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retired Template  Problem Observation (Multidrug-resistant organism)

Template 1.2.276.0.76.10.4073 - ProblemobservationMDRO
Id 1.2.276.0.76.10.4073
Version gültig ab 2015‑06‑01 Status retired Obsolet

Es gibt Versionen von Templates mit dieser Id:
  • ProblemobservationMDRO vom 2015‑09‑18
  • ProblemobservationMDRO vom 2015‑06‑01
Klassifikation CDA Entry Level Template
Kontext Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4073
Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt)
Beschreibung Besiedlung mit multiresistenten Keimen
Assoziiert mit
Assoziiert mit 2 Konzepte
Id Name Datensatz
aktin-dataelement2015(1)-807 Erregertyp AKTIN-Datensatz
aktin-dataelement2015(1)-806 multiresistenter Erreger Ja/Nein/Verdacht AKTIN-Datensatz
Beziehung Spezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Adaptation: Template 2.16.840.1.113883.10.20.22.4.4 (DYNAMIC)
Beispiel
MRSA
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4073"/>
  <id root="1.2.276.0.76.4.17.9814184919" extension="3564b7c0-2111-43f2-a784-9a5fdfaa67f2"/>
  <code code="64572001" codeSystem="2.16.840.1.113883.6.96" displayName="Condition"/>
  <text>
    <reference value="#mdro-1"/>
  </text>  <statusCode code="completed"/>
  <effectiveTime>
    <low value="20150304"/>
  </effectiveTime>  <value xsi:type="CD" code="373573001" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical finding present (situation)">
    <qualifier>
      <name code="246090004" codeSystem="2.16.840.1.113883.6.96" displayName="Associated finding (attribute)"/>
      <value code="365691004" codeSystem="2.16.840.1.113883.6.96" displayName="Finding of presence of bacteria (finding)"/>
    </qualifier>    <qualifier>
      <name code="246075003" codeSystem="2.16.840.1.113883.6.96" displayName="Causative agent (attribute)"/>
      <value code="115329001" codeSystem="2.16.840.1.113883.6.96" displayName="Methicillin resistant Staphylococcus aureus (organism)"/>
    </qualifier>  </value></observation>
Beispiel
Keine multiresistenten Keime
<observation classCode="OBS" moodCode="EVN" negationInd="true">
  <templateId root="1.2.276.0.76.10.4073"/>
  <id root="1.2.276.0.76.4.17.9814184919" extension="4464b7c0-2111-43f2-a784-9a5fdfaa67f7"/>
  <code code="64572001" codeSystem="2.16.840.1.113883.6.96" displayName="Condition"/>
  <text>
    <reference value="#mdro-1"/>
  </text>  <statusCode code="completed"/>
  <effectiveTime>
    <low value="20150304"/>
  </effectiveTime>  <value xsi:type="CD" code="373573001" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical finding present (situation)">
    <qualifier>
      <name code="246090004" codeSystem="2.16.840.1.113883.6.96" displayName="Associated finding (attribute)"/>
      <value code="40733004" codeSystem="2.16.840.1.113883.6.96" displayName="Infectious disease (disorder)"/>
    </qualifier>    <qualifier>
      <name code="246075003" codeSystem="2.16.840.1.113883.6.96" displayName="Causative agent (attribute)"/>
      <value code="409792002" codeSystem="2.16.840.1.113883.6.96" displayName="Antimicrobial resistant organism (organism)"/>
    </qualifier>  </value></observation>
Item DT Kard Konf Beschreibung Label
hl7:observation
1 .. 1 (ProblemobservationMDRO)
treetree @classCode
1 .. 1 F OBS
treetree @moodCode
1 .. 1 F EVN
treetree hl7:templateId
II 1 .. 1 (ProblemobservationMDRO)
treeblank treetree @root
1 .. 1 F 1.2.276.0.76.10.4073
treetree hl7:id
II 1 .. * M (ProblemobservationMDRO)
treetree hl7:code
CE 1 .. 1 M (ProblemobservationMDRO)
treeblank treetree @code
1 .. 1 F 64572001
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
treetree hl7:text
ED 0 .. 1 Textform, enthält hier lediglich reference in den Text der Section (ProblemobservationMDRO)
treeblank treetree hl7:reference
URL 1 .. 1 (ProblemobservationMDRO)
treetree hl7:statusCode
CS 1 .. 1 M (ProblemobservationMDRO)
treeblank treetree @code
1 .. 1 F completed
treetree hl7:effectiveTime
IVL_TS 0 .. 1 R effectiveTime wird auch als "biologisch relevante Zeit" bezeichnet und ist der Zeitpunkt oder Zeitraum, für den die Beobachtung für den Patienten gilt. (ProblemobservationMDRO)
treeblank treetree hl7:low
TS 1 .. 1 R (ProblemobservationMDRO)
treeblank treetree hl7:high
TS 0 .. 1 R (ProblemobservationMDRO)
treetree hl7:value
CD 1 .. 1 R Multiresistenter Keim Ja/Nein/Verdacht (ProblemobservationMDRO)
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.51 Finding situation (DYNAMIC)
  target Ziel der Konzept Id(s):
aktin-dataelement2015(1)-806 multiresistenter Erreger Ja/Nein/Verdacht
  Beispiel
MRSA
<value xsi:type="CD" code="373573001" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical finding present (situation)">
  <qualifier>
    <name code="246090004" codeSystem="2.16.840.1.113883.6.96" displayName="Associated finding (attribute)"/>
    <value code="365691004" codeSystem="2.16.840.1.113883.6.96" displayName="Finding of presence of bacteria (finding)"/>
  </qualifier>  <qualifier>
    <name code="246075003" codeSystem="2.16.840.1.113883.6.96" displayName="Causative agent (attribute)"/>
    <value code="115329001" codeSystem="2.16.840.1.113883.6.96" displayName="Methicillin resistant Staphylococcus aureus (organism)"/>
  </qualifier></value>
  Beispiel
Verdacht auf 4MRGN
<value xsi:type="CD" code="444433005" codeSystem="2.16.840.1.113883.6.96" displayName="Suspected clinical finding (situation)">
  <qualifier>
    <name code="246090004" codeSystem="2.16.840.1.113883.6.96" displayName="Associated finding (attribute)"/>
    <value code="365691004" codeSystem="2.16.840.1.113883.6.96" displayName="Finding of presence of bacteria (finding)"/>
  </qualifier>  <qualifier>
    <name code="246075003" codeSystem="2.16.840.1.113883.6.96" displayName="Causative agent (attribute)"/>
    <value code="4MRGN" codeSystem="1.2.276.0.76.5.441" displayName="gramnegative Stäbchen, die gegen alle vier Gruppen resistent sind"/>
  </qualifier></value>
treeblank treetree hl7:qualifier
wo
[hl7:name/@code='246090004']
1 .. 1 M (ProblemobservationMDRO)
treeblank treeblank treetree hl7:name
CV 1 .. 1 M (ProblemobservationMDRO)
treeblank treeblank treeblank treetree @code
1 .. 1 F 246090004
treeblank treeblank treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
treeblank treeblank treetree hl7:value
CV 1 .. 1 M (ProblemobservationMDRO)
treeblank treeblank treeblank treetree @code
1 .. 1 F 365691004
treeblank treeblank treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
treeblank treetree hl7:qualifier
wo
[hl7:name/@code='246075003']
1 .. 1 M (ProblemobservationMDRO)
treeblank treeblank treetree hl7:name
CV 1 .. 1 M (ProblemobservationMDRO)
treeblank treeblank treeblank treetree @code
1 .. 1 F 246075003
treeblank treeblank treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
treeblank treeblank treetree hl7:value
CV 1 .. 1 R (ProblemobservationMDRO)
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.60 Multiresistant Organisms (DYNAMIC)
  target Ziel der Konzept Id(s):
aktin-dataelement2015(1)-807 Erregertyp
  Variable let Name seq
  Value //hl7:observation [hl7:templateId/@root = '1.2.276.0.76.10.4073']/hl7:value/hl7:qualifier [hl7:name/@code = '246075003']/hl7:value
  Schematron assert role red error
  test empty($seq[position() = index-of($seq,.)[2]])
  Meldung Nur eine Angabe pro Erreger bei multiresistenten Keimen