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draft Template  Glasgow Coma Scale

Id 1.2.276.0.76.3.1.195.10.42 Gültigkeit ab 2024‑08‑14 10:57:34
Status draft Entwurf Versions-Label 2024
Name GlasgowComaScale Bezeichnung Glasgow Coma Scale
Beschreibung Glasgow Coma Scale (GCS) als Summe und optional/konditional mit den drei Achsen Augenöffnen, verbale Antwort und motorische Antwort
Kontext Elternknoten des Template-Element mit Id 1.2.276.0.76.3.1.195.10.42
Klassifikation CDA Entry Level Template
Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 0 Transactions und 2 Templates, Benutzt 0 Templates
Benutzt von als Name Version
1.2.276.0.76.3.1.195.10.33 Containment draft Vitalparameter/Scores (2024) 2024‑08‑14 10:09:03
1.2.276.0.76.3.1.195.10.2 link draft Episodenzusammenfassung Notaufnahmeregister (2024) 2024‑03‑21
Beziehung Spezialisierung: Template 1.2.276.0.76.10.4034 Glasgow Coma Scale (2014‑09‑16)
Spezialisierung: Template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Item DT Kard Konf Beschreibung Label
hl7:observation
@classCode
 		cs 1 … 1 F OBS
@moodCode
 		cs 1 … 1 F EVN
hl7:templateId
 		II 1 … 1 M
@root
 		uid 1 … 1 F 1.2.276.0.76.3.1.195.10.42
hl7:id
 		0 … 1 R
hl7:code
 		CD 1 … 1 M
@code
 		CONF 1 … 1 F 248241002
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
@displayName
 		1 … 1 F Glasgow coma score (observable entity)
hl7:translation
 		CE 1 … 1 M
@code
 		CONF 1 … 1 F 9269-2
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		1 … 1 F Glasgow coma score total
hl7:text
 		ED 0 … 1 Lediglich reference in den Text der zugehörigen Section
hl7:reference
 		URL 1 … 1
hl7:statusCode
 		CS 1 … 1 M
@code
 		CONF 1 … 1 F completed
hl7:effectiveTime
 		TS 1 … 1 R
hl7:value
 		PQ 1 … 1 R
@value
 		1 … 1 R Score Summe
@unit
 		cs 1 … 1 F {score}
  CONF
minInclude low boundary is "3"
-und-
maxInclude high boundary is "15"
hl7:entryRelationship
 		0 … 1 C GCS Augenöffnen
wo [hl7:observation/hl7:code/@code='281395000']
@typeCode
 		cs 1 … 1 F COMP
@contextConductionInd
 		bl 1 … 1 F true
hl7:observation
 		1 … 1 M
@classCode
 		cs 1 … 1 F OBS
@moodCode
 		cs 1 … 1 F EVN
hl7:code
 		CD 1 … 1 M
@code
 		CONF 1 … 1 F 281395000
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
@displayName
 		1 … 1 F Glasgow Coma Score eye opening subscore (observable entity)
hl7:translation
 		CE 1 … 1 M
@code
 		CONF 1 … 1 F 9267-6
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		1 … 1 F Glasgow coma score eye opening
hl7:statusCode
 		CS 1 … 1 M
@code
 		CONF 1 … 1 F completed
hl7:effectiveTime
 		NP
hl7:value
 		PQ 1 … 1 R
@value
 		1 … 1 R Score Augenöffnen
@unit
 		cs 1 … 1 F {score}
  CONF
minInclude low boundary is "1"
-und-
maxInclude high boundary is "4"
hl7:entryRelationship
 		0 … 1 C GCS verbale Antwort
wo [hl7:observation/hl7:code/@code='281397008']
@typeCode
 		cs 1 … 1 F COMP
@contextConductionInd
 		bl 1 … 1 F true
hl7:observation
 		1 … 1 M
@classCode
 		cs 1 … 1 F OBS
@moodCode
 		cs 1 … 1 F EVN
hl7:code
 		CD 1 … 1 M
@code
 		CONF 1 … 1 F 281397008
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
@displayName
 		1 … 1 F Glasgow Coma Scale verbal response subscore (observable entity)
hl7:translation
 		CE 1 … 1 M
@code
 		CONF 1 … 1 F 9270-0
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		1 … 1 F Glasgow coma score verbal
hl7:statusCode
 		CS 1 … 1 M
@code
 		CONF 1 … 1 F completed
hl7:effectiveTime
 		NP
hl7:value
 		PQ 1 … 1 R
@value
 		1 … 1 R Score verbale Antwort
@unit
 		cs 1 … 1 F {score}
  CONF
minInclude low boundary is "1"
-und-
maxInclude high boundary is "5"
hl7:entryRelationship
 		0 … 1 C GCS motorische Antwort
wo [hl7:observation/hl7:code/@code='281396004']
@typeCode
 		cs 1 … 1 F COMP
@contextConductionInd
 		bl 1 … 1 F true
hl7:observation
 		1 … 1 M
@classCode
 		cs 1 … 1 F OBS
@moodCode
 		cs 1 … 1 F EVN
hl7:code
 		CD 1 … 1 M
@code
 		CONF 1 … 1 F 281396004
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
@displayName
 		1 … 1 F Glasgow Coma Scale motor response subscore (observable entity)
hl7:translation
 		CE 1 … 1 M
@code
 		CONF 1 … 1 F 9268-4
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		1 … 1 F Glasgow coma score motor
hl7:statusCode
 		CS 1 … 1 M
@code
 		CONF 1 … 1 F completed
hl7:effectiveTime
 		NP
hl7:value
 		PQ 1 … 1 R
@value
 		1 … 1 R Score motorische Antwort
@unit
 		cs 1 … 1 F {score}
  CONF
minInclude low boundary is "1"
-und-
maxInclude high boundary is "6"