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Emergency medicine Note CDA document 1.2.276.0.76.10.1015 - 2014‑09‑18 (v1)
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zu Grunde liegendes Modell |
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initial |
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basism20152 |
aktin-basism20152.sch |
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initial |
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basism |
aktin-basism.sch |
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Emergency medicine Note CDA document 1.2.276.0.76.10.1019 - 2016‑06‑01 (v2)
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Transaktion |
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initial |
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basism20152b |
aktin-basism20152b.sch |
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CDA Assigned Entity Elements 1.2.276.0.76.10.90012 - 2011‑12‑19 ref (aus Repository: hl7de-)
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CDA AssignedEntity 2.16.840.1.113883.10.12.153 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA author 1.2.276.0.76.10.2033 - 2014‑09‑17
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CDA encompassingEncounter Patientenkontakt 1.2.276.0.76.10.2036 - 2016‑06‑01
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CDA encompassingEncounter Patientenkontakt 1.2.276.0.76.10.2036 - 2015‑09‑18
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CDA encompassingEncounter Patientenkontakt 1.2.276.0.76.10.2036 - 2014‑08‑25
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Dienstleistung/Behandlung 1.2.276.0.76.10.2035 - 2014‑09‑17
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Patientenidentifikation 1.2.276.0.76.10.90024 - 2014‑12‑17 ref (aus Repository: hl7de-)
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Abschlussdiagnosen 1.2.276.0.76.10.3055 - 2015‑01‑10
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Allergien und Unverträglichkeiten 1.2.276.0.76.10.3051 - 2015‑03‑26
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Befunde / Verlauf / durchgeführte Therapie 1.2.276.0.76.10.3054 - 2015‑01‑10
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Beschwerden bei Vorstellung 1.2.276.0.76.10.3048 - 2015‑01‑10
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Diagnostik 1.2.276.0.76.10.3050 - 2015‑01‑10
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Ersteinschätzung 1.2.276.0.76.10.3049 - 2015‑01‑10
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Klinische Basisinformationen 1.2.276.0.76.10.3047 - 2015‑01‑10
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Notfallanamnese 1.2.276.0.76.10.3053 - 2015‑01‑10
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Transportmittel 1.2.276.0.76.10.3045 - 2015‑01‑10
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Vitalparameter 1.2.276.0.76.10.3044 - 2015‑09‑18
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Vitalparameter 1.2.276.0.76.10.3044 - 2014‑09‑16
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Weiteres Procedere / Therapieempfehlung / Weiterbehandler 1.2.276.0.76.10.3056 - 2015‑01‑10
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Zusatzmodule (weitere Dokumentation) 1.2.276.0.76.10.3057 - 2015‑03‑30
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Zuweisung 1.2.276.0.76.10.3046 - 2015‑01‑10
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CDA Entry Level Template
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Allergy / Intolerance Observation 1.2.276.0.76.10.4066 - 2015‑09‑18
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Allergy / Intolerance Observation 1.2.276.0.76.10.4066 - 2014‑06‑09
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Allergy Concern Act 1.2.276.0.76.10.4065 - 2015‑03‑27
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Atemfrequenz 1.2.276.0.76.10.4030 - 2014‑09‑16
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Bezug zu Abgabe des Medikaments 1.2.276.0.76.10.4029 - 2014‑12‑21 ref (aus Repository: pmp-)
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Bezug zu Verordnung des Medikaments 1.2.276.0.76.10.4028 - 2014‑12‑21 ref (aus Repository: pmp-)
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Blutdruck systolisch 1.2.276.0.76.10.4032 - 2014‑09‑16
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CDA Act 2.16.840.1.113883.10.12.301 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Author (Body) 1.2.276.0.76.10.90025 - 2014‑12‑21 ref (aus Repository: hl7de-)
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CDA Author (Body) 2.16.840.1.113883.10.12.318 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Clinical Statement 2.16.840.1.113883.10.12.300 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Device 2.16.840.1.113883.10.12.315 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Encounter 2.16.840.1.113883.10.12.302 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA ExternalAct 2.16.840.1.113883.10.12.325 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA ExternalDocument 2.16.840.1.113883.10.12.328 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA ExternalProcedure 2.16.840.1.113883.10.12.327 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Informant (Body) 2.16.840.1.113883.10.12.319 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA LabeledDrug 2.16.840.1.113883.10.12.310 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA ManufacturedProduct 2.16.840.1.113883.10.12.312 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Material 2.16.840.1.113883.10.12.311 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Observation 2.16.840.1.113883.10.12.303 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA ObservationMedia 2.16.840.1.113883.10.12.304 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Organizer 2.16.840.1.113883.10.12.305 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Participant (Body) 2.16.840.1.113883.10.12.321 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Performer (Body) 1.2.276.0.76.10.90014 - 2014‑03‑12 10:18:42 ref (aus Repository: hl7de-)
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CDA Performer (Body) 2.16.840.1.113883.10.12.323 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA PlayingEntity 2.16.840.1.113883.10.12.313 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Precondition 2.16.840.1.113883.10.12.329 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Procedure 2.16.840.1.113883.10.12.306 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Reference 2.16.840.1.113883.10.12.324 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA RegionOfInterest 2.16.840.1.113883.10.12.307 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA RelatedEntity 2.16.840.1.113883.10.12.316 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA RelatedEntity (Body) 1.2.276.0.76.10.90020 - 2014‑08‑25 ref (aus Repository: hl7de-)
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CDA Specimen 2.16.840.1.113883.10.12.322 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Subject (Body) 2.16.840.1.113883.10.12.320 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA SubstanceAdministration 2.16.840.1.113883.2.6.60.3.10.1 - 2016‑04‑22 10:50:09
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CDA SubstanceAdministration 2.16.840.1.113883.10.12.308 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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CDA Supply 2.16.840.1.113883.10.12.309 - 2005‑09‑07 ref (aus Repository: ad1bbr-)
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Diagnostik 12 lead electrocardiogram 1.2.276.0.76.10.4061 - 2015‑09‑18
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Diagnostik 12 lead electrocardiogram 1.2.276.0.76.10.4061 - 2015‑03‑27
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Diagnostik Blood gas analysis 1.2.276.0.76.10.4059 - 2015‑09‑18
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Diagnostik Blood gas analysis 1.2.276.0.76.10.4059 - 2015‑03‑27
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Diagnostik Computed tomography of entire head 1.2.276.0.76.10.4055 - 2015‑09‑18
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Diagnostik Computed tomography of entire head 1.2.276.0.76.10.4055 - 2015‑03‑27
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Diagnostik Computed tomography scan - whole body 1.2.276.0.76.10.4056 - 2015‑09‑18
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Diagnostik Computed tomography scan - whole body 1.2.276.0.76.10.4056 - 2015‑03‑27
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Diagnostik Computerized axial tomography 1.2.276.0.76.10.4063 - 2015‑09‑18
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Diagnostik Computerized axial tomography 1.2.276.0.76.10.4063 - 2015‑03‑27
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Diagnostik Diagnostic ultrasonography 1.2.276.0.76.10.4062 - 2015‑09‑18
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Diagnostik Diagnostic ultrasonography 1.2.276.0.76.10.4062 - 2015‑03‑27
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Diagnostik Echocardiography 1.2.276.0.76.10.4064 - 2015‑09‑18
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Diagnostik Echocardiography 1.2.276.0.76.10.4064 - 2015‑03‑27
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Diagnostik Laboratory test 1.2.276.0.76.10.4057 - 2015‑09‑18
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Diagnostik Laboratory test 1.2.276.0.76.10.4057 - 2015‑03‑27
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Diagnostik Magnetic resonance imaging 1.2.276.0.76.10.4058 - 2015‑09‑18
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Diagnostik Magnetic resonance imaging 1.2.276.0.76.10.4058 - 2015‑03‑27
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Diagnostik Pelvis X-ray 1.2.276.0.76.10.4052 - 2015‑09‑18
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Diagnostik Pelvis X-ray 1.2.276.0.76.10.4052 - 2015‑03‑27
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Diagnostik Plain chest X-ray 1.2.276.0.76.10.4050 - 2015‑09‑18
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Diagnostik Plain chest X-ray 1.2.276.0.76.10.4050 - 2015‑03‑27
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Diagnostik Plain radiography 1.2.276.0.76.10.4054 - 2015‑09‑18
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Diagnostik Plain radiography 1.2.276.0.76.10.4054 - 2015‑03‑27
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Diagnostik Plain radiography limb structure 1.2.276.0.76.10.4053 - 2015‑09‑18
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Diagnostik Plain radiography limb structure 1.2.276.0.76.10.4053 - 2015‑03‑27
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Diagnostik Radiography of spine 1.2.276.0.76.10.4051 - 2015‑09‑18
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Diagnostik Radiography of spine 1.2.276.0.76.10.4051 - 2015‑03‑27
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Diagnostik Urinalysis, reagent strip without microscopy 1.2.276.0.76.10.4060 - 2015‑09‑18
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Diagnostik Urinalysis, reagent strip without microscopy 1.2.276.0.76.10.4060 - 2015‑03‑27
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Dosierung Freitext 1.2.276.0.76.10.4024 - 2014‑11‑01 ref (aus Repository: pmp-)
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Einnahmedauer 1.2.276.0.76.10.90023 - 2011‑12‑19 ref (aus Repository: pmp-)
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Einzeldosierungen 1.2.276.0.76.10.4023 - 2014‑11‑01 ref (aus Repository: pmp-)
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Ersteinschätzung 1.2.276.0.76.10.4042 - 2015‑09‑18
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Ersteinschätzung 1.2.276.0.76.10.4042 - 2015‑03‑03
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External Document Reference 1.2.276.0.76.10.4071 - 2015‑03‑30
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Glasgow Coma Scale 1.2.276.0.76.10.4034 - 2014‑09‑16
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Grund für Medikation 1.2.276.0.76.10.4027 - 2016‑01‑31 ref (aus Repository: pmp-)
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Grund für Medikation 1.2.276.0.76.10.4027 - 2014‑11‑01 ref (aus Repository: pmp-)
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Herzfrequenz 1.2.276.0.76.10.4033 - 2014‑09‑16
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Immunisierung Clostridium tetani 1.2.276.0.76.10.4044 - 2015‑09‑18
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Immunisierung Clostridium tetani 1.2.276.0.76.10.4044 - 2015‑03‑03
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Isolation 1.2.276.0.76.10.4068 - 2015‑09‑18
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Isolation 1.2.276.0.76.10.4068 - 2015‑03‑30
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Isolation Indication 1.2.276.0.76.10.4069 - 2015‑09‑19
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Isolation Indication 1.2.276.0.76.10.4069 - 2014‑06‑09
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Körperkerntemperatur 1.2.276.0.76.10.4035 - 2014‑09‑16
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Material 1.2.276.0.76.10.90022 - 2014‑11‑01 ref (aus Repository: pmp-)
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Medikament 1.2.276.0.76.10.4025 - 2014‑11‑01 ref (aus Repository: pmp-)
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Medikation 1.2.276.0.76.10.4083 - 2016‑04‑01
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Modified Rankin Scale 1.2.276.0.76.10.4045 - 2015‑03‑03
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Patienteninstruktionen 1.2.276.0.76.10.4026 - 2014‑11‑01 ref (aus Repository: pmp-)
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Problem Concern Act (Abschlussdiagnosen) 1.2.276.0.76.10.4048 - 2015‑03‑03
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Problem Concern Act (Multidrug-resistant organism) 1.2.276.0.76.10.4072 - 2015‑06‑01
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Problem Concern Act (Text/CEDIS) 1.2.276.0.76.10.4039 - 2015‑03‑03
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Problem Observation (Abschlussdiagnose) 1.2.276.0.76.10.4049 - 2015‑09‑18
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Problem Observation (Abschlussdiagnose) 1.2.276.0.76.10.4049 - 2015‑03‑03
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Problem Observation (Multidrug-resistant organism) 1.2.276.0.76.10.4073 - 2015‑09‑18
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Problem Observation (Multidrug-resistant organism) 1.2.276.0.76.10.4073 - 2015‑06‑01
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Problem Observation (Text/CEDIS) 1.2.276.0.76.10.4040 - 2015‑09‑18
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Problem Observation (Text/CEDIS) 1.2.276.0.76.10.4040 - 2015‑03‑03
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Pupillenreaktion 1.2.276.0.76.10.4047 - 2015‑09‑18
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Pupillenreaktion 1.2.276.0.76.10.4047 - 2015‑03‑03
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Pupillenweite 1.2.276.0.76.10.4046 - 2015‑09‑18
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Pupillenweite 1.2.276.0.76.10.4046 - 2015‑03‑03
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Sauerstoffsättigung 1.2.276.0.76.10.4031 - 2014‑09‑16
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Schmerz 1.2.276.0.76.10.4036 - 2014‑09‑16
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Status Schwangerschaft 1.2.276.0.76.10.4043 - 2015‑03‑03
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Transportmethode 1.2.276.0.76.10.4037 - 2015‑03‑03
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Weiterbehandlung Verlegung 1.2.276.0.76.10.4067 - 2015‑09‑18
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Weiterbehandlung Verlegung 1.2.276.0.76.10.4067 - 2015‑03‑30
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Zusätzliche externe Dokumentation 1.2.276.0.76.10.4070 - 2015‑03‑30
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Zuweisung mit Zuweiser 1.2.276.0.76.10.4038 - 2015‑09‑18
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Zuweisung mit Zuweiser 1.2.276.0.76.10.4038 - 2015‑03‑03
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