| Template |
1.2.276.0.76.10.4034 - GlasgowComaScale |
| Id |
1.2.276.0.76.10.4034 |
| Version |
gültig ab 2014‑09‑16 Status  In Entwicklung
|
| Klassifikation |
CDA Entry Level Template |
| Kontext |
Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4034 |
| Offen/Geschlossen |
Offen (auch andere als die definierten Elemente sind erlaubt) |
| Beschreibung |
Glasgow Coma Scale (GCS) als Summe und mit den drei Achsen Augenöffnen, verbale Antwort
und motorische Antwort
|
| Assoziiert mit |
| Assoziiert mit 10 Konzepte |
| Id |
Name |
Datensatz |
| aktin-dataelement2015(1)-10007
|
Glasgow Coma Scale (GCS) |
AKTIN-Datensatz |
| aktin-dataelement2015(1)-13
|
GCS Augenöffnen |
AKTIN-Datensatz |
| aktin-dataelement2015(1)-14
|
GCS verbale Antwort |
AKTIN-Datensatz |
| aktin-dataelement2015(1)-16
|
GCS motorische Antwort |
AKTIN-Datensatz |
| aktin-dataelement2015(1)-17
|
GCS Summe |
AKTIN-Datensatz |
| aktin-dataelement2014(1)-10007
|
Glasgow Coma Scale (GCS) |
AKTIN-Datensatz |
| aktin-dataelement2014(1)-13
|
GCS Augenöffnen |
AKTIN-Datensatz |
| aktin-dataelement2014(1)-14
|
GCS verbale Antwort |
AKTIN-Datensatz |
| aktin-dataelement2014(1)-16
|
GCS motorische Antwort |
AKTIN-Datensatz |
| aktin-dataelement2014(1)-17
|
GCS Summe |
AKTIN-Datensatz |
|
|
| Benutzt von / Benutzt |
| Benutzt von / Benutzt 2 Templates |
| Benutzt von Template-Id |
als |
Name |
Version |
| 1.2.276.0.76.10.3044 |
Containment |
VitalSignsSection Vitalparameter |
2014‑09‑16 |
| 1.2.276.0.76.10.1015 |
 |
EmergencymedicineNoteCDAdocument Emergency medicine Note CDA document |
2014‑09‑18 |
|
|
| Beziehung |
Spezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
|
| Beispiel |
<observation classCode="OBS" moodCode="EVN">
<templateId root="1.2.276.0.76.10.4034"/>
<id root="1.2.276.0.76.4.17.9814184919" extension="98c1eb7e-dc2d-4d1f-806a-2ad65eba0351"/>
<code code="9269-2" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score total"/>
<statusCode code="completed"/>
<effectiveTime value="20141019"/>
<value xsi:type="PQ" value="9" unit="{score}"/>
<entryRelationship typeCode="COMP" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<code code="9267-6" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score eye opening"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="4" unit="{score}"/>
</observation> </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<code code="9270-0" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score verbal"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="3" unit="{score}"/>
</observation> </entryRelationship> <entryRelationship typeCode="COMP" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<code code="9268-4" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score motor"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="2" unit="{score}"/>
</observation> </entryRelationship></observation> |
| Item |
DT |
Kard |
Konf |
Beschreibung |
Label |
|
|
|
|
|
|
(GlasgowComaScale) |
 |
@classCode
|
|
|
1 .. 1 |
F |
OBS |
|
@moodCode
|
|
|
1 .. 1 |
F |
EVN |
| |
 |
Ziel der Konzept Id(s):
|
|
hl7:templateId
|
|
II |
1 .. 1 |
M |
|
(GlasgowComaScale) |
 |
|
@root
|
|
|
1 .. 1 |
F |
1.2.276.0.76.10.4034 |
|
hl7:id
|
|
|
0 .. 1 |
R |
|
(GlasgowComaScale) |
|
hl7:code
|
|
CE |
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
@code
|
|
|
1 .. 1 |
F |
9269-2 |
|
|
@codeSystem
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
|
hl7:statusCode
|
|
CS |
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
@code
|
|
|
1 .. 1 |
F |
completed |
|
hl7:text
|
|
ED |
0 .. 1 |
|
Lediglich reference in den Text der zugehörigen Section |
(GlasgowComaScale) |
|
|
hl7:reference
|
|
URL |
1 .. 1 |
|
|
(GlasgowComaScale) |
|
hl7:effectiveTime
|
|
TS |
0 .. 1 |
R |
|
(GlasgowComaScale) |
|
hl7:value
|
|
PQ |
1 .. 1 |
R |
|
(GlasgowComaScale) |
|
|
@value
|
|
|
1 .. 1 |
R |
|
| |
Score |
|
|
@unit
|
|
|
1 .. 1 |
F |
{score} |
| |
CONF |
|
| |
|
Ziel der Konzept Id(s):
|
|
hl7:entryRelationship
|
|
|
0 .. 1 |
C |
|
(GlasgowComaScale) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
COMP |
|
|
@contextConductionInd
|
|
|
1 .. 1 |
F |
true |
|
|
hl7:observation
|
|
|
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
OBS |
|
|
|
1 .. 1 |
F |
EVN |
|
|
CE |
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
9267-6 |
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
|
|
CS |
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
completed |
|
|
PQ |
1 .. 1 |
R |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
R |
|
| |
Score |
|
|
|
1 .. 1 |
F |
{score} |
| |
CONF |
|
| |
|
Ziel der Konzept Id(s):
|
|
hl7:entryRelationship
|
|
|
0 .. 1 |
C |
|
(GlasgowComaScale) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
COMP |
|
|
@contextConductionInd
|
|
|
1 .. 1 |
F |
true |
|
|
hl7:observation
|
|
|
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
OBS |
|
|
|
1 .. 1 |
F |
EVN |
|
|
CE |
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
9270-0 |
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
|
|
CS |
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
completed |
|
|
PQ |
1 .. 1 |
R |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
R |
|
| |
Score |
|
|
|
1 .. 1 |
F |
{score} |
| |
CONF |
|
| |
|
Ziel der Konzept Id(s):
|
|
hl7:entryRelationship
|
|
|
0 .. 1 |
C |
|
(GlasgowComaScale) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
COMP |
|
|
@contextConductionInd
|
|
|
1 .. 1 |
F |
true |
|
|
hl7:observation
|
|
|
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
OBS |
|
|
|
1 .. 1 |
F |
EVN |
|
|
CE |
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
9268-4 |
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
|
|
CS |
1 .. 1 |
M |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
F |
completed |
|
|
PQ |
1 .. 1 |
R |
|
(GlasgowComaScale) |
|
|
|
1 .. 1 |
R |
|
| |
Score |
|
|
|
1 .. 1 |
F |
{score} |
| |
CONF |
|
| |
|
Ziel der Konzept Id(s):
|
|