElements)

hl7:softwareName

SC

1..1

(AuthorElements)

hl7:representedOrganization

1..1

M

(AuthorElements)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Beispiel

<representedOrganization classCode="ORG" determinerCode="INSTANCE"> <name>  </name> </representedOrganization>

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(AuthorElements)

hl7:name

ON

1..1

M

(AuthorElements)

hl7:telecom

TEL

0..*

O

(AuthorElements)

hl7:addr

AD

0..1

O

(AuthorElements)

Befund 1.2.40.0.34.11.5.2.9 - 2012‑01‑12

Template Befund

Id 1.2.40.0.34.11.5.2.9

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.9

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Befund)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Befund)

@root

1..1

F

1.2.40.0.34.11.5.2.9

hl7:code

CE

1..1

M

(Befund)

@code

1..1

F

18782-3

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Study observation

hl7:title

ST

1..1

M

(Befund)

CONF

Elementinhalt muss "Befund" sein

hl7:text

ED

1..1

M

(Befund)

hl7:entry
wo
[hl7:observation [hl7:templateId [@root='2.16.840.1.113883.10.20.6.2.12']]]

(Befund)

Beinhaltet gererbte Templateregeln BefundtextKodierung mit überschriebener Kardinalität 0 .. *

hl7:entry
wo
[hl7:observation [hl7:templateId [@root='1.2.40.0.34.11.5.3.1']]]

(Befund)

Beinhaltet gererbte Templateregeln KlassifikationBIRADS mit überschriebener Kardinalität 0 .. *

Befund Bildgebende Diagnostik / BefundBildgebendeDiagnostik 1.2.40.0.34.11.5 - 2012‑01‑12

Template Befund Bildgebende Diagnostik / BefundBildgebendeDiagnostik

Id 1.2.40.0.34.11.5

Kontext Geschwisterknoten des Template-Element mit Id 1.2.40.0.34.11.5

Label cdabgd

Version gültig ab 2012‑01‑12 Status Aktiv

Beschreibung Template Spezieller Implementierungsleitfaden ELGA Befund Bildgebende Diagnostik

Item DT Card Conf Desc Label

hl7:templateId

II

1..1

Template Spezieller Implementierungsleitfaden ELGA Befund Bildgebende Diagnostik

cdabgd

@root

1..1

F

1.2.40.0.34.11.5

hl7:code

CE

1..1

M

cdabgd

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Dokumentenklassen

Beispiel

<code code="18748-4" displayName="Diagnostic Imaging Report" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

Dokumententitel. Dieses Element enthält den für den lesenden Dokumentempfänger gedachten Titel.

cdabgd

hl7:participant
wo
[@typeCode='CALLBCK']

1..*

M

cdabgd

@typeCode

1..1

F

CALLBCK

hl7:associatedEntity

1..1

M

cdabgd

@classCode

1..1

F

PROV

hl7:addr

AD

0..1

O

cdabgd

hl7:telecom

TEL

1..*

M

cdabgd

hl7:associatedPerson

1..1

M

cdabgd

Eingefügt von PersonElements

hl7:name

PN

1..1

M

cdabgd

hl7:scopingOrganization

0..1

O

cdabgd

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

cdabgd

hl7:name

ON

1..1

M

cdabgd

hl7:telecom

TEL

0..*

O

cdabgd

hl7:addr

AD

0..1

O

cdabgd

hl7:participant
wo
[@typeCode='REF']

0..1

O

cdabgd

@typeCode

1..1

F

REF

hl7:functionCode

CE

1..*

M

cdabgd

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ParticipationFunctionCode

@code muss "ADMPHYS" sein

hl7:associatedEntity

1..1

M

cdabgd

@classCode

1..1

F

PROV

hl7:id

II

0..*

O

cdabgd

hl7:addr

AD

0..1

O

cdabgd

hl7:telecom

TEL

0..*

O

cdabgd

hl7:associatedPerson

1..1

M

cdabgd

Eingefügt von PersonElements

hl7:name

PN

1..1

M

cdabgd

hl7:scopingOrganization

0..1

O

cdabgd

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

cdabgd

hl7:name

ON

1..1

M

cdabgd

hl7:telecom

TEL

0..*

O

cdabgd

hl7:addr

AD

0..1

O

cdabgd

hl7:documentationOf

1..*

M

cdabgd

Beispiel

<documentationOf typeCode="DOC"> <serviceEvent> <code code="300" codeSystem="1.2.40.0.34.5.22" codeSystemName="ELGA_ServiceEventsLabor" displayName="Hämatologie"/> <effectiveTime> <low value="20081201061325+0100"/> <high value="20081201161500+0100"/> </effectiveTime> </serviceEvent> </documentationOf>

hl7:serviceEvent

1..*

M

cdabgd

hl7:code

CE

1..1

M

cdabgd

@codeSystem

1..1

F

1.2.40.0.34.5.38

@codeSystemName

1..1

F

APPC

hl7:effectiveTime

IVL_TS

1..1

M

cdabgd

hl7:low

TS.DATE.MIN

1..1

M

cdabgd

hl7:high

TS.DATE.MIN

0..1

O

cdabgd

hl7:perfomer

0..*

O

cdabgd

Beispiel

<performer typeCode="PRF"> <templateId root="1.3.6.1.4.1.19376.1.3.3.1.7"/> <time> <low value="20081201061325+0100"/> <high value="20081201161500+0100"/> </time> </performer>

hl7:templateId

1..1

M

cdabgd

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.7

Erhobene Befunde / Befunde 1.2.40.0.34.11.2.2.14 - 2011‑12‑19

Template Erhobene Befunde / Befunde

Id 1.2.40.0.34.11.2.2.14

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.14

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Ein Befund ist die Dokumentation einer diagnostischen Maßnahme oder einer Konsultation. Als „Befund“ gelten nicht nur typische diagnostische Befunde (Laborbefunde, Radiologiebefunde, …), sondern jegliche Dokumentationen von diagnostischen Maßnahmen oder Konsultationen (OP-Berichte, etc).
Diese Sektion enthält selbst keine Daten, sondern beinhaltet Untersektionen zur Aufnahme der eigentlichen Befund-Informationen.
Es MUSS mindestens eine Untersektion angegeben sein.

Item DT Card Conf Desc Label

hl7:section

(Befunde)

hl7:templateId

II

1..1

(Befunde)

@root

1..1

F

1.2.40.0.34.11.2.2.14

hl7:templateId

II

1..1

(Befunde)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.29

hl7:code

CE

1..1

M

(Befunde)

@code

1..1

F

11493-4

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="11493-4" displayName="Hospital discharge studies summary" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(Befunde)

CONF

Elementinhalt muss "Erhobene Befunde" sein

hl7:text

1..1

M

(Befunde)

hl7:component

1..*

M

Mögliche Untersektionen:

Ausstehende Befunde
Auszüge aus erhobenen Befunden
Beigelegte erhobene Befunde
Vitalparameter

(Befunde)

hl7:section

1..1

(Befunde)

hl7:templateId

II

1..*

(Befunde)

Kodierung des Befundtextes / BefundtextKodierung 2.16.840.1.113883.10.20.6.2.12 - 2012‑01‑12

Template Kodierung des Befundtextes / BefundtextKodierung

Id 2.16.840.1.113883.10.20.6.2.12

Kontext Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.6.2.12

Version gültig ab 2012‑01‑12 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-5.2.9	Befund Befund	2012‑01‑12

Item DT Card Conf Desc Label

hl7:observation

(BefundtextKodierung)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(BefundtextKodierung)

@root

1..1

F

2.16.840.1.113883.10.20.6.2.12

hl7:code

CE

1..1

M

(BefundtextKodierung)

@code

1..1

F

121071

@codeSystem

1..1

F

1.2.840.10008.2.16.4

@codeSystemName

1..1

F

DCM

@displayName

1..1

F

Finding

hl7:value

ED

1..1

M

(BefundtextKodierung)

reference

1..1

M

(BefundtextKodierung)

Beigelegte erhobene Befunde / BeigelegteBefunde 1.2.40.0.34.11.2.2.17 - 2011‑12‑19

Template Beigelegte erhobene Befunde / BeigelegteBefunde

Id 1.2.40.0.34.11.2.2.17

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.17

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Beinhaltet eingebettete Befunde, die im Zuge des Aufenthalts erstellt wurden.
Die beigelegten Befunde werden in Form von maschinenlesbaren Elementen eingebettet.

Item DT Card Conf Desc Label

hl7:section

(BeigelegteBefunde)

hl7:templateId

II

1..1

(BeigelegteBefunde)

@root

1..1

F

1.2.40.0.34.11.2.2.17

hl7:code

CE

1..1

M

(BeigelegteBefunde)

@code

1..1

F

BEFBEI

@codeSystem

1..1

F

1.2.40.0.34.5.40

@displayName

1..1

F

Beigelegte erhobene Befunde

Beispiel

<code code="BEFBEI" displayName="Beigelegte erhobene Befunde" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(BeigelegteBefunde)

CONF

Elementinhalt muss "Beigelegte erhobene Befunde" sein

hl7:text

1..1

M

(BeigelegteBefunde)

hl7:entry

1..*

(BeigelegteBefunde)

Eingefügt von 1.2.40.0.34.11.1.3.1

hl7:observationMedia

1..1

(BeigelegteBefunde)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(BeigelegteBefunde)

@root

1..1

F

1.2.40.0.34.11.1.3.1

hl7:value

ED

1..1

M

(BeigelegteBefunde)

@mediaType

1..1

F

CONF

Der Wert von @mediaType muss gewählt werden aus dem Value Set ELGA_Medientyp

@representation

1..1

F

B64

Beilagen 1.2.40.0.34.11.1.2.3 - 2011‑12‑19

Template Beilagen

Id 1.2.40.0.34.11.1.2.3

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.3

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Sonstige Beilagen, außer denjenigen Dokumenten, die in „Patientenverfügungen und andere juridische Dokumente“ angegeben sind. Achtung: Ein „Referenzieren“ auf Beilagen ist nicht gestattet. Beigelegte Dokumente/Bilder müssen dem Dokument in technisch eingebetteter Form beiliegen.

Item DT Card Conf Desc Label

hl7:section

(Beilagen)

hl7:templateId

II

1..1

(Beilagen)

@root

1..1

F

1.2.40.0.34.11.1.2.3

hl7:code

CE

1..1

M

(Beilagen)

@code

1..1

F

BEIL

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="BEIL" displayName="Beilagen" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

(Beilagen)

CONF

Elementinhalt muss "Beilagen" sein

hl7:text

1..1

(Beilagen)

hl7:entry

0..1

O

(Beilagen)

Eingefügt von 1.2.40.0.34.11.1.3.1

hl7:observationMedia

1..1

(Beilagen)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(Beilagen)

@root

1..1

F

1.2.40.0.34.11.1.3.1

hl7:value

ED

1..1

M

(Beilagen)

@mediaType

1..1

F

CONF

Der Wert von @mediaType muss gewählt werden aus dem Value Set ELGA_Medientyp

@representation

1..1

F

B64

BodySection 1.2.40.0.34.11.30001 - 2011‑12‑19

Template BodySection

Id 1.2.40.0.34.11.30001

Kontext Pfadname //section

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung CDA Section

Beispiel

<section> <templateId/> <id/> <code/> <title/> <text/> <author>  </author> <entry>  </entry> </section>

Item DT Card Conf Desc Label

hl7:templateId

II

0..*

O

(BodySection)

hl7:id

II

0..1

O

(BodySection)

hl7:code

CE

0..1

O

(BodySection)

hl7:title

ST

1..1

(BodySection)

hl7:text

1..1

(BodySection)

Eingefügt von AuthorElements

hl7:author

(BodySection)

@typeCode

0..1

F

AUT

@contextControlCode

0..1

F

OP

Beispiel

<author typeCode="AUT" contextControlCode="OP"> <time value="201106101654"/> <assignedAuthor classCode="ASSIGNED">  </assignedAuthor> </author>

hl7:functionCode

CE

0..1

O

(BodySection)

Beispiel

<functionCode code="OA" displayName="Diensthabender Oberarzt" codeSystem="1.2.40.0.34.99.111.2.1" codeSystemName="Amadeus Spital - Funktionscodes"/>

hl7:time

TS.DATE.MIN

1..1

(BodySection)

Beispiel

<time value="20080324082015+0100"/>

hl7:assignedAuthor

1..1

(BodySection)

@classCode

0..1

F

ASSIGNED

Beispiel

<assignedAuthor classCode="ASSIGNED"> <id extension="ied8984938" root="1.2.276.0.76.3.1.139.933"/> <assignedPerson classCode="PSN" determinerCode="INSTANCE">  </assignedPerson> </assignedAuthor>

hl7:id

II

1..*

(BodySection)

Beispiel

<id root="1.2.40.0.34.99.111.1.3" extension="1111" assigningAuthorityName="Amadeus Spital"/>

hl7:code

CE

0..1

O

(BodySection)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_AuthorSpeciality

Beispiel

<code code="108" codeSystem="1.2.40.0.34.5.2" displayName="Fachärztin/Facharzt für Frauenheilkunde und Geburtshilfe"/>

hl7:telecom

TEL

0..*

O

(BodySection)

Auswahl: Elemente in der Auswahl:

hl7:assignedPerson
hl7:assignedAuthoringDevice

min 1 Element(e) max 1 Element(e)

hl7:assignedPerson

1..1

M

(BodySection)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Beispiel

<assignedPerson classCode="PSN" determinerCode="INSTANCE"> <name>  </name> </assignedPerson>

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(BodySection)

hl7:assignedAuthoringDevice

1..1

M

(BodySection)

@classCode

0..1

F

DEV

@determinerCode

0..1

F

INSTANCE

Beispiel

<assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE"> <manufacturerModelName>xxx</manufacturerModelName> <softwareName>yyy</softwareName> </assignedAuthoringDevice>

hl7:manufacturerModelName

SC

1..1

(BodySection)

hl7:softwareName

SC

1..1

(BodySection)

hl7:representedOrganization

1..1

M

(BodySection)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Beispiel

<representedOrganization classCode="ORG" determinerCode="INSTANCE"> <name>  </name> </representedOrganization>

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(BodySection)

hl7:name

ON

1..1

M

(BodySection)

hl7:telecom

TEL

0..*

O

(BodySection)

hl7:addr

AD

0..1

O

(BodySection)

hl7:entry

0..*

O

(BodySection)

Brieftext 1.2.40.0.34.11.1.2.1 - 2011‑12‑19

Template Brieftext

Id 1.2.40.0.34.11.1.2.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.1

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Ein am Anfang des Briefes formulierter Freitext. Der Text soll keine fachlich relevante Information beinhalten.

Item DT Card Conf Desc Label

hl7:section

(Brieftext)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Brieftext)

@root

1..1

F

1.2.40.0.34.11.1.2.1

hl7:code

CE

1..1

M

(Brieftext)

@code

1..1

F

BRIEFT

@codeSystem

1..1

F

1.2.40.0.34.5.40

@displayName

1..1

F

Brieftext

Beispiel

<code code="BRIEFT" displayName="Brieftext" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

(Brieftext)

CONF

Elementinhalt muss "Brieftext" sein

hl7:text

1..1

(Brieftext)

hl7:entry

0..1

O

(Brieftext)

Eingefügt von 1.2.40.0.34.11.1.3.2

hl7:observationMedia

1..1

(Brieftext)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(Brieftext)

@root

1..1

F

1.2.40.0.34.11.1.3.2

hl7:value

ED

1..1

M

(Brieftext)

@mediaType

1..1

@mediaType muss eins aus Auswahl sein:

image/png
image/jpeg

@representation

1..1

F

B64

DICOM Object Catalog Sektion Allgemein / DOCS 2.16.840.1.113883.10.20.6.1.1 - 2012‑01‑12

Template DICOM Object Catalog Sektion Allgemein / DOCS

Id 2.16.840.1.113883.10.20.6.1.1

Kontext Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.6.1.1

Version gültig ab 2012‑01‑12 Status Aktiv

Beschreibung DICOM Object Catalog section. Muss angeführt werden wenn das Dokument Referenzen auf DICOM Bilder aufweist. Des Weiteren muss diese Sektion die erste Sektion des Dokuments sein.

Item DT Card Conf Desc Label

hl7:section

(DOCS)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(DOCS)

@root

1..1

F

2.16.840.1.113883.10.20.6.1.1

hl7:code

CE

1..1

M

(DOCS)

@code

1..1

F

121181

@codeSystem

1..1

F

1.2.840.10008.2.16.4

@codeSystemName

1..1

F

DCM

@displayName

1..1

F

DICOM Object Catalog

hl7:title

NP

(DOCS)

hl7:text

NP

(DOCS)

hl7:entry
wo
[hl7:observation [hl7:templateId [@root='2.16.840.1.113883.10.20.6.2.6']]]

1..1

M

(DOCS)

Beinhaltet gererbte Templateregeln 2.16.840.1.113883.10.20.6.2.6 mit überschriebener Kardinalität 1 .. 1 mandatory

Dosierungsvariante 1: Tagesdosierung / Dosierung1 1.2.40.0.34.11.30007 - 2011‑12‑19

Template (intern) Dosierungsvariante 1: Tagesdosierung / Dosierung1

Id 1.2.40.0.34.11.30007

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-2.3.2	MedikationVerordnungEntry Medikation Verordnung Entry	2012‑07‑14
Abhängigkeit: elga-template-2.2.21	MedikationEinweisungFull Medikation bei Einweisung (full)	2011‑12‑19
Abhängigkeit: elga-template-2.2.8	EmpfohleneMedikationFull Empfohlene Medikation (full support)	2011‑12‑19
Abhängigkeit: elga-template-2.3.3	MedikationAbgabeEntry Medikation Abgabe Entry	2012‑07‑14

Item DT Card Conf Desc Label

hl7:effectiveTime
wo
[2]

PIVL_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(Dosierung1)

@operator

1..1

F

A

@institutionSpecified

1..1

F

true

hl7:period

PQ

1..1

(Dosierung1)

@value

1..1

F

1

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(Dosierung1)

hl7:entry

NP

(Dosierung1)

Dosierungsvariante 2: Einzeldosierung / Dosierung2 1.2.40.0.34.11.30008 - 2012‑07‑14

Template (intern) Dosierungsvariante 2: Einzeldosierung / Dosierung2

Id 1.2.40.0.34.11.30008

Version gültig ab 2012‑07‑14 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-2.3.2	MedikationVerordnungEntry Medikation Verordnung Entry	2012‑07‑14
Abhängigkeit: elga-template-2.2.21	MedikationEinweisungFull Medikation bei Einweisung (full)	2011‑12‑19
Abhängigkeit: elga-template-2.2.8	EmpfohleneMedikationFull Empfohlene Medikation (full support)	2011‑12‑19
Abhängigkeit: elga-template-2.3.3	MedikationAbgabeEntry Medikation Abgabe Entry	2012‑07‑14

Item DT Card Conf Desc Label

hl7:effectiveTime
wo
[2]

NP

(Dosierung2)

hl7:doseQuantity

NP

(Dosierung2)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(Dosierung2)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(Dosierung2)

hl7:substanceAdministration

1..1

M

(Dosierung2)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(Dosierung2)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

EIVL_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(Dosierung2)

@operator

1..1

F

A

hl7:event

CE

1..1

M

(Dosierung2)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:doseQuantity

IVL_PQ

1..1

M

(Dosierung2)

hl7:consumable

1..1

M

(Dosierung2)

hl7:manufacturedProduct

1..1

M

(Dosierung2)

hl7:manufacturedMaterial

1..1

M

(Dosierung2)

@nullFlavor

1..1

F

NA

Dosierungsvariante 3: Tagesdosierung mit Einnahmepause / Dosierung3 1.2.40.0.34.11.30009 - 2011‑12‑19

Template (intern) Dosierungsvariante 3: Tagesdosierung mit Einnahmepause / Dosierung3

Id 1.2.40.0.34.11.30009

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-2.3.2	MedikationVerordnungEntry Medikation Verordnung Entry	2012‑07‑14
Abhängigkeit: elga-template-2.2.21	MedikationEinweisungFull Medikation bei Einweisung (full)	2011‑12‑19
Abhängigkeit: elga-template-2.2.8	EmpfohleneMedikationFull Empfohlene Medikation (full support)	2011‑12‑19
Abhängigkeit: elga-template-2.3.3	MedikationAbgabeEntry Medikation Abgabe Entry	2012‑07‑14

Item DT Card Conf Desc Label

hl7:effectiveTime
wo
[2]

SXPR_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(Dosierung3)

@operator

1..1

F

A

hl7:comp
wo
[hl7:period and not(hl7:phase)]

PIVL_TS

1..1

(Dosierung3)

hl7:period

PQ

1..1

(Dosierung3)

@value

1..1

F

1

CONF

unit ist "d"

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(Dosierung3)

hl7:phase

IVL_TS

1..1

(Dosierung3)

hl7:width

PQ

(Dosierung3)

CONF

unit ist "d"

hl7:period

PQ

1..1

(Dosierung3)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(Dosierung3)

hl7:entry

NP

(Dosierung3)

Dosierungsvariante 4: Einzeldosierung mit Einnahmepause / Dosierung4 1.2.40.0.34.11.30010 - 2011‑12‑19

Template (intern) Dosierungsvariante 4: Einzeldosierung mit Einnahmepause / Dosierung4

Id 1.2.40.0.34.11.30010

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 4 Templates

Id	Name	vom
elga-template-2.3.2	MedikationVerordnungEntry Medikation Verordnung Entry	2012‑07‑14
Abhängigkeit: elga-template-2.2.21	MedikationEinweisungFull Medikation bei Einweisung (full)	2011‑12‑19
Abhängigkeit: elga-template-2.2.8	EmpfohleneMedikationFull Empfohlene Medikation (full support)	2011‑12‑19
Abhängigkeit: elga-template-2.3.3	MedikationAbgabeEntry Medikation Abgabe Entry	2012‑07‑14
elga-template-3.2.1	PflegeBetreuungsdiagnosenEnhanced Pflege- und Betreuungsdiagnosen (enhanced)	2011‑12‑19
elga-template-3.2.17	EntlassungsmanagementFull Entlassungsmanagement (full)	2011‑12‑19
elga-template-3.2.2	PflegeBetreuungsdiagnosenFull Pflege- und Betreuungsdiagnosen (full)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:effectiveTime
wo
[2]

NP

(Dosierung4)

hl7:doseQuantity

NP

(Dosierung4)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(Dosierung4)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(Dosierung4)

hl7:substanceAdministration

1..1

M

(Dosierung4)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(Dosierung4)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

SXPR_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(Dosierung4)

@operator

1..1

F

A

hl7:comp
wo
[hl7:event]

EIVL_TS

1..1

(Dosierung4)

hl7:event

CE

1..1

M

(Dosierung4)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(Dosierung4)

@operator

1..1

F

A

hl7:phase

IVL_TS

1..1

(Dosierung4)

hl7:width

PQ

(Dosierung4)

CONF

unit ist "d"

hl7:period

PQ

1..1

(Dosierung4)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(Dosierung4)

hl7:consumable

1..1

M

(Dosierung4)

hl7:manufacturedProduct

1..1

M

(Dosierung4)

hl7:manufacturedMaterial

1..1

M

(Dosierung4)

@nullFlavor

1..1

F

NA

Durchgeführte Maßnahmen / DurchgefuehrteMassnahmen 1.2.40.0.34.11.2.2.4 - 2011‑12‑19

Template Durchgeführte Maßnahmen / DurchgefuehrteMassnahmen

Id 1.2.40.0.34.11.2.2.4

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.4

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Kurzbeschreibung sämtlicher während des Aufenthalts durchgeführten Maßnahmen, wie OPs, Eingriffe oder sonstige Maßnahmen.

Item DT Card Conf Desc Label

hl7:section

(DurchgefuehrteMassnahmen)

hl7:templateId

II

1..1

(DurchgefuehrteMassnahmen)

@root

1..1

F

1.2.40.0.34.11.2.2.4

hl7:code

CE

1..1

M

(DurchgefuehrteMassnahmen)

@code

1..1

F

29554-3

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Procedures

Beispiel

<code code="29554-3" displayName="Procedures" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(DurchgefuehrteMassnahmen)

CONF

Elementinhalt muss "Durchgeführte Maßnahmen" sein

hl7:text

1..1

(DurchgefuehrteMassnahmen)

Eingebettetes Objekt Entry / EingebettetesObjektEntry 1.2.40.0.34.11.1.3.1 - 2011‑12‑19

Template Eingebettetes Objekt Entry / EingebettetesObjektEntry

Id 1.2.40.0.34.11.1.3.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.3.1

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 2 Templates

Id	Name	vom
elga-template-1.2.3	Beilagen Beilagen	2011‑12‑19
elga-template-2.2.17	BeigelegteBefunde Beigelegte erhobene Befunde	2011‑12‑19

Item DT Card Conf Desc Label

hl7:observationMedia

1..1

(EingebettetesObjektEntry)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(EingebettetesObjektEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.1

hl7:value

ED

1..1

M

(EingebettetesObjektEntry)

@mediaType

1..1

F

CONF

Der Wert von @mediaType muss gewählt werden aus dem Value Set ELGA_Medientyp

@representation

1..1

F

B64

Einnahmedauer 1.2.40.0.34.11.30006 - 2011‑12‑19

Template (intern) Einnahmedauer

Id 1.2.40.0.34.11.30006

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-2.3.2	MedikationVerordnungEntry Medikation Verordnung Entry	2012‑07‑14
Abhängigkeit: elga-template-2.2.21	MedikationEinweisungFull Medikation bei Einweisung (full)	2011‑12‑19
Abhängigkeit: elga-template-2.2.8	EmpfohleneMedikationFull Empfohlene Medikation (full support)	2011‑12‑19
Abhängigkeit: elga-template-2.3.3	MedikationAbgabeEntry Medikation Abgabe Entry	2012‑07‑14

Item DT Card Conf Desc Label

hl7:effectiveTime
wo
[1]

IVL_TS

1..1

M

Zeitelement zur Dokumentation der Einnahmedauer

(Einnahmedauer)

hl7:low

TS

1..1

(Einnahmedauer)

hl7:high

TS

1..1

(Einnahmedauer)

Empfehlung 1.2.40.0.34.11.5.2.13 - 2012‑01‑12

Template Empfehlung

Id 1.2.40.0.34.11.5.2.13

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.13

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Empfehlung)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Empfehlung)

@root

1..1

F

1.2.40.0.34.11.5.2.13

hl7:code

CE

1..1

M

(Empfehlung)

@code

1..1

F

18783-1

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Study recommendation

hl7:title

ST

1..1

M

(Empfehlung)

CONF

Elementinhalt muss "Empfehlung" sein

hl7:text

ED

1..1

M

(Empfehlung)

Empfohlene Medikation (alle EIS) / EmpfohleneMedikationAlleEIS 1.2.40.0.34.11.30004 - 2011‑12‑19

Template (intern) Empfohlene Medikation (alle EIS) / EmpfohleneMedikationAlleEIS

Id 1.2.40.0.34.11.30004

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 2 Templates

Id	Name	vom
elga-template-2.2.7	EmpfohleneMedikationEnhanced Empfohlene Medikation (enhanced)	2011‑12‑19
elga-template-2.2.8	EmpfohleneMedikationFull Empfohlene Medikation (full support)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:code

CE

1..1

M

(EmpfohleneMedikationAlleEIS)

@code

1..1

F

10183-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Hospital discharge medications

Beispiel

<code code="10183-2" displayName="Hospital discharge medications" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

(EmpfohleneMedikationAlleEIS)

CONF

Elementinhalt muss "Empfohlene Medikation" sein

hl7:text

1..1

(EmpfohleneMedikationAlleEIS)

Empfohlene Medikation (enhanced) / EmpfohleneMedikationEnhanced 1.2.40.0.34.11.2.2.7 - 2011‑12‑19

Template Empfohlene Medikation (enhanced) / EmpfohleneMedikationEnhanced

Id 1.2.40.0.34.11.2.2.7

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.7

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(EmpfohleneMedikationEnhanced)

hl7:templateId

II

1..1

(EmpfohleneMedikationEnhanced)

@root

1..1

F

1.2.40.0.34.11.2.2.7

Eingefügt von 1.2.40.0.34.11.30004

hl7:code

CE

1..1

M

(EmpfohleneMedikationEnhanced)

@code

1..1

F

10183-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Hospital discharge medications

Beispiel

<code code="10183-2" displayName="Hospital discharge medications" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

(EmpfohleneMedikationEnhanced)

CONF

Elementinhalt muss "Empfohlene Medikation" sein

hl7:text

1..1

(EmpfohleneMedikationEnhanced)

Empfohlene Medikation (full support) / EmpfohleneMedikationFull 1.2.40.0.34.11.2.2.8 - 2011‑12‑19

Template Empfohlene Medikation (full support) / EmpfohleneMedikationFull

Id 1.2.40.0.34.11.2.2.8

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.8

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(EmpfohleneMedikationFull)

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.2.40.0.34.11.2.2.8

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.22

Eingefügt von 1.2.40.0.34.11.30004

hl7:code

CE

1..1

M

(EmpfohleneMedikationFull)

@code

1..1

F

10183-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Hospital discharge medications

Beispiel

<code code="10183-2" displayName="Hospital discharge medications" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

(EmpfohleneMedikationFull)

CONF

Elementinhalt muss "Empfohlene Medikation" sein

hl7:text

1..1

(EmpfohleneMedikationFull)

hl7:entry

1..*

(EmpfohleneMedikationFull)

@typeCode

0..1

F

DRIV

Eingefügt von 1.2.40.0.34.11.2.3.2

hl7:substanceAdministration

(EmpfohleneMedikationFull)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

INT

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.2.40.0.34.11.2.3.2

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.24

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.2

Auswahl: Elemente in der Auswahl:

hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']

max 1 Element(e)

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.9

Auswahl: Elemente in der Auswahl:

hl7:id[@root='1.2.40.0.10.1.4.3.4.1.4']
hl7:id

max 1 Element(e)

hl7:id

II

(EmpfohleneMedikationFull)

@root

1..1

F

1.2.40.0.10.1.4.3.4.1.4

hl7:id

II

(EmpfohleneMedikationFull)

@nullFlavor

1..1

F

NI

hl7:code

CE

1..1

M

(EmpfohleneMedikationFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_MedikationTherapieArt

hl7:originalText

ED

0..1

O

(EmpfohleneMedikationFull)

hl7:text

ED

1..1

M

(EmpfohleneMedikationFull)

hl7:reference

TEL

1..1

M

(EmpfohleneMedikationFull)

hl7:statusCode

CS

1..1

M

(EmpfohleneMedikationFull)

@code

1..1

F

completed

Eingefügt von 1.2.40.0.34.11.30006

hl7:effectiveTime
wo
[1]

IVL_TS

1..1

M

Zeitelement zur Dokumentation der Einnahmedauer

(EmpfohleneMedikationFull)

hl7:low

TS

1..1

(EmpfohleneMedikationFull)

hl7:high

TS

1..1

(EmpfohleneMedikationFull)

Auswahl: Elemente in der Auswahl:

Eingefügt von 1.2.40.0.34.11.30007

hl7:effectiveTime
wo
[2]

PIVL_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(EmpfohleneMedikationFull)

@operator

1..1

F

A

@institutionSpecified

1..1

F

true

hl7:period

PQ

1..1

(EmpfohleneMedikationFull)

@value

1..1

F

1

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(EmpfohleneMedikationFull)

hl7:entry

NP

(EmpfohleneMedikationFull)

Eingefügt von 1.2.40.0.34.11.30008

hl7:effectiveTime
wo
[2]

NP

(EmpfohleneMedikationFull)

hl7:doseQuantity

NP

(EmpfohleneMedikationFull)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(EmpfohleneMedikationFull)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(EmpfohleneMedikationFull)

hl7:substanceAdministration

1..1

M

(EmpfohleneMedikationFull)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

EIVL_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(EmpfohleneMedikationFull)

@operator

1..1

F

A

hl7:event

CE

1..1

M

(EmpfohleneMedikationFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:doseQuantity

IVL_PQ

1..1

M

(EmpfohleneMedikationFull)

hl7:consumable

1..1

M

(EmpfohleneMedikationFull)

hl7:manufacturedProduct

1..1

M

(EmpfohleneMedikationFull)

hl7:manufacturedMaterial

1..1

M

(EmpfohleneMedikationFull)

@nullFlavor

1..1

F

NA

Eingefügt von 1.2.40.0.34.11.30009

hl7:effectiveTime
wo
[2]

SXPR_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(EmpfohleneMedikationFull)

@operator

1..1

F

A

hl7:comp
wo
[hl7:period and not(hl7:phase)]

PIVL_TS

1..1

(EmpfohleneMedikationFull)

hl7:period

PQ

1..1

(EmpfohleneMedikationFull)

@value

1..1

F

1

CONF

unit ist "d"

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(EmpfohleneMedikationFull)

hl7:phase

IVL_TS

1..1

(EmpfohleneMedikationFull)

hl7:width

PQ

(EmpfohleneMedikationFull)

CONF

unit ist "d"

hl7:period

PQ

1..1

(EmpfohleneMedikationFull)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(EmpfohleneMedikationFull)

hl7:entry

NP

(EmpfohleneMedikationFull)

Eingefügt von 1.2.40.0.34.11.30010

hl7:effectiveTime
wo
[2]

NP

(EmpfohleneMedikationFull)

hl7:doseQuantity

NP

(EmpfohleneMedikationFull)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(EmpfohleneMedikationFull)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(EmpfohleneMedikationFull)

hl7:substanceAdministration

1..1

M

(EmpfohleneMedikationFull)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

SXPR_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(EmpfohleneMedikationFull)

@operator

1..1

F

A

hl7:comp
wo
[hl7:event]

EIVL_TS

1..1

(EmpfohleneMedikationFull)

hl7:event

CE

1..1

M

(EmpfohleneMedikationFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(EmpfohleneMedikationFull)

@operator

1..1

F

A

hl7:phase

IVL_TS

1..1

(EmpfohleneMedikationFull)

hl7:width

PQ

(EmpfohleneMedikationFull)

CONF

unit ist "d"

hl7:period

PQ

1..1

(EmpfohleneMedikationFull)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(EmpfohleneMedikationFull)

hl7:consumable

1..1

M

(EmpfohleneMedikationFull)

hl7:manufacturedProduct

1..1

M

(EmpfohleneMedikationFull)

hl7:manufacturedMaterial

1..1

M

(EmpfohleneMedikationFull)

@nullFlavor

1..1

F

NA

hl7:consumable

1..1

M

(EmpfohleneMedikationFull)

Eingefügt von 1.2.40.0.34.11.2.3.4

hl7:manufacturedProduct

(EmpfohleneMedikationFull)

@classCode

1..1

F

MANU

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.2

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.53

hl7:manufacturedMaterial

1..1

M

(EmpfohleneMedikationFull)

@classCode

1..1

F

MMAT

@determinerCode

1..1

F

KIND

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.2.40.0.34.11.2.3.4

hl7:templateId

II

1..1

(EmpfohleneMedikationFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.1

hl7:code

1..1

Pharmazentralnummer der Arznei, zugelassene nullFlavor:

NI Arznei hat keine PZN
NA Arznei ist eine magistrale Zubereitung
UNK Arznei hat eine PZN, diese ist jedoch unbekannt

(EmpfohleneMedikationFull)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

1..1

(EmpfohleneMedikationFull)

hl7:translation

CE

0..*

O

(EmpfohleneMedikationFull)

hl7:name

EN

1..1

M

(EmpfohleneMedikationFull)

Schematron assert role error

test hl7:code/@nullFlavor or (hl7:code/@code and count(pharm:asContent)>0)

Meldung pharm:asContent Komponente zur Aufnahme der Packungsangaben ist mandatory wenn PZN vorhanden

pharm:asContent

0..1

O

(EmpfohleneMedikationFull)

@classCode

1..1

F

CONT

pharm:containerPackagedMedicine

1..1

M

(EmpfohleneMedikationFull)

@classCode

1..1

F

CONT

@determinerCode

1..1

F

INSTANCE

pharm:code

1..1

M

Pharmazentralnummer der Arznei

(EmpfohleneMedikationFull)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

0..1

O

(EmpfohleneMedikationFull)

pharm:name

EN

1..1

M

(EmpfohleneMedikationFull)

pharm:capacityQuantity

PQ

1..1

M

(EmpfohleneMedikationFull)

pharm:ingredient

0..*

O

Komponente zur Aufnahme des Wirkstoffs

(EmpfohleneMedikationFull)

@classCode

1..1

F

ACTI

pharm:quantity

1..1

(EmpfohleneMedikationFull)

pharm:numerator

PQ

1..1

(EmpfohleneMedikationFull)

pharm:denominator

PQ

1..1

(EmpfohleneMedikationFull)

pharm:ingredient

1..1

M

Code und Name des Wirkstoffs

(EmpfohleneMedikationFull)

pharm:code

CE

1..1

(EmpfohleneMedikationFull)

@codeSystem

1..1

F

2.16.840.1.113883.6.73

hl7:originalText

ED

0..1

O

(EmpfohleneMedikationFull)

hl7:translation

CE

0..*

O

(EmpfohleneMedikationFull)

pharm:name

EN

1..1

M

(EmpfohleneMedikationFull)

hl7:entryRelationship
wo
[@typeCode='COMP'] [hl7:supply]

1..1

M

(EmpfohleneMedikationFull)

@typeCode

1..1

F

COMP

hl7:supply

1..1

M

(EmpfohleneMedikationFull)

@classCode

1..1

F

SPLY

@moodCode

1..1

F

RQO

Beispiel

<supply classCode="SPLY" moodCode="RQO"> <independentInd value="false"/> <quantity value="1"/> </supply>

hl7:independentInd

BL

1..1

M

(EmpfohleneMedikationFull)

CONF

value ist "false"

hl7:quantity

PQ

1..1

M

(EmpfohleneMedikationFull)

hl7:entryRelationship
wo
[@typeCode='SUBJ']

0..1

O

(EmpfohleneMedikationFull)

@typeCode

1..1

F

SUBJ

hl7:act

1..1

M

(EmpfohleneMedikationFull)

@classCode

1..1

F

ACT

@moodCode

1..1

F

INT

hl7:code

CE

1..1

M

(EmpfohleneMedikationFull)

@code

1..1

F

PINSTRUCT

@codeSystem

1..1

F

1.3.6.1.4.1.19376.1.5.3.2

hl7:text

ED

1..1

M

(EmpfohleneMedikationFull)

hl7:reference

TEL

1..1

M

(EmpfohleneMedikationFull)

Entlassungsbrief (Ärztlich) / EntlassungsbriefAerztlich 1.2.40.0.34.11.2 - 2011‑12‑19

Template Entlassungsbrief (Ärztlich) / EntlassungsbriefAerztlich

Id 1.2.40.0.34.11.2

Kontext Geschwisterknoten des Template-Element mit Id 1.2.40.0.34.11.2

Label cdaea

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Template Spezieller Implementierungsleitfaden ELGA Entlassungsbrief (Ärztlich)

Item DT Card Conf Desc Label

hl7:templateId

II

1..1

Template Spezieller Implementierungsleitfaden ELGA Entlassungsbrief (Ärztlich)

cdaea

@root

1..1

F

1.2.40.0.34.11.2

hl7:templateId

II

1..1

EIS Basic, Enhanced oder Full support

cdaea

@root

1..1

@root muss eins aus Auswahl sein:

1.2.40.0.34.11.2.0.1
1.2.40.0.34.11.2.0.2
1.2.40.0.34.11.2.0.3

hl7:code

CE

1..1

M

cdaea

@code

1..1

F

11490-0

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Discharge summarization note (physician)

Beispiel

<code code="11490-0" displayName="Discharge summarization note (physician)" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:participant
wo
[@typeCode='CALLBCK']

1..1

M

cdaea

hl7:participant
wo
[@typeCode='REF']

0..1

O

cdaea

hl7:documentationOf

1..1

M

cdaea

hl7:serviceEvent

1..1

M

cdaea

hl7:code

CE

1..1

cdaea

@code

1..1

F

GDLSTATAUF

@codeSystem

1..1

F

1.2.40.0.34.5.21

hl7:performer

NP

cdaea

hl7:componentOf

1..1

M

cdaea

hl7:encompassingEncounter

1..1

M

cdaea

hl7:id

1..1

cdaea

hl7:code

CE

1..1

cdaea

@code

1..1

F

IMP

@codeSystem

1..1

F

2.16.840.1.113883.5.4

hl7:originalText

ED

0..1

O

cdaea

hl7:responsibleParty

0..1

O

cdaea

Entlassungsbrief (Pflege) / EntlassungsbriefPflege 1.2.40.0.34.11.3 - 2011‑12‑19

Template Entlassungsbrief (Pflege) / EntlassungsbriefPflege

Id 1.2.40.0.34.11.3

Kontext Geschwisterknoten des Template-Element mit Id 1.2.40.0.34.11.3

Label cdaep

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Template Spezieller Implementierungsleitfaden ELGA Entlassungsbrief (Pflege)

Item DT Card Conf Desc Label

hl7:templateId

II

1..1

cdaep

@root

1..1

F

1.2.40.0.34.11.3

hl7:templateId

II

1..1

EIS Basic, Enhanced oder Full support

cdaep

@root

1..1

@root muss eins aus Auswahl sein:

1.2.40.0.34.11.3.0.1
1.2.40.0.34.11.3.0.2
1.2.40.0.34.11.3.0.3

hl7:code

CE

1..1

M

cdaep

@code

1..1

F

34745-0

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="34745-0" displayName="Discharge summarization note (nursing)" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:participant
wo
[@typeCode='CALLBCK']

1..1

M

cdaep

hl7:participant
wo
[@typeCode='REF']

0..1

O

cdaep

hl7:documentationOf

1..1

M

cdaep

hl7:serviceEvent

1..1

M

cdaep

hl7:code

CE

1..1

cdaep

@code

1..1

F

GDLSTATAUF

@codeSystem

1..1

F

1.2.40.0.34.5.21

hl7:performer

NP

cdaep

hl7:componentOf

1..1

M

cdaep

hl7:encompassingEncounter

1..1

M

cdaep

hl7:id

1..1

cdaep

hl7:code

CE

1..1

cdaep

@code

1..1

F

IMP

@codeSystem

1..1

F

2.16.840.1.113883.5.4

hl7:originalText

ED

0..1

O

cdaep

hl7:responsibleParty

0..1

O

cdaep

Entlassungsdiagnose (alle EIS) / EntlassungsdiagnoseAlleEIS 1.2.40.0.34.11.30003 - 2011‑12‑19

Template (intern) Entlassungsdiagnose (alle EIS) / EntlassungsdiagnoseAlleEIS

Id 1.2.40.0.34.11.30003

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 2 Templates

Id	Name	vom
elga-template-2.2.2	EntlassungsdiagnoseEnhanced Entlassungsdiagnose (enhanced)	2011‑12‑19
elga-template-2.2.3	EntlassungsdiagnoseFull Entlassungsdiagnose (full support)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:code

CE

1..1

M

(EntlassungsdiagnoseAlleEIS)

@code

1..1

F

11535-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="11535-2" displayName="Hospital Discharge DX" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

Auswahl: Elemente in der Auswahl:

hl7:title
hl7:title

min 1 Element(e) max 1 Element(e)

hl7:title

ST

(EntlassungsdiagnoseAlleEIS)

CONF

Elementinhalt muss "Entlassungsdiagnosen" sein

-oder-

Elementinhalt muss "Diagnosen bei Entlassung" sein

hl7:title

ST

(EntlassungsdiagnoseAlleEIS)

CONF

Elementinhalt muss "Diagnosen bei Entlassung" sein

hl7:text

1..1

(EntlassungsdiagnoseAlleEIS)

Entlassungsdiagnose (enhanced) / EntlassungsdiagnoseEnhanced 1.2.40.0.34.11.2.2.2 - 2011‑12‑19

Template Entlassungsdiagnose (enhanced) / EntlassungsdiagnoseEnhanced

Id 1.2.40.0.34.11.2.2.2

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.2

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(EntlassungsdiagnoseEnhanced)

hl7:templateId

II

1..1

(EntlassungsdiagnoseEnhanced)

@root

1..1

F

1.2.40.0.34.11.2.2.2

Eingefügt von 1.2.40.0.34.11.30003

hl7:code

CE

1..1

M

(EntlassungsdiagnoseEnhanced)

@code

1..1

F

11535-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="11535-2" displayName="Hospital Discharge DX" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

Auswahl: Elemente in der Auswahl:

hl7:title
hl7:title

min 1 Element(e) max 1 Element(e)

hl7:title

ST

(EntlassungsdiagnoseEnhanced)

CONF

Elementinhalt muss "Entlassungsdiagnosen" sein

-oder-

Elementinhalt muss "Diagnosen bei Entlassung" sein

hl7:title

ST

(EntlassungsdiagnoseEnhanced)

CONF

Elementinhalt muss "Diagnosen bei Entlassung" sein

hl7:text

1..1

(EntlassungsdiagnoseEnhanced)

Entlassungsdiagnose Entry / EntlassungsdiagnoseEntry 1.2.40.0.34.11.2.3.1 - 2011‑12‑19

Template Entlassungsdiagnose Entry / EntlassungsdiagnoseEntry

Id 1.2.40.0.34.11.2.3.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.3.1

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-2.2.3	EntlassungsdiagnoseFull Entlassungsdiagnose (full support)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:act

(EntlassungsdiagnoseEntry)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(EntlassungsdiagnoseEntry)

@root

1..1

F

1.2.40.0.34.11.2.3.1

hl7:templateId

II

1..1

(EntlassungsdiagnoseEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.5

hl7:templateId

II

1..1

(EntlassungsdiagnoseEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.5.1

hl7:templateId

II

1..1

(EntlassungsdiagnoseEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.5.2

hl7:templateId

II

1..1

(EntlassungsdiagnoseEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.27

hl7:entryRelationship

1..1

M

(EntlassungsdiagnoseEntry)

hl7:observation

1..1

M

(EntlassungsdiagnoseEntry)

hl7:templateId

II

1..1

(EntlassungsdiagnoseEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.6

hl7:code

CE

1..1

M

(EntlassungsdiagnoseEntry)

@code

1..1

F

282291009

@displayName

1..1

F

Diagnosis

hl7:value

CD

1..1

M

(EntlassungsdiagnoseEntry)

@codeSystem

1..1

F

1.2.40.0.34.5.1

Entlassungsdiagnose (full support) / EntlassungsdiagnoseFull 1.2.40.0.34.11.2.2.3 - 2011‑12‑19

Template Entlassungsdiagnose (full support) / EntlassungsdiagnoseFull

Id 1.2.40.0.34.11.2.2.3

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.3

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(EntlassungsdiagnoseFull)

hl7:templateId

II

1..1

(EntlassungsdiagnoseFull)

@root

1..1

F

1.2.40.0.34.11.2.2.3

hl7:templateId

II

1..1

(EntlassungsdiagnoseFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.7

Eingefügt von 1.2.40.0.34.11.30003

hl7:code

CE

1..1

M

(EntlassungsdiagnoseFull)

@code

1..1

F

11535-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="11535-2" displayName="Hospital Discharge DX" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

Auswahl: Elemente in der Auswahl:

hl7:title
hl7:title

min 1 Element(e) max 1 Element(e)

hl7:title

ST

(EntlassungsdiagnoseFull)

CONF

Elementinhalt muss "Entlassungsdiagnosen" sein

-oder-

Elementinhalt muss "Diagnosen bei Entlassung" sein

hl7:title

ST

(EntlassungsdiagnoseFull)

CONF

Elementinhalt muss "Diagnosen bei Entlassung" sein

hl7:text

1..1

(EntlassungsdiagnoseFull)

hl7:entry

1..*

(EntlassungsdiagnoseFull)

@typeCode

0..1

F

DRIV

Eingefügt von 1.2.40.0.34.11.2.3.1

hl7:act

(EntlassungsdiagnoseFull)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(EntlassungsdiagnoseFull)

@root

1..1

F

1.2.40.0.34.11.2.3.1

hl7:templateId

II

1..1

(EntlassungsdiagnoseFull)

@root

1..1

F

1.2.40.0.34.11.1.3.5

hl7:templateId

II

1..1

(EntlassungsdiagnoseFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.5.1

hl7:templateId

II

1..1

(EntlassungsdiagnoseFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.5.2

hl7:templateId

II

1..1

(EntlassungsdiagnoseFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.27

hl7:entryRelationship

1..1

M

(EntlassungsdiagnoseFull)

hl7:observation

1..1

M

(EntlassungsdiagnoseFull)

hl7:templateId

II

1..1

(EntlassungsdiagnoseFull)

@root

1..1

F

1.2.40.0.34.11.1.3.6

hl7:code

CE

1..1

M

(EntlassungsdiagnoseFull)

@code

1..1

F

282291009

@displayName

1..1

F

Diagnosis

hl7:value

CD

1..1

M

(EntlassungsdiagnoseFull)

@codeSystem

1..1

F

1.2.40.0.34.5.1

Entlassungsmanagement (alle EIS) / EntlassungsmanagementAlleEIS 1.2.40.0.34.11.30012 - 2011‑12‑19

Template (intern) Entlassungsmanagement (alle EIS) / EntlassungsmanagementAlleEIS

Id 1.2.40.0.34.11.30012

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-3.2.16	EntlassungsmanagementEnhanced Entlassungsmanagement (enhanced)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:code

CE

1..1

M

(EntlassungsmanagementAlleEIS)

@code

1..1

F

8650-4

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="8650-4" displayName="Hospital discharge disposition" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(EntlassungsmanagementAlleEIS)

CONF

Elementinhalt muss "Entlassungsmanagement" sein

hl7:text

1..1

M

(EntlassungsmanagementAlleEIS)

Entlassungsmanagement (enhanced) / EntlassungsmanagementEnhanced 1.2.40.0.34.11.3.2.16 - 2011‑12‑19

Template Entlassungsmanagement (enhanced) / EntlassungsmanagementEnhanced

Id 1.2.40.0.34.11.3.2.16

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.16

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(EntlassungsmanagementEnhanced)

hl7:templateId

II

1..1

(EntlassungsmanagementEnhanced)

@root

1..1

F

1.2.40.0.34.11.3.2.16

hl7:templateId

II

1..1

(EntlassungsmanagementEnhanced)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.32

Eingefügt von 1.2.40.0.34.11.30012

hl7:code

CE

1..1

M

(EntlassungsmanagementEnhanced)

@code

1..1

F

8650-4

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="8650-4" displayName="Hospital discharge disposition" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(EntlassungsmanagementEnhanced)

CONF

Elementinhalt muss "Entlassungsmanagement" sein

hl7:text

1..1

M

(EntlassungsmanagementEnhanced)

hl7:entry

NP

(EntlassungsmanagementEnhanced)

Entlassungsmanagement-Entry / EntlassungsmanagementEntry 1.2.40.0.34.11.3.3.2 - 2011‑12‑19

Template Entlassungsmanagement-Entry / EntlassungsmanagementEntry

Id 1.2.40.0.34.11.3.3.2

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.3.2

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-3.2.17	EntlassungsmanagementFull Entlassungsmanagement (full)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:act

(EntlassungsmanagementEntry)

@classCode

1..1

F

ACT

@moodCode

1..1

F

INT

hl7:templateId

II

1..1

(EntlassungsmanagementEntry)

@root

1..1

F

1.2.40.0.34.11.3.3.2

hl7:templateId

II

1..1

(EntlassungsmanagementEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2

hl7:id

II

1..1

M

(EntlassungsmanagementEntry)

hl7:code

CE

1..1

M

(EntlassungsmanagementEntry)

@code

1..1

F

GEPLENTLDAT

@codeSystem

1..1

F

1.2.40.0.34.5.28

@displayName

1..1

F

Geplantes Entlassungsdatum

hl7:originalText

ED

0..1

O

(EntlassungsmanagementEntry)

hl7:text

ED

1..1

M

(EntlassungsmanagementEntry)

hl7:reference

TEL

1..1

M

(EntlassungsmanagementEntry)

hl7:statusCode

CS

1..1

M

(EntlassungsmanagementEntry)

@code

1..1

F

normal

hl7:effectiveTime

IVL_TS

1..1

M

(EntlassungsmanagementEntry)

hl7:low

TS

1..1

M

(EntlassungsmanagementEntry)

hl7:high

TS

1..1

(EntlassungsmanagementEntry)

@nullFlavor

1..1

F

NI

Entlassungsmanagement (full) / EntlassungsmanagementFull 1.2.40.0.34.11.3.2.17 - 2011‑12‑19

Template Entlassungsmanagement (full) / EntlassungsmanagementFull

Id 1.2.40.0.34.11.3.2.17

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.17

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(EntlassungsmanagementFull)

hl7:templateId

II

1..1

(EntlassungsmanagementFull)

@root

1..1

F

1.2.40.0.34.11.3.2.17

hl7:templateId

II

1..1

(EntlassungsmanagementFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.32

Eingefügt von 1.2.40.0.34.11.30010

hl7:effectiveTime
wo
[2]

NP

(EntlassungsmanagementFull)

hl7:doseQuantity

NP

(EntlassungsmanagementFull)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(EntlassungsmanagementFull)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(EntlassungsmanagementFull)

hl7:substanceAdministration

1..1

M

(EntlassungsmanagementFull)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(EntlassungsmanagementFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

SXPR_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(EntlassungsmanagementFull)

@operator

1..1

F

A

hl7:comp
wo
[hl7:event]

EIVL_TS

1..1

(EntlassungsmanagementFull)

hl7:event

CE

1..1

M

(EntlassungsmanagementFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(EntlassungsmanagementFull)

@operator

1..1

F

A

hl7:phase

IVL_TS

1..1

(EntlassungsmanagementFull)

hl7:width

PQ

(EntlassungsmanagementFull)

CONF

unit ist "d"

hl7:period

PQ

1..1

(EntlassungsmanagementFull)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(EntlassungsmanagementFull)

hl7:consumable

1..1

M

(EntlassungsmanagementFull)

hl7:manufacturedProduct

1..1

M

(EntlassungsmanagementFull)

hl7:manufacturedMaterial

1..1

M

(EntlassungsmanagementFull)

@nullFlavor

1..1

F

NA

hl7:entry

1..*

(EntlassungsmanagementFull)

@typeCode

0..1

F

DRIV

Eingefügt von 1.2.40.0.34.11.3.3.2

hl7:act

(EntlassungsmanagementFull)

@classCode

1..1

F

ACT

@moodCode

1..1

F

INT

hl7:templateId

II

1..1

(EntlassungsmanagementFull)

@root

1..1

F

1.2.40.0.34.11.3.3.2

hl7:templateId

II

1..1

(EntlassungsmanagementFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2

hl7:id

II

1..1

M

(EntlassungsmanagementFull)

hl7:code

CE

1..1

M

(EntlassungsmanagementFull)

@code

1..1

F

GEPLENTLDAT

@codeSystem

1..1

F

1.2.40.0.34.5.28

@displayName

1..1

F

Geplantes Entlassungsdatum

hl7:originalText

ED

0..1

O

(EntlassungsmanagementFull)

hl7:text

ED

1..1

M

(EntlassungsmanagementFull)

hl7:reference

TEL

1..1

M

(EntlassungsmanagementFull)

hl7:statusCode

CS

1..1

M

(EntlassungsmanagementFull)

@code

1..1

F

normal

hl7:effectiveTime

IVL_TS

1..1

M

(EntlassungsmanagementFull)

hl7:low

TS

1..1

M

(EntlassungsmanagementFull)

hl7:high

TS

1..1

(EntlassungsmanagementFull)

@nullFlavor

1..1

F

NI

Entlassungszustand 1.2.40.0.34.11.2.2.11 - 2011‑12‑19

Template Entlassungszustand

Id 1.2.40.0.34.11.2.2.11

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.11

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Informationen zu Belastbarkeit und Arbeitsunfähigkeit.

Item DT Card Conf Desc Label

hl7:section

(Entlassungszustand)

hl7:templateId

II

1..1

(Entlassungszustand)

@root

1..1

F

1.2.40.0.34.11.2.2.11

hl7:templateId

II

1..1

(Entlassungszustand)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.17

hl7:templateId

II

1..1

(Entlassungszustand)

@root

1..1

F

2.16.840.1.113883.10.20.1.5

hl7:code

CE

1..1

M

(Entlassungszustand)

@code

1..1

F

47420-5

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Functional status assessment

Beispiel

<code code="47420-5" displayName="Functional status assessment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(Entlassungszustand)

CONF

Elementinhalt muss "Entlassungszustand" sein

hl7:text

1..1

(Entlassungszustand)

Ernährung / Ernaehrung 1.2.40.0.34.11.3.2.5 - 2011‑12‑19

Template Ernährung / Ernaehrung

Id 1.2.40.0.34.11.3.2.5

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.5

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Ernaehrung)

hl7:templateId

II

1..1

(Ernaehrung)

@root

1..1

F

1.2.40.0.34.11.3.2.5

hl7:code

CE

1..1

M

(Ernaehrung)

@code

1..1

F

PFERN

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFERN" displayName="Ernährung" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(Ernaehrung)

CONF

Elementinhalt muss "Ernährung" sein

hl7:text

1..1

M

(Ernaehrung)

Erste Header Elemente für ELGA CDA Dokumente / FirstCDAHeaderElements 1.2.40.0.34.11.10000 - 2011‑12‑19

Template (intern) Erste Header Elemente für ELGA CDA Dokumente / FirstCDAHeaderElements

Id 1.2.40.0.34.11.10000

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 4 Templates

Id	Name	vom
elga-template-10001	CDAEntlassbriefAerztlich ELGA CDA Dokument Entlassung Ärztlich	2011‑12‑19
elga-template-10002	CDAEntlassbriefPflege ELGA CDA Dokument Entlassung Pflege	2011‑12‑19
elga-template-10003	CDALaborbefund ELGA CDA Dokument Laborbefund	2012‑01‑07
elga-template-10004	CDABildiag ELGA CDA Dokument Befund Bildgebende Diagnostik	2012‑01‑17

Item DT Card Conf Desc Label

@classCode

0..1

F

DOCCLIN

@moodCode

0..1

F

EVN

hl7:realmCode

CS

1..1

M

(FirstCDAHeaderElements)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_RealmCode

Beispiel

<realmCode code="AT"/>

hl7:typeId

II

1..1

M

(FirstCDAHeaderElements)

@root

1..1

F

2.16.840.1.113883.1.3

@extension

1..1

F

POCD_HD000040

Beispiel

<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>

hl7:templateId

II

1..1

M

ELGA TemplateId für den Allgemeinen Implementierungsleitfaden

(FirstCDAHeaderElements)

@root

1..1

F

1.2.40.0.34.11.1

Beispiel

<templateId root="1.2.40.0.34.11.1"/>

Frühere Befunde / FruehereBefunde 1.2.40.0.34.11.5.2.7 - 2012‑01‑12

Template Frühere Befunde / FruehereBefunde

Id 1.2.40.0.34.11.5.2.7

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.7

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(FruehereBefunde)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(FruehereBefunde)

@root

1..1

F

1.2.40.0.34.11.5.2.7

hl7:code

CE

1..1

M

(FruehereBefunde)

@code

1..1

F

18834-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Comparison.study

hl7:title

ST

1..1

M

(FruehereBefunde)

CONF

Elementinhalt muss "Frühere Befunde" sein

hl7:text

ED

1..1

M

(FruehereBefunde)

Frühere Erkrankungen / FruehereErkrankungen 1.2.40.0.34.11.2.2.19 - 2011‑12‑19

Template Frühere Erkrankungen / FruehereErkrankungen

Id 1.2.40.0.34.11.2.2.19

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.19

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Liste der bisherigen Krankheiten des Patienten.

Item DT Card Conf Desc Label

hl7:section

(FruehereErkrankungen)

hl7:templateId

II

1..1

(FruehereErkrankungen)

@root

1..1

F

1.2.40.0.34.11.2.2.19

hl7:code

CE

1..1

M

(FruehereErkrankungen)

@code

1..1

F

11348-0

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="11348-0" displayName="History of past illness" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(FruehereErkrankungen)

CONF

Elementinhalt muss "Frühere Erkrankungen" sein

hl7:text

1..1

M

(FruehereErkrankungen)

Frühere Untersuchungen / FruehereUntersuchungen 1.2.40.0.34.11.5.2.6 - 2012‑01‑12

Template Frühere Untersuchungen / FruehereUntersuchungen

Id 1.2.40.0.34.11.5.2.6

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.6

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(FruehereUntersuchungen)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(FruehereUntersuchungen)

@root

1..1

F

1.2.40.0.34.11.5.2.6

hl7:code

CE

1..1

M

(FruehereUntersuchungen)

@code

1..1

F

55114-3

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Prior imaging procedure descriptions

hl7:title

ST

1..1

M

(FruehereUntersuchungen)

CONF

Elementinhalt muss "Frühere Untersuchungen" sein

hl7:text

ED

1..1

M

(FruehereUntersuchungen)

Hautzustand 1.2.40.0.34.11.3.2.7 - 2011‑12‑19

Template Hautzustand

Id 1.2.40.0.34.11.3.2.7

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.7

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Hautzustand)

hl7:templateId

II

1..1

(Hautzustand)

@root

1..1

F

1.2.40.0.34.11.3.2.7

hl7:code

CE

1..1

M

(Hautzustand)

@code

1..1

F

PFHAUT

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFHAUT" displayName="Hautzustand" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(Hautzustand)

CONF

Elementinhalt muss "Hautzustand" sein

hl7:text

1..1

M

(Hautzustand)

HeaderAuthenticator 1.2.40.0.34.11.20007 - 2011‑12‑19

Template (intern) HeaderAuthenticator

Id 1.2.40.0.34.11.20007

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Dokumente können neben dem verpflichtenden „rechtlichen Unterzeichner“ auch beliebig viele weitere Unterzeichner beinhalten.

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

hl7:authenticator

(HeaderAuthenticator)

@typeCode

0..1

F

AUTHEN

hl7:time

TS.DATE.MIN

1..1

(HeaderAuthenticator)

Beispiel

<time value="20080324082015+0100"/>

hl7:signatureCode

CS

1..1

M

(HeaderAuthenticator)

@code

1..1

F

S

hl7:assignedEntity

1..1

M

(HeaderAuthenticator)

Eingefügt von AssignedEntityElements

hl7:id

II

1..*

(HeaderAuthenticator)

hl7:addr

AD

0..1

O

(HeaderAuthenticator)

hl7:telecom

TEL

0..*

O

(HeaderAuthenticator)

hl7:assignedPerson

1..1

M

(HeaderAuthenticator)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderAuthenticator)

hl7:representedOrganization

0..1

O

(HeaderAuthenticator)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderAuthenticator)

hl7:name

ON

1..1

M

(HeaderAuthenticator)

hl7:telecom

TEL

0..*

O

(HeaderAuthenticator)

hl7:addr

AD

0..1

O

(HeaderAuthenticator)

HeaderAuthor 1.2.40.0.34.11.20002 - 2011‑12‑19

Template (intern) HeaderAuthor

Id 1.2.40.0.34.11.20002

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

hl7:author

(HeaderAuthor)

@typeCode

0..1

F

AUT

@contextControlCode

0..1

F

OP

Beispiel

<author typeCode="AUT" contextControlCode="OP"> <time value="201106101654"/> <assignedAuthor classCode="ASSIGNED">  </assignedAuthor> </author>

hl7:functionCode

CE

0..1

O

(HeaderAuthor)

Beispiel

<functionCode code="OA" displayName="Diensthabender Oberarzt" codeSystem="1.2.40.0.34.99.111.2.1" codeSystemName="Amadeus Spital - Funktionscodes"/>

hl7:time

TS.DATE.MIN

1..1

(HeaderAuthor)

Beispiel

<time value="20080324082015+0100"/>

hl7:assignedAuthor

1..1

(HeaderAuthor)

@classCode

0..1

F

ASSIGNED

Beispiel

<assignedAuthor classCode="ASSIGNED"> <id extension="ied8984938" root="1.2.276.0.76.3.1.139.933"/> <assignedPerson classCode="PSN" determinerCode="INSTANCE">  </assignedPerson> </assignedAuthor>

hl7:id

II

1..*

(HeaderAuthor)

Beispiel

<id root="1.2.40.0.34.99.111.1.3" extension="1111" assigningAuthorityName="Amadeus Spital"/>

hl7:code

CE

0..1

O

(HeaderAuthor)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_AuthorSpeciality

Beispiel

<code code="GYN" displayName="Gynäkologe" codeSystem="1.2.40.0.34.99.111.2.2" codeSystemName="Amadeus Spital - Fachrichtungscodes"/>

hl7:telecom

TEL

0..*

O

(HeaderAuthor)

Auswahl: Elemente in der Auswahl:

hl7:assignedPerson
hl7:assignedAuthoringDevice

min 1 Element(e) max 1 Element(e)

hl7:assignedPerson

1..1

M

(HeaderAuthor)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Beispiel

<assignedPerson classCode="PSN" determinerCode="INSTANCE"> <name>  </name> </assignedPerson>

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderAuthor)

hl7:assignedAuthoringDevice

1..1

M

(HeaderAuthor)

@classCode

0..1

F

DEV

@determinerCode

0..1

F

INSTANCE

Beispiel

<assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE"> <manufacturerModelName>xxx</manufacturerModelName> <softwareName>yyy</softwareName> </assignedAuthoringDevice>

hl7:manufacturerModelName

SC

1..1

(HeaderAuthor)

hl7:softwareName

SC

1..1

(HeaderAuthor)

hl7:representedOrganization

1..1

M

(HeaderAuthor)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Beispiel

<representedOrganization classCode="ORG" determinerCode="INSTANCE"> <name>  </name> </representedOrganization>

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderAuthor)

hl7:name

ON

1..1

M

(HeaderAuthor)

hl7:telecom

TEL

0..*

O

(HeaderAuthor)

hl7:addr

AD

0..1

O

(HeaderAuthor)

HeaderAuthorization 1.2.40.0.34.11.20012 - 2011‑12‑19

Template (intern) HeaderAuthorization

Id 1.2.40.0.34.11.20012

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

hl7:authorization

NP

Wird vorerst nicht genutzt

(HeaderAuthorization)

HeaderCustodian 1.2.40.0.34.11.20004 - 2011‑12‑19

Template (intern) HeaderCustodian

Id 1.2.40.0.34.11.20004

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

hl7:custodian

(HeaderCustodian)

@typeCode

0..1

F

CST

Beispiel

<custodian typeCode="CST"> <assignedCustodian classCode="ASSIGNED">  </assignedCustodian> </custodian>

hl7:assignedCustodian

1..1

M

(HeaderCustodian)

@classCode

0..1

F

ASSIGNED

Beispiel

<assignedCustodian classCode="ASSIGNED"> <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">  </representedCustodianOrganization> </assignedCustodian>

hl7:representedCustodianOrganization

1..1

M

(HeaderCustodian)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Beispiel

<representedCustodianOrganization> <id root="1.2.40.0.34.99.111.0.1" assigningAuthorityName="GDA Index"/> <name>Amadeus Spital</name> <telecom value="tel:+43.(0)50.55460-0"/> <addr> <streetName>Hafenstraße</streetName> <houseNumber>47-51</houseNumber> <postalCode>4020</postalCode> <city>Linz</city> <state>Oberösterreich</state> <country>Österreich</country> </addr> </representedCustodianOrganization>

hl7:id

II

1..1

(HeaderCustodian)

Beispiel

<id root="1.2.40.0.34.99.111.0.1" assigningAuthorityName="GDA Index"/>

hl7:name

1..1

M

(HeaderCustodian)

Beispiel

<name>Amadeus Spital</name>

hl7:telecom

TEL

0..*

O

(HeaderCustodian)

hl7:addr

AD

1..1

M

(HeaderCustodian)

HeaderDataEnterer 1.2.40.0.34.11.20003 - 2011‑12‑19

Template (intern) HeaderDataEnterer

Id 1.2.40.0.34.11.20003

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

hl7:dataEnterer

(HeaderDataEnterer)

hl7:time

TS.DATE.MIN

0..1

O

(HeaderDataEnterer)

Beispiel

<custodian typeCode="CST"> <assignedEntity classCode="ASSIGNED">  </assignedEntity> </custodian>

hl7:assignedEntity

1..1

(HeaderDataEnterer)

Eingefügt von AssignedEntityElements

hl7:id

II

1..*

(HeaderDataEnterer)

hl7:addr

AD

0..1

O

(HeaderDataEnterer)

hl7:telecom

TEL

0..*

O

(HeaderDataEnterer)

hl7:assignedPerson

1..1

M

(HeaderDataEnterer)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderDataEnterer)

hl7:representedOrganization

0..1

O

(HeaderDataEnterer)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderDataEnterer)

hl7:name

ON

1..1

M

(HeaderDataEnterer)

hl7:telecom

TEL

0..*

O

(HeaderDataEnterer)

hl7:addr

AD

0..1

O

(HeaderDataEnterer)

HeaderEncompassingEncounter 1.2.40.0.34.11.20013 - 2011‑12‑19

Template (intern) HeaderEncompassingEncounter

Id 1.2.40.0.34.11.20013

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung

Diese Klasse repräsentiert Informationen, in welchem Rahmen der Patientenkontakt, der dokumentiert wird, stattgefunden hat. Dokumente werden nicht notwendigerweise immer während eines Patientenkontakts erstellt, sondern ggf. auch zu einem späteren Zeitpunkt, wenn beispielsweise ein Arzt wegen eines pathologischen Laborwertes den Patienten vergeblich versucht zu erreichen und dennoch seine Verlaufsdokumentation fortführt.

Wenn die Dokumentation ein Entlass- oder Verlegungsdokument ist, muss die Information in dieser Klasse mitgegeben werden, inklusive der Dauer des Aufenthalts (hier: nicht nur stationäre Aufenthalte, sondern auch Patientenkontakt in der Praxis eines Niedergelassenen beispielsweise) und der Einrichtung, wo der Patientenaufenthalt stattfand.

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Beispiel

Item DT Card Conf Desc Label

hl7:componentOf

(HeaderEncompassingEncounter)

@typeCode

0..1

F

COMP

Beispiel

<componentOf typeCode="COMP"> <encompassingEncounter classCode="ENC" moodCode="EVN">  </encompassingEncounter> </componentOf>

hl7:encompassingEncounter

1..1

(HeaderEncompassingEncounter)

@classCode

0..1

F

ENC

@moodCode

0..1

F

EVN

hl7:id

II

0..1

O

Identifikationselement zur Aufnahme der Aufenthaltszahl

(HeaderEncompassingEncounter)

hl7:code

CE

1..1

M

(HeaderEncompassingEncounter)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ActEncounterCode

Beispiel

<code code="IMP" codeSystem="2.16.840.1.113883.5.4"/>

hl7:effectiveTime

IVL_TS

1..1

M

(HeaderEncompassingEncounter)

Beispiel

<effectiveTime> <low value="201106071124"/> <high value="201106111654"/> </effectiveTime>

hl7:low

TS.DATE.MIN

1..1

(HeaderEncompassingEncounter)

hl7:high

TS.DATE.MIN

0..1

O

(HeaderEncompassingEncounter)

hl7:responsibleParty

0..1

O

(HeaderEncompassingEncounter)

hl7:assignedEntity

1..1

M

(HeaderEncompassingEncounter)

Eingefügt von AssignedEntityElements

hl7:id

II

1..*

(HeaderEncompassingEncounter)

hl7:addr

AD

0..1

O

(HeaderEncompassingEncounter)

hl7:telecom

TEL

0..*

O

(HeaderEncompassingEncounter)

hl7:assignedPerson

1..1

M

(HeaderEncompassingEncounter)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderEncompassingEncounter)

hl7:representedOrganization

0..1

O

(HeaderEncompassingEncounter)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderEncompassingEncounter)

hl7:name

ON

1..1

M

(HeaderEncompassingEncounter)

hl7:telecom

TEL

0..*

O

(HeaderEncompassingEncounter)

hl7:addr

AD

0..1

O

(HeaderEncompassingEncounter)

hl7:location

1..1

M

(HeaderEncompassingEncounter)

@typeCode

0..1

F

LOC

Beispiel

<location typeCode="LOC"> <healthCareFacility classCode="SDLOC">  </healthCareFacility> </location>

hl7:healthCareFacility

1..1

M

(HeaderEncompassingEncounter)

@classCode

0..1

F

SDLOC

Beispiel

<healthCareFacility classCode="SDLOC"> <location classCode="PLC" determinerCode="INSTANCE">  </location> <serviceProviderOrganization classCode="ORG" determinerCode="INSTANCE">  </serviceProviderOrganization> </healthCareFacility>

hl7:serviceProviderOrganization

1..1

M

(HeaderEncompassingEncounter)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Beispiel

<serviceProviderOrganization classCode="ORG" determinerCode="INSTANCE"> <name/> <addr>  </addr> </serviceProviderOrganization>

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderEncompassingEncounter)

hl7:name

ON

1..1

M

(HeaderEncompassingEncounter)

hl7:telecom

TEL

0..*

O

(HeaderEncompassingEncounter)

hl7:addr

AD

0..1

O

(HeaderEncompassingEncounter)

HeaderInFulfillmentOf 1.2.40.0.34.11.20009 - 2011‑12‑19

Template (intern) HeaderInFulfillmentOf

Id 1.2.40.0.34.11.20009

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung DokuDas Element “inFulfillmentOf” ermöglicht die Referenz zum ursprünglichen Auftrag des Auftraggebers.

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Beispiel

<inFulfillmentOf typeCode="FLFS"> <order classCode="ACT" moodCode="RQO">  </order> </inFulfillmentOf>

Item DT Card Conf Desc Label

hl7:inFulfillmentOf

(HeaderInFulfillmentOf)

@typeCode

1..1

F

FLFS

hl7:order

1..1

M

(HeaderInFulfillmentOf)

@classCode

1..1

F

ACT

@moodCode

1..1

F

RQO

Beispiel

<order classCode="ACT" moodCode="RQO"> <id root="2.16.840.1.113883.2.16.1.99.3.1" extension="081201-004"/> </order>

hl7:id

II

1..1

M

(HeaderInFulfillmentOf)

HeaderInformationRecipient 1.2.40.0.34.11.20005 - 2011‑12‑19

Template (intern) HeaderInformationRecipient

Id 1.2.40.0.34.11.20005

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

hl7:informationRecipient

(HeaderInformationRecipient)

@typeCode

1..1

@typeCode muss eins aus Auswahl sein:

PRCP
TRC

hl7:intendedRecipient

1..1

M

(HeaderInformationRecipient)

hl7:id

II

1..*

(HeaderInformationRecipient)

Beispiel

<id nullFlavor="UNK" assigningAuthorityName="GDA Index"/>

hl7:informationRecipient

1..1

M

(HeaderInformationRecipient)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderInformationRecipient)

hl7:receivedOrganization

0..1

O

(HeaderInformationRecipient)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderInformationRecipient)

hl7:name

ON

1..1

M

(HeaderInformationRecipient)

hl7:telecom

TEL

0..*

O

(HeaderInformationRecipient)

hl7:addr

AD

0..1

O

(HeaderInformationRecipient)

HeaderLegalAuthenticator 1.2.40.0.34.11.20006 - 2011‑12‑19

Template (intern) HeaderLegalAuthenticator

Id 1.2.40.0.34.11.20006

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Der „Rechtliche Unterzeichner“ jene Person, welche für das Dokument aus rechtlicher Sicht die Verantwortung übernimmt.

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

hl7:legalAuthenticator

(HeaderLegalAuthenticator)

@typeCode

0..1

F

LA

hl7:time

TS.DATE.MIN

1..1

(HeaderLegalAuthenticator)

Beispiel

<time value="20080324082015+0100"/>

hl7:signatureCode

CS

1..1

M

(HeaderLegalAuthenticator)

@code

1..1

F

S

hl7:assignedEntity

1..1

M

(HeaderLegalAuthenticator)

Eingefügt von AssignedEntityElements

hl7:id

II

1..*

(HeaderLegalAuthenticator)

hl7:addr

AD

0..1

O

(HeaderLegalAuthenticator)

hl7:telecom

TEL

0..*

O

(HeaderLegalAuthenticator)

hl7:assignedPerson

1..1

M

(HeaderLegalAuthenticator)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderLegalAuthenticator)

hl7:representedOrganization

0..1

O

(HeaderLegalAuthenticator)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderLegalAuthenticator)

hl7:name

ON

1..1

M

(HeaderLegalAuthenticator)

hl7:telecom

TEL

0..*

O

(HeaderLegalAuthenticator)

hl7:addr

AD

0..1

O

(HeaderLegalAuthenticator)

HeaderParticipants 1.2.40.0.34.11.20008 - 2011‑12‑19

Template (intern) HeaderParticipants

Id 1.2.40.0.34.11.20008

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Mit dieser Assoziation und den entsprechenden Klassen können weitere für die Dokumentation wichtige beteiligte Personen oder Organisationen wie Angehörige, Verwandte, Versicherungsträger sowie weitere in Beziehung zum Patienten stehende Parteien genannt werden.

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

Auswahl: Elemente in der Auswahl:

hl7:participant[@typeCode='CALLBCK']
hl7:participant[@typeCode='REF']
hl7:participant[@typeCode='IND'][hl7:associatedEntity[@classCode='PROV']]
hl7:participant[@typeCode='IND'][hl7:associatedEntity[@classCode='ECON']]
hl7:participant[@typeCode='IND'][hl7:associatedEntity[@classCode='PRS']]
hl7:participant[@typeCode='HLD']
hl7:participant[@typeCode='IND'][hl7:associatedEntity[@classCode='CAREGIVER']]

hl7:participant
wo
[@typeCode='CALLBCK']

(HeaderParticipants)

@typeCode

1..1

F

CALLBCK

hl7:associatedEntity

1..1

M

(HeaderParticipants)

@classCode

1..1

F

PROV

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:telecom

TEL

1..*

M

(HeaderParticipants)

hl7:associatedPerson

1..1

M

(HeaderParticipants)

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderParticipants)

hl7:scopingOrganization

0..1

O

(HeaderParticipants)

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:name

ON

1..1

M

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:participant
wo
[@typeCode='REF']

(HeaderParticipants)

@typeCode

1..1

F

REF

hl7:functionCode

CE

1..*

M

(HeaderParticipants)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ParticipationFunctionCode

@code muss "ADMPHYS" sein

hl7:associatedEntity

1..1

M

(HeaderParticipants)

@classCode

1..1

F

PROV

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:associatedPerson

1..1

M

(HeaderParticipants)

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderParticipants)

hl7:scopingOrganization

0..1

O

(HeaderParticipants)

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:name

ON

1..1

M

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:participant
wo
[@typeCode='IND'] [hl7:associatedEntity [@classCode='PROV']]

(HeaderParticipants)

@typeCode

1..1

F

IND

hl7:functionCode

CE

1..*

M

(HeaderParticipants)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ParticipationFunctionCode

@code muss "PCP" sein

hl7:associatedEntity

1..1

M

(HeaderParticipants)

@classCode

1..1

F

PROV

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:associatedPerson

1..1

M

(HeaderParticipants)

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderParticipants)

hl7:scopingOrganization

0..1

O

(HeaderParticipants)

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:name

ON

1..1

M

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:participant
wo
[@typeCode='IND'] [hl7:associatedEntity [@classCode='ECON']]

(HeaderParticipants)

@typeCode

1..1

F

IND

hl7:time

IVL_TS

0..1

O

(HeaderParticipants)

Beispiel

<time value="20080324082015+0100"/>

hl7:associatedEntity

1..1

M

(HeaderParticipants)

@classCode

1..1

F

ECON

hl7:code

CE

0..1

O

(HeaderParticipants)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_PersonalRelationship

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:telecom

TEL

1..*

M

(HeaderParticipants)

hl7:associatedPerson

1..1

M

(HeaderParticipants)

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderParticipants)

hl7:scopingOrganization

0..1

O

(HeaderParticipants)

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:name

ON

1..1

M

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:participant
wo
[@typeCode='IND'] [hl7:associatedEntity [@classCode='PRS']]

(HeaderParticipants)

@typeCode

1..1

F

IND

hl7:associatedEntity

1..1

M

(HeaderParticipants)

@classCode

1..1

F

PRS

hl7:code

CE

0..1

O

(HeaderParticipants)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_PersonalRelationship

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:telecom

TEL

1..*

M

(HeaderParticipants)

hl7:associatedPerson

1..1

M

(HeaderParticipants)

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderParticipants)

hl7:scopingOrganization

0..1

O

(HeaderParticipants)

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:name

ON

1..1

M

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:participant
wo
[@typeCode='HLD']

(HeaderParticipants)

@typeCode

1..1

F

HLD

hl7:time

IVL_TS

0..1

O

(HeaderParticipants)

Beispiel

<time value="20080324082015+0100"/>

hl7:associatedEntity

1..1

M

(HeaderParticipants)

@classCode

1..1

F

POLHOLD

hl7:id

II

0..*

O

(HeaderParticipants)

@root

1..1

F

1.2.40.0.10.1.4.3.1

hl7:code

CE

0..1

O

(HeaderParticipants)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_InsuredAssocEntity

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:associatedPerson

0..1

O

(HeaderParticipants)

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderParticipants)

Schematron assert role error

test hl7:code/@code!='FAMDEP' or count(hl7:associatedPerson)=1

Meldung Wenn das Versicherungsverhältnis "familienversichert" ist, dann muss eine associatedPerson angegeben sein

hl7:scopingOrganization

0..1

O

(HeaderParticipants)

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:name

ON

1..1

M

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

hl7:participant
wo
[@typeCode='IND'] [hl7:associatedEntity [@classCode='CAREGIVER']]

(HeaderParticipants)

@typeCode

1..1

F

IND

hl7:associatedEntity

1..1

M

(HeaderParticipants)

@classCode

1..1

F

CAREGIVER

hl7:scopingOrganization

1..1

M

(HeaderParticipants)

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderParticipants)

hl7:name

ON

1..1

M

(HeaderParticipants)

hl7:telecom

TEL

0..*

O

(HeaderParticipants)

hl7:addr

AD

0..1

O

(HeaderParticipants)

HeaderRecordTarget 1.2.40.0.34.11.20001 - 2011‑12‑19

Template (intern) HeaderRecordTarget

Id 1.2.40.0.34.11.20001

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Item DT Card Conf Desc Label

hl7:recordTarget

(HeaderRecordTarget)

@typeCode

0..1

F

RCT

@contextControlCode

0..1

F

OP

Beispiel

<recordTarget typeCode="RCT" contextControlCode="OP"> <patientRole classCode="PAT">  </patientRole> </recordTarget>

hl7:patientRole

1..1

(HeaderRecordTarget)

@classCode

0..1

F

PAT

Beispiel

<patientRole classCode="PAT"> <id extension="186245" root="1.2.276.0.76.3.1.139.3.871"/> <patient classCode="PSN" determinerCode="INSTANCE">  </patient> </patientRole>

Schematron assert role error

test string-length(hl7:id[1]/@root)>0

Meldung patientRole id[1] MUSS als lokale Patienten ID vom System vorhanden sein

Schematron assert role error

test hl7:id[2]/@root = '1.2.40.0.10.1.4.3.1' or hl7:id[2]/@nullFlavor='NI' or hl7:id[2]/@nullFlavor='UNK'

Meldung patientRole id[2] MUSS Sozialversicherungsnummer des Patienten sein (1.2.40.0.10.1.4.3.1) oder @nullFlavor 'NI' oder 'UNK' ist angegeben

hl7:id

II

2..*

(HeaderRecordTarget)

Beispiel

 <id root="1.2.40.0.34.99.111.1.2" extension="4711" assigningAuthorityName="Amadeus Spital"/>

Beispiel

 <id root="1.2.40.0.10.1.4.3.1" extension="1234241270" assigningAuthorityName="Österreichische Sozialversicherung"/>

hl7:addr

AD

0..1

O

(HeaderRecordTarget)

Beispiel

 <addr use="H"> <streetAddressLine>Musterstraßen 13a</streetAddressLine> <postalCode>7000</postalCode> <city>Eisenstadt</city> <state>Burgenland</state> <country>Österreich</country> </addr>

hl7:telecom

TEL

0..*

O

(HeaderRecordTarget)

Beispiel

 <telecom use="H" value="tel:+43.1.40400"/> <telecom use="MC" value="tel:+43.664.1234567"/> <telecom value="mailto:herberthannes.mustermann@provider.at"/>

hl7:patient

0..1

O

(HeaderRecordTarget)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Beispiel

<patient classCode="PSN" determinerCode="INSTANCE"> <name>  </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19541223"/> </patient>

hl7:name

PN

1..1

M

(HeaderRecordTarget)

Beispiel

<name> <given>Johannes</given> <family>Tremener</family> </name>

hl7:administrativeGenderCode

CE

1..1

(HeaderRecordTarget)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_AdministrativeGender

Beispiel

<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>

hl7:birthTime

TS.DATE.MIN

1..1

(HeaderRecordTarget)

Beispiel

 <birthTime value="19491224"/>

hl7:maritalStatusCode

CE

0..1

O

(HeaderRecordTarget)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_MaritalStatus

Beispiel

 <maritalStatusCode code="S" displayName="Never Married" codeSystem="2.16.840.1.113883.5.2"/>

hl7:religiousAffiliationCode

CE

0..1

O

(HeaderRecordTarget)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ReligiousAffiliation

Beispiel

 <religiousAffiliationCode code="101" displayName="Römisch-Katholisch" codeSystem="2.16.840.1.113883.2.16.1.4.1"/>

hl7:raceCode

NP

(HeaderRecordTarget)

hl7:ethnicGroupCode

NP

(HeaderRecordTarget)

hl7:guardian

0..*

O

(HeaderRecordTarget)

Beispiel

<guardian>  <addr> <streetAddressLine>Kinderdorfstraße 1</streetAddressLine> <postalCode>2371</postalCode> <city>Hinterbrühl</city> <state>Niederösterreich</state> <country>Österreich</country> </addr>  <telecom use="H" value="tel:+1-608-443-2928"/> <telecom use="WP" value="tel:+1-608-271-9000"/> <guardianOrganization>  <name>SOS Kinderdorf Hinterbrühl</name> </guardianOrganization> </guardian>

hl7:addr

AD

0..1

O

(HeaderRecordTarget)

hl7:telecom

TEL

0..*

O

(HeaderRecordTarget)

Auswahl: Elemente in der Auswahl:

hl7:guardianPerson
hl7:guardianOrganization

min 1 Element(e) max 1 Element(e)

hl7:guardianPerson

1..1

(HeaderRecordTarget)

hl7:name

PN

1..1

M

(HeaderRecordTarget)

hl7:guardianOrganization

1..1

(HeaderRecordTarget)

hl7:name

ON

1..1

M

(HeaderRecordTarget)

hl7:birthPlace

0..1

O

(HeaderRecordTarget)

Beispiel

 <birthplace> <place> <addr>Graz</addr> </place> </birthplace>

hl7:place

1..1

M

(HeaderRecordTarget)

hl7:addr

AD

1..1

M

(HeaderRecordTarget)

HeaderRelatedDocument 1.2.40.0.34.11.20011 - 2011‑12‑19

Template (intern) HeaderRelatedDocument

Id 1.2.40.0.34.11.20011

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Der Bezug zu vorgehenden Dokumenten wird durch die relatedDocument-Beziehung und die ParentDocument-Klasse, zusammen mit setId und versionNumber aus der ClinicalDocument-Klasse, spezifiziert.

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Beispiel

<relatedDocument typeCode="RPLC"> <parentDocument> <id root="1.2.40.0.34.99.111.1.1" extension="134F989EAAE3F43B6AD"/> </parentDocument> </relatedDocument>

Item DT Card Conf Desc Label

hl7:relatedDocument

(HeaderRelatedDocument)

@typeCode

1..1

@typeCode muss eins aus Auswahl sein:

RPLC
XFRM

hl7:parentDocument

1..1

M

(HeaderRelatedDocument)

@classCode

1..1

F

DOCCLIN

@moodCode

1..1

F

EVN

Beispiel

<parentDocument> <id root="1.2.40.0.34.99.111.1.1" extension="134F989EAAE3F43B6AD"/> </parentDocument>

hl7:id

II

1..1

M

Dokumenten-Id des vorgehenden Dokuments.

(HeaderRelatedDocument)

HeaderServiceEvent 1.2.40.0.34.11.20010 - 2011‑12‑19

Template (intern) HeaderServiceEvent

Id 1.2.40.0.34.11.20010

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Mit der Assoziation documentationOf/serviceEvent wird die eigentliche Gesundheitsdienstleistung repräsentiert, die in dem Dokument dokumentiert wird (z. B. eine Koloskopie, Appendektomie, etc.). Dies ist in engem Zusammenhang mit dem Dokumententyp zu sehen, der in ClinicalDocument/code wiedergegeben ist. Mit der documentationOf Beziehung kann die dokumentierte Gesundheitsdienstleistung näher spezifiziert werden. Dies darf natürlich nicht im Widerspruch zum Dokumententyp stehen.

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19

Beispiel

<documentationOf> <serviceEvent>  </serviceEvent> <performer typeCode="PRF"> <assignedEntity>  </assignedEntity> </performer> </documentationOf>

Item DT Card Conf Desc Label

hl7:documentationOf

(HeaderServiceEvent)

@typeCode

0..1

F

DOC

hl7:serviceEvent

1..1

M

(HeaderServiceEvent)

@classCode

0..1

F

ACT

@moodCode

0..1

F

EVN

Beispiel

<serviceEvent> <code code="KOL" displayName="Koloskopie" codeSystem="2.16.840.1.2.3.4.5.6.7.8.9" codeSystemName="Name des Codesystems"/> <effectiveTime> <low value="20081224082015+0100"/> <high value="20081225113000+0100"/> </effectiveTime> </serviceEvent>

hl7:code

CE

1..1

Code der Gesundheitsdienstleistung

(HeaderServiceEvent)

hl7:effectiveTime

IVL_TS

1..1

M

(HeaderServiceEvent)

hl7:low

TS

1..1

M

(HeaderServiceEvent)

hl7:high

TS

1..1

M

(HeaderServiceEvent)

hl7:performer

0..*

O

(HeaderServiceEvent)

hl7:assignedEntity

1..1

M

(HeaderServiceEvent)

Eingefügt von AssignedEntityElements

hl7:id

II

1..*

(HeaderServiceEvent)

hl7:addr

AD

0..1

O

(HeaderServiceEvent)

hl7:telecom

TEL

0..*

O

(HeaderServiceEvent)

hl7:assignedPerson

1..1

M

(HeaderServiceEvent)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(HeaderServiceEvent)

hl7:representedOrganization

0..1

O

(HeaderServiceEvent)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(HeaderServiceEvent)

hl7:name

ON

1..1

M

(HeaderServiceEvent)

hl7:telecom

TEL

0..*

O

(HeaderServiceEvent)

hl7:addr

AD

0..1

O

(HeaderServiceEvent)

Hilfsmittel und Ressourcen / HilfsmittelRessourcen 1.2.40.0.34.11.1.2.9 - 2011‑12‑19

Template Hilfsmittel und Ressourcen / HilfsmittelRessourcen

Id 1.2.40.0.34.11.1.2.9

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.9

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Wird ausschließlich als Untersektion zu einer fachlichen Sektion angewandt. Enthält die Hilfsmittel und Ressourcen zum Thema der übergeordneten Sektion als narrative Beschreibung oder Auflistung.

Item DT Card Conf Desc Label

hl7:section

(HilfsmittelRessourcen)

hl7:templateId

II

1..1

(HilfsmittelRessourcen)

@root

1..1

F

1.2.40.0.34.11.1.2.9

hl7:code

CE

1..1

M

(HilfsmittelRessourcen)

@code

1..1

F

RES

@codeSystem

1..1

F

1.2.40.0.34.5.40

@displayName

1..1

F

Hilfsmittel und Ressourcen

Beispiel

<code code="RES" displayName="Hilfsmittel und Ressourcen" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

(HilfsmittelRessourcen)

CONF

Elementinhalt muss "Hilfsmittel und Ressourcen" sein

hl7:text

1..1

(HilfsmittelRessourcen)

Indikation 1.2.40.0.34.11.5.2.3 - 2012‑01‑12

Template Indikation

Id 1.2.40.0.34.11.5.2.3

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.3

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Indikation)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Indikation)

@root

1..1

F

1.2.40.0.34.11.5.2.3

hl7:code

CE

1..1

M

(Indikation)

@code

1..1

F

18785-6

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Reason for study

hl7:title

ST

1..1

M

(Indikation)

CONF

Elementinhalt muss "Indikation" sein

hl7:text

ED

1..1

M

(Indikation)

BI-RADS® Klassifikation / KlassifikationBIRADS 1.2.40.0.34.11.5.3.1 - 2012‑01‑12

Template BI-RADS® Klassifikation / KlassifikationBIRADS

Id 1.2.40.0.34.11.5.3.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.3.1

Version gültig ab 2012‑01‑12 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-5.2.9	Befund Befund	2012‑01‑12

Item DT Card Conf Desc Label

hl7:observation

(KlassifikationBIRADS)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(KlassifikationBIRADS)

@root

1..1

F

1.2.40.0.34.11.5.3.1

hl7:code

CE

1..1

M

(KlassifikationBIRADS)

@code

1..1

F

36625-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Breast Mammogram

hl7:text

ED

1..1

M

(KlassifikationBIRADS)

reference

1..1

M

(KlassifikationBIRADS)

hl7:effectiveTime

IVL_TS

1..1

M

(KlassifikationBIRADS)

hl7:statusCode

CS

1..1

M

(KlassifikationBIRADS)

@code

1..1

F

completed

hl7:value

CD

1..1

M

(KlassifikationBIRADS)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_MammogramAssessment

@codeSystem muss "1.2.40.0.34.5.49" sein

Körperpflege und Kleiden / KoerperpflegeKleiden 1.2.40.0.34.11.3.2.4 - 2011‑12‑19

Template Körperpflege und Kleiden / KoerperpflegeKleiden

Id 1.2.40.0.34.11.3.2.4

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.4

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(KoerperpflegeKleiden)

hl7:templateId

II

1..1

(KoerperpflegeKleiden)

@root

1..1

F

1.2.40.0.34.11.3.2.4

hl7:code

CE

1..1

M

(KoerperpflegeKleiden)

@code

1..1

F

PFKLEI

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFKLEI" displayName="Körperpflege und Kleiden" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(KoerperpflegeKleiden)

CONF

Elementinhalt muss "Körperpflege und Kleiden" sein

hl7:text

1..1

M

(KoerperpflegeKleiden)

Kommunikation 1.2.40.0.34.11.3.2.13 - 2011‑12‑19

Template Kommunikation

Id 1.2.40.0.34.11.3.2.13

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.13

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Kommunikation)

hl7:templateId

II

1..1

(Kommunikation)

@root

1..1

F

1.2.40.0.34.11.3.2.13

hl7:code

CE

1..1

M

(Kommunikation)

@code

1..1

F

PFKOMM

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFKOMM" displayName="Kommunikation" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(Kommunikation)

CONF

Elementinhalt muss "Kommunikation" sein

hl7:text

1..1

M

(Kommunikation)

Komplikationen 1.2.40.0.34.11.5.2.8 - 2012‑01‑12

Template Komplikationen

Id 1.2.40.0.34.11.5.2.8

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.8

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Komplikationen)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Komplikationen)

@root

1..1

F

1.2.40.0.34.11.5.2.8

hl7:code

CE

1..1

M

(Komplikationen)

@code

1..1

F

55109-3

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Complications

hl7:title

ST

1..1

M

(Komplikationen)

CONF

Elementinhalt muss "Komplikationen" sein

hl7:text

ED

1..1

M

(Komplikationen)

Kultureller Keimnachweis (Laboratory Isolate Organzier) / KulturellerKeimnachweis 1.2.40.0.34.11.30025 - 2012‑01‑07

Template (intern) Kultureller Keimnachweis (Laboratory Isolate Organzier) / KulturellerKeimnachweis

Id 1.2.40.0.34.11.30025

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07

Item DT Card Conf Desc Label

hl7:organizer

Kultureller Keimnachweis entspricht dem IHE Laboratory Isolate Organzier (1.3.6.1.4.1.19376.1.3.1.5) mit ELGA Erweiterungen/Besonderheiten

(KulturellerKeimnachweis)

@classCode

1..1

F

CLUSTER

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(KulturellerKeimnachweis)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.5

hl7:statusCode

CS

1..1

M

(KulturellerKeimnachweis)

@code

1..1

F

completed

hl7:effectiveTime

IVL_TS

0..1

O

(KulturellerKeimnachweis)

hl7:specimen

1..1

M

(KulturellerKeimnachweis)

@typeCode

1..1

F

SPC

Beispiel

<specimen typeCode="SPC"> <specimenRole classCode="SPEC"> <id extension="47110816" root="2.16.840.1.113883.3.933.1.1"/> <specimenPlayingEntity classCode="MIC"> <code nullFlavor="NA"> <originalText>vergründende Streptokokken</originalText> </code> </specimenPlayingEntity> </specimenRole> </specimen>

hl7:specimenRole

1..1

M

(KulturellerKeimnachweis)

@typeCode

1..1

F

SPEC

hl7:specimenPlayingEntity

1..1

M

(KulturellerKeimnachweis)

@typeCode

1..1

F

MIC

hl7:code

CD

1..1

(KulturellerKeimnachweis)

@nullFlavor

1..1

F

NA

hl7:originalText

ST

1..1

M

(KulturellerKeimnachweis)

Auswahl: Elemente in der Auswahl:

hl7:component welches enthält hl7:observation mit Template-Id LaboratoryObservation
hl7:component welches enthält hl7:organizer mit Template-Id Antibiogram

min 1 Element(e) max * Element(e)

hl7:component
wo
[hl7:observation [hl7:code [(@code='100' and @codeSystem='1.2.40.0.34.5.11') or (@code='101' and @codeSystem='1.2.40.0.34.5.11') or (@code='102' and @codeSystem='1.2.40.0.34.5.11') or (@code='103' and @codeSystem='1.2.40.0.34.5.11') or (@code='200' and @codeSystem='1.2.40.0.34.5.11') or (@code='201' and @codeSystem='1.2.40.0.34.5.11') or (@code='2744-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2019-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2703-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1925-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2714-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1960-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2708-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='202' and @codeSystem='1.2.40.0.34.5.11') or (@code='2746-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2021-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2705-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1927-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2716-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='14627-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2711-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='203' and @codeSystem='1.2.40.0.34.5.11') or (@code='2745-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2020-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2704-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1926-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1961-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2709-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='300' and @codeSystem='1.2.40.0.34.5.11') or (@code='301' and @codeSystem='1.2.40.0.34.5.11') or (@code='26464-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26515-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='778-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26453-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='718-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='20570-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='28539-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30428-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='28540-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26499-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26474-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26484-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26449-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26444-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='51584-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26511-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26478-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26485-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26450-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30180-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='38518-7' and 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(@code='15702-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15718-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15806-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15658-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15588-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1910' and @codeSystem='1.2.40.0.34.5.11') or (@code='15544-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15688-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1911' and @codeSystem='1.2.40.0.34.5.11') or (@code='15921-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15922-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15533-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15532-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='21150-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='16039-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1912' and @codeSystem='1.2.40.0.34.5.11') or (@code='6265-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='34429-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30999-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='34428-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6236-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1913' and @codeSystem='1.2.40.0.34.5.11') or (@code='7155-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15284-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15283-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6137-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6038-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6189-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='33982-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15285-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6285-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6090-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6278-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30984-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30985-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='34250-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1914' and @codeSystem='1.2.40.0.34.5.11') or (@code='6085-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6124-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6183-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6097-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6110-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6156-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6128-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='11194-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1915' and @codeSystem='1.2.40.0.34.5.11') or (@code='23795-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6096-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6095-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1916' and @codeSystem='1.2.40.0.34.5.11') or (@code='6030-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6031-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='13833-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6833-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6098-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6223-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6134-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6135-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='19753-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='19751-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6243-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6143-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6091-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1917' and @codeSystem='1.2.40.0.34.5.11') or (@code='6075-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6025-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6182-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6059-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6020-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30992-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30993-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1918' and @codeSystem='1.2.40.0.34.5.11') or (@code='6106-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6107-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7258-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7445-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='41397-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6062-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6082-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6270-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6237-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6092-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6246-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6048-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6165-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6276-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6125-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7674-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6037-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6190-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6220-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6087-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6230-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6242-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6054-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6248-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6279-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6206-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6136-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6273-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6050-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6019-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6219-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6039-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6061-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6204-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6194-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6257-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6021-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6067-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6068-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6071-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6154-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6167-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6035-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6080-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6207-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7412-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6287-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6122-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6193-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6065-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6203-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7178-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7118-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7335-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='11202-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7737-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='10937-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15278-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='10928-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1919' and @codeSystem='1.2.40.0.34.5.11') or (@code='6844-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6740-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6288-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6198-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6177-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6047-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15342-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1920' and @codeSystem='1.2.40.0.34.5.11') or (@code='19758-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6112-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6119-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6158-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6089-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='10923-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1921' and @codeSystem='1.2.40.0.34.5.11') or (@code='6022-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6103-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1922' and @codeSystem='1.2.40.0.34.5.11') or (@code='6851-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6210-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6712-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6829-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='19733-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='11201-1' and @codeSystem='2.16.840.1.113883.6.1')]]]

(KulturellerKeimnachweis)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln LaboratoryObservation mit überschriebener Kardinalität 0 .. *

hl7:component

(KulturellerKeimnachweis)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln Antibiogram mit überschriebener Kardinalität 0 .. *

Befundgruppen (Laboratory Battery Organizer / LaboratoryBatteryOrganizer 1.2.40.0.34.11.30023 - 2012‑01‑07

Template (intern) Befundgruppen (Laboratory Battery Organizer / LaboratoryBatteryOrganizer

Id 1.2.40.0.34.11.30023

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 2 Templates

Id	Name	vom
elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
elga-template-30026	Antibiogram Antibiogram (Laboratory Isolate Organzier)	2012‑07‑07
Abhängigkeit: elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07

Item DT Card Conf Desc Label

hl7:organizer

(LaboratoryBatteryOrganizer)

@classCode

1..1

F

BATTERY

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(LaboratoryBatteryOrganizer)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.4

hl7:code

CD

1..1

M

(LaboratoryBatteryOrganizer)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Laborstruktur

hl7:statusCode

CS

1..1

M

(LaboratoryBatteryOrganizer)

@code

1..1

F

completed

hl7:effectiveTime

IVL_TS

0..1

O

Fertigstellungszeitpunkt der enthaltenen Tests

(LaboratoryBatteryOrganizer)

hl7:low

TS.DATE.MIN

1..1

M

(LaboratoryBatteryOrganizer)

hl7:high

TS.DATE.MIN

1..1

M

(LaboratoryBatteryOrganizer)

hl7:component

0..*

O

(LaboratoryBatteryOrganizer)

@typeCode

1..1

F

COMP

Eingefügt von LaboratoryObservation

hl7:observation

(LaboratoryBatteryOrganizer)

@classCode

1..1

F

OBS

@typeCode

1..1

F

EVN

hl7:templateId

II

1..1

(LaboratoryBatteryOrganizer)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.6

hl7:id

II

0..1

O

(LaboratoryBatteryOrganizer)

hl7:code

CD

1..1

M

(LaboratoryBatteryOrganizer)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Laborparameter

hl7:statusCode

CS

1..1

M

(LaboratoryBatteryOrganizer)

CONF

@code muss "completed" sein

oder

@code muss "aborted" sein

hl7:effectiveTime

TS

1..1

(LaboratoryBatteryOrganizer)

hl7:value

0..1

O

(LaboratoryBatteryOrganizer)

hl7:interpretationCode

CE

0..*

O

(LaboratoryBatteryOrganizer)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ObservationInterpretation

hl7:participant

0..1

O

(LaboratoryBatteryOrganizer)

@typeCode

1..1

F

AUTHEN

hl7:templateId

II

1..1

(LaboratoryBatteryOrganizer)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.5

hl7:time

IVL_TS

1..1

(LaboratoryBatteryOrganizer)

hl7:participantRole

(LaboratoryBatteryOrganizer)

hl7:id

II

1..1

M

(LaboratoryBatteryOrganizer)

hl7:addr

AD

1..1

(LaboratoryBatteryOrganizer)

hl7:telecom

TEL

1..*

(LaboratoryBatteryOrganizer)

hl7:playingEntity

1..1

M

(LaboratoryBatteryOrganizer)

hl7:name

PN

1..1

M

(LaboratoryBatteryOrganizer)

hl7:referenceRange

0..*

O

(LaboratoryBatteryOrganizer)

@typeCode

1..1

F

REFV

Beispiel

<referenceRange typeCode="REFV"> <observationRange classCode="OBS" moodCode="EVN.CRT">  <text>43.0 - 49.0</text> <value xsi:type="IVL_PQ"> <low value="43.0" unit="%"/> <high value="49.0" unit="%"/> </value> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" codeSystemName="HL7.ObservationInterpretation"/> </observationRange> </referenceRange>

Beispiel

<referenceRange typeCode="REFV"> <observationRange classCode="OBS" moodCode="EVN.CRT">  <text>>40</text> <value xsi:type="IVL_PQ"> <low value="40.0" unit="%" inclusive="false"/> </value> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" codeSystemName="HL7.ObservationInterpretation"/> </observationRange> </referenceRange>

Beispiel

<referenceRange typeCode="REFV"> <observationRange classCode="OBS" moodCode="EVN.CRT">  <text> Phase 1: 43.0 - 49.0 Phase 2: 45.0 – 55.0 1835 Phase 3: 49.0 – 63.0 </text> <interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83"/> </observationRange> </referenceRange>

hl7:observationRange

1..1

M

(LaboratoryBatteryOrganizer)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN.CRT

hl7:text

ED

0..1

O

(LaboratoryBatteryOrganizer)

hl7:value

IVL_PQ

0..1

O

(LaboratoryBatteryOrganizer)

hl7:low

PQ

1..1

(LaboratoryBatteryOrganizer)

hl7:high

PQ

1..1

(LaboratoryBatteryOrganizer)

hl7:interpretationCode

CE

1..1

M

(LaboratoryBatteryOrganizer)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ObservationInterpretation

@code muss "N" sein

hl7:performer

0..*

O

(LaboratoryBatteryOrganizer)

@typeCode

1..1

F

PRF

hl7:templateId

II

1..1

(LaboratoryBatteryOrganizer)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.7

hl7:time

IVL_TS

1..1

(LaboratoryBatteryOrganizer)

hl7:assignedEntity

1..1

M

(LaboratoryBatteryOrganizer)

hl7:id

II

1..1

M

(LaboratoryBatteryOrganizer)

hl7:addr

AD

1..1

(LaboratoryBatteryOrganizer)

hl7:telecom

TEL

1..*

(LaboratoryBatteryOrganizer)

hl7:assignedPerson

1..1

M

(LaboratoryBatteryOrganizer)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(LaboratoryBatteryOrganizer)

hl7:representedOrganization

1..1

M

(LaboratoryBatteryOrganizer)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(LaboratoryBatteryOrganizer)

hl7:name

ON

1..1

M

(LaboratoryBatteryOrganizer)

hl7:telecom

TEL

0..*

O

(LaboratoryBatteryOrganizer)

hl7:addr

AD

0..1

O

(LaboratoryBatteryOrganizer)

Eingefügt von Annotation

hl7:act

(LaboratoryBatteryOrganizer)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(LaboratoryBatteryOrganizer)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.2

hl7:code

CD

1..1

M

(LaboratoryBatteryOrganizer)

@code

1..1

F

48767-8

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Annotation Comment

hl7:text

ED

1..1

M

(LaboratoryBatteryOrganizer)

hl7:reference

1..1

M

(LaboratoryBatteryOrganizer)

@value

1..1

F

Eingefügt von MultimediaContent

hl7:observationMedia

1..1

(LaboratoryBatteryOrganizer)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

@ID

1..1

F

hl7:value

ED

1..1

M

(LaboratoryBatteryOrganizer)

@mediaType

cs

1..1

F

CONF

Der Wert von @mediaType muss gewählt werden aus dem Value Set ELGA_Medientyp

@representation

1..1

F

B64

IHE Laboratory Isolate Organizer / LaboratoryIsolateOrganizer 1.3.6.1.4.1.19376.1.3.1.5 - 2008‑08‑08

Template IHE Laboratory Isolate Organizer / LaboratoryIsolateOrganizer

Id 1.3.6.1.4.1.19376.1.3.1.5

Kontext Elternknoten des Template-Element mit Id 1.3.6.1.4.1.19376.1.3.1.5

Version gültig ab 2008‑08‑08 Status Aktiv

Item DT Card Conf Desc Label

hl7:organizer

(LaboratoryIsolateOrganizer)

@classCode

1..1

F

CLUSTER

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(LaboratoryIsolateOrganizer)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.5

Schematron assert role error

test hl7:statusCode[@code="completed"] or hl7:statusCode[@code="active"] or hl7:statusCode[@code="aborted"]

Meldung Error: The organizer/statusCode/@code shall be "completed", "active" or "aborted" for Laboratory Isolate Organizer.

Schematron assert role error

test hl7:specimen

Meldung Error: The organizer/specimen element shall be present for Laboratory Isolate Organizer.

Schematron assert role error

test hl7:specimen[@typeCode="SPC"]

Meldung Error: The specimen/@typeCode shall be "SPC" for Laboratory Isolate Organizer.

Schematron assert role error

test hl7:specimen/hl7:specimenRole[@classCode="SPEC"]

Meldung Error: The specimen/specimenRole/@classCode shall be "SPEC" for Laboratory Isolate Organizer.

Schematron assert role error

test hl7:specimen/hl7:specimenRole/hl7:specimenPlayingEntity

Meldung Error: The specimen/specimenRole/specimenPlayingEntity shall be present Laboratory Isolate Organizer.

Schematron assert role error

test hl7:specimen/hl7:specimenRole/hl7:specimenPlayingEntity[@classCode="MIC"]

Meldung Error: The specimen/specimenRole/specimenPlayingEntity/@classCode shall be "MIC" Laboratory Isolate Organizer.

Schematron assert role error

test hl7:specimen/hl7:specimenRole/hl7:specimenPlayingEntity/hl7:code

Meldung Error: The specimen/specimenRole/specimenPlayingEntity shall be present Laboratory Isolate Organizer.

Schematron assert role error

test not(hl7:performer) or hl7:performer[@typeCode="PRF"]

Meldung Error: The performer/@typeCode shall be "PRF" Laboratory Isolate Organizer.

Schematron assert role error

test not(hl7:author) or hl7:author[@typeCode="AUT"]

Meldung Error: The author/@typeCode shall be "AUT" for Laboratory Isolate Organizer.

Schematron assert role error

test not(hl7:participant) or hl7:participant[@typeCode="AUTHEN"] or hl7:participant[@typeCode="RESP"] or hl7:participant[@typeCode="DEV"]

Meldung Error: The participant/@typeCode for shall be "AUTHEN", "RESP" or "DEV" Laboratory Isolate Organizer.

Schematron assert role error

test not(hl7:component) or hl7:component[@typeCode="COMP"]

Meldung Error: The component/@typeCode for shall be "COMP" for Laboratory Isolate Organizer.

Laborergebnisse (Laboratory Observation) / LaboratoryObservation 1.2.40.0.34.11.30024 - 2012‑01‑07

Template (intern) Laborergebnisse (Laboratory Observation) / LaboratoryObservation

Id 1.2.40.0.34.11.30024

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 3 Templates

Id	Name	vom
elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
elga-template-30023	LaboratoryBatteryOrganizer Befundgruppen (Laboratory Battery Organizer	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30026	Antibiogram Antibiogram (Laboratory Isolate Organzier)	2012‑07‑07
Abhängigkeit: elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07

Item DT Card Conf Desc Label

hl7:observation

(LaboratoryObservation)

@classCode

1..1

F

OBS

@typeCode

1..1

F

EVN

hl7:templateId

II

1..1

(LaboratoryObservation)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.6

hl7:id

II

0..1

O

(LaboratoryObservation)

hl7:code

CD

1..1

M

(LaboratoryObservation)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Laborparameter

hl7:statusCode

CS

1..1

M

(LaboratoryObservation)

CONF

@code muss "completed" sein

oder

@code muss "aborted" sein

hl7:effectiveTime

TS

1..1

(LaboratoryObservation)

hl7:value

0..1

O

(LaboratoryObservation)

hl7:interpretationCode

CE

0..*

O

(LaboratoryObservation)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ObservationInterpretation

hl7:participant

0..1

O

(LaboratoryObservation)

@typeCode

1..1

F

AUTHEN

hl7:templateId

II

1..1

(LaboratoryObservation)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.5

hl7:time

IVL_TS

1..1

(LaboratoryObservation)

hl7:participantRole

(LaboratoryObservation)

hl7:id

II

1..1

M

(LaboratoryObservation)

hl7:addr

AD

1..1

(LaboratoryObservation)

hl7:telecom

TEL

1..*

(LaboratoryObservation)

hl7:playingEntity

1..1

M

(LaboratoryObservation)

hl7:name

PN

1..1

M

(LaboratoryObservation)

hl7:referenceRange

0..*

O

(LaboratoryObservation)

@typeCode

1..1

F

REFV

Beispiel

<referenceRange typeCode="REFV"> <observationRange classCode="OBS" moodCode="EVN.CRT">  <text>43.0 - 49.0</text> <value xsi:type="IVL_PQ"> <low value="43.0" unit="%"/> <high value="49.0" unit="%"/> </value> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" codeSystemName="HL7.ObservationInterpretation"/> </observationRange> </referenceRange>

Beispiel

<referenceRange typeCode="REFV"> <observationRange classCode="OBS" moodCode="EVN.CRT">  <text>>40</text> <value xsi:type="IVL_PQ"> <low value="40.0" unit="%" inclusive="false"/> </value> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" codeSystemName="HL7.ObservationInterpretation"/> </observationRange> </referenceRange>

Beispiel

<referenceRange typeCode="REFV"> <observationRange classCode="OBS" moodCode="EVN.CRT">  <text> Phase 1: 43.0 - 49.0 Phase 2: 45.0 – 55.0 1835 Phase 3: 49.0 – 63.0 </text> <interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83"/> </observationRange> </referenceRange>

hl7:observationRange

1..1

M

(LaboratoryObservation)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN.CRT

hl7:text

ED

0..1

O

(LaboratoryObservation)

hl7:value

IVL_PQ

0..1

O

(LaboratoryObservation)

hl7:low

PQ

1..1

(LaboratoryObservation)

hl7:high

PQ

1..1

(LaboratoryObservation)

hl7:interpretationCode

CE

1..1

M

(LaboratoryObservation)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ObservationInterpretation

@code muss "N" sein

hl7:performer

0..*

O

(LaboratoryObservation)

@typeCode

1..1

F

PRF

hl7:templateId

II

1..1

(LaboratoryObservation)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.7

hl7:time

IVL_TS

1..1

(LaboratoryObservation)

hl7:assignedEntity

1..1

M

(LaboratoryObservation)

hl7:id

II

1..1

M

(LaboratoryObservation)

hl7:addr

AD

1..1

(LaboratoryObservation)

hl7:telecom

TEL

1..*

(LaboratoryObservation)

hl7:assignedPerson

1..1

M

(LaboratoryObservation)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(LaboratoryObservation)

hl7:representedOrganization

1..1

M

(LaboratoryObservation)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(LaboratoryObservation)

hl7:name

ON

1..1

M

(LaboratoryObservation)

hl7:telecom

TEL

0..*

O

(LaboratoryObservation)

hl7:addr

AD

0..1

O

(LaboratoryObservation)

Bereichsübergreifende Befundbewertung (Laboratory Report Comment Section) / LaboratoryReportCommentSection 1.2.40.0.34.11.4.2.2 - 2012‑01‑07

Template Bereichsübergreifende Befundbewertung (Laboratory Report Comment Section) / LaboratoryReportCommentSection

Id 1.2.40.0.34.11.4.2.2

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.4.2.2

Version gültig ab 2012‑01‑07 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(LaboratoryReportCommentSection)

@classCode

1..1

F

DOCSECT

hl7:templateId

II

1..1

(LaboratoryReportCommentSection)

@root

1..1

F

1.2.40.0.34.11.4.2.2

hl7:code

CD

1..1

M

(LaboratoryReportCommentSection)

@code

1..1

F

20

@codeSystem

1..1

F

1.2.40.0.34.5.47

@codeSystemName

1..1

F

ELGA_Laborstruktur

@displayName

1..1

F

Befundbewertung

hl7:title

ST

1..1

M

(LaboratoryReportCommentSection)

CONF

Elementinhalt muss "Befundbewertung" sein

hl7:text

ST

1..1

M

(LaboratoryReportCommentSection)

hl7:entry
wo
[hl7:act [hl7:code [@code='48767-8' and @codeSystem='2.16.840.1.113883.6.1']]]

1..1

(LaboratoryReportCommentSection)

Beinhaltet gererbte Templateregeln Annotation mit überschriebener Kardinalität 1 .. 1

Laboratory Specimen Entry / LaboratorySpecimenEntry 1.2.40.0.34.11.4.3.1 - 2012‑01‑07

Template Laboratory Specimen Entry / LaboratorySpecimenEntry

Id 1.2.40.0.34.11.4.3.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.4.3.1

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-4.2.1	SpezimenSection Spezimen-Section	2012‑01‑07

Item DT Card Conf Desc Label

hl7:entry

(LaboratorySpecimenEntry)

hl7:templateId

II

1..1

(LaboratorySpecimenEntry)

@root

1..1

F

1.2.40.0.34.11.4.3.1

hl7:act

(LaboratorySpecimenEntry)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:code

CD

1..1

M

(LaboratorySpecimenEntry)

@code

1..1

F

10

@codeSystem

1..1

F

1.2.40.0.34.5.47

@codeSystemName

1..1

F

ELGA_Laborstruktur

@displayName

1..1

F

Probeninformation

hl7:entryRelationship
wo
[hl7:procedure [hl7:code [@code='33882-2' and @codeSystem='2.16.840.1.113883.6.1']]]

1..1

M

(LaboratorySpecimenEntry)

Beinhaltet gererbte Templateregeln SpecimenCollection mit überschriebener Kardinalität 1 .. 1 mandatory

Laborbefund 1.2.40.0.34.11.4 - 2012‑01‑12

Template Laborbefund

Id 1.2.40.0.34.11.4

Kontext Geschwisterknoten des Template-Element mit Id 1.2.40.0.34.11.4

Label cdalab

Version gültig ab 2012‑01‑12 Status Aktiv

Beschreibung Template Spezieller Implementierungsleitfaden ELGA Laborbefund

Item DT Card Conf Desc Label

hl7:templateId

II

1..1

Template Spezieller Implementierungsleitfaden ELGA Laborbefund

cdalab

@root

1..1

F

1.2.40.0.34.11.4

hl7:code

CE

1..1

M

cdalab

@code

1..1

F

11502-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

LABORATORY REPORT.TOTAL

Beispiel

<code code="11502-2" displayName="LABORATORY REPORT.TOTAL" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

Dokumententitel. Der Sinn der Benennung muss mit der Dokumentklasse übereinstimmen.

cdalab

hl7:informationRecipient

cdalab

Beispiel

<informationRecipient typeCode="PRCP"> <templateId root="1.3.6.1.4.1.19376.1.3.3.1.4"/> <intendedRecipient>  </intendedRecipient> </informationRecipient>

hl7:templateId

1..1

cdalab

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.4

hl7:authenticator

cdalab

Beispiel

<authenticator> <templateId root="1.3.6.1.4.1.19376.1.3.3.1.5"/>  </authenticator>

hl7:templateId

1..1

cdalab

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.5

hl7:legalAuthenticator

cdalab

Beispiel

<authenticator> <templateId root="1.3.6.1.4.1.19376.1.3.3.1.5"/>  </authenticator>

hl7:templateId

1..1

cdalab

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.5

hl7:participant
wo
[@typeCode='REF']

cdalab

@typeCode

1..1

F

REF

hl7:time

IVL_TS

1..1

cdalab

hl7:associatedEntity

1..1

M

cdalab

@classCode

1..1

F

PROV

hl7:templateId

II

0..*

O

cdalab

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.6

hl7:id

II

1..1

M

cdalab

hl7:addr

AD

1..1

cdalab

hl7:telecom

TEL

1..*

M

cdalab

hl7:associatedPerson

1..1

M

cdalab

Eingefügt von PersonElements

hl7:name

PN

1..1

M

cdalab

hl7:scopingOrganization

0..1

O

cdalab

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

cdalab

hl7:name

ON

1..1

M

cdalab

hl7:telecom

TEL

0..*

O

cdalab

hl7:addr

AD

0..1

O

cdalab

hl7:documentationOf

1..*

M

cdalab

Beispiel

<documentationOf typeCode="DOC"> <serviceEvent> <code code="300" codeSystem="1.2.40.0.34.5.22" codeSystemName="ELGA_ServiceEventsLabor" displayName="Hämatologie"/> <effectiveTime> <low value="20081201061325+0100"/> <high value="20081201161500+0100"/> </effectiveTime> </serviceEvent> </documentationOf>

hl7:serviceEvent

1..1

M

cdalab

hl7:code

CE

1..1

cdalab

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_ServiceEventsLabor

hl7:effectiveTime

IVL_TS

1..1

M

cdalab

hl7:low

TS.DATE.MIN

1..1

M

cdalab

hl7:high

TS.DATE.MIN

1..1

M

cdalab

hl7:perfomer

0..

O

cdalab

Beispiel

<performer typeCode="PRF"> <templateId root="1.3.6.1.4.1.19376.1.3.3.1.7"/> <time> <low value="20081201061325+0100"/> <high value="20081201161500+0100"/> </time> </performer>

hl7:templateId

1..1

M

cdalab

@root

1..1

F

1.3.6.1.4.1.19376.1.3.3.1.7

hl7:componentOf

NP

cdalab

Letzte Medikation / LetzteMedikation 1.2.40.0.34.11.2.2.5 - 2011‑12‑19

Template Letzte Medikation / LetzteMedikation

Id 1.2.40.0.34.11.2.2.5

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.5

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Die zuletzt im Spital gegebene Medikation.

Item DT Card Conf Desc Label

hl7:section

(LetzteMedikation)

hl7:templateId

II

1..1

(LetzteMedikation)

@root

1..1

F

1.2.40.0.34.11.2.2.5

hl7:code

CE

1..1

M

(LetzteMedikation)

@code

1..1

F

10160-0

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="10160-0" displayName="History of medication use" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(LetzteMedikation)

CONF

Elementinhalt muss "Letzte Medikation" sein

hl7:text

1..1

(LetzteMedikation)

Logo Entry / LogoEntry 1.2.40.0.34.11.1.3.2 - 2011‑12‑19

Template Logo Entry / LogoEntry

Id 1.2.40.0.34.11.1.3.2

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.3.2

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1.2.1	Brieftext Brieftext	2011‑12‑19

Item DT Card Conf Desc Label

hl7:observationMedia

1..1

(LogoEntry)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(LogoEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.2

hl7:value

ED

1..1

M

(LogoEntry)

@mediaType

1..1

@mediaType muss eins aus Auswahl sein:

image/png
image/jpeg

@representation

1..1

F

B64

Medikamentenverabreichung 1.2.40.0.34.11.3.2.15 - 2011‑12‑19

Template Medikamentenverabreichung

Id 1.2.40.0.34.11.3.2.15

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.15

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Medikamentenverabreichung)

hl7:templateId

II

1..1

(Medikamentenverabreichung)

@root

1..1

F

1.2.40.0.34.11.3.2.15

hl7:code

CE

1..1

M

(Medikamentenverabreichung)

@code

1..1

F

PFMED

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFMED" displayName="Medikamentenverabreichung" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(Medikamentenverabreichung)

CONF

Elementinhalt muss "Medikamentenverabreichung" sein

hl7:text

1..1

M

(Medikamentenverabreichung)

Medikation Abgabe Entry / MedikationAbgabeEntry 1.2.40.0.34.11.2.3.3 - 2012‑07‑14

Template Medikation Abgabe Entry / MedikationAbgabeEntry

Id 1.2.40.0.34.11.2.3.3

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.3.3

Version gültig ab 2012‑07‑14 Status Aktiv

Item DT Card Conf Desc Label

supply

(MedikationAbgabeEntry)

@classCode

1..1

F

SPLY

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.2.40.0.34.11.2.3.3

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.34

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.3

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.4

hl7:id

II

1..1

M

(MedikationAbgabeEntry)

@root

1..1

F

1.2.40.0.10.1.4.3.4.1.4

hl7:code

CE

0..1

O

(MedikationAbgabeEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_MedikationAbgabekennz

hl7:originalText

ED

0..1

O

(MedikationAbgabeEntry)

hl7:quantity

PQ

1..1

M

(MedikationAbgabeEntry)

hl7:product

1..1

M

(MedikationAbgabeEntry)

Eingefügt von 1.2.40.0.34.11.2.3.4

hl7:manufacturedProduct

(MedikationAbgabeEntry)

@classCode

1..1

F

MANU

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.2

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.53

hl7:manufacturedMaterial

1..1

M

(MedikationAbgabeEntry)

@classCode

1..1

F

MMAT

@determinerCode

1..1

F

KIND

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.2.40.0.34.11.2.3.4

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.1

hl7:code

1..1

Pharmazentralnummer der Arznei, zugelassene nullFlavor:

NI Arznei hat keine PZN
NA Arznei ist eine magistrale Zubereitung
UNK Arznei hat eine PZN, diese ist jedoch unbekannt

(MedikationAbgabeEntry)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

1..1

(MedikationAbgabeEntry)

hl7:translation

CE

0..*

O

(MedikationAbgabeEntry)

hl7:name

EN

1..1

M

(MedikationAbgabeEntry)

Schematron assert role error

test hl7:code/@nullFlavor or (hl7:code/@code and count(pharm:asContent)>0)

Meldung pharm:asContent Komponente zur Aufnahme der Packungsangaben ist mandatory wenn PZN vorhanden

pharm:asContent

0..1

O

(MedikationAbgabeEntry)

@classCode

1..1

F

CONT

pharm:containerPackagedMedicine

1..1

M

(MedikationAbgabeEntry)

@classCode

1..1

F

CONT

@determinerCode

1..1

F

INSTANCE

pharm:code

1..1

M

Pharmazentralnummer der Arznei

(MedikationAbgabeEntry)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

0..1

O

(MedikationAbgabeEntry)

pharm:name

EN

1..1

M

(MedikationAbgabeEntry)

pharm:capacityQuantity

PQ

1..1

M

(MedikationAbgabeEntry)

pharm:ingredient

0..*

O

Komponente zur Aufnahme des Wirkstoffs

(MedikationAbgabeEntry)

@classCode

1..1

F

ACTI

pharm:quantity

1..1

(MedikationAbgabeEntry)

pharm:numerator

PQ

1..1

(MedikationAbgabeEntry)

pharm:denominator

PQ

1..1

(MedikationAbgabeEntry)

pharm:ingredient

1..1

M

Code und Name des Wirkstoffs

(MedikationAbgabeEntry)

pharm:code

CE

1..1

(MedikationAbgabeEntry)

@codeSystem

1..1

F

2.16.840.1.113883.6.73

hl7:originalText

ED

0..1

O

(MedikationAbgabeEntry)

hl7:translation

CE

0..*

O

(MedikationAbgabeEntry)

pharm:name

EN

1..1

M

(MedikationAbgabeEntry)

hl7:entryRelationship
wo
[@typeCode='REFR']

1..1

M

(MedikationAbgabeEntry)

@typeCode

1..1

F

REFR

Eingefügt von 1.2.40.0.34.11.2.3.2

hl7:substanceAdministration

(MedikationAbgabeEntry)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

INT

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.2.40.0.34.11.2.3.2

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.24

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.2

Auswahl: Elemente in der Auswahl:

hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']

max 1 Element(e)

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.9

Auswahl: Elemente in der Auswahl:

hl7:id[@root='1.2.40.0.10.1.4.3.4.1.4']
hl7:id

max 1 Element(e)

hl7:id

II

(MedikationAbgabeEntry)

@root

1..1

F

1.2.40.0.10.1.4.3.4.1.4

hl7:id

II

(MedikationAbgabeEntry)

@nullFlavor

1..1

F

NI

hl7:code

CE

1..1

M

(MedikationAbgabeEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_MedikationTherapieArt

hl7:originalText

ED

0..1

O

(MedikationAbgabeEntry)

hl7:text

ED

1..1

M

(MedikationAbgabeEntry)

hl7:reference

TEL

1..1

M

(MedikationAbgabeEntry)

hl7:statusCode

CS

1..1

M

(MedikationAbgabeEntry)

@code

1..1

F

completed

Eingefügt von 1.2.40.0.34.11.30006

hl7:effectiveTime
wo
[1]

IVL_TS

1..1

M

Zeitelement zur Dokumentation der Einnahmedauer

(MedikationAbgabeEntry)

hl7:low

TS

1..1

(MedikationAbgabeEntry)

hl7:high

TS

1..1

(MedikationAbgabeEntry)

Auswahl: Elemente in der Auswahl:

Eingefügt von 1.2.40.0.34.11.30007

hl7:effectiveTime
wo
[2]

PIVL_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(MedikationAbgabeEntry)

@operator

1..1

F

A

@institutionSpecified

1..1

F

true

hl7:period

PQ

1..1

(MedikationAbgabeEntry)

@value

1..1

F

1

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationAbgabeEntry)

hl7:entry

NP

(MedikationAbgabeEntry)

Eingefügt von 1.2.40.0.34.11.30008

hl7:effectiveTime
wo
[2]

NP

(MedikationAbgabeEntry)

hl7:doseQuantity

NP

(MedikationAbgabeEntry)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(MedikationAbgabeEntry)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(MedikationAbgabeEntry)

hl7:substanceAdministration

1..1

M

(MedikationAbgabeEntry)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

EIVL_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(MedikationAbgabeEntry)

@operator

1..1

F

A

hl7:event

CE

1..1

M

(MedikationAbgabeEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationAbgabeEntry)

hl7:consumable

1..1

M

(MedikationAbgabeEntry)

hl7:manufacturedProduct

1..1

M

(MedikationAbgabeEntry)

hl7:manufacturedMaterial

1..1

M

(MedikationAbgabeEntry)

@nullFlavor

1..1

F

NA

Eingefügt von 1.2.40.0.34.11.30009

hl7:effectiveTime
wo
[2]

SXPR_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(MedikationAbgabeEntry)

@operator

1..1

F

A

hl7:comp
wo
[hl7:period and not(hl7:phase)]

PIVL_TS

1..1

(MedikationAbgabeEntry)

hl7:period

PQ

1..1

(MedikationAbgabeEntry)

@value

1..1

F

1

CONF

unit ist "d"

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(MedikationAbgabeEntry)

hl7:phase

IVL_TS

1..1

(MedikationAbgabeEntry)

hl7:width

PQ

(MedikationAbgabeEntry)

CONF

unit ist "d"

hl7:period

PQ

1..1

(MedikationAbgabeEntry)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationAbgabeEntry)

hl7:entry

NP

(MedikationAbgabeEntry)

Eingefügt von 1.2.40.0.34.11.30010

hl7:effectiveTime
wo
[2]

NP

(MedikationAbgabeEntry)

hl7:doseQuantity

NP

(MedikationAbgabeEntry)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(MedikationAbgabeEntry)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(MedikationAbgabeEntry)

hl7:substanceAdministration

1..1

M

(MedikationAbgabeEntry)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

SXPR_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(MedikationAbgabeEntry)

@operator

1..1

F

A

hl7:comp
wo
[hl7:event]

EIVL_TS

1..1

(MedikationAbgabeEntry)

hl7:event

CE

1..1

M

(MedikationAbgabeEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(MedikationAbgabeEntry)

@operator

1..1

F

A

hl7:phase

IVL_TS

1..1

(MedikationAbgabeEntry)

hl7:width

PQ

(MedikationAbgabeEntry)

CONF

unit ist "d"

hl7:period

PQ

1..1

(MedikationAbgabeEntry)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationAbgabeEntry)

hl7:consumable

1..1

M

(MedikationAbgabeEntry)

hl7:manufacturedProduct

1..1

M

(MedikationAbgabeEntry)

hl7:manufacturedMaterial

1..1

M

(MedikationAbgabeEntry)

@nullFlavor

1..1

F

NA

hl7:consumable

1..1

M

(MedikationAbgabeEntry)

Eingefügt von 1.2.40.0.34.11.2.3.4

hl7:manufacturedProduct

(MedikationAbgabeEntry)

@classCode

1..1

F

MANU

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.2

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.53

hl7:manufacturedMaterial

1..1

M

(MedikationAbgabeEntry)

@classCode

1..1

F

MMAT

@determinerCode

1..1

F

KIND

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.2.40.0.34.11.2.3.4

hl7:templateId

II

1..1

(MedikationAbgabeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.1

hl7:code

1..1

Pharmazentralnummer der Arznei, zugelassene nullFlavor:

NI Arznei hat keine PZN
NA Arznei ist eine magistrale Zubereitung
UNK Arznei hat eine PZN, diese ist jedoch unbekannt

(MedikationAbgabeEntry)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

1..1

(MedikationAbgabeEntry)

hl7:translation

CE

0..*

O

(MedikationAbgabeEntry)

hl7:name

EN

1..1

M

(MedikationAbgabeEntry)

Schematron assert role error

test hl7:code/@nullFlavor or (hl7:code/@code and count(pharm:asContent)>0)

Meldung pharm:asContent Komponente zur Aufnahme der Packungsangaben ist mandatory wenn PZN vorhanden

pharm:asContent

0..1

O

(MedikationAbgabeEntry)

@classCode

1..1

F

CONT

pharm:containerPackagedMedicine

1..1

M

(MedikationAbgabeEntry)

@classCode

1..1

F

CONT

@determinerCode

1..1

F

INSTANCE

pharm:code

1..1

M

Pharmazentralnummer der Arznei

(MedikationAbgabeEntry)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

0..1

O

(MedikationAbgabeEntry)

pharm:name

EN

1..1

M

(MedikationAbgabeEntry)

pharm:capacityQuantity

PQ

1..1

M

(MedikationAbgabeEntry)

pharm:ingredient

0..*

O

Komponente zur Aufnahme des Wirkstoffs

(MedikationAbgabeEntry)

@classCode

1..1

F

ACTI

pharm:quantity

1..1

(MedikationAbgabeEntry)

pharm:numerator

PQ

1..1

(MedikationAbgabeEntry)

pharm:denominator

PQ

1..1

(MedikationAbgabeEntry)

pharm:ingredient

1..1

M

Code und Name des Wirkstoffs

(MedikationAbgabeEntry)

pharm:code

CE

1..1

(MedikationAbgabeEntry)

@codeSystem

1..1

F

2.16.840.1.113883.6.73

hl7:originalText

ED

0..1

O

(MedikationAbgabeEntry)

hl7:translation

CE

0..*

O

(MedikationAbgabeEntry)

pharm:name

EN

1..1

M

(MedikationAbgabeEntry)

hl7:entryRelationship
wo
[@typeCode='COMP'] [hl7:supply]

1..1

M

(MedikationAbgabeEntry)

@typeCode

1..1

F

COMP

hl7:supply

1..1

M

(MedikationAbgabeEntry)

@classCode

1..1

F

SPLY

@moodCode

1..1

F

RQO

Beispiel

<supply classCode="SPLY" moodCode="RQO"> <independentInd value="false"/> <quantity value="1"/> </supply>

hl7:independentInd

BL

1..1

M

(MedikationAbgabeEntry)

CONF

value ist "false"

hl7:quantity

PQ

1..1

M

(MedikationAbgabeEntry)

hl7:entryRelationship
wo
[@typeCode='SUBJ']

0..1

O

(MedikationAbgabeEntry)

@typeCode

1..1

F

SUBJ

hl7:act

1..1

M

(MedikationAbgabeEntry)

@classCode

1..1

F

ACT

@moodCode

1..1

F

INT

hl7:code

CE

1..1

M

(MedikationAbgabeEntry)

@code

1..1

F

PINSTRUCT

@codeSystem

1..1

F

1.3.6.1.4.1.19376.1.5.3.2

hl7:text

ED

1..1

M

(MedikationAbgabeEntry)

hl7:reference

TEL

1..1

M

(MedikationAbgabeEntry)

Verabreichte Medikation während des Aufenthalts / MedikationAufenthalt 1.2.40.0.34.11.2.2.22 - 2011‑12‑19

Template Verabreichte Medikation während des Aufenthalts / MedikationAufenthalt

Id 1.2.40.0.34.11.2.2.22

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.22

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Sämtliche verabreichte Medikation während des Aufenthalts

Item DT Card Conf Desc Label

hl7:section

(MedikationAufenthalt)

hl7:templateId

II

1..1

(MedikationAufenthalt)

@root

1..1

F

1.2.40.0.34.11.2.2.22

hl7:code

CE

1..1

M

(MedikationAufenthalt)

@code

1..1

F

18610-6

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="18610-6" displayName="Medication administered" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(MedikationAufenthalt)

CONF

Elementinhalt muss "Verabreichte Medikation während des Aufenthalts" sein

hl7:text

1..1

M

(MedikationAufenthalt)

Empfohlene Medikation (alle EIS) / MedikationEinweisungAlleEIS 1.2.40.0.34.11.30005 - 2011‑12‑19

Template (intern) Empfohlene Medikation (alle EIS) / MedikationEinweisungAlleEIS

Id 1.2.40.0.34.11.30005

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 2 Templates

Id	Name	vom
elga-template-2.2.20	MedikationEinweisungEnhanced Medikation bei Einweisung (enhanced)	2011‑12‑19
elga-template-2.2.21	MedikationEinweisungFull Medikation bei Einweisung (full)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:code

CE

1..1

M

(MedikationEinweisungAlleEIS)

@code

1..1

F

42346-7

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="42346-7" displayName="Medications on admission" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(MedikationEinweisungAlleEIS)

CONF

Elementinhalt muss "Medikation bei Einweisung" sein

hl7:text

1..1

(MedikationEinweisungAlleEIS)

Medikation bei Einweisung (enhanced) / MedikationEinweisungEnhanced 1.2.40.0.34.11.2.2.20 - 2011‑12‑19

Template Medikation bei Einweisung (enhanced) / MedikationEinweisungEnhanced

Id 1.2.40.0.34.11.2.2.20

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.20

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(MedikationEinweisungEnhanced)

hl7:templateId

II

1..1

(MedikationEinweisungEnhanced)

@root

1..1

F

1.2.40.0.34.11.2.2.20

Eingefügt von 1.2.40.0.34.11.30005

hl7:code

CE

1..1

M

(MedikationEinweisungEnhanced)

@code

1..1

F

42346-7

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="42346-7" displayName="Medications on admission" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(MedikationEinweisungEnhanced)

CONF

Elementinhalt muss "Medikation bei Einweisung" sein

hl7:text

1..1

(MedikationEinweisungEnhanced)

hl7:entry

NP

(MedikationEinweisungEnhanced)

Medikation bei Einweisung (full) / MedikationEinweisungFull 1.2.40.0.34.11.2.2.21 - 2011‑12‑19

Template Medikation bei Einweisung (full) / MedikationEinweisungFull

Id 1.2.40.0.34.11.2.2.21

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.21

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(MedikationEinweisungFull)

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.2.40.0.34.11.2.2.21

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.20

Eingefügt von 1.2.40.0.34.11.30005

hl7:code

CE

1..1

M

(MedikationEinweisungFull)

@code

1..1

F

42346-7

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="42346-7" displayName="Medications on admission" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(MedikationEinweisungFull)

CONF

Elementinhalt muss "Medikation bei Einweisung" sein

hl7:text

1..1

(MedikationEinweisungFull)

hl7:entry

1..*

(MedikationEinweisungFull)

@typeCode

0..1

F

DRIV

Eingefügt von 1.2.40.0.34.11.2.3.2

hl7:substanceAdministration

(MedikationEinweisungFull)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

INT

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.2.40.0.34.11.2.3.2

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.24

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.2

Auswahl: Elemente in der Auswahl:

hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']

max 1 Element(e)

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.9

Auswahl: Elemente in der Auswahl:

hl7:id[@root='1.2.40.0.10.1.4.3.4.1.4']
hl7:id

max 1 Element(e)

hl7:id

II

(MedikationEinweisungFull)

@root

1..1

F

1.2.40.0.10.1.4.3.4.1.4

hl7:id

II

(MedikationEinweisungFull)

@nullFlavor

1..1

F

NI

hl7:code

CE

1..1

M

(MedikationEinweisungFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_MedikationTherapieArt

hl7:originalText

ED

0..1

O

(MedikationEinweisungFull)

hl7:text

ED

1..1

M

(MedikationEinweisungFull)

hl7:reference

TEL

1..1

M

(MedikationEinweisungFull)

hl7:statusCode

CS

1..1

M

(MedikationEinweisungFull)

@code

1..1

F

completed

Eingefügt von 1.2.40.0.34.11.30006

hl7:effectiveTime
wo
[1]

IVL_TS

1..1

M

Zeitelement zur Dokumentation der Einnahmedauer

(MedikationEinweisungFull)

hl7:low

TS

1..1

(MedikationEinweisungFull)

hl7:high

TS

1..1

(MedikationEinweisungFull)

Auswahl: Elemente in der Auswahl:

Eingefügt von 1.2.40.0.34.11.30007

hl7:effectiveTime
wo
[2]

PIVL_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(MedikationEinweisungFull)

@operator

1..1

F

A

@institutionSpecified

1..1

F

true

hl7:period

PQ

1..1

(MedikationEinweisungFull)

@value

1..1

F

1

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationEinweisungFull)

hl7:entry

NP

(MedikationEinweisungFull)

Eingefügt von 1.2.40.0.34.11.30008

hl7:effectiveTime
wo
[2]

NP

(MedikationEinweisungFull)

hl7:doseQuantity

NP

(MedikationEinweisungFull)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(MedikationEinweisungFull)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(MedikationEinweisungFull)

hl7:substanceAdministration

1..1

M

(MedikationEinweisungFull)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

EIVL_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(MedikationEinweisungFull)

@operator

1..1

F

A

hl7:event

CE

1..1

M

(MedikationEinweisungFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationEinweisungFull)

hl7:consumable

1..1

M

(MedikationEinweisungFull)

hl7:manufacturedProduct

1..1

M

(MedikationEinweisungFull)

hl7:manufacturedMaterial

1..1

M

(MedikationEinweisungFull)

@nullFlavor

1..1

F

NA

Eingefügt von 1.2.40.0.34.11.30009

hl7:effectiveTime
wo
[2]

SXPR_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(MedikationEinweisungFull)

@operator

1..1

F

A

hl7:comp
wo
[hl7:period and not(hl7:phase)]

PIVL_TS

1..1

(MedikationEinweisungFull)

hl7:period

PQ

1..1

(MedikationEinweisungFull)

@value

1..1

F

1

CONF

unit ist "d"

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(MedikationEinweisungFull)

hl7:phase

IVL_TS

1..1

(MedikationEinweisungFull)

hl7:width

PQ

(MedikationEinweisungFull)

CONF

unit ist "d"

hl7:period

PQ

1..1

(MedikationEinweisungFull)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationEinweisungFull)

hl7:entry

NP

(MedikationEinweisungFull)

Eingefügt von 1.2.40.0.34.11.30010

hl7:effectiveTime
wo
[2]

NP

(MedikationEinweisungFull)

hl7:doseQuantity

NP

(MedikationEinweisungFull)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(MedikationEinweisungFull)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(MedikationEinweisungFull)

hl7:substanceAdministration

1..1

M

(MedikationEinweisungFull)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

SXPR_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(MedikationEinweisungFull)

@operator

1..1

F

A

hl7:comp
wo
[hl7:event]

EIVL_TS

1..1

(MedikationEinweisungFull)

hl7:event

CE

1..1

M

(MedikationEinweisungFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(MedikationEinweisungFull)

@operator

1..1

F

A

hl7:phase

IVL_TS

1..1

(MedikationEinweisungFull)

hl7:width

PQ

(MedikationEinweisungFull)

CONF

unit ist "d"

hl7:period

PQ

1..1

(MedikationEinweisungFull)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationEinweisungFull)

hl7:consumable

1..1

M

(MedikationEinweisungFull)

hl7:manufacturedProduct

1..1

M

(MedikationEinweisungFull)

hl7:manufacturedMaterial

1..1

M

(MedikationEinweisungFull)

@nullFlavor

1..1

F

NA

hl7:consumable

1..1

M

(MedikationEinweisungFull)

Eingefügt von 1.2.40.0.34.11.2.3.4

hl7:manufacturedProduct

(MedikationEinweisungFull)

@classCode

1..1

F

MANU

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.2

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.53

hl7:manufacturedMaterial

1..1

M

(MedikationEinweisungFull)

@classCode

1..1

F

MMAT

@determinerCode

1..1

F

KIND

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.2.40.0.34.11.2.3.4

hl7:templateId

II

1..1

(MedikationEinweisungFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.1

hl7:code

1..1

Pharmazentralnummer der Arznei, zugelassene nullFlavor:

NI Arznei hat keine PZN
NA Arznei ist eine magistrale Zubereitung
UNK Arznei hat eine PZN, diese ist jedoch unbekannt

(MedikationEinweisungFull)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

1..1

(MedikationEinweisungFull)

hl7:translation

CE

0..*

O

(MedikationEinweisungFull)

hl7:name

EN

1..1

M

(MedikationEinweisungFull)

Schematron assert role error

test hl7:code/@nullFlavor or (hl7:code/@code and count(pharm:asContent)>0)

Meldung pharm:asContent Komponente zur Aufnahme der Packungsangaben ist mandatory wenn PZN vorhanden

pharm:asContent

0..1

O

(MedikationEinweisungFull)

@classCode

1..1

F

CONT

pharm:containerPackagedMedicine

1..1

M

(MedikationEinweisungFull)

@classCode

1..1

F

CONT

@determinerCode

1..1

F

INSTANCE

pharm:code

1..1

M

Pharmazentralnummer der Arznei

(MedikationEinweisungFull)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

0..1

O

(MedikationEinweisungFull)

pharm:name

EN

1..1

M

(MedikationEinweisungFull)

pharm:capacityQuantity

PQ

1..1

M

(MedikationEinweisungFull)

pharm:ingredient

0..*

O

Komponente zur Aufnahme des Wirkstoffs

(MedikationEinweisungFull)

@classCode

1..1

F

ACTI

pharm:quantity

1..1

(MedikationEinweisungFull)

pharm:numerator

PQ

1..1

(MedikationEinweisungFull)

pharm:denominator

PQ

1..1

(MedikationEinweisungFull)

pharm:ingredient

1..1

M

Code und Name des Wirkstoffs

(MedikationEinweisungFull)

pharm:code

CE

1..1

(MedikationEinweisungFull)

@codeSystem

1..1

F

2.16.840.1.113883.6.73

hl7:originalText

ED

0..1

O

(MedikationEinweisungFull)

hl7:translation

CE

0..*

O

(MedikationEinweisungFull)

pharm:name

EN

1..1

M

(MedikationEinweisungFull)

hl7:entryRelationship
wo
[@typeCode='COMP'] [hl7:supply]

1..1

M

(MedikationEinweisungFull)

@typeCode

1..1

F

COMP

hl7:supply

1..1

M

(MedikationEinweisungFull)

@classCode

1..1

F

SPLY

@moodCode

1..1

F

RQO

Beispiel

<supply classCode="SPLY" moodCode="RQO"> <independentInd value="false"/> <quantity value="1"/> </supply>

hl7:independentInd

BL

1..1

M

(MedikationEinweisungFull)

CONF

value ist "false"

hl7:quantity

PQ

1..1

M

(MedikationEinweisungFull)

hl7:entryRelationship
wo
[@typeCode='SUBJ']

0..1

O

(MedikationEinweisungFull)

@typeCode

1..1

F

SUBJ

hl7:act

1..1

M

(MedikationEinweisungFull)

@classCode

1..1

F

ACT

@moodCode

1..1

F

INT

hl7:code

CE

1..1

M

(MedikationEinweisungFull)

@code

1..1

F

PINSTRUCT

@codeSystem

1..1

F

1.3.6.1.4.1.19376.1.5.3.2

hl7:text

ED

1..1

M

(MedikationEinweisungFull)

hl7:reference

TEL

1..1

M

(MedikationEinweisungFull)

Medikation Verordnung Entry / MedikationVerordnungEntry 1.2.40.0.34.11.2.3.2 - 2012‑07‑14

Template Medikation Verordnung Entry / MedikationVerordnungEntry

Id 1.2.40.0.34.11.2.3.2

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.3.2

Version gültig ab 2012‑07‑14 Status Aktiv

Benutzt in

Benutzt in 3 Templates

Id	Name	vom
elga-template-2.2.21	MedikationEinweisungFull Medikation bei Einweisung (full)	2011‑12‑19
elga-template-2.2.8	EmpfohleneMedikationFull Empfohlene Medikation (full support)	2011‑12‑19
elga-template-2.3.3	MedikationAbgabeEntry Medikation Abgabe Entry	2012‑07‑14

Item DT Card Conf Desc Label

hl7:substanceAdministration

(MedikationVerordnungEntry)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

INT

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.2.40.0.34.11.2.3.2

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.24

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.2

Auswahl: Elemente in der Auswahl:

hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']

max 1 Element(e)

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.9

Auswahl: Elemente in der Auswahl:

hl7:id[@root='1.2.40.0.10.1.4.3.4.1.4']
hl7:id

max 1 Element(e)

hl7:id

II

(MedikationVerordnungEntry)

@root

1..1

F

1.2.40.0.10.1.4.3.4.1.4

hl7:id

II

(MedikationVerordnungEntry)

@nullFlavor

1..1

F

NI

hl7:code

CE

1..1

M

(MedikationVerordnungEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_MedikationTherapieArt

hl7:originalText

ED

0..1

O

(MedikationVerordnungEntry)

hl7:text

ED

1..1

M

(MedikationVerordnungEntry)

hl7:reference

TEL

1..1

M

(MedikationVerordnungEntry)

hl7:statusCode

CS

1..1

M

(MedikationVerordnungEntry)

@code

1..1

F

completed

Eingefügt von 1.2.40.0.34.11.30006

hl7:effectiveTime
wo
[1]

IVL_TS

1..1

M

Zeitelement zur Dokumentation der Einnahmedauer

(MedikationVerordnungEntry)

hl7:low

TS

1..1

(MedikationVerordnungEntry)

hl7:high

TS

1..1

(MedikationVerordnungEntry)

Auswahl: Elemente in der Auswahl:

Eingefügt von 1.2.40.0.34.11.30007

hl7:effectiveTime
wo
[2]

PIVL_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(MedikationVerordnungEntry)

@operator

1..1

F

A

@institutionSpecified

1..1

F

true

hl7:period

PQ

1..1

(MedikationVerordnungEntry)

@value

1..1

F

1

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationVerordnungEntry)

hl7:entry

NP

(MedikationVerordnungEntry)

Eingefügt von 1.2.40.0.34.11.30008

hl7:effectiveTime
wo
[2]

NP

(MedikationVerordnungEntry)

hl7:doseQuantity

NP

(MedikationVerordnungEntry)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(MedikationVerordnungEntry)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(MedikationVerordnungEntry)

hl7:substanceAdministration

1..1

M

(MedikationVerordnungEntry)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

EIVL_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(MedikationVerordnungEntry)

@operator

1..1

F

A

hl7:event

CE

1..1

M

(MedikationVerordnungEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationVerordnungEntry)

hl7:consumable

1..1

M

(MedikationVerordnungEntry)

hl7:manufacturedProduct

1..1

M

(MedikationVerordnungEntry)

hl7:manufacturedMaterial

1..1

M

(MedikationVerordnungEntry)

@nullFlavor

1..1

F

NA

Eingefügt von 1.2.40.0.34.11.30009

hl7:effectiveTime
wo
[2]

SXPR_TS

1..1

M

Zeitelement zur Aufnahme der Dosierungsvarianten 1 und 3

(MedikationVerordnungEntry)

@operator

1..1

F

A

hl7:comp
wo
[hl7:period and not(hl7:phase)]

PIVL_TS

1..1

(MedikationVerordnungEntry)

hl7:period

PQ

1..1

(MedikationVerordnungEntry)

@value

1..1

F

1

CONF

unit ist "d"

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(MedikationVerordnungEntry)

hl7:phase

IVL_TS

1..1

(MedikationVerordnungEntry)

hl7:width

PQ

(MedikationVerordnungEntry)

CONF

unit ist "d"

hl7:period

PQ

1..1

(MedikationVerordnungEntry)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationVerordnungEntry)

hl7:entry

NP

(MedikationVerordnungEntry)

Eingefügt von 1.2.40.0.34.11.30010

hl7:effectiveTime
wo
[2]

NP

(MedikationVerordnungEntry)

hl7:doseQuantity

NP

(MedikationVerordnungEntry)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(MedikationVerordnungEntry)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(MedikationVerordnungEntry)

hl7:substanceAdministration

1..1

M

(MedikationVerordnungEntry)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

SXPR_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(MedikationVerordnungEntry)

@operator

1..1

F

A

hl7:comp
wo
[hl7:event]

EIVL_TS

1..1

(MedikationVerordnungEntry)

hl7:event

CE

1..1

M

(MedikationVerordnungEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(MedikationVerordnungEntry)

@operator

1..1

F

A

hl7:phase

IVL_TS

1..1

(MedikationVerordnungEntry)

hl7:width

PQ

(MedikationVerordnungEntry)

CONF

unit ist "d"

hl7:period

PQ

1..1

(MedikationVerordnungEntry)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(MedikationVerordnungEntry)

hl7:consumable

1..1

M

(MedikationVerordnungEntry)

hl7:manufacturedProduct

1..1

M

(MedikationVerordnungEntry)

hl7:manufacturedMaterial

1..1

M

(MedikationVerordnungEntry)

@nullFlavor

1..1

F

NA

hl7:consumable

1..1

M

(MedikationVerordnungEntry)

Eingefügt von 1.2.40.0.34.11.2.3.4

hl7:manufacturedProduct

(MedikationVerordnungEntry)

@classCode

1..1

F

MANU

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.2

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.53

hl7:manufacturedMaterial

1..1

M

(MedikationVerordnungEntry)

@classCode

1..1

F

MMAT

@determinerCode

1..1

F

KIND

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.2.40.0.34.11.2.3.4

hl7:templateId

II

1..1

(MedikationVerordnungEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.9.1.3.1

hl7:code

1..1

Pharmazentralnummer der Arznei, zugelassene nullFlavor:

NI Arznei hat keine PZN
NA Arznei ist eine magistrale Zubereitung
UNK Arznei hat eine PZN, diese ist jedoch unbekannt

(MedikationVerordnungEntry)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

1..1

(MedikationVerordnungEntry)

hl7:translation

CE

0..*

O

(MedikationVerordnungEntry)

hl7:name

EN

1..1

M

(MedikationVerordnungEntry)

Schematron assert role error

test hl7:code/@nullFlavor or (hl7:code/@code and count(pharm:asContent)>0)

Meldung pharm:asContent Komponente zur Aufnahme der Packungsangaben ist mandatory wenn PZN vorhanden

pharm:asContent

0..1

O

(MedikationVerordnungEntry)

@classCode

1..1

F

CONT

pharm:containerPackagedMedicine

1..1

M

(MedikationVerordnungEntry)

@classCode

1..1

F

CONT

@determinerCode

1..1

F

INSTANCE

pharm:code

1..1

M

Pharmazentralnummer der Arznei

(MedikationVerordnungEntry)

@codeSystem

1..1

F

1.2.40.0.10.1.4.3.5 (PZN)

hl7:originalText

ED

0..1

O

(MedikationVerordnungEntry)

pharm:name

EN

1..1

M

(MedikationVerordnungEntry)

pharm:capacityQuantity

PQ

1..1

M

(MedikationVerordnungEntry)

pharm:ingredient

0..*

O

Komponente zur Aufnahme des Wirkstoffs

(MedikationVerordnungEntry)

@classCode

1..1

F

ACTI

pharm:quantity

1..1

(MedikationVerordnungEntry)

pharm:numerator

PQ

1..1

(MedikationVerordnungEntry)

pharm:denominator

PQ

1..1

(MedikationVerordnungEntry)

pharm:ingredient

1..1

M

Code und Name des Wirkstoffs

(MedikationVerordnungEntry)

pharm:code

CE

1..1

(MedikationVerordnungEntry)

@codeSystem

1..1

F

2.16.840.1.113883.6.73

hl7:originalText

ED

0..1

O

(MedikationVerordnungEntry)

hl7:translation

CE

0..*

O

(MedikationVerordnungEntry)

pharm:name

EN

1..1

M

(MedikationVerordnungEntry)

hl7:entryRelationship
wo
[@typeCode='COMP'] [hl7:supply]

1..1

M

(MedikationVerordnungEntry)

@typeCode

1..1

F

COMP

hl7:supply

1..1

M

(MedikationVerordnungEntry)

@classCode

1..1

F

SPLY

@moodCode

1..1

F

RQO

Beispiel

<supply classCode="SPLY" moodCode="RQO"> <independentInd value="false"/> <quantity value="1"/> </supply>

hl7:independentInd

BL

1..1

M

(MedikationVerordnungEntry)

CONF

value ist "false"

hl7:quantity

PQ

1..1

M

(MedikationVerordnungEntry)

hl7:entryRelationship
wo
[@typeCode='SUBJ']

0..1

O

(MedikationVerordnungEntry)

@typeCode

1..1

F

SUBJ

hl7:act

1..1

M

(MedikationVerordnungEntry)

@classCode

1..1

F

ACT

@moodCode

1..1

F

INT

hl7:code

CE

1..1

M

(MedikationVerordnungEntry)

@code

1..1

F

PINSTRUCT

@codeSystem

1..1

F

1.3.6.1.4.1.19376.1.5.3.2

hl7:text

ED

1..1

M

(MedikationVerordnungEntry)

hl7:reference

TEL

1..1

M

(MedikationVerordnungEntry)

Mobilität / Mobilitaet 1.2.40.0.34.11.3.2.3 - 2011‑12‑19

Template Mobilität / Mobilitaet

Id 1.2.40.0.34.11.3.2.3

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.3

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Mobilitaet)

hl7:templateId

II

1..1

(Mobilitaet)

@root

1..1

F

1.2.40.0.34.11.3.2.3

hl7:code

CE

1..1

M

(Mobilitaet)

@code

1..1

F

PFMOB

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFMOB" displayName="Mobilität" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(Mobilitaet)

CONF

Elementinhalt muss "Mobilität" sein

hl7:text

1..1

M

(Mobilitaet)

Multimedia Content / MultimediaContent 1.2.40.0.34.11.30030 - 2012‑01‑07

Template (intern) Multimedia Content / MultimediaContent

Id 1.2.40.0.34.11.30030

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-30023	LaboratoryBatteryOrganizer Befundgruppen (Laboratory Battery Organizer	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30026	Antibiogram Antibiogram (Laboratory Isolate Organzier)	2012‑07‑07
Abhängigkeit: elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07

Item DT Card Conf Desc Label

hl7:observationMedia

1..1

(MultimediaContent)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

@ID

1..1

F

hl7:value

ED

1..1

M

(MultimediaContent)

@mediaType

cs

1..1

F

CONF

Der Wert von @mediaType muss gewählt werden aus dem Value Set ELGA_Medientyp

@representation

1..1

F

B64

Notification Condition / NotifiableCondition 1.2.40.0.34.11.30028 - 2012‑01‑07

Template (intern) Notification Condition / NotifiableCondition

Id 1.2.40.0.34.11.30028

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-30027	NotificationOrganizer Notification Organizer	2012‑01‑07

Item DT Card Conf Desc Label

hl7:observation

(NotifiableCondition)

@classCode

1..1

F

COND

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(NotifiableCondition)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.1.1

hl7:code

CD

1..1

M

(NotifiableCondition)

@code

1..1

F

170516003

@codeSystem

1..1

F

2.16.840.1.113883.6.96 (Snomed)

@codeSystemName

1..1

F

SNOMED-CT

@displayName

1..1

F

Notification of Disease

hl7:qualifier

1..1

M

(NotifiableCondition)

hl7:name

1..1

M

(NotifiableCondition)

@code

1..1

F

246087005

@codeSystem

1..1

F

2.16.840.1.113883.6.96 (Snomed)

@codeSystemName

1..1

F

SNOMED-CT

@displayName

1..1

F

Source of Specimen

hl7:value

1..1

M

(NotifiableCondition)

@code

1..1

F

116154003

@codeSystem

1..1

F

2.16.840.1.113883.6.96 (Snomed)

@codeSystemName

1..1

F

SNOMED-CT

@displayName

1..1

F

Patient

hl7:statusCode

CS

1..1

M

(NotifiableCondition)

@code

1..1

F

completed

hl7:value

CE

1..1

M

(NotifiableCondition)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_SignificantPathogens

Notification Organizer / NotificationOrganizer 1.2.40.0.34.11.30027 - 2012‑01‑07

Template (intern) Notification Organizer / NotificationOrganizer

Id 1.2.40.0.34.11.30027

Version gültig ab 2012‑01‑07 Status Aktiv

Item DT Card Conf Desc Label

hl7:organizer

(NotificationOrganizer)

@classCode

1..1

F

CLUSTER

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(NotificationOrganizer)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.1

hl7:statusCode

CS

1..1

M

(NotificationOrganizer)

@code

1..1

F

completed

hl7:component
wo
[hl7:observation [hl7:code [@code='170516003' and @codeSystem='2.16.840.1.113883.6.96']]]

1..*

M

(NotificationOrganizer)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln NotifiableCondition mit überschriebener Kardinalität 1 .. * mandatory

OrganizationElements 1.2.40.0.34.11.90002 - 2011‑12‑19

Template (intern) OrganizationElements

Id 1.2.40.0.34.11.90002

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 16 Templates

Id	Name	vom
elga-template-20002	HeaderAuthor	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20005	HeaderInformationRecipient	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20008	HeaderParticipants	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20013	HeaderEncompassingEncounter	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-30024	LaboratoryObservation Laborergebnisse (Laboratory Observation)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30023	LaboratoryBatteryOrganizer Befundgruppen (Laboratory Battery Organizer	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30026	Antibiogram Antibiogram (Laboratory Isolate Organzier)	2012‑07‑07
Abhängigkeit: elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
elga-template-4	Laborbefund Laborbefund	2012‑01‑12
elga-template-5	BefundBildgebendeDiagnostik Befund Bildgebende Diagnostik	2012‑01‑12
elga-template-90003	AssignedEntityElements	2011‑12‑19
Abhängigkeit: elga-template-20003	HeaderDataEnterer	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-20006	HeaderLegalAuthenticator	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-20007	HeaderAuthenticator	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-20010	HeaderServiceEvent	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-20013	HeaderEncompassingEncounter	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-30021	SpecimenCollection Abnahmeinformationen (Specimen Collection)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-4.3.1	LaboratorySpecimenEntry Laboratory Specimen Entry	2012‑01‑07
Abhängigkeit: elga-template-4.2.1	SpezimenSection Spezimen-Section	2012‑01‑07
elga-template-90004	AuthorElements	2011‑12‑19
Abhängigkeit: elga-template-30001	BodySection BodySection	2011‑12‑19

Item DT Card Conf Desc Label

hl7:id

II

0..*

O

(OrganizationElements)

hl7:name

ON

1..1

M

(OrganizationElements)

hl7:telecom

TEL

0..*

O

(OrganizationElements)

hl7:addr

AD

0..1

O

(OrganizationElements)

Orientierung und Bewusstseinslage / OrientierungBewusstseinslage 1.2.40.0.34.11.3.2.11 - 2011‑12‑19

Template Orientierung und Bewusstseinslage / OrientierungBewusstseinslage

Id 1.2.40.0.34.11.3.2.11

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.11

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(OrientierungBewusstseinslage)

hl7:templateId

II

1..1

(OrientierungBewusstseinslage)

@root

1..1

F

1.2.40.0.34.11.3.2.11

hl7:code

CE

1..1

M

(OrientierungBewusstseinslage)

@code

1..1

F

PFORIE

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFORIE" displayName="Orientierung und Bewusstseinslage" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(OrientierungBewusstseinslage)

CONF

Elementinhalt muss "Orientierung und Bewusstseinslage" sein

hl7:text

1..1

M

(OrientierungBewusstseinslage)

Patientenstatus / Patientenangaben / PatientenStatusAngaben 1.2.40.0.34.11.5.2.4 - 2012‑01‑12

Template Patientenstatus / Patientenangaben / PatientenStatusAngaben

Id 1.2.40.0.34.11.5.2.4

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.4

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(PatientenStatusAngaben)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(PatientenStatusAngaben)

@root

1..1

F

1.2.40.0.34.11.5.2.4

hl7:code

CE

1..1

M

(PatientenStatusAngaben)

@code

1..1

F

55108-5

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Clinical presentation

hl7:title

ST

1..1

M

(PatientenStatusAngaben)

CONF

Elementinhalt muss "Patientenstatus / Patientenangaben" sein

hl7:text

ED

1..1

M

(PatientenStatusAngaben)

Patientenverfügung / Patientenverfuegung 1.2.40.0.34.11.1.2.4 - 2011‑12‑19

Template Patientenverfügung / Patientenverfuegung

Id 1.2.40.0.34.11.1.2.4

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.4

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Alle Patientenverfügungen und diejenigen juridischen Dokumente, welche als „wichtig“ erachtet werden. Die Aufstellung soll narrativ in tabellarischer Form erfolgen und die „Art des vorliegenden Dokuments“, sowie den Hinweis „wo dieses aufliegt“ enthalten. Beispiel: „Testament“ – „liegt bei Tochter auf“

Item DT Card Conf Desc Label

hl7:section

(Patientenverfuegung)

hl7:templateId

II

1..1

(Patientenverfuegung)

@root

1..1

F

1.2.40.0.34.11.1.2.4

hl7:templateId

II

1..1

(Patientenverfuegung)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.34

hl7:templateId

II

1..1

(Patientenverfuegung)

@root

1..1

F

2.16.840.1.113883.10.20.1.1

hl7:code

CE

1..1

M

(Patientenverfuegung)

@code

1..1

F

42348-3

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Advance directives

Beispiel

<code code="42348-3" displayName="Advance directives" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(Patientenverfuegung)

CONF

Elementinhalt muss "Patientenverfügungen und andere juridische Dokumente" sein

hl7:text

1..1

(Patientenverfuegung)

PersonElements 1.2.40.0.34.11.90001 - 2011‑12‑19

Template (intern) PersonElements

Id 1.2.40.0.34.11.90001

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 14 Templates

Id	Name	vom
elga-template-20002	HeaderAuthor	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20005	HeaderInformationRecipient	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-20008	HeaderParticipants	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
elga-template-30024	LaboratoryObservation Laborergebnisse (Laboratory Observation)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30023	LaboratoryBatteryOrganizer Befundgruppen (Laboratory Battery Organizer	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30026	Antibiogram Antibiogram (Laboratory Isolate Organzier)	2012‑07‑07
Abhängigkeit: elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-30025	KulturellerKeimnachweis Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
elga-template-4	Laborbefund Laborbefund	2012‑01‑12
elga-template-5	BefundBildgebendeDiagnostik Befund Bildgebende Diagnostik	2012‑01‑12
elga-template-90003	AssignedEntityElements	2011‑12‑19
Abhängigkeit: elga-template-20003	HeaderDataEnterer	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-20006	HeaderLegalAuthenticator	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-20007	HeaderAuthenticator	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-20010	HeaderServiceEvent	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-20013	HeaderEncompassingEncounter	2011‑12‑19
Abhängigkeit: elga-template-1	ELGACDAAlleDokumente Allgemeiner Implementierungsleitfaden ELGA CDA Dokumente	2011‑12‑19
Abhängigkeit: elga-template-30021	SpecimenCollection Abnahmeinformationen (Specimen Collection)	2012‑01‑07
Abhängigkeit: elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
Abhängigkeit: elga-template-4.3.1	LaboratorySpecimenEntry Laboratory Specimen Entry	2012‑01‑07
Abhängigkeit: elga-template-4.2.1	SpezimenSection Spezimen-Section	2012‑01‑07
elga-template-90004	AuthorElements	2011‑12‑19
Abhängigkeit: elga-template-30001	BodySection BodySection	2011‑12‑19

Item DT Card Conf Desc Label

hl7:name

PN

1..1

M

(PersonElements)

Pflege- und Betreuungsdiagnose Entry / PflegeBetreuungsdiagnoseEntry 1.2.40.0.34.11.3.3.1 - 2011‑12‑19

Template Pflege- und Betreuungsdiagnose Entry / PflegeBetreuungsdiagnoseEntry

Id 1.2.40.0.34.11.3.3.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.3.1

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-3.2.2	PflegeBetreuungsdiagnosenFull Pflege- und Betreuungsdiagnosen (full)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:act

(PflegeBetreuungsdiagnoseEntry)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnoseEntry)

@root

1..1

F

1.2.40.0.34.11.3.3.1

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnoseEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.5

hl7:statusCode

CS

1..1

M

(PflegeBetreuungsdiagnoseEntry)

@code

1..1

F

active

hl7:entryRelationship

1..1

M

(PflegeBetreuungsdiagnoseEntry)

hl7:observation

1..1

M

(PflegeBetreuungsdiagnoseEntry)

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnoseEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.6

hl7:code

CE

1..1

M

(PflegeBetreuungsdiagnoseEntry)

@code

1..1

F

282291009

@displayName

1..1

F

Diagnosis

hl7:value

CD

1..1

M

(PflegeBetreuungsdiagnoseEntry)

Pflege- und Betreuungsdiagnosen (alle EIS) / PflegeBetreuungsdiagnosenAlleEIS 1.2.40.0.34.11.30011 - 2011‑12‑19

Template (intern) Pflege- und Betreuungsdiagnosen (alle EIS) / PflegeBetreuungsdiagnosenAlleEIS

Id 1.2.40.0.34.11.30011

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:code

CE

1..1

M

(PflegeBetreuungsdiagnosenAlleEIS)

@code

1..1

F

PFDIAG

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFDIAG" displayName="Pflege- und Betreuungsdiagnosen" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(PflegeBetreuungsdiagnosenAlleEIS)

CONF

Elementinhalt muss "Pflege- und Betreuungsdiagnosen" sein

hl7:text

1..1

M

(PflegeBetreuungsdiagnosenAlleEIS)

Pflege- und Betreuungsdiagnosen (enhanced) / PflegeBetreuungsdiagnosenEnhanced 1.2.40.0.34.11.3.2.1 - 2011‑12‑19

Template Pflege- und Betreuungsdiagnosen (enhanced) / PflegeBetreuungsdiagnosenEnhanced

Id 1.2.40.0.34.11.3.2.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.1

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(PflegeBetreuungsdiagnosenEnhanced)

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnosenEnhanced)

@root

1..1

F

1.2.40.0.34.11.3.2.1

Eingefügt von 1.2.40.0.34.11.30010

hl7:effectiveTime
wo
[2]

NP

(PflegeBetreuungsdiagnosenEnhanced)

hl7:doseQuantity

NP

(PflegeBetreuungsdiagnosenEnhanced)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(PflegeBetreuungsdiagnosenEnhanced)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(PflegeBetreuungsdiagnosenEnhanced)

hl7:substanceAdministration

1..1

M

(PflegeBetreuungsdiagnosenEnhanced)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnosenEnhanced)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

SXPR_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(PflegeBetreuungsdiagnosenEnhanced)

@operator

1..1

F

A

hl7:comp
wo
[hl7:event]

EIVL_TS

1..1

(PflegeBetreuungsdiagnosenEnhanced)

hl7:event

CE

1..1

M

(PflegeBetreuungsdiagnosenEnhanced)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(PflegeBetreuungsdiagnosenEnhanced)

@operator

1..1

F

A

hl7:phase

IVL_TS

1..1

(PflegeBetreuungsdiagnosenEnhanced)

hl7:width

PQ

(PflegeBetreuungsdiagnosenEnhanced)

CONF

unit ist "d"

hl7:period

PQ

1..1

(PflegeBetreuungsdiagnosenEnhanced)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(PflegeBetreuungsdiagnosenEnhanced)

hl7:consumable

1..1

M

(PflegeBetreuungsdiagnosenEnhanced)

hl7:manufacturedProduct

1..1

M

(PflegeBetreuungsdiagnosenEnhanced)

hl7:manufacturedMaterial

1..1

M

(PflegeBetreuungsdiagnosenEnhanced)

@nullFlavor

1..1

F

NA

hl7:entry

NP

(PflegeBetreuungsdiagnosenEnhanced)

Pflege- und Betreuungsdiagnosen (full) / PflegeBetreuungsdiagnosenFull 1.2.40.0.34.11.3.2.2 - 2011‑12‑19

Template Pflege- und Betreuungsdiagnosen (full) / PflegeBetreuungsdiagnosenFull

Id 1.2.40.0.34.11.3.2.2

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.2

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(PflegeBetreuungsdiagnosenFull)

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnosenFull)

@root

1..1

F

1.2.40.0.34.11.3.2.2

Eingefügt von 1.2.40.0.34.11.30010

hl7:effectiveTime
wo
[2]

NP

(PflegeBetreuungsdiagnosenFull)

hl7:doseQuantity

NP

(PflegeBetreuungsdiagnosenFull)

hl7:entryRelationship
wo
[hl7:substanceAdministration [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

1..*

M

(PflegeBetreuungsdiagnosenFull)

@typeCode

1..1

F

COMP

hl7:sequenceNumber

INT

1..*

M

(PflegeBetreuungsdiagnosenFull)

hl7:substanceAdministration

1..1

M

(PflegeBetreuungsdiagnosenFull)

@classCode

1..1

F

SBADM

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnosenFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.7.1

hl7:effectiveTime

SXPR_TS

1..1

M

Zeitelement zur Aufnahme des Einnahmezeitpunkts

(PflegeBetreuungsdiagnosenFull)

@operator

1..1

F

A

hl7:comp
wo
[hl7:event]

EIVL_TS

1..1

(PflegeBetreuungsdiagnosenFull)

hl7:event

CE

1..1

M

(PflegeBetreuungsdiagnosenFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_TimingEvent

hl7:comp
wo
[hl7:phase]

PIVL_TS

1..1

(PflegeBetreuungsdiagnosenFull)

@operator

1..1

F

A

hl7:phase

IVL_TS

1..1

(PflegeBetreuungsdiagnosenFull)

hl7:width

PQ

(PflegeBetreuungsdiagnosenFull)

CONF

unit ist "d"

hl7:period

PQ

1..1

(PflegeBetreuungsdiagnosenFull)

CONF

unit ist "d"

hl7:doseQuantity

IVL_PQ

1..1

M

(PflegeBetreuungsdiagnosenFull)

hl7:consumable

1..1

M

(PflegeBetreuungsdiagnosenFull)

hl7:manufacturedProduct

1..1

M

(PflegeBetreuungsdiagnosenFull)

hl7:manufacturedMaterial

1..1

M

(PflegeBetreuungsdiagnosenFull)

@nullFlavor

1..1

F

NA

hl7:entry

1..*

(PflegeBetreuungsdiagnosenFull)

@typeCode

0..1

F

DRIV

Eingefügt von 1.2.40.0.34.11.3.3.1

hl7:act

(PflegeBetreuungsdiagnosenFull)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnosenFull)

@root

1..1

F

1.2.40.0.34.11.3.3.1

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnosenFull)

@root

1..1

F

1.2.40.0.34.11.1.3.5

hl7:statusCode

CS

1..1

M

(PflegeBetreuungsdiagnosenFull)

@code

1..1

F

active

hl7:entryRelationship

1..1

M

(PflegeBetreuungsdiagnosenFull)

hl7:observation

1..1

M

(PflegeBetreuungsdiagnosenFull)

hl7:templateId

II

1..1

(PflegeBetreuungsdiagnosenFull)

@root

1..1

F

1.2.40.0.34.11.1.3.6

hl7:code

CE

1..1

M

(PflegeBetreuungsdiagnosenFull)

@code

1..1

F

282291009

@displayName

1..1

F

Diagnosis

hl7:value

CD

1..1

M

(PflegeBetreuungsdiagnosenFull)

Problem Bedenken Entry / ProblemBedenkenEntry 1.2.40.0.34.11.1.3.5 - 2011‑12‑19

Template Problem Bedenken Entry / ProblemBedenkenEntry

Id 1.2.40.0.34.11.1.3.5

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.3.5

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:act

1..1

(ProblemBedenkenEntry)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(ProblemBedenkenEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.5

hl7:templateId

II

1..1

(ProblemBedenkenEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.5.1

hl7:templateId

II

1..1

(ProblemBedenkenEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.5.2

hl7:templateId

II

1..1

(ProblemBedenkenEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.27

hl7:id

1..1

(ProblemBedenkenEntry)

hl7:code

CE

1..1

(ProblemBedenkenEntry)

@nullFlavor

1..1

F

NA

hl7:statusCode

CS

1..1

M

(ProblemBedenkenEntry)

CONF

@code muss "active" sein

oder

@code muss "suspended" sein

oder

@code muss "completed" sein

oder

@code muss "aborted" sein

hl7:effectiveTime

1..1

(ProblemBedenkenEntry)

hl7:low

1..1

(ProblemBedenkenEntry)

hl7:high

0..1

O

(ProblemBedenkenEntry)

Schematron assert role error

test count(hl7:statusCode[@code='active' or @code='suspended'])=0 or count(hl7:effectiveTime/hl7:high)=0

Meldung Ist das Element statusCode auf „active“ oder „suspended“ gesetzt, muss das high-Element des Zeitintervalls weggelassen werden.

hl7:entryRelationship

1..*

M

(ProblemBedenkenEntry)

@typeCode

1..1

F

SUBJ

@inversionInd

1..1

F

false

hl7:observation

1..1

(ProblemBedenkenEntry)

hl7:templateId

II

1..1

(ProblemBedenkenEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.6

Problem Entry / ProblemEntry 1.2.40.0.34.11.1.3.6 - 2011‑12‑19

Template Problem Entry / ProblemEntry

Id 1.2.40.0.34.11.1.3.6

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.3.6

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:observation

1..1

(ProblemEntry)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

@negationInd

1..1

F

hl7:templateId

II

1..1

(ProblemEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.6

hl7:templateId

II

1..1

(ProblemEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.5

hl7:templateId

II

1..1

(ProblemEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.28

hl7:id

1..1

(ProblemEntry)

hl7:code

CE

1..1

M

(ProblemEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Problemarten

hl7:originalText

ED

0..1

O

(ProblemEntry)

hl7:text

ED

1..1

M

(ProblemEntry)

hl7:reference

TEL

1..1

M

(ProblemEntry)

hl7:statusCode

CS

1..1

M

(ProblemEntry)

@code

1..1

F

completed

hl7:effectiveTime

IVL_TS

1..1

M

(ProblemEntry)

hl7:value

CD

1..1

M

(ProblemEntry)

hl7:originalText

ED

1..1

M

(ProblemEntry)

hl7:translation

CE

0..*

O

(ProblemEntry)

Risiken 1.2.40.0.34.11.1.2.8 - 2011‑12‑19

Template Risiken

Id 1.2.40.0.34.11.1.2.8

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.8

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Wird ausschließlich als Untersektion zu einer fachlichen Sektion angewandt. Enthält die Risiken zum Thema der übergeordneten Sektion als narrative Beschreibung oder Auflistung.

Item DT Card Conf Desc Label

hl7:section

(Risiken)

hl7:templateId

II

1..1

(Risiken)

@root

1..1

F

1.2.40.0.34.11.1.2.8

hl7:code

CE

1..1

M

(Risiken)

@code

1..1

F

51898-5

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="51898-5" displayName="Risk factors" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(Risiken)

CONF

Elementinhalt muss "Risiken" sein

hl7:text

1..1

(Risiken)

Rollenwahrnehmung und Sinnfindung / RollenwahrnehmungSinnfindung 1.2.40.0.34.11.3.2.14 - 2011‑12‑19

Template Rollenwahrnehmung und Sinnfindung / RollenwahrnehmungSinnfindung

Id 1.2.40.0.34.11.3.2.14

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.14

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(RollenwahrnehmungSinnfindung)

hl7:templateId

II

1..1

(RollenwahrnehmungSinnfindung)

@root

1..1

F

1.2.40.0.34.11.3.2.14

hl7:code

CE

1..1

M

(RollenwahrnehmungSinnfindung)

@code

1..1

F

PFROLL

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFROLL" displayName="Rollenwahrnehmung und Sinnfindung" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(RollenwahrnehmungSinnfindung)

CONF

Elementinhalt muss "Rollenwahrnehmung und Sinnfindung" sein

hl7:text

1..1

M

(RollenwahrnehmungSinnfindung)

Schlafen 1.2.40.0.34.11.3.2.9 - 2011‑12‑19

Template Schlafen

Id 1.2.40.0.34.11.3.2.9

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.9

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Schlafen)

hl7:templateId

II

1..1

(Schlafen)

@root

1..1

F

1.2.40.0.34.11.3.2.9

hl7:code

CE

1..1

M

(Schlafen)

@code

1..1

F

PFSCHL

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFSCHL" displayName="Schlafen" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(Schlafen)

CONF

Elementinhalt muss "Schlafen" sein

hl7:text

1..1

M

(Schlafen)

Schlussfolgerung 1.2.40.0.34.11.5.2.12 - 2012‑01‑12

Template Schlussfolgerung

Id 1.2.40.0.34.11.5.2.12

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.12

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Schlussfolgerung)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Schlussfolgerung)

@root

1..1

F

1.2.40.0.34.11.5.2.12

hl7:code

CE

1..1

M

(Schlussfolgerung)

@code

1..1

F

55110-1

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Conclusions

hl7:title

ST

1..1

M

(Schlussfolgerung)

CONF

Elementinhalt muss "Schlussfolgerung" sein

hl7:text

ED

1..1

M

(Schlussfolgerung)

Schmerz 1.2.40.0.34.11.3.2.10 - 2011‑12‑19

Template Schmerz

Id 1.2.40.0.34.11.3.2.10

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.10

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Schmerz)

hl7:templateId

II

1..1

(Schmerz)

@root

1..1

F

1.2.40.0.34.11.3.2.10

hl7:templateId

II

1..1

(Schmerz)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.1.20.2.4

hl7:code

CE

1..1

M

(Schmerz)

@code

1..1

F

38212-7

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="38212-7" displayName="Pain Assessment Panel" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

M

(Schmerz)

CONF

Elementinhalt muss "Schmerz" sein

hl7:text

1..1

M

(Schmerz)

Series Act / SeriesAct 1.2.40.0.34.11.30031 - 2012‑01‑12

Template (intern) Series Act / SeriesAct

Id 1.2.40.0.34.11.30031

Version gültig ab 2012‑01‑12 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
2.16.840.1.113883.10.20.6.2.6	StudyAct Study Act	2012‑01‑12
Abhängigkeit: 2.16.840.1.113883.10.20.6.1.1	DOCS DICOM Object Catalog Sektion Allgemein	2012‑01‑12

Item DT Card Conf Desc Label

hl7:act

(SeriesAct)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:id

II

1..1

(SeriesAct)

@root

1..1

F

@extension

0

NP

NP/nicht anwesend

hl7:code

CD

1..1

M

(SeriesAct)

@code

1..1

F

113015

@codeSystem

1..1

F

1.2.840.10008.2.16.4

@codeSystemName

1..1

F

DCM

@displayName

1..1

F

DICOM Series

hl7:qualifier

CR

1..1

M

(SeriesAct)

hl7:name

CD

1..1

M

(SeriesAct)

@code

1..1

F

121139

@codeSystem

1..1

F

1.2.840.10008.2.16.4

@codeSystemName

1..1

F

DCM

@displayName

1..1

F

Modality

hl7:value

CD

1..1

M

(SeriesAct)

@codeSystem

1..1

F

1.2.840.10008.2.16.4

hl7:text

ST

0..1

O

(SeriesAct)

hl7:effectiveTime

IVL_TS

0..1

O

(SeriesAct)

hl7:entryRelationship
wo
[hl7:observation [hl7:templateId [@root='2.16.840.1.113883.10.20.6.2.8']]]

1..*

M

(SeriesAct)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln 2.16.840.1.113883.10.20.6.2.8 mit überschriebener Kardinalität 1 .. * mandatory

SopInstance (DICOM Service Object Pair) / SopInstance 2.16.840.1.113883.10.20.6.2.8 - 2012‑01‑12

Template SopInstance (DICOM Service Object Pair) / SopInstance

Id 2.16.840.1.113883.10.20.6.2.8

Kontext Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.6.2.8

Version gültig ab 2012‑01‑12 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-30031	SeriesAct Series Act	2012‑01‑12
Abhängigkeit: 2.16.840.1.113883.10.20.6.2.6	StudyAct Study Act	2012‑01‑12
Abhängigkeit: 2.16.840.1.113883.10.20.6.1.1	DOCS DICOM Object Catalog Sektion Allgemein	2012‑01‑12

Item DT Card Conf Desc Label

hl7:observation

(SopInstance)

@classCode

1..1

F

DGIMG

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(SopInstance)

@root

1..1

F

2.16.840.1.113883.10.20.6.2.8

hl7:id

II

1..1

(SopInstance)

@root

1..1

F

@extension

0

NP

NP/nicht anwesend

hl7:code

CD

1..1

M

(SopInstance)

@codeSystem

1..1

F

1.2.840.10008.2.6.1

@codeSystemName

1..1

F

DCMUID

hl7:text

ED

0..1

O

(SopInstance)

@mediaType

1..1

F

application/dicom

reference

1..1

M

(SopInstance)

hl7:effectiveTime

TS

0..1

O

(SopInstance)

Soziales Verhalten / SozialesVerhalten 1.2.40.0.34.11.3.2.12 - 2011‑12‑19

Template Soziales Verhalten / SozialesVerhalten

Id 1.2.40.0.34.11.3.2.12

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.3.2.12

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(SozialesVerhalten)

hl7:templateId

II

1..1

(SozialesVerhalten)

@root

1..1

F

1.2.40.0.34.11.3.2.12

hl7:code

CE

1..1

M

(SozialesVerhalten)

@code

1..1

F

PFSOZV

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="PFSOZV" displayName="Soziales Verhalten" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

M

(SozialesVerhalten)

CONF

Elementinhalt muss "Soziales Verhalten" sein

hl7:text

1..1

M

(SozialesVerhalten)

Abnahmeinformationen (Specimen Collection) / SpecimenCollection 1.2.40.0.34.11.30021 - 2012‑01‑07

Template (intern) Abnahmeinformationen (Specimen Collection) / SpecimenCollection

Id 1.2.40.0.34.11.30021

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 2 Templates

Id	Name	vom
elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
elga-template-4.3.1	LaboratorySpecimenEntry Laboratory Specimen Entry	2012‑01‑07
Abhängigkeit: elga-template-4.2.1	SpezimenSection Spezimen-Section	2012‑01‑07

Item DT Card Conf Desc Label

hl7:procedure

(SpecimenCollection)

@classCode

1..1

F

PROC

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(SpecimenCollection)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.2

hl7:code

CD

1..1

M

(SpecimenCollection)

@code

1..1

F

33882-2

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Specimen Collection

hl7:effectiveTime

IVL_TS

1..1

M

Zeitpunkt der Abnahme

(SpecimenCollection)

hl7:low

TS.DATE.MIN

1..1

M

(SpecimenCollection)

hl7:high

TS.DATE.MIN

1..1

M

(SpecimenCollection)

hl7:targetSiteCode

CD

0..1

O

Codierung des Entnahmeorts (IHE ActSite)

(SpecimenCollection)

@codeSystem

1..1

F

2.16.840.1.113883.5.1052

@codeSystemName

1..1

F

ActSite

hl7:perfomer

0..1

O

(SpecimenCollection)

@typeCode

1..1

F

PRF

hl7:assignedEntity

1..1

M

(SpecimenCollection)

Eingefügt von AssignedEntityElements

hl7:id

II

1..*

(SpecimenCollection)

hl7:addr

AD

0..1

O

(SpecimenCollection)

hl7:telecom

TEL

0..*

O

(SpecimenCollection)

hl7:assignedPerson

1..1

M

(SpecimenCollection)

@classCode

0..1

F

PSN

@determinerCode

0..1

F

INSTANCE

Eingefügt von PersonElements

hl7:name

PN

1..1

M

(SpecimenCollection)

hl7:representedOrganization

0..1

O

(SpecimenCollection)

@classCode

0..1

F

ORG

@determinerCode

0..1

F

INSTANCE

Eingefügt von OrganizationElements

hl7:id

II

0..*

O

(SpecimenCollection)

hl7:name

ON

1..1

M

(SpecimenCollection)

hl7:telecom

TEL

0..*

O

(SpecimenCollection)

hl7:addr

AD

0..1

O

(SpecimenCollection)

hl7:participant

1..1

M

(SpecimenCollection)

@typeCode

1..1

F

PRD

hl7:participantRole

1..1

M

(SpecimenCollection)

@classCode

1..1

F

SPEC

hl7:id

II

1..1

M

Id des Spezimens

(SpecimenCollection)

hl7:playingEntity

II

1..1

M

(SpecimenCollection)

hl7:code

CE

1..1

M

(SpecimenCollection)

Annahmeinformationen (Specimen Received) / SpecimenReceived 1.2.40.0.34.11.30022 - 2012‑01‑07

Template (intern) Annahmeinformationen (Specimen Received) / SpecimenReceived

Id 1.2.40.0.34.11.30022

Version gültig ab 2012‑01‑07 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-30020	SpezimenActEntryAllgemein ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07

Item DT Card Conf Desc Label

hl7:act

(SpecimenReceived)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(SpecimenReceived)

@root

1..1

F

1.3.6.1.4.1.19376.1.3.1.3

hl7:code

CD

1..1

M

(SpecimenReceived)

@code

1..1

F

SPRECEIVE

@codeSystem

1..1

F

1.3.5.1.4.1.19376.1.5.3.2

@codeSystemName

1..1

F

IHEActCode

@displayName

1..1

F

Receive Time

hl7:effectiveTime

IVL_TS

1..1

M

Zeitpunkt des Einlangen des Spezimens

(SpecimenReceived)

hl7:low

TS.DATE.MIN

1..1

M

(SpecimenReceived)

hl7:high

TS.DATE.MIN

1..1

M

(SpecimenReceived)

ELGA Spezimen-Act-Entry Allgemein / SpezimenActEntryAllgemein 1.2.40.0.34.11.30020 - 2012‑01‑07

Template (intern) ELGA Spezimen-Act-Entry Allgemein / SpezimenActEntryAllgemein

Id 1.2.40.0.34.11.30020

Version gültig ab 2012‑01‑07 Status Aktiv

Item DT Card Conf Desc Label

hl7:act

(SpezimenActEntryAllgemein)

@classCode

1..1

F

ACT

@moodCode

1..1

F

EVN

hl7:code

CE

1..1

M

(SpezimenActEntryAllgemein)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Laborstruktur

hl7:statusCode

CS

1..1

M

(SpezimenActEntryAllgemein)

@code

1..1

F

completed

Auswahl: Elemente in der Auswahl:

hl7:entryRelationship welches enthält hl7:procedure mit Template-Id SpecimenCollection
hl7:entryRelationship welches enthält hl7:act mit Template-Id SpecimenReceived
hl7:entryRelationship welches enthält hl7:organizer mit Template-Id LaboratoryBatteryOrganizer
hl7:entryRelationship welches enthält hl7:observation mit Template-Id LaboratoryObservation
hl7:entryRelationship welches enthält hl7:organizer mit Template-Id KulturellerKeimnachweis
hl7:entryRelationship welches enthält hl7:act mit Template-Id Annotation

min 1 Element(e) max * Element(e)

hl7:entryRelationship
wo
[hl7:procedure [hl7:code [@code='33882-2' and @codeSystem='2.16.840.1.113883.6.1']]]

(SpezimenActEntryAllgemein)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln SpecimenCollection mit überschriebener Kardinalität 0 .. *

hl7:entryRelationship
wo
[hl7:act [hl7:code [@code='SPRECEIVE' and @codeSystem='1.3.5.1.4.1.19376.1.5.3.2']]]

(SpezimenActEntryAllgemein)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln SpecimenReceived mit überschriebener Kardinalität 0 .. *

hl7:entryRelationship
wo
[hl7:organizer [hl7:code [(@code='1' and @codeSystem='1.2.40.0.34.5.11') or (@code='10' and @codeSystem='1.2.40.0.34.5.11') or (@code='20' and @codeSystem='1.2.40.0.34.5.11') or (@code='100' and @codeSystem='1.2.40.0.34.5.11') or (@code='101' and @codeSystem='1.2.40.0.34.5.11') or (@code='102' and @codeSystem='1.2.40.0.34.5.11') or (@code='103' and @codeSystem='1.2.40.0.34.5.11') or (@code='200' and @codeSystem='1.2.40.0.34.5.11') or (@code='201' and @codeSystem='1.2.40.0.34.5.11') or (@code='202' and @codeSystem='1.2.40.0.34.5.11') or (@code='203' and @codeSystem='1.2.40.0.34.5.11') or (@code='300' and @codeSystem='1.2.40.0.34.5.11') or (@code='301' and @codeSystem='1.2.40.0.34.5.11') or (@code='302' and @codeSystem='1.2.40.0.34.5.11') or (@code='303' and @codeSystem='1.2.40.0.34.5.11') or (@code='304' and @codeSystem='1.2.40.0.34.5.11') or (@code='400' and @codeSystem='1.2.40.0.34.5.11') or (@code='401' and @codeSystem='1.2.40.0.34.5.11') or (@code='402' and @codeSystem='1.2.40.0.34.5.11') or (@code='403' and @codeSystem='1.2.40.0.34.5.11') or (@code='500' and @codeSystem='1.2.40.0.34.5.11') or (@code='501' and @codeSystem='1.2.40.0.34.5.11') or (@code='502' and @codeSystem='1.2.40.0.34.5.11') or (@code='503' and @codeSystem='1.2.40.0.34.5.11') or (@code='504' and @codeSystem='1.2.40.0.34.5.11') or (@code='505' and @codeSystem='1.2.40.0.34.5.11') or (@code='506' and @codeSystem='1.2.40.0.34.5.11') or (@code='507' and @codeSystem='1.2.40.0.34.5.11') or (@code='508' and @codeSystem='1.2.40.0.34.5.11') or (@code='509' and @codeSystem='1.2.40.0.34.5.11') or (@code='600' and @codeSystem='1.2.40.0.34.5.11') or (@code='601' and @codeSystem='1.2.40.0.34.5.11') or (@code='602' and @codeSystem='1.2.40.0.34.5.11') or (@code='603' and @codeSystem='1.2.40.0.34.5.11') or (@code='604' and @codeSystem='1.2.40.0.34.5.11') or (@code='605' and @codeSystem='1.2.40.0.34.5.11') or (@code='606' and @codeSystem='1.2.40.0.34.5.11') or (@code='700' and @codeSystem='1.2.40.0.34.5.11') or (@code='701' and @codeSystem='1.2.40.0.34.5.11') or (@code='800' and @codeSystem='1.2.40.0.34.5.11') or (@code='801' and @codeSystem='1.2.40.0.34.5.11') or (@code='900' and @codeSystem='1.2.40.0.34.5.11') or (@code='901' and @codeSystem='1.2.40.0.34.5.11') or (@code='902' and @codeSystem='1.2.40.0.34.5.11') or (@code='1000' and @codeSystem='1.2.40.0.34.5.11') or (@code='1001' and @codeSystem='1.2.40.0.34.5.11') or (@code='1002' and @codeSystem='1.2.40.0.34.5.11') or (@code='1003' and @codeSystem='1.2.40.0.34.5.11') or (@code='1004' and @codeSystem='1.2.40.0.34.5.11') or (@code='1005' and @codeSystem='1.2.40.0.34.5.11') or (@code='1006' and @codeSystem='1.2.40.0.34.5.11') or (@code='1100' and @codeSystem='1.2.40.0.34.5.11') or (@code='1101' and @codeSystem='1.2.40.0.34.5.11') or (@code='1102' and @codeSystem='1.2.40.0.34.5.11') or (@code='1103' and @codeSystem='1.2.40.0.34.5.11') or (@code='1104' and @codeSystem='1.2.40.0.34.5.11') or (@code='1105' and @codeSystem='1.2.40.0.34.5.11') or (@code='1106' and @codeSystem='1.2.40.0.34.5.11') or (@code='1107' and @codeSystem='1.2.40.0.34.5.11') or (@code='1108' and @codeSystem='1.2.40.0.34.5.11') or (@code='1200' and @codeSystem='1.2.40.0.34.5.11') or (@code='1201' and @codeSystem='1.2.40.0.34.5.11') or (@code='1202' and @codeSystem='1.2.40.0.34.5.11') or (@code='1203' and @codeSystem='1.2.40.0.34.5.11') or (@code='1204' and @codeSystem='1.2.40.0.34.5.11') or (@code='1205' and @codeSystem='1.2.40.0.34.5.11') or (@code='1206' and @codeSystem='1.2.40.0.34.5.11') or (@code='1207' and @codeSystem='1.2.40.0.34.5.11') or (@code='1208' and @codeSystem='1.2.40.0.34.5.11') or (@code='1300' and @codeSystem='1.2.40.0.34.5.11') or (@code='1301' and @codeSystem='1.2.40.0.34.5.11') or (@code='1302' and @codeSystem='1.2.40.0.34.5.11') or (@code='1303' and @codeSystem='1.2.40.0.34.5.11') or (@code='1304' and @codeSystem='1.2.40.0.34.5.11') or (@code='1305' and @codeSystem='1.2.40.0.34.5.11') or (@code='1306' and @codeSystem='1.2.40.0.34.5.11') or (@code='1307' and @codeSystem='1.2.40.0.34.5.11') or (@code='1308' and @codeSystem='1.2.40.0.34.5.11') or (@code='1309' and @codeSystem='1.2.40.0.34.5.11') or (@code='1310' and @codeSystem='1.2.40.0.34.5.11') or (@code='1400' and @codeSystem='1.2.40.0.34.5.11') or (@code='1401' and @codeSystem='1.2.40.0.34.5.11') or (@code='1402' and @codeSystem='1.2.40.0.34.5.11') or (@code='1403' and @codeSystem='1.2.40.0.34.5.11') or (@code='1404' and @codeSystem='1.2.40.0.34.5.11') or (@code='1405' and @codeSystem='1.2.40.0.34.5.11') or (@code='1500' and @codeSystem='1.2.40.0.34.5.11') or (@code='1501' and @codeSystem='1.2.40.0.34.5.11') or (@code='1600' and @codeSystem='1.2.40.0.34.5.11') or (@code='1601' and @codeSystem='1.2.40.0.34.5.11') or (@code='1700' and @codeSystem='1.2.40.0.34.5.11') or (@code='1701' and @codeSystem='1.2.40.0.34.5.11') or (@code='1702' and @codeSystem='1.2.40.0.34.5.11') or (@code='1800' and @codeSystem='1.2.40.0.34.5.11') or (@code='1801' and @codeSystem='1.2.40.0.34.5.11') or (@code='1900' and @codeSystem='1.2.40.0.34.5.11') or (@code='1901' and @codeSystem='1.2.40.0.34.5.11') or (@code='1902' and @codeSystem='1.2.40.0.34.5.11') or (@code='1903' and @codeSystem='1.2.40.0.34.5.11') or (@code='1904' and @codeSystem='1.2.40.0.34.5.11') or (@code='1905' and @codeSystem='1.2.40.0.34.5.11') or (@code='1906' and @codeSystem='1.2.40.0.34.5.11') or (@code='1907' and @codeSystem='1.2.40.0.34.5.11') or (@code='1908' and @codeSystem='1.2.40.0.34.5.11') or (@code='1909' and @codeSystem='1.2.40.0.34.5.11') or (@code='1910' and @codeSystem='1.2.40.0.34.5.11') or (@code='1911' and @codeSystem='1.2.40.0.34.5.11') or (@code='1912' and @codeSystem='1.2.40.0.34.5.11') or (@code='1913' and @codeSystem='1.2.40.0.34.5.11') or (@code='1914' and @codeSystem='1.2.40.0.34.5.11') or (@code='1915' and @codeSystem='1.2.40.0.34.5.11') or (@code='1916' and @codeSystem='1.2.40.0.34.5.11') or (@code='1917' and @codeSystem='1.2.40.0.34.5.11') or (@code='1918' and @codeSystem='1.2.40.0.34.5.11') or (@code='1919' and @codeSystem='1.2.40.0.34.5.11') or (@code='1920' and @codeSystem='1.2.40.0.34.5.11') or (@code='1921' and @codeSystem='1.2.40.0.34.5.11') or (@code='1922' and @codeSystem='1.2.40.0.34.5.11') or (@code='2000' and @codeSystem='1.2.40.0.34.5.11') or (@code='2100' and @codeSystem='1.2.40.0.34.5.11')]]]

(SpezimenActEntryAllgemein)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln LaboratoryBatteryOrganizer mit überschriebener Kardinalität 0 .. *

hl7:entryRelationship
wo
[hl7:observation [hl7:code [(@code='100' and @codeSystem='1.2.40.0.34.5.11') or (@code='101' and @codeSystem='1.2.40.0.34.5.11') or (@code='102' and @codeSystem='1.2.40.0.34.5.11') or (@code='103' and @codeSystem='1.2.40.0.34.5.11') or (@code='200' and @codeSystem='1.2.40.0.34.5.11') or (@code='201' and @codeSystem='1.2.40.0.34.5.11') or (@code='2744-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2019-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2703-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1925-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2714-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1960-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2708-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='202' and @codeSystem='1.2.40.0.34.5.11') or (@code='2746-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2021-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2705-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1927-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2716-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='14627-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2711-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='203' and @codeSystem='1.2.40.0.34.5.11') or (@code='2745-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2020-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2704-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1926-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1961-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='2709-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='300' and @codeSystem='1.2.40.0.34.5.11') or (@code='301' and @codeSystem='1.2.40.0.34.5.11') or (@code='26464-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26515-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='778-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26453-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='718-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='20570-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='28539-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30428-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='28540-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26499-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26474-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26484-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26449-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26444-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='51584-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26511-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26478-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26485-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='26450-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='30180-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='38518-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='51588-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='763-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='768-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='739-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='748-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='781-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='708-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='732-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='AKLAM' and @codeSystem='1.2.40.0.34.5.11') or (@code='734-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='35082-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='24103-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='33834-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6863-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='24107-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='743-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='712-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='705-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='33856-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='51585-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='51588-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='764-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='769-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='28541-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='749-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='783-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='709-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='737-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='AKLRM' and @codeSystem='1.2.40.0.34.5.11') or (@code='735-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='733-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='11275-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='13047-6' and 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@codeSystem='2.16.840.1.113883.6.1') or (@code='6050-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6019-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6219-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6039-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6061-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6204-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6194-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6257-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6021-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6067-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6068-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6071-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6154-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6167-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6035-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6080-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6207-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7412-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6287-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6122-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6193-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6065-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6203-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7178-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7118-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7335-3' and @codeSystem='2.16.840.1.113883.6.1') or (@code='11202-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='7737-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='10937-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15278-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='10928-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1919' and @codeSystem='1.2.40.0.34.5.11') or (@code='6844-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6740-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6288-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6198-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6177-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6047-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='15342-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1920' and @codeSystem='1.2.40.0.34.5.11') or (@code='19758-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6112-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6119-2' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6158-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6089-7' and @codeSystem='2.16.840.1.113883.6.1') or (@code='10923-1' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1921' and @codeSystem='1.2.40.0.34.5.11') or (@code='6022-8' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6103-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='1922' and @codeSystem='1.2.40.0.34.5.11') or (@code='6851-0' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6210-9' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6712-4' and @codeSystem='2.16.840.1.113883.6.1') or (@code='6829-6' and @codeSystem='2.16.840.1.113883.6.1') or (@code='19733-5' and @codeSystem='2.16.840.1.113883.6.1') or (@code='11201-1' and @codeSystem='2.16.840.1.113883.6.1')]]]

(SpezimenActEntryAllgemein)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln LaboratoryObservation mit überschriebener Kardinalität 0 .. *

hl7:entryRelationship

(SpezimenActEntryAllgemein)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln KulturellerKeimnachweis mit überschriebener Kardinalität 0 .. *

hl7:entryRelationship
wo
[hl7:act [hl7:code [@code='48767-8' and @codeSystem='2.16.840.1.113883.6.1']]]

(SpezimenActEntryAllgemein)

@typeCode

1..1

F

COMP

Beinhaltet gererbte Templateregeln Annotation mit überschriebener Kardinalität 0 .. *

Spezimen-Section / SpezimenSection 1.2.40.0.34.11.4.2.1 - 2012‑01‑07

Template Spezimen-Section / SpezimenSection

Id 1.2.40.0.34.11.4.2.1

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.4.2.1

Version gültig ab 2012‑01‑07 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(SpezimenSection)

@classCode

1..1

F

DOCSECT

hl7:templateId

II

1..1

(SpezimenSection)

@root

1..1

F

1.2.40.0.34.11.4.2.1

hl7:code

CD

1..1

M

(SpezimenSection)

@code

1..1

F

10

@codeSystem

1..1

F

1.2.40.0.34.5.47

@codeSystemName

1..1

F

ELGA_Laborstruktur

@displayName

1..1

F

Probeninformation

hl7:title

ST

1..1

M

(SpezimenSection)

CONF

Elementinhalt muss "Probeninformation" sein

hl7:entry
wo
[hl7:entry [hl7:templateId [@root='1.2.40.0.34.11.4.3.1']]]

..1

(SpezimenSection)

Beinhaltet gererbte Templateregeln LaboratorySpecimenEntry mit überschriebener Kardinalität 0 .. 1

Study Act / StudyAct 2.16.840.1.113883.10.20.6.2.6 - 2012‑01‑12

Template Study Act / StudyAct

Id 2.16.840.1.113883.10.20.6.2.6

Kontext Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.6.2.6

Version gültig ab 2012‑01‑12 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
2.16.840.1.113883.10.20.6.1.1	DOCS DICOM Object Catalog Sektion Allgemein	2012‑01‑12

Item DT Card Conf Desc Label

hl7:observation

(StudyAct)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(StudyAct)

@root

1..1

F

2.16.840.1.113883.10.20.6.2.6

hl7:id

II

1..1

(StudyAct)

@root

1..1

F

@extension

0

NP

NP/nicht anwesend

hl7:code

CE

1..1

M

(StudyAct)

@code

1..1

F

113014

@codeSystem

1..1

F

1.2.840.10008.2.16.4

@codeSystemName

1..1

F

DCM

@displayName

1..1

F

DICOM Study

hl7:text

ST

0..1

O

(StudyAct)

hl7:effectiveTime

IVL_TS

0..1

O

(StudyAct)

hl7:entryRelationship
wo
[hl7:act [hl7:code [@code='113015']]]

1..*

M

(StudyAct)

Beinhaltet gererbte Templateregeln SeriesAct mit überschriebener Kardinalität 1 .. * mandatory

Termine, Kontrollen, Wiederbestellung / TermineKontrollenWiederbestellung 1.2.40.0.34.11.2.2.10 - 2011‑12‑19

Template Termine, Kontrollen, Wiederbestellung / TermineKontrollenWiederbestellung

Id 1.2.40.0.34.11.2.2.10

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.10

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Auflistung weiterer Behandlungstermine, Kontrollen und Wiederbestellungen.

Item DT Card Conf Desc Label

hl7:section

(TermineKontrollenWiederbestellung)

hl7:templateId

II

1..1

(TermineKontrollenWiederbestellung)

@root

1..1

F

1.2.40.0.34.11.2.2.10

hl7:code

CE

1..1

M

(TermineKontrollenWiederbestellung)

@code

1..1

F

TERMIN

@codeSystem

1..1

F

1.2.40.0.34.5.40

Beispiel

<code code="TERMIN" displayName="Termine, Kontrollen, Wiederbestellung" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>

hl7:title

ST

1..1

(TermineKontrollenWiederbestellung)

CONF

Elementinhalt muss "Termine, Kontrollen, Wiederbestellung" sein

hl7:text

1..1

(TermineKontrollenWiederbestellung)

Verdachtsdiagnose 1.2.40.0.34.11.5.2.11 - 2012‑01‑12

Template Verdachtsdiagnose

Id 1.2.40.0.34.11.5.2.11

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.11

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(Verdachtsdiagnose)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(Verdachtsdiagnose)

@root

1..1

F

1.2.40.0.34.11.5.2.11

hl7:code

CE

1..1

M

(Verdachtsdiagnose)

@code

1..1

F

19005-8

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Impression

hl7:title

ST

1..1

M

(Verdachtsdiagnose)

CONF

Elementinhalt muss "Verdachtsdiagnose" sein

hl7:text

ED

1..1

M

(Verdachtsdiagnose)

Vitalparameter (alle EIS) / VitalparameterAlleEIS 1.2.40.0.34.11.30002 - 2011‑12‑19

Template (intern) Vitalparameter (alle EIS) / VitalparameterAlleEIS

Id 1.2.40.0.34.11.30002

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 2 Templates

Id	Name	vom
elga-template-1.2.6	VitalparameterEnhanced Vitalparameter (enhanced)	2011‑12‑19
elga-template-1.2.7	VitalparameterFull Vitalparameter (full)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:code

CE

1..1

M

(VitalparameterAlleEIS)

@code

1..1

F

8716-3

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="8716-3" displayName="Vital signs" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(VitalparameterAlleEIS)

CONF

Elementinhalt muss "Vitalparameter" sein

hl7:text

1..1

(VitalparameterAlleEIS)

Vitalparameter (enhanced) / VitalparameterEnhanced 1.2.40.0.34.11.1.2.6 - 2011‑12‑19

Template Vitalparameter (enhanced) / VitalparameterEnhanced

Id 1.2.40.0.34.11.1.2.6

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.6

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Informationen zu den Vitalparametern (Körpertemperatur, Puls, Blutdruck, …). Diese Sektion wird hauptsächlich bei Verlegungen von Pflegeheimen in Krankenhäuser oder in Notfällen angewandt.

Item DT Card Conf Desc Label

hl7:section

(VitalparameterEnhanced)

hl7:templateId

II

1..1

(VitalparameterEnhanced)

@root

1..1

F

1.2.40.0.34.11.1.2.6

hl7:templateId

II

1..1

(VitalparameterEnhanced)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.25

hl7:templateId

II

1..1

(VitalparameterEnhanced)

@root

1..1

F

2.16.840.1.113883.10.20.1.16

Eingefügt von 1.2.40.0.34.11.30002

hl7:code

CE

1..1

M

(VitalparameterEnhanced)

@code

1..1

F

8716-3

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="8716-3" displayName="Vital signs" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(VitalparameterEnhanced)

CONF

Elementinhalt muss "Vitalparameter" sein

hl7:text

1..1

(VitalparameterEnhanced)

hl7:entry

NP

(VitalparameterEnhanced)

Vitalparameter Entry / VitalparameterEntry 1.2.40.0.34.11.1.3.4 - 2011‑12‑19

Template Vitalparameter Entry / VitalparameterEntry

Id 1.2.40.0.34.11.1.3.4

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.3.4

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1.3.3	VitalparameterGruppeEntry Vitalparameter Gruppe Entry	2011‑12‑19
Abhängigkeit: elga-template-1.2.7	VitalparameterFull Vitalparameter (full)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:observation

1..1

(VitalparameterEntry)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(VitalparameterEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.4

hl7:templateId

II

1..1

(VitalparameterEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.13

hl7:templateId

II

1..1

(VitalparameterEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.13.2

hl7:templateId

II

1..1

(VitalparameterEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.31

hl7:id

1..1

(VitalparameterEntry)

hl7:code

CE

1..1

M

(VitalparameterEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Vitalparameterarten

hl7:originalText

ED

1..1

M

(VitalparameterEntry)

hl7:text

ED

1..1

M

(VitalparameterEntry)

hl7:reference

TEL

1..1

M

(VitalparameterEntry)

hl7:statusCode

CS

1..1

M

(VitalparameterEntry)

@code

1..1

F

completed

hl7:value

PQ

1..1

M

(VitalparameterEntry)

Vitalparameter (full) / VitalparameterFull 1.2.40.0.34.11.1.2.7 - 2011‑12‑19

Template Vitalparameter (full) / VitalparameterFull

Id 1.2.40.0.34.11.1.2.7

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.2.7

Version gültig ab 2011‑12‑19 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(VitalparameterFull)

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

1.2.40.0.34.11.1.2.7

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.25

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.16

Eingefügt von 1.2.40.0.34.11.30002

hl7:code

CE

1..1

M

(VitalparameterFull)

@code

1..1

F

8716-3

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

Beispiel

<code code="8716-3" displayName="Vital signs" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(VitalparameterFull)

CONF

Elementinhalt muss "Vitalparameter" sein

hl7:text

1..1

(VitalparameterFull)

hl7:entry

1..1

(VitalparameterFull)

@typeCode

0..1

F

DRIV

Eingefügt von 1.2.40.0.34.11.1.3.3

hl7:organizer

1..1

(VitalparameterFull)

@classCode

1..1

F

CLUSTER

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

1.2.40.0.34.11.1.3.3

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.32

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.35

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.13.1

hl7:id

1..1

(VitalparameterFull)

hl7:code

CE

1..1

M

(VitalparameterFull)

@code

1..1

F

46680005

@codeSystem

1..1

F

2.16.840.1.113883.6.96 (Snomed)

hl7:statusCode

CS

1..1

M

(VitalparameterFull)

@code

1..1

F

completed

hl7:effectiveTime

IVL_TS

1..1

(VitalparameterFull)

hl7:component

1..*

M

(VitalparameterFull)

Eingefügt von 1.2.40.0.34.11.1.3.4

hl7:observation

1..1

(VitalparameterFull)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

1.2.40.0.34.11.1.3.4

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.13

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.13.2

hl7:templateId

II

1..1

(VitalparameterFull)

@root

1..1

F

2.16.840.1.113883.10.20.1.31

hl7:id

1..1

(VitalparameterFull)

hl7:code

CE

1..1

M

(VitalparameterFull)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Vitalparameterarten

hl7:originalText

ED

1..1

M

(VitalparameterFull)

hl7:text

ED

1..1

M

(VitalparameterFull)

hl7:reference

TEL

1..1

M

(VitalparameterFull)

hl7:statusCode

CS

1..1

M

(VitalparameterFull)

@code

1..1

F

completed

hl7:value

PQ

1..1

M

(VitalparameterFull)

Vitalparameter Gruppe Entry / VitalparameterGruppeEntry 1.2.40.0.34.11.1.3.3 - 2011‑12‑19

Template Vitalparameter Gruppe Entry / VitalparameterGruppeEntry

Id 1.2.40.0.34.11.1.3.3

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.1.3.3

Version gültig ab 2011‑12‑19 Status Aktiv

Benutzt in

Benutzt in 1 Template

Id	Name	vom
elga-template-1.2.7	VitalparameterFull Vitalparameter (full)	2011‑12‑19

Item DT Card Conf Desc Label

hl7:organizer

1..1

(VitalparameterGruppeEntry)

@classCode

1..1

F

CLUSTER

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(VitalparameterGruppeEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.3

hl7:templateId

II

1..1

(VitalparameterGruppeEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.32

hl7:templateId

II

1..1

(VitalparameterGruppeEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.35

hl7:templateId

II

1..1

(VitalparameterGruppeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.13.1

hl7:id

1..1

(VitalparameterGruppeEntry)

hl7:code

CE

1..1

M

(VitalparameterGruppeEntry)

@code

1..1

F

46680005

@codeSystem

1..1

F

2.16.840.1.113883.6.96 (Snomed)

hl7:statusCode

CS

1..1

M

(VitalparameterGruppeEntry)

@code

1..1

F

completed

hl7:effectiveTime

IVL_TS

1..1

(VitalparameterGruppeEntry)

hl7:component

1..*

M

(VitalparameterGruppeEntry)

Eingefügt von 1.2.40.0.34.11.1.3.4

hl7:observation

1..1

(VitalparameterGruppeEntry)

@classCode

1..1

F

OBS

@moodCode

1..1

F

EVN

hl7:templateId

II

1..1

(VitalparameterGruppeEntry)

@root

1..1

F

1.2.40.0.34.11.1.3.4

hl7:templateId

II

1..1

(VitalparameterGruppeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.13

hl7:templateId

II

1..1

(VitalparameterGruppeEntry)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.4.13.2

hl7:templateId

II

1..1

(VitalparameterGruppeEntry)

@root

1..1

F

2.16.840.1.113883.10.20.1.31

hl7:id

1..1

(VitalparameterGruppeEntry)

hl7:code

CE

1..1

M

(VitalparameterGruppeEntry)

CONF

Der Wert von @code muss gewählt werden aus dem Value Set ELGA_Vitalparameterarten

hl7:originalText

ED

1..1

M

(VitalparameterGruppeEntry)

hl7:text

ED

1..1

M

(VitalparameterGruppeEntry)

hl7:reference

TEL

1..1

M

(VitalparameterGruppeEntry)

hl7:statusCode

CS

1..1

M

(VitalparameterGruppeEntry)

@code

1..1

F

completed

hl7:value

PQ

1..1

M

(VitalparameterGruppeEntry)

Weitere empfohlene Maßnahmen / WeitereMassnahmen 1.2.40.0.34.11.2.2.9 - 2011‑12‑19

Template Weitere empfohlene Maßnahmen / WeitereMassnahmen

Id 1.2.40.0.34.11.2.2.9

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.2.2.9

Version gültig ab 2011‑12‑19 Status Aktiv

Beschreibung Weitere Therapieempfehlungen nach der Entlassung (außer Medikation).

Item DT Card Conf Desc Label

hl7:section

(WeitereMassnahmen)

hl7:templateId

II

1..1

(WeitereMassnahmen)

@root

1..1

F

1.2.40.0.34.11.2.2.9

hl7:templateId

II

1..1

(WeitereMassnahmen)

@root

1..1

F

1.3.6.1.4.1.19376.1.5.3.1.3.31

hl7:templateId

II

1..1

(WeitereMassnahmen)

@root

1..1

F

2.16.840.1.113883.10.20.1.10

hl7:code

CE

1..1

M

(WeitereMassnahmen)

@code

1..1

F

18776-5

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@displayName

1..1

F

Treatment plan

Beispiel

<code code="18776-5" displayName="Treatment plan" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

hl7:title

ST

1..1

(WeitereMassnahmen)

CONF

Elementinhalt muss "Weitere empfohlene Maßnahmen" sein

hl7:text

1..1

(WeitereMassnahmen)

hl7:component

0..*

O

(WeitereMassnahmen)

hl7:section

1..1

(WeitereMassnahmen)

hl7:templateId

II

1..*

(WeitereMassnahmen)

@root

1..1

@root muss eins aus Auswahl sein:

1.2.40.0.34.11.2.2.10
1.2.40.0.34.11.2.2.11

Zusammenfassung / Ergebnis / ZusammenfassungErgebnis 1.2.40.0.34.11.5.2.10 - 2012‑01‑12

Template Zusammenfassung / Ergebnis / ZusammenfassungErgebnis

Id 1.2.40.0.34.11.5.2.10

Kontext Elternknoten des Template-Element mit Id 1.2.40.0.34.11.5.2.10

Version gültig ab 2012‑01‑12 Status Aktiv

Item DT Card Conf Desc Label

hl7:section

(ZusammenfassungErgebnis)

@classCode

0..1

F

DOCSECT

hl7:templateId

II

1..1

(ZusammenfassungErgebnis)

@root

1..1

F

1.2.40.0.34.11.5.2.10

hl7:code

CE

1..1

M

(ZusammenfassungErgebnis)

@code

1..1

F

55112-7

@codeSystem

1..1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1..1

F

LOINC

@displayName

1..1

F

Document summary

hl7:title

ST

1..1

M

(ZusammenfassungErgebnis)

CONF

Elementinhalt muss "Zusammenfassung / Ergebnis" sein

hl7:text

ED

1..1

M

(ZusammenfassungErgebnis)

DECOR Information für Projekt: ELGA elektronische Gesundheitsakte (elga-)

Transaktionsrepräsentierende Templates

ELGA CDA Dokument Laborbefund / CDALaborbefund 1.2.40.0.34.11.10003 - 2012‑01‑07 Richtung zu Grunde liegendes Modell Templatename Schematron registrierend POCD_MT000040DE cdalab elga-cdalab.sch

ELGA CDA Dokument Befund Bildgebende Diagnostik / CDABildiag 1.2.40.0.34.11.10004 - 2012‑01‑17 Richtung zu Grunde liegendes Modell Templatename Schematron registrierend POCD_MT000040DE cdabgd elga-cdabgd.sch

ELGA CDA Dokument Entlassung Ärztlich / CDAEntlassbriefAerztlich 1.2.40.0.34.11.10001 - 2011‑12‑19 Richtung zu Grunde liegendes Modell Templatename Schematron registrierend POCD_MT000040DE cdaea elga-cdaea.sch

ELGA CDA Dokument Entlassung Pflege / CDAEntlassbriefPflege 1.2.40.0.34.11.10002 - 2011‑12‑19 Richtung zu Grunde liegendes Modell Templatename Schematron registrierend POCD_MT000040DE cdaep elga-cdaep.sch

Templates

AbschliessendeBemerkung 1.2.40.0.34.11.1.2.2 - 2012‑07‑14

Addendum 1.2.40.0.34.11.5.2.14 - 2012‑01‑12

Aktuelle Untersuchung / AktuelleUntersuchung 1.2.40.0.34.11.5.2.5 - 2012‑01‑12

Allergien, Unverträglichkeiten und Risiken / AllergienUnvertraeglichkeitenRisiken 1.2.40.0.34.11.2.2.13 - 2012‑07‑14

Anamnese (ärztlich) / AnamneseAerztlich 1.2.40.0.34.11.2.2.18 - 2011‑12‑19

Anamnese (BildgebendeDiagnostik) / AnamneseBildgebendeDiagnostik 1.2.40.0.34.11.5.2.2 - 2012‑01‑12

Anforderung 1.2.40.0.34.11.5.2.1 - 2012‑01‑12

Anmerkungen 1.2.40.0.34.11.1.2.5 - 2011‑12‑19

Befundtext (Anmerkungen und Kommentare) / Annotation 1.2.40.0.34.11.30029 - 2012‑01‑07

Antibiogram (Laboratory Isolate Organzier) / Antibiogram 1.2.40.0.34.11.30026 - 2012‑07‑07

Arznei Entry / ArzneiEntry 1.2.40.0.34.11.2.3.4 - 2012‑07‑14

AssignedEntityElements 1.2.40.0.34.11.90003 - 2011‑12‑19

Atmung 1.2.40.0.34.11.3.2.8 - 2011‑12‑19

Zusammenfassung des Aufenthalts / Aufenthaltszusammenfassung 1.2.40.0.34.11.2.2.12 - 2011‑12‑19

Aufnahmegrund 1.2.40.0.34.11.2.2.1 - 2011‑12‑19

Ausscheidung 1.2.40.0.34.11.3.2.6 - 2011‑12‑19

Ausstehende Befunde / AusstehendeBefunde 1.2.40.0.34.11.2.2.15 - 2011‑12‑19

Auszüge aus erhobenen Befunden / AuszuegeBefunde 1.2.40.0.34.11.2.2.16 - 2011‑12‑19

AuthorElements 1.2.40.0.34.11.90004 - 2011‑12‑19

Befund 1.2.40.0.34.11.5.2.9 - 2012‑01‑12

Befund Bildgebende Diagnostik / BefundBildgebendeDiagnostik 1.2.40.0.34.11.5 - 2012‑01‑12

Erhobene Befunde / Befunde 1.2.40.0.34.11.2.2.14 - 2011‑12‑19

Kodierung des Befundtextes / BefundtextKodierung 2.16.840.1.113883.10.20.6.2.12 - 2012‑01‑12

Beigelegte erhobene Befunde / BeigelegteBefunde 1.2.40.0.34.11.2.2.17 - 2011‑12‑19

Beilagen 1.2.40.0.34.11.1.2.3 - 2011‑12‑19

BodySection 1.2.40.0.34.11.30001 - 2011‑12‑19

Brieftext 1.2.40.0.34.11.1.2.1 - 2011‑12‑19

DICOM Object Catalog Sektion Allgemein / DOCS 2.16.840.1.113883.10.20.6.1.1 - 2012‑01‑12

Dosierungsvariante 1: Tagesdosierung / Dosierung1 1.2.40.0.34.11.30007 - 2011‑12‑19

Dosierungsvariante 2: Einzeldosierung / Dosierung2 1.2.40.0.34.11.30008 - 2012‑07‑14

Dosierungsvariante 3: Tagesdosierung mit Einnahmepause / Dosierung3 1.2.40.0.34.11.30009 - 2011‑12‑19

Dosierungsvariante 4: Einzeldosierung mit Einnahmepause / Dosierung4 1.2.40.0.34.11.30010 - 2011‑12‑19

Durchgeführte Maßnahmen / DurchgefuehrteMassnahmen 1.2.40.0.34.11.2.2.4 - 2011‑12‑19

Eingebettetes Objekt Entry / EingebettetesObjektEntry 1.2.40.0.34.11.1.3.1 - 2011‑12‑19

Einnahmedauer 1.2.40.0.34.11.30006 - 2011‑12‑19

Empfehlung 1.2.40.0.34.11.5.2.13 - 2012‑01‑12

Empfohlene Medikation (alle EIS) / EmpfohleneMedikationAlleEIS 1.2.40.0.34.11.30004 - 2011‑12‑19

Empfohlene Medikation (enhanced) / EmpfohleneMedikationEnhanced 1.2.40.0.34.11.2.2.7 - 2011‑12‑19

Empfohlene Medikation (full support) / EmpfohleneMedikationFull 1.2.40.0.34.11.2.2.8 - 2011‑12‑19

Entlassungsbrief (Ärztlich) / EntlassungsbriefAerztlich 1.2.40.0.34.11.2 - 2011‑12‑19

Entlassungsbrief (Pflege) / EntlassungsbriefPflege 1.2.40.0.34.11.3 - 2011‑12‑19

Entlassungsdiagnose (alle EIS) / EntlassungsdiagnoseAlleEIS 1.2.40.0.34.11.30003 - 2011‑12‑19

Entlassungsdiagnose (enhanced) / EntlassungsdiagnoseEnhanced 1.2.40.0.34.11.2.2.2 - 2011‑12‑19

Entlassungsdiagnose Entry / EntlassungsdiagnoseEntry 1.2.40.0.34.11.2.3.1 - 2011‑12‑19

Entlassungsdiagnose (full support) / EntlassungsdiagnoseFull 1.2.40.0.34.11.2.2.3 - 2011‑12‑19

Entlassungsmanagement (alle EIS) / EntlassungsmanagementAlleEIS 1.2.40.0.34.11.30012 - 2011‑12‑19

Entlassungsmanagement (enhanced) / EntlassungsmanagementEnhanced 1.2.40.0.34.11.3.2.16 - 2011‑12‑19

Entlassungsmanagement-Entry / EntlassungsmanagementEntry 1.2.40.0.34.11.3.3.2 - 2011‑12‑19

Entlassungsmanagement (full) / EntlassungsmanagementFull 1.2.40.0.34.11.3.2.17 - 2011‑12‑19

Entlassungszustand 1.2.40.0.34.11.2.2.11 - 2011‑12‑19

Ernährung / Ernaehrung 1.2.40.0.34.11.3.2.5 - 2011‑12‑19

Erste Header Elemente für ELGA CDA Dokumente / FirstCDAHeaderElements 1.2.40.0.34.11.10000 - 2011‑12‑19

Frühere Befunde / FruehereBefunde 1.2.40.0.34.11.5.2.7 - 2012‑01‑12

Frühere Erkrankungen / FruehereErkrankungen 1.2.40.0.34.11.2.2.19 - 2011‑12‑19

Frühere Untersuchungen / FruehereUntersuchungen 1.2.40.0.34.11.5.2.6 - 2012‑01‑12

Hautzustand 1.2.40.0.34.11.3.2.7 - 2011‑12‑19

HeaderAuthenticator 1.2.40.0.34.11.20007 - 2011‑12‑19

HeaderAuthor 1.2.40.0.34.11.20002 - 2011‑12‑19

HeaderAuthorization 1.2.40.0.34.11.20012 - 2011‑12‑19

HeaderCustodian 1.2.40.0.34.11.20004 - 2011‑12‑19

HeaderDataEnterer 1.2.40.0.34.11.20003 - 2011‑12‑19

HeaderEncompassingEncounter 1.2.40.0.34.11.20013 - 2011‑12‑19

HeaderInFulfillmentOf 1.2.40.0.34.11.20009 - 2011‑12‑19

HeaderInformationRecipient 1.2.40.0.34.11.20005 - 2011‑12‑19

HeaderLegalAuthenticator 1.2.40.0.34.11.20006 - 2011‑12‑19

HeaderParticipants 1.2.40.0.34.11.20008 - 2011‑12‑19

HeaderRecordTarget 1.2.40.0.34.11.20001 - 2011‑12‑19

HeaderRelatedDocument 1.2.40.0.34.11.20011 - 2011‑12‑19

HeaderServiceEvent 1.2.40.0.34.11.20010 - 2011‑12‑19

Hilfsmittel und Ressourcen / HilfsmittelRessourcen 1.2.40.0.34.11.1.2.9 - 2011‑12‑19

Indikation 1.2.40.0.34.11.5.2.3 - 2012‑01‑12

BI-RADS® Klassifikation / KlassifikationBIRADS 1.2.40.0.34.11.5.3.1 - 2012‑01‑12

Körperpflege und Kleiden / KoerperpflegeKleiden 1.2.40.0.34.11.3.2.4 - 2011‑12‑19

ELGA CDA Dokument Laborbefund / CDALaborbefund 1.2.40.0.34.11.10003 - 2012‑01‑07

Richtung zu Grunde liegendes Modell Templatename Schematron

registrierend POCD_MT000040DE cdalab elga-cdalab.sch

ELGA CDA Dokument Befund Bildgebende Diagnostik / CDABildiag 1.2.40.0.34.11.10004 - 2012‑01‑17

Richtung zu Grunde liegendes Modell Templatename Schematron

registrierend POCD_MT000040DE cdabgd elga-cdabgd.sch

ELGA CDA Dokument Entlassung Ärztlich / CDAEntlassbriefAerztlich 1.2.40.0.34.11.10001 - 2011‑12‑19

Richtung zu Grunde liegendes Modell Templatename Schematron

registrierend POCD_MT000040DE cdaea elga-cdaea.sch

ELGA CDA Dokument Entlassung Pflege / CDAEntlassbriefPflege 1.2.40.0.34.11.10002 - 2011‑12‑19

Richtung zu Grunde liegendes Modell Templatename Schematron

registrierend POCD_MT000040DE cdaep elga-cdaep.sch