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{
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  "effectiveDate": "2023-11-20T00:00:00",
  "statusCode": "draft",
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  "transactionStatusCode": "draft",
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  "transactionType": "stationary",
  "transactionIddisplay": "aktin-transaction-60",
  "templateId": "1.2.276.0.76.3.1.195.10.93",
  "templateEffectiveDate": "2026-03-25T11:04:07",
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  "iddisplay": "aktin-dataset-9",
  "url": "http://art-decor.org/decor/services/",
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  "inheritanceIssues": "5",
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      "language": "de-DE",
      "lastTranslated": "2025-11-20T21:25:59",
      "#text": "Notaufnahmeregister Transitionsversion"
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  "desc": 
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          "type": "phone",
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  "copyright": 
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    {
      "language": "en-US",
      "lastTranslated": "2026-08-27T10:05:41",
      "#text": "Expertenkonsens DIVI Sektion Notfalldokumentation"
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        }
      ]
    }
  ],
  "concept": 
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        {
          "shortName": "patient",
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        }
      ],
      "name": 
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        {
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          "lastTranslated": "2023-12-28T11:30:06",
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        }
      ],
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        {
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      ],
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            {
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      "concept": 
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        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.20119",
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          "iddisplay": "notfdok-dataelement2025-20119",
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          "implementation": 
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            {
              "shortName": "anschrift",
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          "name": 
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            {
              "language": "de-DE",
              "lastTranslated": "2023-12-28T11:50:03",
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              "language": "de-DE",
              "lastTranslated": "2023-12-28T11:50:03",
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              ],
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                  "#text": "Postleitzahl"
                }
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                      "language": "de-DE",
                      "#text": "Postleitzahl"
                    }
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          "implementation": 
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            {
              "shortName": "identifikatoren",
              "markdown": "Identifikatoren"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2023-12-28T11:41:21",
              "#text": "Identifikatoren"
            }
          ],
          "desc": 
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            {
              "language": "de-DE",
              "lastTranslated": "2023-12-28T11:41:21",
              "#text": "Identifikatoren"
            }
          ],
          "concept": 
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              "effectiveDate": "2023-11-20T00:00:00",
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              "type": "item",
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                }
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                  "language": "de-DE",
                  "lastTranslated": "2024-02-12T11:57:13",
                  "#text": "Patienten ID"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-12T11:57:13",
                  "#text": "\n <p>Eindeutige organisationsspezifische Patienten-ID, z. B. im KIS des Krankenhauses</p> \n "
                }
              ],
              "source": 
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                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-12T11:57:13",
                  "#text": "Krankenhausinformationssystem (KIS)"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-12T11:57:13",
                  "#text": "Eindeutige Identifikation des Patienten"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-12T11:57:13",
                  "#text": "Aufgabe des 1. Projektes des AKTIN: Harmonisierung der Datendefinition und Schaffung eines Interoperabilitätsstandards"
                }
              ],
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                      "language": "de-DE",
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                  ]
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                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-3",
                  "name": 
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                    {
                      "language": "de-DE",
                      "#text": "Patienten ID im Basismodul"
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                }
              ],
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      "implementation": 
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          "#text": "Kostenträger, der fallbezogen die Kosten übernimmt = Hauptkostenträger"
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          "shortName": "kostentrager",
          "implementation": 
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              "shortName": "kostentrager",
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              "iddisplay": "notfdok-dataelement2025-21579",
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              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2020.1",
              "iType": "group",
              "iStatusCode": "final",
              "iEffectiveDate": "2019-10-25T18:00:54",
              "iVersionLabel": "v2020.1",
              "originalId": "2.16.840.1.113883.2.6.77.2.2.60200",
              "originalStatusCode": "draft",
              "originalEffectiveDate": "2015-10-15T00:00:00",
              "originalPrefix": "hl7de-",
              "iddisplay": "nap-dataelement2020(1)-21581",
              "refdisplay": "nap-dataelement2020(1)-21581",
              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Versicherungsverhältnis"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Versicherungsverhältnis"
            }
          ],
          "relationship": 
          [
            {
              "type": "SPEC",
              "ref": "2.16.840.1.113883.2.6.77.2.2.60200",
              "flexibility": "2015-10-15T00:00:00",
              "prefix": "hl7de-",
              "datasetId": "2.16.840.1.113883.2.6.77.1.2",
              "datasetEffectiveDate": "2015-10-15T00:00:00",
              "datasetStatusCode": "draft",
              "datasetVersionLabel": "1.0",
              "iType": "group",
              "iEffectiveDate": "2015-10-15T00:00:00",
              "iStatusCode": "draft",
              "refdisplay": "hl7de-dataelement-2.60200",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Versicherungsverhältnis"
                }
              ]
            }
          ],
          "concept": 
          [
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21582",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21582",
              "shortName": "identifikation",
              "implementation": 
              [
                {
                  "shortName": "identifikation",
                  "markdown": "Identifikation des Versicherungsverhältnisses, Versichertennummer"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21582",
                  "effectiveDate": "2019-10-25T18:00:54",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2019-10-25T18:00:54",
                  "iVersionLabel": "v2020.1",
                  "originalId": "2.16.840.1.113883.2.6.77.2.2.60210",
                  "originalStatusCode": "draft",
                  "originalEffectiveDate": "2015-10-15T00:00:00",
                  "originalPrefix": "hl7de-",
                  "iddisplay": "nap-dataelement2020(1)-21582",
                  "refdisplay": "nap-dataelement2020(1)-21582",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Identifikation"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Identifikation des Versicherungsverhältnisses, Versichertennummer"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.77.2.2.60210",
                  "flexibility": "2015-10-15T00:00:00",
                  "prefix": "hl7de-",
                  "datasetId": "2.16.840.1.113883.2.6.77.1.2",
                  "datasetEffectiveDate": "2015-10-15T00:00:00",
                  "datasetStatusCode": "draft",
                  "datasetVersionLabel": "1.0",
                  "iType": "item",
                  "iEffectiveDate": "2015-10-15T00:00:00",
                  "iStatusCode": "draft",
                  "refdisplay": "hl7de-dataelement-2.60210",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Identifikation"
                    }
                  ]
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "identifier"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "2.16.840.1.113883.2.6.60.3.2.9.20099",
      "effectiveDate": "2023-11-20T00:00:00",
      "statusCode": "draft",
      "lastModifiedDate": "2024-02-14T11:24:48",
      "type": "group",
      "minimumMultiplicity": "0",
      "maximumMultiplicity": "1",
      "conformance": "R",
      "isMandatory": "false",
      "iddisplay": "notfdok-dataelement2025-20099",
      "shortName": "administrative_aufnahmeinformationen",
      "implementation": 
      [
        {
          "shortName": "administrative_aufnahmeinformationen"
        }
      ],
      "name": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2024-02-14T10:46:11",
          "#text": "Administrative Aufnahmeinformationen"
        }
      ],
      "desc": 
      [
        {
          "language": "de-DE"
        }
      ],
      "relationship": 
      [
        {
          "type": "SPEC",
          "ref": "2.16.840.1.113883.2.6.60.3.2.6.20099",
          "flexibility": "2018-08-17T15:37:36",
          "prefix": "aktin-",
          "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
          "datasetEffectiveDate": "2018-08-17T00:00:00",
          "datasetStatusCode": "final",
          "datasetVersionLabel": "v2020.1",
          "iType": "group",
          "iEffectiveDate": "2018-08-17T15:37:36",
          "iStatusCode": "final",
          "iVersionLabel": "v2020.1",
          "refdisplay": "nap-dataelement2020(1)-20099",
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Administrative Aufnahmeinformationen"
            }
          ]
        }
      ],
      "concept": 
      [
        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.58",
          "statusCode": "draft",
          "effectiveDate": "2023-11-20T00:00:00",
          "lastModifiedDate": "2023-11-27T17:39:29",
          "type": "item",
          "minimumMultiplicity": "0",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-58",
          "shortName": "aufnahmezeitpunkt",
          "implementation": 
          [
            {
              "shortName": "aufnahmezeitpunkt",
              "markdown": "Datum/Zeit der administrativen Aufnahme im Krankenhaus. Dieser Zeitstempel kann durch den Aufnahmeevent vom KIS automatisch vom geliefert werden"
            }
          ],
          "inherit": 
          [
            {
              "ref": "2.16.840.1.113883.2.6.60.3.2.6.58",
              "effectiveDate": "2018-01-25T00:00:00",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
              "datasetEffectiveDate": "2018-08-17T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2020.1",
              "iType": "item",
              "iStatusCode": "final",
              "iEffectiveDate": "2018-01-25T00:00:00",
              "iVersionLabel": "v2020.1",
              "iddisplay": "nap-dataelement2020(1)-58",
              "refdisplay": "nap-dataelement2020(1)-58",
              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Aufnahmezeitpunkt"
            }
          ],
          "synonym": 
          [
            {
              "language": "de-DE",
              "#text": "B2HIR-Klinikankunft"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Datum/Zeit der administrativen Aufnahme im Krankenhaus. Dieser Zeitstempel kann durch den Aufnahmeevent vom KIS automatisch vom geliefert werden <br clear=\"none\"/>"
            }
          ],
          "source": 
          [
            {
              "language": "de-DE",
              "#text": "KIS"
            }
          ],
          "relationship": 
          [
            {
              "type": "SPEC",
              "ref": "2.16.840.1.113883.2.6.60.3.2.1.58",
              "flexibility": "2014-01-06T16:43:10",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
              "datasetEffectiveDate": "2014-09-15T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2014.1-b",
              "iType": "item",
              "iEffectiveDate": "2014-01-06T16:43:10",
              "iStatusCode": "final",
              "refdisplay": "aktin-dataelement2014(1)-58",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Aufnahmezeitpunkt"
                }
              ]
            }
          ],
          "operationalization": 
          [
            {
              "language": "de-DE",
              "#text": "Dieser Zeitpunkt kann je nach Prozess in der Notaufnahme vor oder nach der Ersteinschätzung oder dem Arztkontakt erfolgen und stellt damit nicht automatisch den minimalen Zeitstempel einer Episode dar. <br clear=\"none\"/> <br clear=\"none\"/> In Notaufnahmen gibt es folgende bekannte Prozesse: <br clear=\"none\"/> 1. Aufnahme -&gt; Ersteinschätzung\n -&gt; Arztkontakt <br clear=\"none\"/> 2. Ersteinschätzung -&gt; Aufnahme -&gt; Arztkontakt <br clear=\"none\"/> 3. Ersteinschätzung -&gt; Arztkontakt -&gt; Aufnahme <br clear=\"none\"/> 4. Arztkontakt -&gt; Aufnahme -&gt; Ersteinschätzung <br clear=\"none\"/> 5. Arztkontakt -&gt; Ersteinschätzung -&gt; Aufnahme "
            }
          ],
          "valueDomain": 
          [
            {
              "type": "datetime",
              "property": 
              [
                {
                  "timeStampPrecision": "YMDHM"
                }
              ]
            }
          ]
        },
        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.20094",
          "statusCode": "draft",
          "effectiveDate": "2023-11-20T00:00:00",
          "lastModifiedDate": "2023-11-27T17:39:29",
          "type": "item",
          "minimumMultiplicity": "0",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-20094",
          "shortName": "fallnummer",
          "implementation": 
          [
            {
              "shortName": "fallnummer",
              "markdown": "Krankenhausinternes Kennzeichen des Behandlungsfalles, vulgo Fallnummer, die zur Zuordnung von Dokumenten zu einem Behandlungsfall innerhalb eines Krankenhauses verwendet wird."
            }
          ],
          "inherit": 
          [
            {
              "ref": "2.16.840.1.113883.2.6.60.3.2.6.20094",
              "effectiveDate": "2018-01-25T00:00:00",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
              "datasetEffectiveDate": "2018-08-17T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2020.1",
              "iType": "item",
              "iStatusCode": "final",
              "iEffectiveDate": "2018-01-25T00:00:00",
              "iVersionLabel": "v2020.1",
              "originalId": "2.16.840.1.113883.2.6.60.3.2.3.20094",
              "originalStatusCode": "final",
              "originalEffectiveDate": "2017-01-09T12:28:33",
              "originalPrefix": "aktin-",
              "iddisplay": "nap-dataelement2020(1)-20094",
              "refdisplay": "nap-dataelement2020(1)-20094",
              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Fallnummer"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Krankenhausinternes Kennzeichen des Behandlungsfalles, vulgo Fallnummer, die zur Zuordnung von Dokumenten zu einem Behandlungsfall innerhalb eines Krankenhauses verwendet wird. <br clear=\"none\"/>"
            }
          ],
          "relationship": 
          [
            {
              "type": "SPEC",
              "ref": "2.16.840.1.113883.2.6.60.3.2.3.20094",
              "flexibility": "2017-01-09T12:28:33",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.3",
              "datasetEffectiveDate": "2015-11-01T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2015.2-b",
              "iType": "item",
              "iEffectiveDate": "2017-01-09T12:28:33",
              "iStatusCode": "final",
              "refdisplay": "aktin-dataelement2015(2)-20094",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Fallnummer"
                }
              ]
            }
          ],
          "valueDomain": 
          [
            {
              "type": "identifier"
            }
          ]
        },
        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.20093",
          "statusCode": "draft",
          "effectiveDate": "2023-11-20T00:00:00",
          "lastModifiedDate": "2023-11-27T17:39:29",
          "type": "item",
          "minimumMultiplicity": "1",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-20093",
          "shortName": "episodennummer",
          "implementation": 
          [
            {
              "shortName": "episodennummer",
              "markdown": "Diese Aufenthalts-Identifikation oder Episodennummer wird bei jedem Kontakt eines Patienten mit einer Notaufnahme neu vergeben. Damit können z.B. bei mehreren ambulanten Kontakten eines Patienten mit einer Notaufnahme, die mit einer ambulanten Fallnummer pro Quartal zusammengefasst werden, die einzelnen Episoden in der Notaufnahme identifiziert werden."
            }
          ],
          "inherit": 
          [
            {
              "ref": "2.16.840.1.113883.2.6.60.3.2.6.20093",
              "effectiveDate": "2018-01-25T00:00:00",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
              "datasetEffectiveDate": "2018-08-17T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2020.1",
              "iType": "item",
              "iStatusCode": "final",
              "iEffectiveDate": "2018-01-25T00:00:00",
              "iVersionLabel": "v2020.1",
              "originalId": "2.16.840.1.113883.2.6.60.3.2.3.20093",
              "originalStatusCode": "final",
              "originalEffectiveDate": "2017-01-09T12:27:56",
              "originalPrefix": "aktin-",
              "iddisplay": "nap-dataelement2020(1)-20093",
              "refdisplay": "nap-dataelement2020(1)-20093",
              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Episodennummer"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Diese Aufenthalts-Identifikation oder Episodennummer wird bei jedem Kontakt eines Patienten mit einer Notaufnahme neu vergeben. Damit können z.B. bei mehreren ambulanten Kontakten eines Patienten mit einer Notaufnahme, die mit einer ambulanten Fallnummer pro Quartal zusammengefasst werden, die einzelnen Episoden in der Notaufnahme identifiziert werden. <br clear=\"none\"/>"
            }
          ],
          "relationship": 
          [
            {
              "type": "SPEC",
              "ref": "2.16.840.1.113883.2.6.60.3.2.3.20093",
              "flexibility": "2017-01-09T12:27:56",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.3",
              "datasetEffectiveDate": "2015-11-01T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2015.2-b",
              "iType": "item",
              "iEffectiveDate": "2017-01-09T12:27:56",
              "iStatusCode": "final",
              "refdisplay": "aktin-dataelement2015(2)-20093",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Episodennummer"
                }
              ]
            }
          ],
          "valueDomain": 
          [
            {
              "type": "identifier"
            }
          ]
        },
        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.10017",
          "effectiveDate": "2023-11-20T00:00:00",
          "statusCode": "draft",
          "lastModifiedDate": "2024-02-14T10:46:29",
          "type": "group",
          "minimumMultiplicity": "1",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-10017",
          "shortName": "zuweisung_zur_notaufnahme",
          "implementation": 
          [
            {
              "shortName": "zuweisung_zur_notaufnahme",
              "markdown": "Zuweisung"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-02-14T10:46:20",
              "#text": "Zuweisung zur Notaufnahme"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-02-14T10:46:20",
              "#text": "Zuweisung"
            }
          ],
          "relationship": 
          [
            {
              "type": "SPEC",
              "ref": "2.16.840.1.113883.2.6.60.3.2.1.10017",
              "flexibility": "2014-09-25T00:00:00",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
              "datasetEffectiveDate": "2014-09-15T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2014.1-b",
              "iType": "group",
              "iEffectiveDate": "2014-09-25T00:00:00",
              "iStatusCode": "final",
              "refdisplay": "aktin-dataelement2014(1)-10017",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Zuweisung"
                }
              ]
            },
            {
              "type": "SPEC",
              "ref": "2.16.840.1.113883.2.6.60.3.2.6.10017",
              "flexibility": "2018-01-25T00:00:00",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
              "datasetEffectiveDate": "2018-08-17T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2020.1",
              "iType": "group",
              "iEffectiveDate": "2018-01-25T00:00:00",
              "iStatusCode": "final",
              "iVersionLabel": "v2020.1",
              "refdisplay": "nap-dataelement2020(1)-10017",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Zuweisung zur Notaufnahme"
                }
              ]
            }
          ],
          "concept": 
          [
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.22",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-02-14T10:46:29",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-22",
              "shortName": "zuweisung",
              "implementation": 
              [
                {
                  "shortName": "zuweisung",
                  "markdown": "Art der Zuweisung des Patienten. Von welchem medizinischen Fachpersonal ist der Patient ins Krankenhaus geschickt worden?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-14T10:46:29",
                  "#text": "Zuweisung"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-14T10:46:29",
                  "#text": "nokeda_referral"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-14T10:46:29",
                  "#text": "Art der Zuweisung des Patienten. Von welchem medizinischen Fachpersonal ist der Patient ins Krankenhaus geschickt worden?"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-14T10:46:29",
                  "#text": "zu 3 = KV-Notfallpraxis am Krankenhaus (Item wird 2014 neu aufgenommen, um in Zukunft die Versorgung durch KV-notfallpraxen auswerten zu können) <br/> zu 4 = KV-Notdienst ausserhalb des Krankenhauses (Item wird neu aufgenommen, um in Zukunft die Versorgung duch KV-Notfallpraxen auswerten zu können) <br/> zu 8 =\n Andere (Item wird neu aufgenommen zur Kontrolle der Datenqualität)"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.2.22",
                  "flexibility": "2014-01-06T16:43:09",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.2",
                  "datasetEffectiveDate": "2015-01-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2015.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-01-06T16:43:09",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2015(1)-22",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Zuweisung"
                    }
                  ]
                },
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.22",
                  "flexibility": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
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              [
                {
                  "language": "de-DE",
                  "#text": "Transport"
                }
              ]
            }
          ],
          "concept": 
          [
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.20139",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-20139",
              "shortName": "transportmittel",
              "implementation": 
              [
                {
                  "shortName": "transportmittel",
                  "markdown": "Mit welchem Transportmittel des Gesundheitswesens wird der Patient in die Notaufnahme transportiert"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20139",
                  "effectiveDate": "2019-01-27T22:48:03",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2019-01-27T22:48:03",
                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-20139",
                  "refdisplay": "nap-dataelement2020(1)-20139",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Transportmittel"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_transport"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "\n <p class=\"MsoNormal\">\n <span style=\"font-size:9.0pt;font-family:&#34;Arial&#34;,&#34;sans-serif&#34;; color:#333333;background:white\">Mit welchem Transportmittel des Gesundheitswesens wird der Patient in die Notaufnahme transportiert</span>\n </p> \n "
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "#text": "Versorgungsforschung, Schlaganfallregister"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "code",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.1",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Bodentransportmittel"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Alle bodengebundenen Transportmittel des Gesundheitswesen (KTW, RTW, ITW, NAW) <br clear=\"none\"/>"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.2",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Lufttransportmittel"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Alle luftgebundenen Transportmittel des Gesundheitswesen (RTH, ITH)"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.3",
                          "exception": "true",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ohne"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "\n <span style=\"font-size: 9pt; font-family: Arial, sans-serif; color: rgb(51, 51, 51); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;\">z. B. selbst gelaufen/gefahren, Taxi etc.</span> \n <br clear=\"none\"/> \n "
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "valueSet": 
              [
                {
                  "id": "1.2.276.0.76.11.41",
                  "name": "transportmethod",
                  "displayName": "Transportmethode",
                  "effectiveDate": "2024-02-14T09:42:48",
                  "statusCode": "draft",
                  "canonicalUri": "http://www.aktin.org/fhir/ValueSet/aktin-vs-transportmethod",
                  "lastModifiedDate": "2024-08-20T19:22:01",
                  "terminologyAssociation": 
                  [
                    {
                      "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.0",
                      "valueSet": "1.2.276.0.76.11.41",
                      "flexibility": "2024-02-14T09:42:48",
                      "effectiveDate": "2024-02-14T09:44:31",
                      "valueSetName": "Transportmethode",
                      "valueSetStatusCode": "draft",
                      "valueSetEffectiveDate": "2024-02-14T09:42:48"
                    }
                  ],
                  "sourceCodeSystem": 
                  [
                    {
                      "id": "2.16.840.1.113883.6.96",
                      "identifierName": "SNOMED Clinical Terms",
                      "canonicalUri": "http://snomed.info/sct",
                      "canonicalUriDSTU2": "http://snomed.info/sct",
                      "canonicalUriSTU3": "http://snomed.info/sct",
                      "canonicalUriR4": "http://snomed.info/sct",
                      "canonicalUriR4B": "http://snomed.info/sct",
                      "canonicalUriR5": "http://snomed.info/sct"
                    }
                  ],
                  "publishingAuthority": 
                  [
                    {
                      "name": "AKTIN e. V.",
                      "inherited": "project",
                      "addrLine": 
                      [
                        "c/o Uniklinik RWTH Aachen",
                        "Institut für Medizinische Informatik",
                        "Pauwelsstraße 35",
                        "52074 Aachen",
                        {
                          "type": "phone",
                          "#text": "Tel. +49 391 67 28186"
                        },
                        {
                          "type": "email",
                          "#text": "office@aktin.org"
                        }
                      ]
                    }
                  ],
                  "copyright": 
                  [
                    {
                      "language": "en-US",
                      "inherited": "true",
                      "#text": "This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org."
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                  ],
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.0",
                      "concept": 
                      [
                        {
                          "localId": "1",
                          "code": "73957001",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Air transport ambulance, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Air transport ambulance, device (physical object)"
                            }
                          ]
                        },
                        {
                          "localId": "2",
                          "code": "44613004",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Ground transport ambulance (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ground transport ambulance (physical object)"
                            }
                          ]
                        },
                        {
                          "localId": "3",
                          "code": "260413007",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "None (qualifier value)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "None (qualifier value)"
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                          ]
                        },
                        {
                          "localId": "4",
                          "code": "74964007",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Other (qualifier value)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Other (qualifier value)"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.0",
                  "valueSet": "1.2.276.0.76.11.41",
                  "flexibility": "2024-02-14T09:42:48",
                  "effectiveDate": "2024-02-14T09:44:31",
                  "valueSetName": "Transportmethode",
                  "valueSetStatusCode": "draft",
                  "valueSetEffectiveDate": "2024-02-14T09:42:48"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.1",
                  "effectiveDate": "2024-02-14T09:47:33",
                  "transactionId": "2.16.840.1.113883.2.6.60.3.4.60",
                  "transactionEffectiveDate": "2026-03-25T00:00:00",
                  "transactionVersionLabel": "2026",
                  "transactionStatusCode": "draft"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.2",
                  "effectiveDate": "2024-02-14T09:47:31",
                  "transactionId": "2.16.840.1.113883.2.6.60.3.4.60",
                  "transactionEffectiveDate": "2026-03-25T00:00:00",
                  "transactionVersionLabel": "2026",
                  "transactionStatusCode": "draft"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20139.20190127224803.3",
                  "effectiveDate": "2024-02-14T09:47:36",
                  "transactionId": "2.16.840.1.113883.2.6.60.3.4.60",
                  "transactionEffectiveDate": "2026-03-25T00:00:00",
                  "transactionVersionLabel": "2026",
                  "transactionStatusCode": "draft"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.20139",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "424483007",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Transportation details (observable entity)",
                  "effectiveDate": "2024-08-20T21:21:16",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.20140",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-20140",
              "shortName": "medizinische_begleitung",
              "implementation": 
              [
                {
                  "shortName": "medizinische_begleitung",
                  "markdown": "Mit welcher medizinischen Begleitung war das Transportmittel des Gesundheitswesen besetzt"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20140",
                  "effectiveDate": "2019-01-27T22:51:08",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
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                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2019-01-27T22:51:08",
                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-20140",
                  "refdisplay": "nap-dataelement2020(1)-20140",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Medizinische Begleitung"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Mit welcher medizinischen Begleitung war das Transportmittel des Gesundheitswesen besetzt"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "#text": "Schlaganfallregister, Versorgungsforschung,  <span style=\"font-size: 9pt; font-family: Arial, sans-serif; color: rgb(51, 51, 51); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;\">Einschätzung des\n Therapieerfolgs, Risikoabwägung</span>"
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "#text": "Information kann nur erhoben werden, wenn ein Transportmittel des Gesundheitswesen eingesetzt wurde. Ansonsten nicht dokumentierbar."
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "code",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.6.20140.20190127225108.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.20140.20190127225108.2",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "ärztlich begleitet"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.20140.20190127225108.1",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "nicht-ärztlich begleitet"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "valueSet": 
              [
                {
                  "id": "1.2.276.0.76.3.1.195.11.2",
                  "name": "patient-escort",
                  "displayName": "Patientenbegleitung",
                  "effectiveDate": "2024-02-14T11:23:51",
                  "statusCode": "draft",
                  "lastModifiedDate": "2024-08-13T15:38:00",
                  "versionLabel": "2024",
                  "canonicalUri": "http://aktin.org/fhir/ValueSet/aktin-vs-patient-escort",
                  "terminologyAssociation": 
                  [
                    {
                      "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20140.20190127225108.0",
                      "valueSet": "1.2.276.0.76.3.1.195.11.2",
                      "flexibility": "2024-02-14T11:23:51",
                      "effectiveDate": "2024-02-14T11:25:31",
                      "valueSetName": "Patientenbegleitung",
                      "valueSetStatusCode": "draft",
                      "valueSetVersionLabel": "2024",
                      "valueSetEffectiveDate": "2024-02-14T11:23:51"
                    }
                  ],
                  "desc": 
                  [
                    {
                      "language": "en-US",
                      "lastTranslated": "2024-02-14T11:24:06",
                      "#text": "\n <p>Patientenbegleitung</p> \n "
                    }
                  ],
                  "sourceCodeSystem": 
                  [
                    {
                      "id": "2.16.840.1.113883.6.96",
                      "identifierName": "SNOMED Clinical Terms",
                      "canonicalUri": "http://snomed.info/sct",
                      "canonicalUriDSTU2": "http://snomed.info/sct",
                      "canonicalUriSTU3": "http://snomed.info/sct",
                      "canonicalUriR4": "http://snomed.info/sct",
                      "canonicalUriR4B": "http://snomed.info/sct",
                      "canonicalUriR5": "http://snomed.info/sct"
                    }
                  ],
                  "publishingAuthority": 
                  [
                    {
                      "name": "AKTIN e. V.",
                      "inherited": "project",
                      "addrLine": 
                      [
                        "c/o Uniklinik RWTH Aachen",
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                          "type": "phone",
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                        },
                        {
                          "type": "email",
                          "#text": "office@aktin.org"
                        }
                      ]
                    }
                  ],
                  "copyright": 
                  [
                    {
                      "language": "en-US",
                      "inherited": "true",
                      "#text": "This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org."
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                  ],
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.6.20140.20190127225108.0",
                      "concept": 
                      [
                        {
                          "localId": "1",
                          "code": "715933006",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Provision of medical patient escort (procedure)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "ärztlich begleitet"
                            }
                          ]
                        },
                        {
                          "localId": "2",
                          "code": "1156336002",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Escorting subject of care (procedure)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "nicht-ärztlich begleitet"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20140.20190127225108.0",
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                  "valueSetName": "Patientenbegleitung",
                  "valueSetStatusCode": "draft",
                  "valueSetVersionLabel": "2024",
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                },
                {
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                  "code": "1156336002",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Escorting subject of care (procedure)",
                  "effectiveDate": "2024-02-14T11:25:38",
                  "codeSystemName": "SNOMED Clinical Terms"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20140.20190127225108.2",
                  "code": "715933006",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Provision of medical patient escort (procedure)",
                  "effectiveDate": "2024-02-14T11:25:36",
                  "codeSystemName": "SNOMED Clinical Terms"
                },
                {
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                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "424483007",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Transportation details (observable entity)",
                  "effectiveDate": "2024-08-20T21:34:47",
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    },
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      "effectiveDate": "2023-11-20T00:00:00",
      "statusCode": "draft",
      "lastModifiedDate": "2026-08-27T10:08:11",
      "type": "group",
      "minimumMultiplicity": "0",
      "maximumMultiplicity": "1",
      "conformance": "R",
      "isMandatory": "false",
      "iddisplay": "notfdok-dataelement2025-10029",
      "shortName": "ersteinschatzung",
      "implementation": 
      [
        {
          "shortName": "ersteinschatzung",
          "markdown": "Ersteinschätzung"
        }
      ],
      "name": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2024-07-22T14:58:22",
          "#text": "Ersteinschätzung"
        }
      ],
      "desc": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2024-07-22T14:58:22",
          "#text": "Ersteinschätzung"
        }
      ],
      "comment": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2024-07-22T14:58:22",
          "#text": "Wenn keine Ersteinschätzung vorhanden und die Zeit zwischen administrativer Aufnahme und erstem Arztkonakt bis zu 10 min beträgt, dann ist von einem direkten Arztkontakt auszugehen."
        }
      ],
      "relationship": 
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          "ref": "2.16.840.1.113883.2.6.60.3.2.1.10029",
          "flexibility": "2014-09-25T00:00:00",
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          "datasetEffectiveDate": "2014-09-15T00:00:00",
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          "datasetVersionLabel": "v2014.1-b",
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          "iEffectiveDate": "2014-09-25T00:00:00",
          "iStatusCode": "final",
          "refdisplay": "aktin-dataelement2014(1)-10029",
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Ersteinschätzung"
            }
          ]
        },
        {
          "type": "SPEC",
          "ref": "2.16.840.1.113883.2.6.60.3.2.6.10029",
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          "datasetEffectiveDate": "2018-08-17T00:00:00",
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          "datasetVersionLabel": "v2020.1",
          "iType": "group",
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          "iStatusCode": "final",
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          "name": 
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                              "language": "de-DE",
                              "lastTranslated": "2024-07-22T14:58:41",
                              "#text": "blau"
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                          "designation": 
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                              "displayName": "nicht dringend - blau - 120 Minuten",
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                              "language": "de-DE"
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                  "publishingAuthority": 
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                          [
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                              "language": "de-DE",
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                              "#text": "rot"
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                              "lastTranslated": "2024-07-22T14:58:41",
                              "#text": "orange"
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                              "#text": "gelb"
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                  "code": "4",
                  "codeSystem": "1.2.276.0.76.5.437",
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              ],
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              ],
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                  "language": "de-DE",
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                }
              ],
              "operationalization": 
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                {
                  "language": "de-DE",
                  "#text": "Automatische Befüllung aus EDIS, keine Benutzereingabe"
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              "valueSet": 
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                  "sourceCodeSystem": 
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                  "copyright": 
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                              "name": 
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                            {
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                              "name": 
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                                  "language": "de-DE",
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                                  "language": "de-DE",
                                  "#text": "Herzklopfen"
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                                  "language": "de-DE",
                                  "#text": "Hinkendes Kind"
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                              "name": 
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                                {
                                  "language": "de-DE",
                                  "#text": "Irritiertes (auffälliges) Kind"
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                              ]
                            },
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21074.20190816144606.27",
                              "name": 
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                                {
                                  "language": "de-DE",
                                  "#text": "Körperstammverletzung"
                                }
                              ]
                            },
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21074.20190816144606.34",
                              "name": 
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                                {
                                  "language": "de-DE",
                                  "#text": "Kollabierter Erwachsener"
                                }
                              ]
                            },
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21074.20190816144606.33",
                              "name": 
                              [
                                {
                                  "language": "de-DE",
                                  "#text": "Kopfschmerz"
                                }
                              ]
                            },
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21074.20190816144606.32",
                              "name": 
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                                  "language": "de-DE",
                                  "#text": "Kopfverletzung"
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                              "name": 
                              [
                                {
                                  "language": "de-DE",
                                  "#text": "Krampfanfall"
                                }
                              ]
                            },
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21074.20190816144606.30",
                              "name": 
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                                {
                                  "language": "de-DE",
                                  "#text": "Nackenschmerz"
                                }
                              ]
                            },
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21074.20190816144606.29",
                              "name": 
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                                  "language": "de-DE",
                                  "#text": "Ohrenprobleme"
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                            },
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                              "name": 
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                                {
                                  "language": "de-DE",
                                  "#text": "Psychiatrische Erkrankung"
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                              ]
                            },
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21074.20190816144606.43",
                              "name": 
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                                  "#text": "Rückenschmerz"
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                              "name": 
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                                  "#text": "Schreiendes Baby"
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                              "name": 
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                                  "language": "de-DE",
                                  "#text": "Schwangerschaftsproblem"
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                              "name": 
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                                  "language": "de-DE",
                                  "#text": "Schweres Trauma"
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                            },
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                                  "#text": "Selbstverletzung"
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                            },
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                              "name": 
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                                {
                                  "language": "de-DE",
                                  "#text": "Sexuell erworbene Infektion"
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                      "valueSetEffectiveDate": "2024-02-11T21:23:38"
                    },
                    {
                      "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21074",
                      "conceptFlexibility": "2023-11-20T00:00:00",
                      "code": "SCTPOCC-1269489004",
                      "codeSystem": "1.2.276.0.76.3.1.195.5.99",
                      "displayName": "MTS-Präsentationsdiagramm",
                      "effectiveDate": "2024-07-22T18:31:38",
                      "codeSystemName": "SNOMED-CT Postkoordinierte Terme"
                    }
                  ]
                },
                {
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                  "effectiveDate": "2023-11-20T00:00:00",
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                  "type": "group",
                  "minimumMultiplicity": "0",
                  "maximumMultiplicity": "1",
                  "conformance": "R",
                  "isMandatory": "false",
                  "iddisplay": "notfdok-dataelement2025-22156",
                  "shortName": "mtsindikator",
                  "implementation": 
                  [
                    {
                      "shortName": "mtsindikator",
                      "markdown": "Optional. Pflichtangabe bei der Verwendung von MTS. Angegeben wird der Triage-Gruppe bestimmende Indikator."
                    }
                  ],
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2026-08-27T10:06:24",
                      "#text": "MTS-Indikator"
                    }
                  ],
                  "synonym": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2026-08-27T10:06:24",
                      "#text": "Verwendeter Indikator"
                    },
                    {
                      "language": "de-DE",
                      "lastTranslated": "2026-08-27T10:06:24",
                      "#text": "nokeda_mts_indicator"
                    }
                  ],
                  "desc": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2026-08-27T10:06:24",
                      "#text": "Optional. Pflichtangabe bei der Verwendung von MTS. Angegeben wird der Triage-Gruppe bestimmende Indikator."
                    }
                  ],
                  "rationale": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2026-08-27T10:06:24",
                      "#text": "Medizinische Dokumentation. <br clear=\"none\"/> Evaluierung der Ersteinschätzung."
                    }
                  ],
                  "relationship": 
                  [
                    {
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                      "iVersionLabel": "v2020.1",
                      "refdisplay": "aktin-dataelement-20156",
                      "name": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "MTS-Indikator"
                        }
                      ]
                    }
                  ],
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                      "type": "item",
                      "minimumMultiplicity": "0",
                      "maximumMultiplicity": "1",
                      "conformance": "R",
                      "isMandatory": "false",
                      "iddisplay": "notfdok-dataelement2025-21047",
                      "shortName": "mtsindikatoren_rot",
                      "implementation": 
                      [
                        {
                          "shortName": "mtsindikatoren_rot",
                          "markdown": ""
                        }
                      ],
                      "inherit": 
                      [
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                          "effectiveDate": "2019-08-14T18:23:35",
                          "prefix": "aktin-",
                          "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
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                          "datasetStatusCode": "final",
                          "datasetVersionLabel": "v2020.1",
                          "iType": "item",
                          "iStatusCode": "final",
                          "iEffectiveDate": "2019-08-14T18:23:35",
                          "iVersionLabel": "v2020.1",
                          "iddisplay": "nap-dataelement2020(1)-21047",
                          "refdisplay": "nap-dataelement2020(1)-21047",
                          "localInherit": "true"
                        }
                      ],
                      "name": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "MTS-Indikatoren ROT"
                        }
                      ],
                      "desc": 
                      [
                        {
                          "language": "de-DE"
                        }
                      ],
                      "valueDomain": 
                      [
                        {
                          "type": "code",
                          "conceptList": 
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                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.0",
                              "concept": 
                              [
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.2",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "A-Problem"
                                    }
                                  ],
                                  "synonym": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Gefährdeter Atemweg"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.3",
                                  "name": 
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                                    {
                                      "language": "de-DE",
                                      "#text": "B-Problem"
                                    }
                                  ],
                                  "synonym": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Unzureichende Atmung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.1",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "C-Problem"
                                    }
                                  ],
                                  "synonym": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Schock"
                                    },
                                    {
                                      "language": "de-DE",
                                      "#text": "Lebensbedrohliche Blutung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.8",
                                  "name": 
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                                      "language": "de-DE",
                                      "#text": "Akute Augenverletzung mit Chemikalien"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.9",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Anhaltender Krampfanfall"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.7",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Hypoglykämie"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.10",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Nabelschnurvorfall"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.5",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Nicht ansprechbares Kind"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.11",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Sichtbare Körperteile des Föten"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.6",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Speichelfluss"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21047.20190814182335.4",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Stridor"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ],
                      "valueSet": 
                      [
                        {
                          "id": "1.2.276.0.76.3.1.195.11.13",
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                          "displayName": "MTS-Indikatoren ROT",
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                          "statusCode": "draft",
                          "versionLabel": "2024",
                          "canonicalUri": "http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-red",
                          "lastModifiedDate": "2024-07-22T16:51:10",
                          "terminologyAssociation": 
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                              "canonicalUriDSTU2": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "canonicalUriSTU3": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "canonicalUriR4": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "canonicalUriR4B": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "canonicalUriR5": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "context": "projects/aktin-/mts-indicators-1.2.276.0.76.3.1.195.5.102"
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                          ],
                          "publishingAuthority": 
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                            {
                              "name": "AKTIN e. V.",
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                              "addrLine": 
                              [
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                                "Pauwelsstraße 35",
                                "52074 Aachen",
                                {
                                  "type": "phone",
                                  "#text": "Tel. +49 391 67 28186"
                                },
                                {
                                  "type": "email",
                                  "#text": "office@aktin.org"
                                }
                              ]
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                          ],
                          "conceptList": 
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                              "include": 
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                                      "#text": "red"
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                      ],
                      "terminologyAssociation": 
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                          "valueSetStatusCode": "draft",
                          "valueSetVersionLabel": "2024",
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                          "code": "SCTPOCC-49499008",
                          "codeSystem": "1.2.276.0.76.3.1.195.5.99",
                          "displayName": "MTS-Indikatoren ROT",
                          "effectiveDate": "2024-07-22T18:31:38",
                          "codeSystemName": "SNOMED-CT Postkoordinierte Terme"
                        }
                      ]
                    },
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.9.21048",
                      "effectiveDate": "2023-11-20T00:00:00",
                      "statusCode": "draft",
                      "lastModifiedDate": "2026-08-27T10:08:11",
                      "type": "item",
                      "minimumMultiplicity": "0",
                      "maximumMultiplicity": "1",
                      "conformance": "R",
                      "isMandatory": "false",
                      "iddisplay": "notfdok-dataelement2025-21048",
                      "shortName": "mtsindikatoren_orange",
                      "implementation": 
                      [
                        {
                          "shortName": "mtsindikatoren_orange"
                        }
                      ],
                      "name": 
                      [
                        {
                          "language": "de-DE",
                          "lastTranslated": "2026-08-27T10:07:15",
                          "#text": "MTS-Indikatoren ORANGE"
                        }
                      ],
                      "desc": 
                      [
                        {
                          "language": "de-DE"
                        }
                      ],
                      "relationship": 
                      [
                        {
                          "type": "SPEC",
                          "ref": "2.16.840.1.113883.2.6.60.3.2.6.21048",
                          "flexibility": "2019-08-14T18:37:14",
                          "prefix": "aktin-",
                          "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                          "datasetEffectiveDate": "2018-08-17T00:00:00",
                          "datasetStatusCode": "final",
                          "datasetVersionLabel": "v2020.1",
                          "iType": "item",
                          "iEffectiveDate": "2019-08-14T18:37:14",
                          "iStatusCode": "final",
                          "iVersionLabel": "v2020.1",
                          "refdisplay": "nap-dataelement2020(1)-21048",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "MTS-Indikatoren ORANGE"
                            }
                          ]
                        }
                      ],
                      "valueDomain": 
                      [
                        {
                          "type": "code",
                          "conceptList": 
                          [
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0",
                              "concept": 
                              [
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.1",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Abruptes Einsetzen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.2",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Akute Atemnot? Sehr niedrige SpO2"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.3",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Akuter frisch- oder altblutiger Stuhlgang"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.4",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Akuter vollständiger Visusverlust"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.5",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Akutes Einsetzen nach einer Verletzung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.6",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Akutes neurologisches Defizit"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.7",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Auffällige Allergie-Anamnese"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.8",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Auffällige Anamnese mit GI-Blutungen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.9",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Auffällige respiratorische Anamnese"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.10",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Auffälliger Verletzungsmechanismus"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.11",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Besonderes Infektionsrisiko"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.12",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Erbrechen von Blut"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.13",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Erhöhte Atemarbeit"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.14",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Erschöpfungszustand"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.15",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Gefährdete Durchblutung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.16",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Gesichtsödem"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.17",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Hervortreten von Organen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.18",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Kann nicht in ganzen Sätzen sprechen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.19",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Kardialer Schmerz"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.20",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Keine Reaktion auf die Eltern"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.21",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Kritischer Hautzustand"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.22",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Meningismuszeichen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.23",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Nicht verblassender Ausschlag"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.24",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Penetrationstrauma des Auges"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.25",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Priapismus"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.26",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Purpura"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.27",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Reagiert nur auf Stimme oder Schmerz"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.28",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Schlaffes Kind"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.29",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Sehr heiß"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.30",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Sehr niedriger Peakflow"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.31",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Starker vaginaler Blutverlust"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.32",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Stärkster Schmerz"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.33",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Subcutane Gasansammlung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.34",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Unnormaler Puls"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.35",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Unstillbare große Blutung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.36",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Unterkühlt"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.37",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Vaginaler Blutverlust in der zweiten Schwangerschaftshälfte"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.38",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Veränderter Bewusstseinszustand"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.9.21048.20231120000000.0.39",
                                  "exception": "false",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "lastTranslated": "2026-08-27T10:07:15",
                                      "#text": "Zungenödem"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
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                              "canonicalUriDSTU2": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "canonicalUriSTU3": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "canonicalUriR4": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "canonicalUriR4B": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
                              "canonicalUriR5": "http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators",
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                          "publishingAuthority": 
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                              "name": "AKTIN e. V.",
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                              "addrLine": 
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                                "Pauwelsstraße 35",
                                "52074 Aachen",
                                {
                                  "type": "phone",
                                  "#text": "Tel. +49 391 67 28186"
                                },
                                {
                                  "type": "email",
                                  "#text": "office@aktin.org"
                                }
                              ]
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                          ],
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                      "statusCode": "draft",
                      "effectiveDate": "2023-11-20T00:00:00",
                      "lastModifiedDate": "2023-11-27T17:39:29",
                      "type": "item",
                      "minimumMultiplicity": "0",
                      "maximumMultiplicity": "1",
                      "conformance": "R",
                      "isMandatory": "false",
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                      "shortName": "mtsindikatoren_gelb",
                      "implementation": 
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                          "shortName": "mtsindikatoren_gelb",
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                          "prefix": "aktin-",
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                          "datasetVersionLabel": "v2020.1",
                          "iType": "item",
                          "iStatusCode": "final",
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                          "localInherit": "true"
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                          "#text": "MTS-Indikatoren GELB"
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                      "desc": 
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                          "language": "de-DE"
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                      ],
                      "valueDomain": 
                      [
                        {
                          "type": "code",
                          "conceptList": 
                          [
                            {
                              "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.0",
                              "concept": 
                              [
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.10",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Anhaltendes Erbrechen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.9",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Abdominalschmerz"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.8",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Anzeichen der Dehydratation"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.7",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Auffällige hämatologische Anamnese"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.6",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Auffällige kardiale Anamnese"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.5",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Bekannte Immunsuppression"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.4",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Bericht über akutes Erbrechen von Blut"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.3",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Bericht über Bewustlosigkeit"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.2",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Bericht über jüngeren Auslandsaufenthalt"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.1",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Blutauflagerungen im Stuhl"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.18",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Blutungsneigung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.17",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Dysurie"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.16",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Empfindliche Kopfhaut"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.15",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Frisches neurologisches Defizit"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.14",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Grobe Fehlstellung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.13",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Großflächige Absonderung oder Bläschenbildungen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.12",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Harnverhalt"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.11",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Heiß"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.22",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Hervortreten von Organen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.21",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Hodenschmerz"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.20",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Hoher Blutdruck"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.19",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Jünger reduzierte Sehschärfe"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.25",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Keine Urinausscheidung"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.24",
                                  "name": 
                                  [
                                    {
                                      "language": "de-DE",
                                      "#text": "Kolikartige Schmerzen"
                                    }
                                  ]
                                },
                                {
                                  "id": "2.16.840.1.113883.2.6.60.3.2.6.21049.20190814203105.23",
                                  "name": 
                                  [
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                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-21073",
                  "refdisplay": "nap-dataelement2020(1)-21073",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "ESI-Triage"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_esi"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "code",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.1",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "sofortige lebensrettende Maßnahme notwendig"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rot"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.2",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hochrisikosituation"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orange"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.13",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verwirrt"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orange"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.15",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "lethargisch"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orange"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.14",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "desorientiert"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orange"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.12",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Starke Schmerzen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orange"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.17",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Starkes Unwohlsein"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orange"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.16",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "großes kindliches Leid"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orange"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.11",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "mehr als eine Ressource benötigt "
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.10",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Vitalzeichen in der Gefahrenzone"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orange"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.9",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Vitalzeichen nicht in der Gefahrenzone"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gelb"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.4",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "eine Ressource benötigt"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Grün"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21073.20190815124438.8",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "keine Ressourcen benötigt"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Blau"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21073",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "75636-1",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Emergency severity index [ESI]",
                  "effectiveDate": "2024-07-19T18:50:54",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21073",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "1255873000",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Emergency Severity Index score (observable entity)",
                  "effectiveDate": "2024-07-22T17:23:14",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id": "2.16.840.1.113883.2.6.60.3.2.9.10030",
      "effectiveDate": "2023-11-20T00:00:00",
      "statusCode": "draft",
      "lastModifiedDate": "2025-05-26T18:16:05",
      "type": "group",
      "minimumMultiplicity": "1",
      "maximumMultiplicity": "1",
      "conformance": "R",
      "isMandatory": "false",
      "iddisplay": "notfdok-dataelement2025-10030",
      "shortName": "notfallanamnese",
      "implementation": 
      [
        {
          "shortName": "notfallanamnese",
          "markdown": "Notfallanamnese"
        }
      ],
      "name": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2023-12-28T14:43:09",
          "#text": "Notfallanamnese"
        }
      ],
      "desc": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2023-12-28T14:43:09",
          "#text": "Notfallanamnese"
        }
      ],
      "relationship": 
      [
        {
          "type": "SPEC",
          "ref": "2.16.840.1.113883.2.6.60.3.2.3.10030",
          "flexibility": "2015-11-01T00:00:00",
          "prefix": "aktin-",
          "datasetId": "2.16.840.1.113883.2.6.60.3.1.3",
          "datasetEffectiveDate": "2015-11-01T00:00:00",
          "datasetStatusCode": "final",
          "datasetVersionLabel": "v2015.2-b",
          "iType": "group",
          "iEffectiveDate": "2015-11-01T00:00:00",
          "iStatusCode": "final",
          "refdisplay": "aktin-dataelement2015(2)-10030",
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Notfallanamnese"
            }
          ]
        },
        {
          "type": "SPEC",
          "ref": "2.16.840.1.113883.2.6.60.3.2.6.10030",
          "flexibility": "2018-01-25T00:00:00",
          "prefix": "aktin-",
          "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
          "datasetEffectiveDate": "2018-08-17T00:00:00",
          "datasetStatusCode": "final",
          "datasetVersionLabel": "v2020.1",
          "iType": "group",
          "iEffectiveDate": "2018-01-25T00:00:00",
          "iStatusCode": "final",
          "iVersionLabel": "v2020.1",
          "refdisplay": "nap-dataelement2020(1)-10030",
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Notfallanamnese"
            }
          ]
        }
      ],
      "concept": 
      [
        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.10034",
          "statusCode": "draft",
          "effectiveDate": "2023-11-20T00:00:00",
          "lastModifiedDate": "2023-11-27T17:39:29",
          "type": "group",
          "minimumMultiplicity": "1",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-10034",
          "shortName": "beschwerden_bei_vorstellung",
          "implementation": 
          [
            {
              "shortName": "beschwerden_bei_vorstellung",
              "markdown": "Beschwerden, die den Patienten in die Notaufnahme geführt haben aus der Sicht des Patient\n\nUrsprünglich bis 29.09.2017:Beschwerden, die der Patient bei der Vorstellung in der Notaufnahme vorbringt, synonym Grund der Vorstellung."
            }
          ],
          "inherit": 
          [
            {
              "ref": "2.16.840.1.113883.2.6.60.3.2.6.10034",
              "effectiveDate": "2018-01-25T00:00:00",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
              "datasetEffectiveDate": "2018-08-17T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2020.1",
              "iType": "group",
              "iStatusCode": "final",
              "iEffectiveDate": "2018-01-25T00:00:00",
              "iVersionLabel": "v2020.1",
              "iddisplay": "nap-dataelement2020(1)-10034",
              "refdisplay": "nap-dataelement2020(1)-10034",
              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Beschwerden bei Vorstellung"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "\n <span class=\"xforms-group xforms-visited\" id=\"xf-761\">\n <span class=\"xforms-group xforms-visited\" id=\"xf-818\">Beschwerden, die den Patienten in die Notaufnahme geführt haben aus der Sicht des Patient<br clear=\"none\"/><br clear=\"none\"/>Ursprünglich bis 29.09.2017: </span>\n </span> \n <span class=\"xforms-group xforms-visited\" id=\"xf-761\">\n <span class=\"xforms-group xforms-visited\" id=\"xf-818\">Beschwerden, die der Patient bei der Vorstellung in der Notaufnahme vorbringt, synonym Grund der Vorstellung.<br clear=\"none\"/></span>\n </span> \n "
            }
          ],
          "source": 
          [
            {
              "language": "de-DE",
              "#text": "Patient"
            }
          ],
          "comment": 
          [
            {
              "language": "de-DE",
              "#text": "Die wissenschaftliche Frage ob ärztliche und nicht-ärztliche Erhebung des Vorstellungsgrundes unterschiedlich ist, kann nur durch Erhebung von zwei Datenpunkten bei einem Patienten erhoben werden. Eine zweite Erhebung durch einen Arzt könnte in der Diskussion am 29.09.2017 in Studiensettings (Behringer, Somasundaram, Wrede) sinnvoll, soll aber zunächst\n nicht aufgenommen. <br clear=\"none\"/>"
            }
          ],
          "relationship": 
          [
            {
              "type": "SPEC",
              "ref": "2.16.840.1.113883.2.6.60.3.2.3.10034",
              "flexibility": "2015-11-01T00:00:00",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.3",
              "datasetEffectiveDate": "2015-11-01T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2015.2-b",
              "iType": "group",
              "iEffectiveDate": "2015-11-01T00:00:00",
              "iStatusCode": "final",
              "refdisplay": "aktin-dataelement2015(2)-10034",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Beschwerden bei Vorstellung"
                }
              ]
            }
          ],
          "concept": 
          [
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.36",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-36",
              "shortName": "beschwerden_bei_vorstellung_freitext",
              "implementation": 
              [
                {
                  "shortName": "beschwerden_bei_vorstellung_freitext",
                  "markdown": "Beschwerden, die der Patient bei der Vorstellung in der Notaufnahme vorbringt, synonym Grund der Vorstellung."
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.36",
                  "effectiveDate": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-36",
                  "refdisplay": "nap-dataelement2020(1)-36",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Beschwerden bei Vorstellung (Freitext)"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Beschwerden, die der Patient bei der Vorstellung in der Notaufnahme vorbringt, synonym Grund der Vorstellung."
                }
              ],
              "source": 
              [
                {
                  "language": "de-DE",
                  "#text": "Patient"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "#text": "Konsens der (anwensenden) Sektionsmitglieder: Es soll ein Freitext-Feld geben, damit exakte Informationen über den Zustand des Patienten weitergegeben werden können. Zusätzlich soll ein Feld mit einem kodierten Wert (nach CEDIS) einfügt werden, um ein auswertbares Feld zu bekommen. Dieses soll auch in ein Register übermittelt werden, wobei hierbei\n auch die Information \"nicht erhoben\" oder \"nicht ausgefüllt\" bzw. \"sonstige\" zugelassen wird."
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.1.36",
                  "flexibility": "2014-01-06T16:43:10",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
                  "datasetEffectiveDate": "2014-09-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2014.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-01-06T16:43:10",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-36",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Beschwerden bei Vorstellung (Freitext)"
                    }
                  ]
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "string"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.805",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-805",
              "shortName": "beschwerden_bei_vorstellung_cedis",
              "implementation": 
              [
                {
                  "shortName": "beschwerden_bei_vorstellung_cedis",
                  "markdown": "Die Beschwerden, die der Patient bei der Vorstellung in der Notaufnahme nach dem Katalog CEDIS vorbringt. \nVersion CEDIS-PCL Version 5.1"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.805",
                  "effectiveDate": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-805",
                  "refdisplay": "nap-dataelement2020(1)-805",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Beschwerden bei Vorstellung (CEDIS)"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_cedis"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Die Beschwerden, die der Patient bei der Vorstellung in der Notaufnahme nach dem Katalog CEDIS vorbringt.  <br clear=\"none\"/> Version CEDIS-PCL Version 5.1"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.1.805",
                  "flexibility": "2014-07-05T09:25:53",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
                  "datasetEffectiveDate": "2014-09-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2014.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-07-05T09:25:53",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-805",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Beschwerden bei Vorstellung (CEDIS)"
                    }
                  ]
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "code",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.25",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kardiovaskulär"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "001-050"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.24",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Herzstillstand (nicht traumatisch)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "001"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.23",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Herzstillstand (traumatisch)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "002"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.22",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Brustschmerz (kardial)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "003"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.21",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Brustschmerz (nicht kardial)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "004"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.20",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Palpitationen/unregelmäßiger Herzschlag"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "005"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.19",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hypertonie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "006"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.18",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Allgemeine Schwäche"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "007"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.17",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Synkope/Präsynkope"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "008"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.16",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ödem, generalisiert"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "009"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.15",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Beinschwellung/Ödem"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "010"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.14",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kühle, pulslose Extremität"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "011"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.13",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Eine Extremität gerötet, überwärmt"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "012"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.12",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "HNO (Ohren)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "051-100"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.11",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ohrenschmerzen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "051"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.10",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper im Ohr"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "052"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.9",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hörverlust"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "053"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.8",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Tinnitus"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "054"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.7",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ausfluss aus dem Ohr"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "055"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.6",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ohrverletzung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "056"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.5",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "HNO (Mund, Rachen, Hals)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "101-150"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.4",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Zahn-/Zahnfleischprobleme"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "101"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.3",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma Gesicht"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "102"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.2",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Halsschmerzen (wunder Rachen)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "103"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.1",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Halsschwellung/-schmerzen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "104"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.56",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma Hals"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "105"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.55",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schluckbeschwerden/Dysphagie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "106"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.54",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schmerzen im Gesicht (nicht traumatisch, nicht dental)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "107"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.53",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "HNO (Nase)"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "151-200"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.52",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Nasenbluten"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "151"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.51",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verstopfte Nase/Heuschnupfen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "152"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.50",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper in der Nase"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "153"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.49",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Beschwerden eines Infektes der oberen Luftwege"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "154"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.48",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma Nase"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "155"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.47",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Umweltbedingt"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "201-250"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.46",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Erfrierung/Kälteverletzung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "201"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.45",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schädliche Inhalation"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "202"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.44",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Stromunfall"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "203"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.43",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Exposition gegenüber Chemikalien"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "204"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.42",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Unterkühlung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "205"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.41",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ertrinkungsunfall"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "206"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.40",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hitzebedingte Beschwerden"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "207"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.39",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gastrointestinal"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "251-300"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.38",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Bauchschmerzen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "251"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.37",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Appetitlosigkeit"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "252"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.36",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verstopfung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "253"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.35",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Durchfall"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "254"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.34",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper im Rektum"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "255"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.33",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Leistenschmerzen/-schwellung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "256"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.32",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Übelkeit und/oder Erbrechen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "257"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.31",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rektale/perineale Schmerzen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "258"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.30",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Bluterbrechen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "259"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.29",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Peranaler Blutabgang/Teerstuhl"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "260"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.28",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ikterus"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "261"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.27",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schluckauf"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "262"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.26",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Abdominelle Raumforderung/gespanntes Abdomen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "263"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.79",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma anal/rektal"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "264"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.78",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper oral/ösophageal"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "265"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.77",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trinkstörung des Neugeborenen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "266"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.76",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Neugeborenenikterus"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "267"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.75",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Urogenital"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "301-350"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.74",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Flankenschmerz"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "301"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.73",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hämaturie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "302"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.72",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Genitaler Ausfluss/Läsion"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "303"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.71",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Penisschwellung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "304"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.70",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Skrotale Schmerzen und/oder Schwellung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "305"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.69",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Harnverhalt"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "306"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.68",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Beschwerden eines Harnwegsinfektes"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "307"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.67",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Oligurie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "308"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.66",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Polyurie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "309"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.65",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma genital"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "310"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.64",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Psychische Verfassung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "351-400"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.63",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Depression/Suizidalität/absichtliche Selbstschädigung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "351"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.62",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Angst/situationsbezogene Krise"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "352"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.61",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Halluzinationen/Wahnvorstellungen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "353"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.60",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schlafstörung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "354"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.59",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gewalttätiges Verhalten/Fremdgefährdung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "355"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.58",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Soziales Problem"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "356"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.57",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sonderbares Verhalten"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "358"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.105",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sorge um das Wohlergehen des Patienten"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "359"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.104",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kindliche Verhaltensauffälligkeit"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "360"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.103",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Neurologisch"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "401-450"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.102",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Veränderter Bewußtseinszustand"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "401"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.101",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verwirrtheit"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "402"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.100",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwindel"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "403"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.99",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kopfschmerz"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "404"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.98",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Krampfanfall"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "405"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.97",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gangstörung/Ataxie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "406"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.96",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kopfverletzung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "407"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.95",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Zittern"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "408"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.94",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwäche in den Extremitäten/Symptome eines Schlaganfalls"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "409"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.93",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sensibilitätsstörung/Parästhesie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "410"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.92",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schlaffes Kind"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "411"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.91",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Geburtshilfe/Gynäkologie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "451-500"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.90",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Menstruationsbeschwerden"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "451"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.89",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper in der Vagina"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "452"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.88",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Vaginaler Ausfluss"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "453"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.87",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sexueller Übergriff"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "454"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.86",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Vaginale Blutung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "455"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.85",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schamlippenschwellung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "456"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.84",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwangerschaftsprobleme ≤ 20. SSW"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "457"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.83",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwangerschaftsprobleme > 20. SSW"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "458"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.82",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Vaginale Schmerzen/Schmerzen beim Geschlechtsverkehr"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "460"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.81",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Postpartale Beschwerden"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "461"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.80",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Augenheilkunde"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "501-550"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.141",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Exposition des Auges gegenüber Chemikalien"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "502"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.140",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper im Auge"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "503"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.139",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sehstörung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "504"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.138",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Augenschmerzen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "505"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.137",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rotes Auge, Ausfluss aus dem Auge"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "506"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.136",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Lichtscheu"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "507"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.135",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Doppelbilder"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "508"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.134",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Periorbitale Schwellung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "509"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.133",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma Auge"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "510"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.132",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kontrolluntersuchung der Augen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "511"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.131",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orthopädisch/Unfall-chirurgisch"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "551-600"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.130",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rückenschmerzen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "551"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.129",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Traumatische Rücken-/Wirbelsäulenverletzung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "552"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.128",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Amputation"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "553"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.127",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schmerzen obere Extremität"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "554"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.126",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schmerzen untere Extremität"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "555"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.125",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verletzung obere Extremität"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "556"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.124",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verletzung untere Extremität"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "557"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.123",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gelenkschwellung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "558"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.122",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kindliche Gangstörung/Schmerzen beim Gehen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "559"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.121",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gipskontrolle"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "560"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.120",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Respiratorisch"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "651-700"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.119",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Luftnot"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "651"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.118",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Atemstillstand"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "652"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.117",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Husten/Verschleimung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "653"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.116",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hyperventilation"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "654"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.115",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Bluthusten"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "655"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.114",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper in den Atemwegen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "656"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.113",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Allergische Reaktion"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "657"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.112",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Stridor"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "658"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.111",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Giemen ohne weitere Beschwerden"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "659"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.110",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Apnoeanfälle bei Säuglingen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "660"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.109",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Haut"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "701-750"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.108",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Biss"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "701"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.107",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Insektenstich"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "702"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.106",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Abschürfung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "703"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.165",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Riss-/Quetsch-/Schnitt-/Stichwunde"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "704"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.164",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verbrennung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "705"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.163",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kontakt mit Blut oder Körperflüssigkeiten"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "706"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.162",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Juckreiz"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "707"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.161",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hautausschlag"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "708"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.160",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Lokalisierte Schwellung/Rötung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "709"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.159",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Wundkontrolle"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "710"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.158",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sonstige Hautprobleme"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "711"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.157",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwellung/Beule/Schwiele"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "712"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.156",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rötung/Spannungsgefühl in der Brust"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "713"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.155",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ausschluß eines Parasitenbefalls"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "714"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.154",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Zyanose"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "715"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.153",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Spontane Hauteinblutungen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "716"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.152",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper in der Haut"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "717"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.151",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Entfernung von Klammern/Nähten"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "719"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.150",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Substanzmissbrauch"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "751-800"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.149",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Substanzmissbrauch/Intoxikation"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "751"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.148",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Einnahme einer Überdosierung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "752"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.147",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Substanzentzug"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "753"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.146",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "801-850"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.145",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Polytrauma - penetrierend"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "801"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.144",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Polytrauma - stumpf"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "802"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.143",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Isoliertes Thoraxtrauma - penetrierend"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "803"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.142",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Isoliertes Thoraxtrauma - stumpf"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "804"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.183",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Isoliertes Abdominaltrauma - penetrierend"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "805"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.182",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Isoliertes Abdominaltrauma - stumpf"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "806"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.181",
                          "level": "0",
                          "type": "A",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Allgemeine und sonstige Beschwerden"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "851-900"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.180",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Exposition gegenüber einer übertragbaren Krankheit"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "851"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.179",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fieber"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "852"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.178",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hyperglykämie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "853"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.177",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hypoglykämie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "854"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.176",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Direkte Überweisung/Weiterleitung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "855"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.175",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verbandswechsel"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "856"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.174",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Bildgebung/Blutuntersuchung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "859"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.173",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Problem mit Medizinprodukt"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "860"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.172",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verschreibung/Bedarf an Medikamenten"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "861"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.171",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Entfernung Ring"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "862"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.170",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Auffällige Ergebnisse Labor/Bildgebung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "863"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.169",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Blässe/Anämie"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "864"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.168",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Postoperative Komplikationen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "865"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.167",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Geringfügige unspezifische Beschwerden"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "866"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.166",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Unstillbares Schreien"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "867"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.190",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Angeborene Probleme bei Kindern"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "868"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.189",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Neugeborenes"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "869"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.188",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Wiedervorstellung zur Behandlung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "871"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.805.20180125000000.187",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Patient aufgenommen und vor Ersteinschätzung wieder gegangen"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "998"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "valueSet": 
              [
                {
                  "id": "1.2.276.0.76.11.61",
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                            {
                              "language": "de-DE",
                              "#text": "Übelkeit und/oder Erbrechen"
                            }
                          ]
                        },
                        {
                          "localId": "50",
                          "code": "258",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Rektale/perineale Schmerzen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rektale/perineale Schmerzen"
                            }
                          ]
                        },
                        {
                          "localId": "51",
                          "code": "259",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Bluterbrechen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Bluterbrechen"
                            }
                          ]
                        },
                        {
                          "localId": "52",
                          "code": "260",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Peranaler Blutabgang/Teerstuhl",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Peranaler Blutabgang/Teerstuhl"
                            }
                          ]
                        },
                        {
                          "localId": "53",
                          "code": "261",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Ikterus",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ikterus"
                            }
                          ]
                        },
                        {
                          "localId": "54",
                          "code": "262",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schluckauf",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schluckauf"
                            }
                          ]
                        },
                        {
                          "localId": "55",
                          "code": "263",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Abdominelle Raumforderung/gespanntes Abdomen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Abdominelle Raumforderung/gespanntes Abdomen"
                            }
                          ]
                        },
                        {
                          "localId": "56",
                          "code": "264",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Trauma anal/rektal",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma anal/rektal"
                            }
                          ]
                        },
                        {
                          "localId": "57",
                          "code": "265",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Fremdkörper oral/ösophageal",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper oral/ösophageal"
                            }
                          ]
                        },
                        {
                          "localId": "58",
                          "code": "266",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Trinkstörung des Neugeborenen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trinkstörung des Neugeborenen"
                            }
                          ]
                        },
                        {
                          "localId": "59",
                          "code": "267",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Neugeborenenikterus",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Neugeborenenikterus"
                            }
                          ]
                        },
                        {
                          "localId": "60",
                          "code": "GU",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Urogenital",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Urogenital"
                            }
                          ]
                        },
                        {
                          "localId": "61",
                          "code": "301",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Flankenschmerz",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Flankenschmerz"
                            }
                          ]
                        },
                        {
                          "localId": "62",
                          "code": "302",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Hämaturie",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hämaturie"
                            }
                          ]
                        },
                        {
                          "localId": "63",
                          "code": "303",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Genitaler Ausfluss/Läsion",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Genitaler Ausfluss/Läsion"
                            }
                          ]
                        },
                        {
                          "localId": "64",
                          "code": "304",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Penisschwellung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Penisschwellung"
                            }
                          ]
                        },
                        {
                          "localId": "65",
                          "code": "305",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Skrotale Schmerzen und/oder Schwellung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Skrotale Schmerzen und/oder Schwellung"
                            }
                          ]
                        },
                        {
                          "localId": "66",
                          "code": "306",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Harnverhalt",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Harnverhalt"
                            }
                          ]
                        },
                        {
                          "localId": "67",
                          "code": "307",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Beschwerden eines Harnwegsinfektes",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Beschwerden eines Harnwegsinfektes"
                            }
                          ]
                        },
                        {
                          "localId": "68",
                          "code": "308",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Oligurie",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Oligurie"
                            }
                          ]
                        },
                        {
                          "localId": "69",
                          "code": "309",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Polyurie",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Polyurie"
                            }
                          ]
                        },
                        {
                          "localId": "70",
                          "code": "310",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Trauma genital",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma genital"
                            }
                          ]
                        },
                        {
                          "localId": "71",
                          "code": "MH",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Psychische Verfassung",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Psychische Verfassung"
                            }
                          ]
                        },
                        {
                          "localId": "72",
                          "code": "351",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Depression/Suizidalität/absichtliche Selbstschädigung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Depression/Suizidalität/absichtliche Selbstschädigung"
                            }
                          ]
                        },
                        {
                          "localId": "73",
                          "code": "352",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Angst/situationsbezogene Krise",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Angst/situationsbezogene Krise"
                            }
                          ]
                        },
                        {
                          "localId": "74",
                          "code": "353",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Halluzinationen/Wahnvorstellungen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Halluzinationen/Wahnvorstellungen"
                            }
                          ]
                        },
                        {
                          "localId": "75",
                          "code": "354",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schlafstörung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schlafstörung"
                            }
                          ]
                        },
                        {
                          "localId": "76",
                          "code": "355",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Gewalttätiges Verhalten/Fremdgefährdung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gewalttätiges Verhalten/Fremdgefährdung"
                            }
                          ]
                        },
                        {
                          "localId": "77",
                          "code": "356",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Soziales Problem",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Soziales Problem"
                            }
                          ]
                        },
                        {
                          "localId": "78",
                          "code": "358",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Sonderbares Verhalten",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sonderbares Verhalten"
                            }
                          ]
                        },
                        {
                          "localId": "79",
                          "code": "359",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Sorge um das Wohlergehen des Patienten",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sorge um das Wohlergehen des Patienten"
                            }
                          ]
                        },
                        {
                          "localId": "80",
                          "code": "360",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Kindliche Verhaltensauffälligkeit",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kindliche Verhaltensauffälligkeit"
                            }
                          ]
                        },
                        {
                          "localId": "81",
                          "code": "NC",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Neurologisch",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Neurologisch"
                            }
                          ]
                        },
                        {
                          "localId": "82",
                          "code": "401",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Veränderter Bewußtseinszustand",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Veränderter Bewußtseinszustand"
                            }
                          ]
                        },
                        {
                          "localId": "83",
                          "code": "402",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Verwirrtheit",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verwirrtheit"
                            }
                          ]
                        },
                        {
                          "localId": "84",
                          "code": "403",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schwindel",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwindel"
                            }
                          ]
                        },
                        {
                          "localId": "85",
                          "code": "404",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Kopfschmerz",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kopfschmerz"
                            }
                          ]
                        },
                        {
                          "localId": "86",
                          "code": "405",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Krampfanfall",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Krampfanfall"
                            }
                          ]
                        },
                        {
                          "localId": "87",
                          "code": "406",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Gangstörung/Ataxie",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gangstörung/Ataxie"
                            }
                          ]
                        },
                        {
                          "localId": "88",
                          "code": "407",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Kopfverletzung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kopfverletzung"
                            }
                          ]
                        },
                        {
                          "localId": "89",
                          "code": "408",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Zittern",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Zittern"
                            }
                          ]
                        },
                        {
                          "localId": "90",
                          "code": "409",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schwäche in den Extremitäten/Symptome eines Schlaganfalls oder TIA",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwäche in den Extremitäten/Symptome eines Schlaganfalls oder TIA"
                            }
                          ]
                        },
                        {
                          "localId": "91",
                          "code": "410",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Sensibilitätsstörung/Parästhesie",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sensibilitätsstörung/Parästhesie"
                            }
                          ]
                        },
                        {
                          "localId": "92",
                          "code": "411",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schlaffes Kind",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schlaffes Kind"
                            }
                          ]
                        },
                        {
                          "localId": "93",
                          "code": "OGY",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Geburtshilfe/Gynäkologie",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Geburtshilfe/Gynäkologie"
                            }
                          ]
                        },
                        {
                          "localId": "94",
                          "code": "451",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Menstruationsbeschwerden",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Menstruationsbeschwerden"
                            }
                          ]
                        },
                        {
                          "localId": "95",
                          "code": "452",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Fremdkörper in der Vagina",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper in der Vagina"
                            }
                          ]
                        },
                        {
                          "localId": "96",
                          "code": "453",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Vaginaler Ausfluss",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Vaginaler Ausfluss"
                            }
                          ]
                        },
                        {
                          "localId": "97",
                          "code": "454",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Sexueller Übergriff",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sexueller Übergriff"
                            }
                          ]
                        },
                        {
                          "localId": "98",
                          "code": "455",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Vaginale Blutung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Vaginale Blutung"
                            }
                          ]
                        },
                        {
                          "localId": "99",
                          "code": "456",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schamlippenschwellung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schamlippenschwellung"
                            }
                          ]
                        },
                        {
                          "localId": "100",
                          "code": "457",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schwangerschaftsprobleme ≤ 20. SSW",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwangerschaftsprobleme ≤ 20. SSW"
                            }
                          ]
                        },
                        {
                          "localId": "101",
                          "code": "458",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schwangerschaftsprobleme > 20. SSW",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwangerschaftsprobleme > 20. SSW"
                            }
                          ]
                        },
                        {
                          "localId": "102",
                          "code": "460",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Vaginale Schmerzen/Schmerzen beim Geschlechtsverkehr",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Vaginale Schmerzen/Schmerzen beim Geschlechtsverkehr"
                            }
                          ]
                        },
                        {
                          "localId": "103",
                          "code": "EC",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Augenheilkunde",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Augenheilkunde"
                            }
                          ]
                        },
                        {
                          "localId": "104",
                          "code": "502",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Exposition des Auges gegenüber Chemikalien",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Exposition des Auges gegenüber Chemikalien"
                            }
                          ]
                        },
                        {
                          "localId": "105",
                          "code": "503",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Fremdkörper im Auge",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper im Auge"
                            }
                          ]
                        },
                        {
                          "localId": "106",
                          "code": "504",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Sehstörung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sehstörung"
                            }
                          ]
                        },
                        {
                          "localId": "107",
                          "code": "505",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Augenschmerzen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Augenschmerzen"
                            }
                          ]
                        },
                        {
                          "localId": "108",
                          "code": "506",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Rote Augen, Ausfluss aus dem Auge",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rote Augen, Ausfluss aus dem Auge"
                            }
                          ]
                        },
                        {
                          "localId": "109",
                          "code": "507",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Lichtscheu",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Lichtscheu"
                            }
                          ]
                        },
                        {
                          "localId": "110",
                          "code": "508",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Doppelbilder",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Doppelbilder"
                            }
                          ]
                        },
                        {
                          "localId": "111",
                          "code": "509",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Periorbitale Schwellung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Periorbitale Schwellung"
                            }
                          ]
                        },
                        {
                          "localId": "112",
                          "code": "510",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Trauma Auge",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma Auge"
                            }
                          ]
                        },
                        {
                          "localId": "113",
                          "code": "511",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Kontrolluntersuchung der Augen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kontrolluntersuchung der Augen"
                            }
                          ]
                        },
                        {
                          "localId": "114",
                          "code": "OC",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Orthopädisch/Unfall-chirurgisch",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Orthopädisch/Unfall-chirurgisch"
                            }
                          ]
                        },
                        {
                          "localId": "115",
                          "code": "551",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Rückenschmerzen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rückenschmerzen"
                            }
                          ]
                        },
                        {
                          "localId": "116",
                          "code": "552",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Traumatische Rücken-/Wirbelsäulenverletzung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Traumatische Rücken-/Wirbelsäulenverletzung"
                            }
                          ]
                        },
                        {
                          "localId": "117",
                          "code": "553",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Amputation",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Amputation"
                            }
                          ]
                        },
                        {
                          "localId": "118",
                          "code": "554",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schmerzen obere Extremität",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schmerzen obere Extremität"
                            }
                          ]
                        },
                        {
                          "localId": "119",
                          "code": "555",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schmerzen untere Extremität",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schmerzen untere Extremität"
                            }
                          ]
                        },
                        {
                          "localId": "120",
                          "code": "556",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Verletzung obere Extremität",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verletzung obere Extremität"
                            }
                          ]
                        },
                        {
                          "localId": "121",
                          "code": "557",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Verletzung untere Extremität",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verletzung untere Extremität"
                            }
                          ]
                        },
                        {
                          "localId": "122",
                          "code": "558",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Gelenkschwellung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gelenkschwellung"
                            }
                          ]
                        },
                        {
                          "localId": "123",
                          "code": "559",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Kindliche Gangstörung/Schmerzen beim Gehen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kindliche Gangstörung/Schmerzen beim Gehen"
                            }
                          ]
                        },
                        {
                          "localId": "124",
                          "code": "RC",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Respiratorisch",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Respiratorisch"
                            }
                          ]
                        },
                        {
                          "localId": "125",
                          "code": "651",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Luftnot",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Luftnot"
                            }
                          ]
                        },
                        {
                          "localId": "126",
                          "code": "652",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Atemstillstand",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Atemstillstand"
                            }
                          ]
                        },
                        {
                          "localId": "127",
                          "code": "653",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Husten/Verschleimung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Husten/Verschleimung"
                            }
                          ]
                        },
                        {
                          "localId": "128",
                          "code": "654",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Hyperventilation",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hyperventilation"
                            }
                          ]
                        },
                        {
                          "localId": "129",
                          "code": "655",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Bluthusten",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Bluthusten"
                            }
                          ]
                        },
                        {
                          "localId": "130",
                          "code": "656",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Fremdkörper in den Atemwegen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper in den Atemwegen"
                            }
                          ]
                        },
                        {
                          "localId": "131",
                          "code": "657",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Allergische Reaktion",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Allergische Reaktion"
                            }
                          ]
                        },
                        {
                          "localId": "132",
                          "code": "658",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Stridor",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Stridor"
                            }
                          ]
                        },
                        {
                          "localId": "133",
                          "code": "659",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Giemen ohne weitere Beschwerden",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Giemen ohne weitere Beschwerden"
                            }
                          ]
                        },
                        {
                          "localId": "134",
                          "code": "660",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Apnoeanfälle bei Säuglingen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Apnoeanfälle bei Säuglingen"
                            }
                          ]
                        },
                        {
                          "localId": "135",
                          "code": "661",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Grippeähnliche Erkrankung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Grippeähnliche Erkrankung"
                            }
                          ]
                        },
                        {
                          "localId": "136",
                          "code": "SK",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Haut",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Haut"
                            }
                          ]
                        },
                        {
                          "localId": "137",
                          "code": "701",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Biss",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Biss"
                            }
                          ]
                        },
                        {
                          "localId": "138",
                          "code": "702",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Insektenstich",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Insektenstich"
                            }
                          ]
                        },
                        {
                          "localId": "139",
                          "code": "703",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Abschürfung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Abschürfung"
                            }
                          ]
                        },
                        {
                          "localId": "140",
                          "code": "704",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Riss-/Quetsch-/Schnitt-/Stichwunde",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Riss-/Quetsch-/Schnitt-/Stichwunde"
                            }
                          ]
                        },
                        {
                          "localId": "141",
                          "code": "705",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Verbrennung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verbrennung"
                            }
                          ]
                        },
                        {
                          "localId": "142",
                          "code": "706",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Kontakt mit Blut oder Körperflüssigkeiten",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Kontakt mit Blut oder Körperflüssigkeiten"
                            }
                          ]
                        },
                        {
                          "localId": "143",
                          "code": "707",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Juckreiz",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Juckreiz"
                            }
                          ]
                        },
                        {
                          "localId": "144",
                          "code": "708",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Hautausschlag",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Hautausschlag"
                            }
                          ]
                        },
                        {
                          "localId": "145",
                          "code": "709",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Lokalisierte Schwellung/Rötung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Lokalisierte Schwellung/Rötung"
                            }
                          ]
                        },
                        {
                          "localId": "146",
                          "code": "710",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Wundkontrolle",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Wundkontrolle"
                            }
                          ]
                        },
                        {
                          "localId": "147",
                          "code": "711",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Sonstige Hautprobleme",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sonstige Hautprobleme"
                            }
                          ]
                        },
                        {
                          "localId": "148",
                          "code": "712",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schwellung/Beule/Schwiele",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Schwellung/Beule/Schwiele"
                            }
                          ]
                        },
                        {
                          "localId": "149",
                          "code": "713",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Rötung/Spannungsgefühl in der Brust",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Rötung/Spannungsgefühl in der Brust"
                            }
                          ]
                        },
                        {
                          "localId": "150",
                          "code": "714",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Ausschluß eines Parasitenbefalls",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Ausschluß eines Parasitenbefalls"
                            }
                          ]
                        },
                        {
                          "localId": "151",
                          "code": "715",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Zyanose",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Zyanose"
                            }
                          ]
                        },
                        {
                          "localId": "152",
                          "code": "716",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Spontane Hauteinblutungen",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Spontane Hauteinblutungen"
                            }
                          ]
                        },
                        {
                          "localId": "153",
                          "code": "717",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Fremdkörper in der Haut",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fremdkörper in der Haut"
                            }
                          ]
                        },
                        {
                          "localId": "154",
                          "code": "718",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Nagelprobleme",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Nagelprobleme"
                            }
                          ]
                        },
                        {
                          "localId": "155",
                          "code": "SA",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Substanzmissbrauch",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Substanzmissbrauch"
                            }
                          ]
                        },
                        {
                          "localId": "156",
                          "code": "751",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Substanzmissbrauch/Intoxikation",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Substanzmissbrauch/Intoxikation"
                            }
                          ]
                        },
                        {
                          "localId": "157",
                          "code": "752",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Einnahme einer Überdosierung",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Einnahme einer Überdosierung"
                            }
                          ]
                        },
                        {
                          "localId": "158",
                          "code": "753",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Substanzentzug",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Substanzentzug"
                            }
                          ]
                        },
                        {
                          "localId": "159",
                          "code": "TR",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Trauma",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Trauma"
                            }
                          ]
                        },
                        {
                          "localId": "160",
                          "code": "801",
                          "codeSystem": "1.2.276.0.76.5.439",
                          "displayName": "Schweres Trauma - penetrierend",
                          "level": "1",
                          "type": "L",
                          "name": 
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                        {
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                        {
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                            {
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                              "language": "de-DE",
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                        {
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                          "displayName": "Bildgebung/Blutuntersuchung",
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                          "name": 
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                            {
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                              "#text": "Bildgebung/Blutuntersuchung"
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                        {
                          "localId": "176",
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                          "displayName": "Problem mit Medizinprodukt",
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                        {
                          "localId": "177",
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                            {
                              "language": "de-DE",
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                        },
                        {
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                              "language": "de-DE",
                              "#text": "Entfernung Ring"
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                        {
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                              "language": "de-DE",
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                        {
                          "localId": "181",
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                          "name": 
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                            {
                              "language": "de-DE",
                              "#text": "Postoperative Komplikationen"
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                        },
                        {
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                            {
                              "language": "de-DE",
                              "#text": "Geringfügige unspezifische Beschwerden"
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                          "level": "1",
                          "type": "L",
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                              "language": "de-DE",
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                        },
                        {
                          "localId": "184",
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                          "displayName": "Angeborene Probleme bei Kindern",
                          "level": "1",
                          "type": "L",
                          "name": 
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                              "#text": "Angeborene Probleme bei Kindern"
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                        },
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                          "code": "869",
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                          "displayName": "Neugeborenes",
                          "level": "1",
                          "type": "L",
                          "name": 
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                            {
                              "language": "de-DE",
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                          ]
                        },
                        {
                          "localId": "186",
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                          "displayName": "Intravenöse Therapie",
                          "level": "1",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Intravenöse Therapie"
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                        },
                        {
                          "localId": "187",
                          "code": "998",
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                          "level": "0",
                          "type": "L",
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                            {
                              "language": "de-DE",
                              "#text": "Patient aufgenommen und vor Ersteinschätzung wieder gegangen"
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                        {
                          "localId": "189",
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                          "codeSystem": "2.16.840.1.113883.5.1008",
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                          "type": "L",
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                              "language": "de-DE",
                              "#text": "Unbekannt"
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          "terminologyAssociation": 
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          "iddisplay": "notfdok-dataelement2025-20154",
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            {
              "shortName": "unfallanamnese",
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          ],
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              "language": "de-DE",
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            {
              "language": "de-DE",
              "#text": "TraumaRegister"
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          ],
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                      "canonicalUriR5": "http://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations",
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                      "canonicalUriR5": "http://snomed.info/sct"
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                  ],
                  "publishingAuthority": 
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                      "inherited": "project",
                      "addrLine": 
                      [
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                          "type": "phone",
                          "#text": "Tel. +49 391 67 28186"
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                          "type": "email",
                          "#text": "office@aktin.org"
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                      ]
                    }
                  ],
                  "copyright": 
                  [
                    {
                      "language": "en-US",
                      "inherited": "true",
                      "#text": "This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org."
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                  ],
                  "conceptList": 
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                              "#text": "Undetermined manner of death, suicide suspected (event)"
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                          [
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                              "#text": "Pedelec"
                            },
                            {
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                      "canonicalUriR5": "http://snomed.info/sct"
                    },
                    {
                      "id": "2.16.840.1.113883.9.96",
                      "identifierName": "LOI RC Component",
                      "canonicalUri": "urn:oid:2.16.840.1.113883.9.96",
                      "canonicalUriDSTU2": "urn:oid:2.16.840.1.113883.9.96",
                      "canonicalUriSTU3": "urn:oid:2.16.840.1.113883.9.96",
                      "canonicalUriR4": "urn:oid:2.16.840.1.113883.9.96",
                      "canonicalUriR4B": "urn:oid:2.16.840.1.113883.9.96",
                      "canonicalUriR5": "urn:oid:2.16.840.1.113883.9.96"
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                  ],
                  "publishingAuthority": 
                  [
                    {
                      "name": "AKTIN e. V.",
                      "inherited": "project",
                      "addrLine": 
                      [
                        "c/o Uniklinik RWTH Aachen",
                        "Institut für Medizinische Informatik",
                        "Pauwelsstraße 35",
                        "52074 Aachen",
                        {
                          "type": "phone",
                          "#text": "Tel. +49 391 67 28186"
                        },
                        {
                          "type": "email",
                          "#text": "office@aktin.org"
                        }
                      ]
                    }
                  ],
                  "copyright": 
                  [
                    {
                      "language": "en-US",
                      "inherited": "true",
                      "#text": "This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org."
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                  ],
                  "conceptList": 
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                      [
                        {
                          "localId": "1",
                          "code": "V09.3",
                          "codeSystem": "2.16.840.1.113883.6.3",
                          "displayName": "Pedestrian injured in unspecified traffic accident",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "kein Fahrzeug - als Fußgänger angefahren"
                            }
                          ]
                        },
                        {
                          "localId": "2",
                          "code": "71783008",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Automobile, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "PKW"
                            }
                          ]
                        },
                        {
                          "localId": "3",
                          "code": "12247004",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Truck, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "LKW"
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                          ]
                        },
                        {
                          "localId": "4",
                          "code": "22674006",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Motor bus, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
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                              "language": "de-DE",
                              "#text": "Bus"
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                        },
                        {
                          "localId": "5",
                          "code": "90748009",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Motorcycle, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Motorrad"
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                          ]
                        },
                        {
                          "localId": "6",
                          "code": "303973000",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Agricultural vehicle (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Traktor"
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                          ]
                        },
                        {
                          "localId": "7",
                          "code": "31493009",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Pedal cycle, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Fahrrad"
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                        },
                        {
                          "localId": "8",
                          "code": "705415002",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Assistive cycle (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "unterstütztes Fahrrad"
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                          ],
                          "designation": 
                          [
                            {
                              "language": "de-DE",
                              "type": "synonym",
                              "displayName": "Pedelec"
                            },
                            {
                              "language": "de-DE",
                              "type": "synonym",
                              "displayName": "E-Bike"
                            }
                          ]
                        },
                        {
                          "localId": "9",
                          "code": "465073007",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Assistive scooter, electric-motor-driven (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "E-Scooter"
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                          ]
                        },
                        {
                          "localId": "10",
                          "code": "38548008",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Streetcar, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Straßenbahn"
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                        },
                        {
                          "localId": "11",
                          "code": "62193008",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Railway train, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
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                              "language": "de-DE",
                              "#text": "Zug"
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                        {
                          "localId": "12",
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                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Railway train, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Zug"
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                          ]
                        },
                        {
                          "localId": "13",
                          "code": "21753002",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Aircraft, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Flugzeug"
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                          ]
                        },
                        {
                          "localId": "14",
                          "code": "12561005",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Watercraft, device (physical object)",
                          "level": "0",
                          "type": "L",
                          "name": 
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                            {
                              "language": "de-DE",
                              "#text": "Schiff"
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                          "localId": "15",
                          "code": "74964007",
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                  "code": "21753002",
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                  "displayName": "Aircraft, device (physical object)",
                  "effectiveDate": "2024-06-26T14:31:00",
                  "codeSystemName": "SNOMED Clinical Terms"
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                {
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                  "code": "12561005",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Watercraft, device (physical object)",
                  "effectiveDate": "2024-06-26T14:31:02",
                  "codeSystemName": "SNOMED Clinical Terms"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20278.20190201134628.12",
                  "code": "74964007",
                  "codeSystem": "2.16.840.1.113883.9.96",
                  "displayName": "Other (qualifier value)",
                  "effectiveDate": "2024-08-19T22:30:39",
                  "codeSystemName": "LOI RC Component"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.20278.20190201134628.13",
                  "code": "465073007",
                  "codeSystem": "2.16.840.1.113883.6.96",
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                  "codeSystemName": "SNOMED Clinical Terms"
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                  "code": "214218008",
                  "codeSystem": "2.16.840.1.113883.6.96",
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              "effectiveDate": "2023-11-20T00:00:00",
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              "type": "item",
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              "maximumMultiplicity": "1",
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              "isMandatory": "false",
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                          "name": 
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                              "language": "de-DE",
                              "#text": "Verschüttung"
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                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.20280.20190201135304.9",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Lawine"
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                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.20280.20190201135304.6",
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                          [
                            {
                              "language": "de-DE",
                              "#text": "Andere"
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                  "canonicalUri": "http://aktin.org/fhir/ValueSet/aktin-vs-accident-type",
                  "lastModifiedDate": "2024-08-19T22:24:25",
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                      "valueSetStatusCode": "draft",
                      "valueSetVersionLabel": "2024",
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                  ],
                  "desc": 
                  [
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                      "lastTranslated": "2024-02-14T12:41:43",
                      "#text": "Unfallkinetik"
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                  ],
                  "sourceCodeSystem": 
                  [
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                      "identifierName": "Logical Observation Identifier Names and Codes",
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                      "canonicalUriDSTU2": "http://loinc.org",
                      "canonicalUriSTU3": "http://loinc.org",
                      "canonicalUriR4": "http://loinc.org",
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                      "canonicalUriR5": "http://loinc.org"
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                  "publishingAuthority": 
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                      "name": "AKTIN e. V.",
                      "inherited": "project",
                      "addrLine": 
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                          "#text": "Tel. +49 391 67 28186"
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                  "copyright": 
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                      "language": "en-US",
                      "inherited": "true",
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                          "code": "LA28131-3",
                          "codeSystem": "2.16.840.1.113883.6.1",
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                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Sturz mit Fallhöhe < 3 m"
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                        },
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                          "codeSystem": "2.16.840.1.113883.6.1",
                          "displayName": "Height range of fall - Greater than 3 meters",
                          "level": "0",
                          "type": "L",
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                            {
                              "language": "de-DE",
                              "#text": "Sturz mit Fallhöhe >= 3 m"
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                        },
                        {
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                          "code": "33036003",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Fall on same level (event)",
                          "level": "0",
                          "type": "L",
                          "name": 
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                            {
                              "language": "de-DE",
                              "#text": "Ebenerdiger Sturz"
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                        {
                          "localId": "4",
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                          "codeSystem": "2.16.840.1.113883.6.96",
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                          "type": "L",
                          "name": 
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                              "#text": "Schuss"
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                        {
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                          "code": "274923000",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Accident caused by edge tool (event)",
                          "level": "0",
                          "type": "L",
                          "name": 
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                            {
                              "language": "de-DE",
                              "#text": "Stich"
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                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Injury due to impact of moving subject with the stationary object (disorder)",
                          "level": "0",
                          "type": "L",
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                          [
                            {
                              "language": "de-DE",
                              "#text": "Fahrzeug gegen (fest)stehendes Objekt"
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                        },
                        {
                          "localId": "7",
                          "code": "39826003",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Struck by explosion (event)",
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                          "type": "L",
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                          "code": "33980000",
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                              "language": "de-DE",
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                              "#text": "Andere"
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              "type": "item",
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              "shortName": "unfallart_trauma_register",
              "implementation": 
              [
                {
                  "shortName": "unfallart_trauma_register",
                  "markdown": "Unfallart kategorisiert wie TraumaRegister. Entweder Dokumentation von Unfallkinetik und Fahrzeug des Verunfallten und automatisches Mapping auf Unfallart TraumaRegister, oder alleinige Dokumentation Unfallart TraumaRegister in der Notaufnahmedokumentation."
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                  "#text": "Unfallart TraumaRegister"
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              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_trauma_cause"
                },
                {
                  "language": "de-DE",
                  "#text": "TraumaRegister-S-Unfallart"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Unfallart kategorisiert wie TraumaRegister. Entweder Dokumentation von Unfallkinetik und Fahrzeug des Verunfallten und automatisches Mapping auf Unfallart TraumaRegister, oder alleinige Dokumentation Unfallart TraumaRegister in der Notaufnahmedokumentation."
                }
              ],
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                  "name": 
                  [
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                      "#text": "Fahrzeug des Verunfallten"
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                  ]
                },
                {
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                  "ref": "2.16.840.1.113883.3.1937.99.61.33.2.2.38900",
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                  "iEffectiveDate": "2019-06-02T00:00:00",
                  "iStatusCode": "final",
                  "refdisplay": "traumareg-dataelement-2.38900",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-03-20T10:54:22",
                      "#text": "Unfallart"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "#text": "Entweder automatische Ableitung aus Unfallkinetik und Fahrzeug des Verunfallten nach folgender Mapping-Tabelle oder alleinige Verwendung <br clear=\"none\"/> <br clear=\"none\"/> <br clear=\"none\"/>"
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              ],
              "valueDomain": 
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                              "#text": "Verkehr – Motorradfahrer/-sozius"
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                        },
                        {
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                              "language": "de-DE",
                              "#text": "Verkehr – Fahrrad"
                            }
                          ]
                        },
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                              "#text": "Verkehr – unterstütztes Fahrrad"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21748.7",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verkehr - E-Scooter"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "E-Bike/Pedelec"
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                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21748.8",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verkehr - Fußgänger angefahren"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21748.9",
                          "exception": "true",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verkehr - Sonstiger Verkehrsunfall"
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                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21748.10",
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                              "#text": "Sturz - Sturz mit Fallhöhe >= 3m"
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                              "#text": "Sturz - Sturz mit Fallhöhe < 3m"
                            }
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                              "#text": "Sturz - ebenerdiger Sturz"
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                        },
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                          "name": 
                          [
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                              "#text": "Sonstige - Schlagverletzung"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Gegenstand, Ast, ..."
                            }
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                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.6.21748.14",
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            }
          ],
          "operationalization": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2025-05-26T18:16:05",
              "#text": "Mehrfachauswahl möglich. Beschreibung der Anzeichen im Freitext."
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          ],
          "valueDomain": 
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              "publishingAuthority": 
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          "terminologyAssociation": 
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              ],
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                  "shortName": "agens",
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                  "language": "de-DE",
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                  "language": "de-DE",
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                  "maximumMultiplicity": "1",
                  "conformance": "R",
                  "isMandatory": "false",
                  "iddisplay": "notfdok-dataelement2025-21599",
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                  "implementation": 
                  [
                    {
                      "shortName": "kontrastmittelallergie",
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                  ],
                  "name": 
                  [
                    {
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                      "lastTranslated": "2026-09-21T18:44:47",
                      "#text": "Kontrastmittelallergie"
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                  ],
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                  [
                    {
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                  "canonicalUri": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
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                  "canonicalUriSTU3": "http://hl7.org/fhir/v3/NullFlavor",
                  "canonicalUriR4": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
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              "displayName": "Not pregnant (finding)",
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              "conceptId": "2.16.840.1.113883.2.6.60.3.8.5.3",
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              "displayName": "Unbekannt",
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          ]
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          "iddisplay": "notfdok-dataelement2025-6",
          "shortName": "tetanusschutz",
          "implementation": 
          [
            {
              "shortName": "tetanusschutz",
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            }
          ],
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              "ref": "2.16.840.1.113883.2.6.60.3.2.6.6",
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          [
            {
              "language": "de-DE",
              "#text": "Tetanusschutz"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Status des Tetanusschutz"
            }
          ],
          "source": 
          [
            {
              "language": "de-DE",
              "#text": "Ansprechpartner: Kulla"
            }
          ],
          "comment": 
          [
            {
              "language": "de-DE",
              "#text": "options: 1 = Patient hat Tetanusschutz 2 = Patient hat keinen Tetanusschutz 0 = Information nicht erhebbar"
            }
          ],
          "relationship": 
          [
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                {
                  "language": "de-DE",
                  "#text": "Tetanusschutz"
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                          "language": "de-DE",
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                      ]
                    },
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                      "id": "2.16.840.1.113883.2.6.60.3.8.6.2",
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                      [
                        {
                          "language": "de-DE",
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                      ]
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                      "id": "2.16.840.1.113883.2.6.60.3.8.6.3",
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                          "language": "de-DE",
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                      ]
                    }
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                }
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              "displayName": "Clostridium tetani immunization status",
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      "maximumMultiplicity": "*",
      "conformance": "R",
      "isMandatory": "false",
      "iddisplay": "notfdok-dataelement2025-10006",
      "shortName": "vitalparameter",
      "implementation": 
      [
        {
          "shortName": "vitalparameter",
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      ],
      "name": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2024-07-23T21:32:38",
          "#text": "Vitalparameter"
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      ],
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      [
        {
          "language": "de-DE",
          "lastTranslated": "2024-07-23T21:32:38",
          "#text": "Gruppe der Vitalparameter"
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          "refdisplay": "aktin-dataelement2015(2)-10006",
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Vitalparameter und Scores"
            }
          ]
        },
        {
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          "prefix": "aktin-",
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          "refdisplay": "nap-dataelement2020(1)-10006",
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Vitalparameter"
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          ]
        }
      ],
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      [
        {
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          "statusCode": "draft",
          "effectiveDate": "2023-11-20T00:00:00",
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          "maximumMultiplicity": "1",
          "conformance": "R",
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          "iddisplay": "notfdok-dataelement2025-20366",
          "shortName": "zeitpunkt",
          "implementation": 
          [
            {
              "shortName": "zeitpunkt",
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            }
          ],
          "inherit": 
          [
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              "ref": "2.16.840.1.113883.2.6.60.3.2.6.20366",
              "effectiveDate": "2019-02-02T14:39:24",
              "prefix": "aktin-",
              "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
              "datasetEffectiveDate": "2018-08-17T00:00:00",
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            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Zeitpunkt des einzelnen Vitalparameters. "
            }
          ],
          "operationalization": 
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            {
              "language": "de-DE",
              "#text": "Alle Vitalparameter müssen mit Zeitstempel gespeichert werden."
            }
          ],
          "valueDomain": 
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                  "timeStampPrecision": "YMDHM"
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        },
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          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-9",
          "shortName": "atemfrequenz",
          "implementation": 
          [
            {
              "shortName": "atemfrequenz",
              "markdown": "Atemzüge des Patienten pro Minute"
            }
          ],
          "inherit": 
          [
            {
              "ref": "2.16.840.1.113883.2.6.60.3.2.6.9",
              "effectiveDate": "2018-01-25T00:00:00",
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              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Atemfrequenz"
            }
          ],
          "synonym": 
          [
            {
              "language": "de-DE",
              "#text": "nokeda_respiratoryrate"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Atemzüge des Patienten pro Minute"
            }
          ],
          "rationale": 
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            {
              "language": "de-DE",
              "#text": "Medizinische Dokumentation"
            }
          ],
          "comment": 
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            {
              "language": "de-DE",
              "#text": "options: 0-99"
            }
          ],
          "relationship": 
          [
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                {
                  "language": "de-DE",
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            }
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          "maximumMultiplicity": "1",
          "conformance": "R",
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          "iddisplay": "notfdok-dataelement2025-10",
          "shortName": "pulsoximetrische_sauerstoffsattigung",
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          [
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          ],
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          [
            {
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          ],
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          ],
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          [
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          ],
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            {
              "language": "de-DE",
              "lastTranslated": "2024-07-23T21:32:49",
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          ],
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          [
            {
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          ],
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              ]
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          ],
          "valueDomain": 
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          ],
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            {
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          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-20141",
          "shortName": "blutdruck",
          "implementation": 
          [
            {
              "shortName": "blutdruck",
              "markdown": "Datenelemente des Blutdrucks"
            }
          ],
          "inherit": 
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            }
          ],
          "name": 
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            {
              "language": "de-DE",
              "#text": "Blutdruck"
            }
          ],
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          ],
          "terminologyAssociation": 
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              "effectiveDate": "2024-07-19T11:37:09",
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            }
          ],
          "concept": 
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              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
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              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-11",
              "shortName": "systolischer_blutdruck",
              "implementation": 
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                  "shortName": "systolischer_blutdruck",
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                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-11",
                  "refdisplay": "nap-dataelement2020(1)-11",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Systolischer Blutdruck"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_bloodpressure_systolic"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Systolischer Blutdruck des Patienten in der Notaufnahme [mmHg]"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "#text": "options: 0-300"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.1.11",
                  "flexibility": "2014-01-06T16:43:09",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
                  "datasetEffectiveDate": "2014-09-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2014.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-01-06T16:43:09",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-11",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Systolischer Blutdruck"
                    }
                  ]
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "quantity",
                  "property": 
                  [
                    {
                      "unit": "mmHg"
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.11",
                  "conceptFlexibility": "2018-01-25T00:00:00",
                  "code": "8480-6",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Systolic blood pressure",
                  "effectiveDate": "2019-01-27T22:57:09",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.11",
                  "conceptFlexibility": "2018-01-25T00:00:00",
                  "code": "271649006",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Systolic blood pressure (observable entity)",
                  "effectiveDate": "2019-01-27T22:57:09",
                  "codeSystemName": "SNOMED Clinical Terms"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.11",
                  "conceptFlexibility": "2018-01-25T00:00:00",
                  "code": "72313002",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Systolic arterial pressure (observable entity)",
                  "effectiveDate": "2019-01-27T22:57:09",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.20143",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-20143",
              "shortName": "diastolischer_blutdruck",
              "implementation": 
              [
                {
                  "shortName": "diastolischer_blutdruck",
                  "markdown": "Diastolischer Blutdruckwert"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20143",
                  "effectiveDate": "2019-01-27T22:58:22",
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                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-20143",
                  "refdisplay": "nap-dataelement2020(1)-20143",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Diastolischer Blutdruck"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_bloodpressure_diastolic"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Diastolischer Blutdruckwert"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "quantity",
                  "property": 
                  [
                    {
                      "unit": "mmHg"
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.20143",
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                  "code": "8462-4",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Diastolic blood pressure",
                  "effectiveDate": "2024-07-19T11:36:04",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.20143",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "271650006",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Diastolic blood pressure (observable entity)",
                  "effectiveDate": "2024-08-22T10:53:01",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            }
          ]
        },
        {
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          "effectiveDate": "2023-11-20T00:00:00",
          "statusCode": "draft",
          "lastModifiedDate": "2024-07-31T15:11:28",
          "type": "item",
          "minimumMultiplicity": "0",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-12",
          "shortName": "herzfrequenz",
          "implementation": 
          [
            {
              "shortName": "herzfrequenz",
              "markdown": "Herzfrequenz des Patienten [Schläge/min] per EKG abgeleitet"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-07-31T15:11:12",
              "#text": "Herzfrequenz"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-07-31T15:11:12",
              "#text": "Herzfrequenz des Patienten [Schläge/min] per EKG abgeleitet"
            }
          ],
          "source": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-07-31T15:11:12",
              "#text": "Ansprechpartner: Kulla"
            }
          ],
          "rationale": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-07-31T15:11:12",
              "#text": "Medizinische Dokumentation"
            }
          ],
          "comment": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-07-31T15:11:12",
              "#text": "options: 0-300"
            }
          ],
          "relationship": 
          [
            {
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              "name": 
              [
                {
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                  "#text": "Herzfrequenz"
                }
              ]
            },
            {
              "type": "SPEC",
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              "datasetVersionLabel": "v2020.1",
              "iType": "item",
              "iEffectiveDate": "2018-01-25T00:00:00",
              "iStatusCode": "final",
              "iVersionLabel": "v2020.1",
              "refdisplay": "nap-dataelement2020(1)-12",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Herzfrequenz"
                }
              ]
            }
          ],
          "valueDomain": 
          [
            {
              "type": "quantity",
              "property": 
              [
                {
                  "unit": "/min"
                }
              ]
            }
          ],
          "terminologyAssociation": 
          [
            {
              "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.12",
              "conceptFlexibility": "2023-11-20T00:00:00",
              "code": "8867-4",
              "codeSystem": "2.16.840.1.113883.6.1",
              "displayName": "Heart rate",
              "effectiveDate": "2024-07-31T15:11:11",
              "codeSystemName": "Logical Observation Identifier Names and Codes"
            },
            {
              "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.12",
              "conceptFlexibility": "2023-11-20T00:00:00",
              "code": "76282-3",
              "codeSystem": "2.16.840.1.113883.6.1",
              "displayName": "Heart rate.beat-to-beat by EKG",
              "effectiveDate": "2024-07-21T19:29:37",
              "codeSystemName": "Logical Observation Identifier Names and Codes"
            },
            {
              "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.12",
              "conceptFlexibility": "2023-11-20T00:00:00",
              "code": "364075005",
              "codeSystem": "2.16.840.1.113883.6.96",
              "displayName": "Heart rate (observable entity)",
              "effectiveDate": "2024-07-31T15:11:11",
              "codeSystemName": "SNOMED Clinical Terms"
            }
          ]
        },
        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.20146",
          "statusCode": "draft",
          "effectiveDate": "2023-11-20T00:00:00",
          "lastModifiedDate": "2023-11-27T17:39:29",
          "type": "group",
          "minimumMultiplicity": "0",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-20146",
          "shortName": "puls",
          "implementation": 
          [
            {
              "shortName": "puls",
              "markdown": "Puls des Patienten per manuellem Auszählen, Pulsoximeter oder invasiver Druckmessung gemessen"
            }
          ],
          "inherit": 
          [
            {
              "ref": "2.16.840.1.113883.2.6.60.3.2.6.20146",
              "effectiveDate": "2019-01-27T23:05:52",
              "prefix": "aktin-",
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              "iddisplay": "nap-dataelement2020(1)-20146",
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              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Puls"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Puls des Patienten per manuellem Auszählen, Pulsoximeter oder invasiver Druckmessung gemessen"
            }
          ],
          "rationale": 
          [
            {
              "language": "de-DE",
              "#text": "Medizinische Dokumentation"
            }
          ],
          "concept": 
          [
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              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-20282",
              "shortName": "pulsfrequenz",
              "implementation": 
              [
                {
                  "shortName": "pulsfrequenz",
                  "markdown": "Pulsfrequenz des Patienten per manuellem Auszählen, Pulsoximeter oder invasiver Druckmessung gemessen"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20282",
                  "effectiveDate": "2019-02-01T14:53:20",
                  "prefix": "aktin-",
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                  "datasetEffectiveDate": "2018-08-17T00:00:00",
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                  "datasetVersionLabel": "v2020.1",
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                  "iStatusCode": "final",
                  "iEffectiveDate": "2019-02-01T14:53:20",
                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-20282",
                  "refdisplay": "nap-dataelement2020(1)-20282",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Pulsfrequenz"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_pulsefreq"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Pulsfrequenz des Patienten per manuellem Auszählen, Pulsoximeter oder invasiver Druckmessung gemessen"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "quantity",
                  "property": 
                  [
                    {
                      "unit": "/min",
                      "minInclude": "0",
                      "maxInclude": "400"
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.20282",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "8867-4",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Heart rate",
                  "effectiveDate": "2024-07-19T11:39:46",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.20282",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "78564009",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Heart rate measured at systemic artery (observable entity)",
                  "effectiveDate": "2024-07-21T19:31:40",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            }
          ]
        },
        {
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          "statusCode": "draft",
          "effectiveDate": "2023-11-20T00:00:00",
          "lastModifiedDate": "2023-11-27T17:39:29",
          "type": "group",
          "minimumMultiplicity": "0",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-10032",
          "shortName": "pupillenweite",
          "implementation": 
          [
            {
              "shortName": "pupillenweite",
              "markdown": "Pupillenweite"
            }
          ],
          "inherit": 
          [
            {
              "ref": "2.16.840.1.113883.2.6.60.3.2.6.10032",
              "effectiveDate": "2018-01-25T00:00:00",
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              "iStatusCode": "final",
              "iEffectiveDate": "2018-01-25T00:00:00",
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              "originalId": "2.16.840.1.113883.2.6.60.3.2.1.10032",
              "originalStatusCode": "final",
              "originalEffectiveDate": "2014-09-25T00:00:00",
              "originalPrefix": "aktin-",
              "iddisplay": "nap-dataelement2020(1)-10032",
              "refdisplay": "nap-dataelement2020(1)-10032",
              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Pupillenweite"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Pupillenweite"
            }
          ],
          "relationship": 
          [
            {
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              "ref": "2.16.840.1.113883.2.6.60.3.2.1.10032",
              "flexibility": "2014-09-25T00:00:00",
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              "datasetEffectiveDate": "2014-09-15T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2014.1-b",
              "iType": "group",
              "iEffectiveDate": "2014-09-25T00:00:00",
              "iStatusCode": "final",
              "refdisplay": "aktin-dataelement2014(1)-10032",
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Pupillenweite"
                }
              ]
            }
          ],
          "terminologyAssociation": 
          [
            {
              "conceptId": "2.16.840.1.113883.2.6.60.3.2.1.10032",
              "effectiveDate": "2015-06-24T14:44:58",
              "code": "363953003",
              "displayName": "Size of pupil (observable entity)",
              "codeSystem": "2.16.840.1.113883.6.96",
              "codeSystemName": "SNOMED Clinical Terms"
            }
          ],
          "concept": 
          [
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.18",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-18",
              "shortName": "pupillenweite_rechts",
              "implementation": 
              [
                {
                  "shortName": "pupillenweite_rechts",
                  "markdown": "Pupillenweite (rechts) bei Aufnahme in die Notaufnahme"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.18",
                  "effectiveDate": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iVersionLabel": "v2020.1",
                  "originalId": "2.16.840.1.113883.2.6.60.3.2.1.18",
                  "originalStatusCode": "final",
                  "originalEffectiveDate": "2014-01-06T16:43:09",
                  "originalPrefix": "aktin-",
                  "iddisplay": "nap-dataelement2020(1)-18",
                  "refdisplay": "nap-dataelement2020(1)-18",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Pupillenweite (rechts)"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Pupillenweite (rechts) bei Aufnahme in die Notaufnahme"
                }
              ],
              "source": 
              [
                {
                  "language": "de-DE",
                  "#text": "Ansprechpartner: Kulla"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "#text": "TR-DGU 2013 SR-/OP-Phase 12 3 Pupillengröße (ohne li/re) QM = nein B_PUPIL_SIZE Numerisch 0 = Normal, 1 = Anisokorie, 2 = Beidseits weit "
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.1.18",
                  "flexibility": "2014-01-06T16:43:09",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
                  "datasetEffectiveDate": "2014-09-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2014.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-01-06T16:43:09",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-18",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Pupillenweite (rechts)"
                    }
                  ]
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "code",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.8.18.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.18.2",
                          "name": 
                          [
                            {
                              "language": "de-DE",
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                              "#text": "keine"
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                      ],
                      "exception": 
                      [
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                          "codeSystem": "2.16.840.1.113883.5.1008",
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                          "type": "L",
                          "name": 
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                            {
                              "language": "de-DE",
                              "#text": "nicht ausgefüllt"
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                      ]
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
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                  "codeSystem": "2.16.840.1.113883.6.96",
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                {
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                  "effectiveDate": "2015-06-20T12:56:23",
                  "code": "301949001",
                  "displayName": "Brisk pupil near reaction (finding)",
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                  "codeSystemName": "SNOMED Clinical Terms"
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                {
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                  "effectiveDate": "2015-06-20T12:56:36",
                  "code": "A",
                  "codeSystem": "1.2.276.0.76.3.1.195.5.50",
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                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.8.19.5",
                  "effectiveDate": "2015-06-20T12:56:36",
                  "code": "13353005",
                  "displayName": "Absent pupil reaction (finding)",
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              ]
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          ]
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              "shortName": "korperkerntemperatur",
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              "lastTranslated": "2024-07-24T11:52:08",
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          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-07-24T11:52:08",
              "#text": "Gemessene Temperatur bei Aufnahme in die Notaufnahme [°C]"
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              "#text": "Datum des Traumaregister <br clear=\"none\"/>"
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          [
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              "language": "de-DE",
              "lastTranslated": "2024-07-24T11:52:08",
              "#text": "options: 0,0 - 45,0"
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          ],
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          [
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            }
          ],
          "terminologyAssociation": 
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              "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.20",
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            {
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              "displayName": "Body temperature",
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              "displayName": "Core body temperature (observable entity)",
              "effectiveDate": "2024-07-24T11:52:07",
              "codeSystemName": "SNOMED Clinical Terms"
            }
          ],
          "concept": 
          [
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.20050",
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              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-20050",
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              "implementation": 
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                {
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              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T11:52:20",
                  "#text": "Körperkerntemperatur"
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              ],
              "synonym": 
              [
                {
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                  "lastTranslated": "2024-07-24T11:52:20",
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              ],
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              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T11:52:20",
                  "#text": "Gemessene Temperatur bei Aufnahme in die Notaufnahme [°C] <br clear=\"none\"/> \n <br clear=\"none\"/>"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T11:52:20",
                  "#text": "Datum des Traumaregister <br clear=\"none\"/> \n <br clear=\"none\"/>"
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              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T11:52:20",
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              "relationship": 
              [
                {
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                  "iStatusCode": "final",
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                  [
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                      "#text": "Körperkerntemperatur"
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              "valueDomain": 
              [
                {
                  "type": "quantity",
                  "property": 
                  [
                    {
                      "minInclude": "0.0",
                      "maxInclude": "45.0",
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                    }
                  ],
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                  [
                    {
                      "type": "valid",
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                      "#text": "37,0"
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                }
              ],
              "terminologyAssociation": 
              [
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        {
          "shortName": "scores",
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      [
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      [
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          "language": "de-DE",
          "#text": "Scores"
        }
      ],
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      [
        {
          "language": "de-DE",
          "#text": "Gruppe von Scores in der Notfallmedizin"
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              "shortName": "glasgow_coma_scale_gcs",
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              "#text": "Glasgow Coma Scale (GCS)"
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          [
            {
              "language": "de-DE",
              "#text": "Glasgow Coma Scale (GCS) <br clear=\"none\"/>"
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          ],
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                  "language": "de-DE",
                  "#text": "GCS Augenöffnen"
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              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Initialer Parameter \"Augenöffnen\" der GCS bei Aufnahme des Patienten in die Notaufnahme"
                }
              ],
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                {
                  "language": "de-DE",
                  "#text": "Ansprechpartner: Kulla"
                }
              ],
              "comment": 
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                {
                  "language": "de-DE",
                  "#text": "options: 1 = keine 2 = auf Schmerzreiz 3 = auf Aufforderung 4 = spontan"
                }
              ],
              "relationship": 
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                  "flexibility": "2014-01-06T16:43:09",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
                  "datasetEffectiveDate": "2014-09-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2014.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-01-06T16:43:09",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-13",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "GCS Augenöffnen"
                    }
                  ]
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "ordinal",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.8.13.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.13.1",
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                          [
                            {
                              "language": "de-DE",
                              "#text": "1 keine"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.13.2",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "2 auf Schmerzreiz"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.13.3",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "3 auf Aufforderung"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.13.4",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "4 spontan"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.1.13",
                  "code": "9267-6",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Glasgow coma score eye opening",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.1.13",
                  "effectiveDate": "2015-06-24T14:42:18",
                  "code": "281395000",
                  "displayName": "Glasgow Coma Score (GCS) eye opening subscore (qualifier value)",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "codeSystemName": "SNOMED Clinical Terms"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.13",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "9267-6",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Glasgow coma score eye opening",
                  "effectiveDate": "2024-08-08T16:41:44",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.13",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "281395000",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Glasgow Coma Score eye opening subscore (observable entity)",
                  "effectiveDate": "2024-08-08T16:44:01",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.14",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-14",
              "shortName": "gcs_verbale_antwort",
              "implementation": 
              [
                {
                  "shortName": "gcs_verbale_antwort",
                  "markdown": "Initialer Parameter \"verbale Antwort\" der GCS bei Aufnahme des Patienten in die Notaufnahme"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.14",
                  "effectiveDate": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iVersionLabel": "v2020.1",
                  "originalId": "2.16.840.1.113883.2.6.60.3.2.1.14",
                  "originalStatusCode": "final",
                  "originalEffectiveDate": "2014-01-06T16:43:09",
                  "originalPrefix": "aktin-",
                  "iddisplay": "nap-dataelement2020(1)-14",
                  "refdisplay": "nap-dataelement2020(1)-14",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "GCS verbale Antwort"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Initialer Parameter \"verbale Antwort\" der GCS bei Aufnahme des Patienten in die Notaufnahme"
                }
              ],
              "source": 
              [
                {
                  "language": "de-DE",
                  "#text": "Ansprechpartner: Kulla"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "#text": "options: 1 = keine 2 = unverständlich 3 = inadäquat 4 = verwirrt 5 = orientiert"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.1.14",
                  "flexibility": "2014-01-06T16:43:09",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
                  "datasetEffectiveDate": "2014-09-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2014.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-01-06T16:43:09",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-14",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "GCS verbale Antwort"
                    }
                  ]
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "ordinal",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.8.14.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.14.1",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "1 keine"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.14.2",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "2 unverständlich"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.14.3",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "3 inadäquat"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.14.4",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "4 verwirrt"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.14.5",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "5 orientiert"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.1.14",
                  "code": "9270-0",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Glasgow coma score verbal",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.1.14",
                  "effectiveDate": "2015-06-24T14:42:34",
                  "code": "281397008",
                  "displayName": "Glasgow Coma Score (GCS) verbal response subscore (qualifier value)",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "codeSystemName": "SNOMED Clinical Terms"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.14",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "9270-0",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Glasgow coma score verbal",
                  "effectiveDate": "2024-08-08T16:42:14",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.14",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "281397008",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Glasgow Coma Scale verbal response subscore (observable entity)",
                  "effectiveDate": "2024-08-08T16:44:59",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.16",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-16",
              "shortName": "gcs_motorische_antwort",
              "implementation": 
              [
                {
                  "shortName": "gcs_motorische_antwort",
                  "markdown": "Initialer Parameter \"motorische Antwort\" der GCS bei Aufnahme des Patienten in die Notfallaufnahnme"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.16",
                  "effectiveDate": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iVersionLabel": "v2020.1",
                  "originalId": "2.16.840.1.113883.2.6.60.3.2.1.16",
                  "originalStatusCode": "final",
                  "originalEffectiveDate": "2014-01-06T16:43:09",
                  "originalPrefix": "aktin-",
                  "iddisplay": "nap-dataelement2020(1)-16",
                  "refdisplay": "nap-dataelement2020(1)-16",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "GCS motorische Antwort"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Initialer Parameter \"motorische Antwort\" der GCS bei Aufnahme des Patienten in die Notfallaufnahnme"
                }
              ],
              "source": 
              [
                {
                  "language": "de-DE",
                  "#text": "Ansprechpartner: Kulla"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "#text": "options: 1 = keine 2 = Streckbewegung auf Reize 3 = Beugebewegung auf Reize 4 = ungezielte Bewegung auf Schmerzreiz 5 = gezielte Bewegung auf Schmerzreiz 6 = Aufforderung"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.1.16",
                  "flexibility": "2014-01-06T16:43:09",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
                  "datasetEffectiveDate": "2014-09-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2014.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-01-06T16:43:09",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-16",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "GCS motorische Antwort"
                    }
                  ]
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "ordinal",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.8.16.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.16.1",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "1 keine"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.16.2",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "2 Streckbewegung auf Reize"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.16.3",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "3 Beugebewegung auf Reize"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.16.4",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "4 ungezielte Bewegung auf Schmerzreiz"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.16.5",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "5 gezielte Bewegung auf Schmerzreiz"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.8.16.6",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "6 Aufforderung"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.1.16",
                  "code": "9268-4",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Glasgow coma score motor",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.1.16",
                  "effectiveDate": "2015-06-24T14:42:47",
                  "code": "281396004",
                  "displayName": "Glasgow Coma Score (GCS) motor response subscore (qualifier value)",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "codeSystemName": "SNOMED Clinical Terms"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.16",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "9268-4",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Glasgow coma score motor",
                  "effectiveDate": "2024-08-08T16:42:36",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.16",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "281396004",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Glasgow Coma Scale motor response subscore (observable entity)",
                  "effectiveDate": "2024-08-08T16:45:21",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.17",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-17",
              "shortName": "gcs_summe",
              "implementation": 
              [
                {
                  "shortName": "gcs_summe",
                  "markdown": "Summe der GCS bei Aufnahme des Patienten"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.17",
                  "effectiveDate": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iVersionLabel": "v2020.1",
                  "originalId": "2.16.840.1.113883.2.6.60.3.2.1.17",
                  "originalStatusCode": "final",
                  "originalEffectiveDate": "2014-01-06T16:43:09",
                  "originalPrefix": "aktin-",
                  "iddisplay": "nap-dataelement2020(1)-17",
                  "refdisplay": "nap-dataelement2020(1)-17",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "GCS Summe"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Summe der GCS bei Aufnahme des Patienten"
                }
              ],
              "source": 
              [
                {
                  "language": "de-DE",
                  "#text": "Ansprechpartner: Kulla"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "#text": "options: 3-15"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.1.17",
                  "flexibility": "2014-01-06T16:43:09",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.1",
                  "datasetEffectiveDate": "2014-09-15T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2014.1-b",
                  "iType": "item",
                  "iEffectiveDate": "2014-01-06T16:43:09",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2014(1)-17",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "GCS Summe"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "#text": "Summe von item #13, #14 und #16"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "ordinal"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.1.17",
                  "code": "9269-2",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Glasgow coma score total",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.17",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "9269-2",
                  "codeSystem": "2.16.840.1.113883.6.1",
                  "displayName": "Glasgow coma score total",
                  "effectiveDate": "2024-08-08T16:42:56",
                  "codeSystemName": "Logical Observation Identifier Names and Codes"
                },
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.17",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "248241002",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Glasgow coma score (observable entity)",
                  "effectiveDate": "2024-08-08T16:46:06",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            }
          ]
        },
        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.114",
          "statusCode": "draft",
          "effectiveDate": "2023-11-20T00:00:00",
          "lastModifiedDate": "2023-11-27T17:39:29",
          "type": "item",
          "minimumMultiplicity": "0",
          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-114",
          "shortName": "modified_rankin_skala_score",
          "implementation": 
          [
            {
              "shortName": "modified_rankin_skala_score",
              "markdown": "Die Rankin Skala ist eine einfache Ordinalskala, die die funktionelle Einschränkung eines Patienten beschreibt, vor einer Akuterkrankung aber auch als Outcome nach z.B. Rehabilitation. Sie reicht von 0 bis 5 Punkten bei Aufnahme im Krankenhaus. \n\n- Keine Symptome, kann alle gewohnten Aufgaben und Aktivitäten verrichten (0 Punkte) - Keine wesentliche Funktionseinschränkung trotz Symptomen, kann alle gewohnten Aufgaben und Aktivitäten verrichten (1 Punkt) - Geringgradige Funktionseinschränkung, nicht alle früheren Aktivitäten möglich, aber unabhängig im täglichen Leben (2 Punkte) - Mäßiggradige Funktionseinschränkung, bedarf einiger Unterstützung, ist aber ohne Hilfe gehfähig (3 Punkte) - Mittelschwere Funktionseinschränkung, Hilfe zum Gehen und für eigene körperliche Bedürfnisse nötig (4 Punkte) - Schwere Funktionseinschränkung, bettlägrig, inkontinent, kontinuierliche Pflege notwendig (5 Punkte)"
            }
          ],
          "inherit": 
          [
            {
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              "effectiveDate": "2018-01-25T00:00:00",
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              "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
              "datasetEffectiveDate": "2018-08-17T00:00:00",
              "datasetStatusCode": "final",
              "datasetVersionLabel": "v2020.1",
              "iType": "item",
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              "iEffectiveDate": "2018-01-25T00:00:00",
              "iVersionLabel": "v2020.1",
              "iddisplay": "nap-dataelement2020(1)-114",
              "refdisplay": "nap-dataelement2020(1)-114",
              "localInherit": "true"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "modified Rankin Skala Score"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Die Rankin Skala ist eine einfache Ordinalskala, die die funktionelle Einschränkung eines Patienten beschreibt, vor einer Akuterkrankung aber auch als Outcome nach z.B. Rehabilitation. Sie reicht von 0 bis 5 Punkten bei Aufnahme im Krankenhaus.  <br clear=\"none\"/> <br clear=\"none\"/> - Keine Symptome, kann alle gewohnten Aufgaben und Aktivitäten verrichten (0\n Punkte) - Keine wesentliche Funktionseinschränkung trotz Symptomen, kann alle gewohnten Aufgaben und Aktivitäten verrichten (1 Punkt) - Geringgradige Funktionseinschränkung, nicht alle früheren Aktivitäten möglich, aber unabhängig im täglichen Leben (2 Punkte) - Mäßiggradige Funktionseinschränkung, bedarf einiger Unterstützung, ist aber ohne Hilfe gehfähig (3 Punkte) -\n Mittelschwere Funktionseinschränkung, Hilfe zum Gehen und für eigene körperliche Bedürfnisse nötig (4 Punkte) - Schwere Funktionseinschränkung, bettlägrig, inkontinent, kontinuierliche Pflege notwendig (5 Punkte) <br clear=\"none\"/>"
            }
          ],
          "source": 
          [
            {
              "language": "de-DE",
              "#text": "Rankin J. zerebral vascular accidents in people over the age of 60: Prognosis. Scott Med J. 1957;2:200-215"
            }
          ],
          "rationale": 
          [
            {
              "language": "de-DE",
              "#text": "ADSR"
            }
          ],
          "comment": 
          [
            {
              "language": "de-DE",
              "#text": "options: 0 = Rankin 0; 1 = Rankin 1; 2 = Rankin 2; 3 = Rankin 3; 4 = Rankin 4; 5 = Rankin 5; 6 = Rankin 6;"
            }
          ],
          "relationship": 
          [
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              "datasetVersionLabel": "v2014.1-b",
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                  "#text": "Rankin Skala Score"
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          "valueDomain": 
          [
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                    {
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                      [
                        {
                          "language": "de-DE",
                          "#text": "keine Symptome"
                        }
                      ],
                      "synonym": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "Rankin 0"
                        }
                      ]
                    },
                    {
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                      "name": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "keine wesentliche Funktionseinschränkung"
                        }
                      ],
                      "synonym": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "Rankin 1"
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                    },
                    {
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                      "name": 
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                        }
                      ],
                      "synonym": 
                      [
                        {
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                        }
                      ]
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                      "name": 
                      [
                        {
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                      ],
                      "synonym": 
                      [
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                    },
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                      "id": "2.16.840.1.113883.2.6.60.3.2.6.114.5",
                      "name": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "mittelschwere Funktionseinschränkung"
                        }
                      ],
                      "synonym": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "Rankin 4"
                        }
                      ]
                    },
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.6.114.6",
                      "name": 
                      [
                        {
                          "language": "de-DE",
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                        }
                      ],
                      "synonym": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "Rankin 5"
                        }
                      ]
                    },
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.6.114.20180125000000.7",
                      "name": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "Tod"
                        }
                      ],
                      "synonym": 
                      [
                        {
                          "language": "de-DE",
                          "#text": "Rankin 6"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ],
          "terminologyAssociation": 
          [
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              "conceptId": "2.16.840.1.113883.2.6.60.3.2.6.114",
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              "codeSystem": "2.16.840.1.113883.6.1",
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          "iddisplay": "notfdok-dataelement2025-20815",
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              "iddisplay": "notfdok-dataelement2025-21",
              "shortName": "numerischen_rating_skala",
              "implementation": 
              [
                {
                  "shortName": "numerischen_rating_skala",
                  "markdown": "Schmerzmessung mit der Numerischen Rating Skala von 0 (kein Schmerz) bis 10 (maximal vorstellbarer Schmerz)"
                }
              ],
              "inherit": 
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                  "#text": "Numerischen Rating Skala"
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              ],
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              [
                {
                  "language": "de-DE",
                  "#text": "Schmerzmessung mit der Numerischen Rating Skala von 0 (kein Schmerz) bis 10 (maximal vorstellbarer Schmerz)"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
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                }
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              "relationship": 
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                      "#text": "Schmerz"
                    }
                  ]
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              ],
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              [
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                  [
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                      "minInclude": "0",
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            {
              "language": "de-DE"
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          ],
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              "shortName": "magnetresonanztomographie",
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                  "displayName": "Blood gas analysis (procedure)",
                  "effectiveDate": "2024-07-24T21:11:47",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.29265",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T21:14:42",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29265",
              "shortName": "ekg_angefordert",
              "implementation": 
              [
                {
                  "shortName": "ekg_angefordert",
                  "markdown": "Wurde ein 12-Kanal-EKG angefordert?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:08",
                  "#text": "EKG angefordert"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:08",
                  "#text": "nokeda_ecg"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:08",
                  "#text": "<p>Wurde ein 12-Kanal-EKG angefordert?</p>"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:08",
                  "#text": "NoKeDa"
                }
              ],
              "relationship": 
              [
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.10041",
                  "flexibility": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "group",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-10041",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "12-Kanal-EKG"
                    }
                  ]
                },
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.29265",
                  "flexibility": "2020-11-17T08:06:31",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-11-17T08:06:31",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-29265",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "EKG angefordert"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:08",
                  "#text": "WENN Datenelement von 12-Kanal-EKG ausgefüllt DANN Ja"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.29265",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "29303009",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Electrocardiographic procedure (procedure)",
                  "effectiveDate": "2024-07-24T21:11:24",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.29266",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T21:14:49",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29266",
              "shortName": "sonographie_angefordert",
              "implementation": 
              [
                {
                  "shortName": "sonographie_angefordert",
                  "markdown": "Wurde eine Sonographie angefordert?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:19",
                  "#text": "Sonographie angefordert"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:19",
                  "#text": "nokeda_sono"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:19",
                  "#text": "<p>Wurde eine Sonographie angefordert?</p>"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:19",
                  "#text": "NoKeDa"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.29266",
                  "flexibility": "2020-11-17T08:23:39",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-11-17T08:23:39",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-29266",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Sonographie angefordert"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20197",
                  "flexibility": "2019-08-03T19:27:49",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "group",
                  "iEffectiveDate": "2019-08-03T19:27:49",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20197",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Notfallsonographie"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:19",
                  "#text": "WENN ein Element von Notfallsonographie, DANN Ja"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.29266",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "16310003",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Ultrasonography (procedure)",
                  "effectiveDate": "2024-07-24T21:11:01",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.29267",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T21:14:57",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29267",
              "shortName": "rontgenthorax_angefordert",
              "implementation": 
              [
                {
                  "shortName": "rontgenthorax_angefordert",
                  "markdown": "Wurde ein Röntgenthorax angefordert?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:29",
                  "#text": "Röntgenthorax angefordert"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:29",
                  "#text": "nokeda_xraythorax"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:29",
                  "#text": "<p>Wurde ein Röntgenthorax angefordert?</p>"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:29",
                  "#text": "NoKeDa"
                }
              ],
              "relationship": 
              [
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20729",
                  "flexibility": "2019-03-02T15:50:51",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:50:51",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20729",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                },
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.29267",
                  "flexibility": "2020-11-17T08:56:47",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-11-17T08:56:47",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-29267",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Röntgenthorax angefordert"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:56:29",
                  "#text": "Wenn Untersuchungsregion = 'Thorax' DANN JA"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.29267",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "415232002",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Radiographic procedure of chest (procedure)",
                  "effectiveDate": "2024-07-24T21:10:38",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21964",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T20:57:34",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21964",
              "shortName": "rontgenthorax_durchgefuhrt",
              "implementation": 
              [
                {
                  "shortName": "rontgenthorax_durchgefuhrt",
                  "markdown": "Wurde ein Röntgen-Thorax durchgeführt?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:57:34",
                  "#text": "Röntgen-Thorax durchgeführt"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:57:34",
                  "#text": "TraumaRegister-SR-Röntgen Thorax"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:57:34",
                  "#text": "Wurde ein Röntgen-Thorax durchgeführt?"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21964",
                  "flexibility": "2020-07-06T20:52:43",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-07-06T20:52:43",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21964",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Röntgen-Thorax durchgeführt"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20729",
                  "flexibility": "2019-03-02T15:50:51",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:50:51",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20729",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:57:34",
                  "#text": "Wenn einmal Untersuchungsregion = Thorax dann JA"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21964",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "415232002",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Radiographic procedure of chest (procedure)",
                  "effectiveDate": "2024-07-24T21:10:12",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21966",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T20:58:46",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21966",
              "shortName": "rontgenbecken_durchgefuhrt",
              "implementation": 
              [
                {
                  "shortName": "rontgenbecken_durchgefuhrt",
                  "markdown": "Wurde ein Röntgen-Becken durchgeführt?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:58:46",
                  "#text": "Röntgen-Becken durchgeführt"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:58:46",
                  "#text": "TraumaRegister-SR-Röntgen Becken"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:58:46",
                  "#text": "Wurde ein Röntgen-Becken durchgeführt?"
                }
              ],
              "relationship": 
              [
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20729",
                  "flexibility": "2019-03-02T15:50:51",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:50:51",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20729",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                },
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21966",
                  "flexibility": "2020-07-06T20:58:43",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-07-06T20:58:43",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21966",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Röntgen-Becken durchgeführt"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:58:46",
                  "#text": "Wenn einmal Untersuchungsregion = Becken dann JA"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21966",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "268425006",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Pelvis X-ray (procedure)",
                  "effectiveDate": "2024-07-24T21:09:37",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21968",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T20:59:07",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21968",
              "shortName": "rontgenwirbelsaule_durchgefuhrt",
              "implementation": 
              [
                {
                  "shortName": "rontgenwirbelsaule_durchgefuhrt",
                  "markdown": "Wurde ein Röntgen der Wirbelsäule durchgeführt?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:07",
                  "#text": "Röntgen-Wirbelsäule durchgeführt"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:07",
                  "#text": "TraumaRegister-SR-Röntgen Wirbelsäule"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:07",
                  "#text": "Wurde ein Röntgen der Wirbelsäule durchgeführt? <span style=\"white-space:pre\"/>"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21968",
                  "flexibility": "2020-07-06T21:06:19",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-07-06T21:06:19",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21968",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Röntgen-Wirbelsäule durchgeführt"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20729",
                  "flexibility": "2019-03-02T15:50:51",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:50:51",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20729",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:07",
                  "#text": "JA, wenn Untersuchungsregion = Wirbelsäule "
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21968",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "79760008",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Radiography of spine (procedure)",
                  "effectiveDate": "2024-07-24T21:09:12",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21972",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T20:59:50",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21972",
              "shortName": "ct_kopf_durchgefuhrt",
              "implementation": 
              [
                {
                  "shortName": "ct_kopf_durchgefuhrt",
                  "markdown": "Wurde ein selektives Kopf-CT durchgeführt?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:35",
                  "#text": "CT Kopf durchgeführt"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:35",
                  "#text": "TraumaRegister-SR-CT-Kopf"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:35",
                  "#text": "<p>Wurde ein selektives Kopf-CT durchgeführt?</p>"
                }
              ],
              "source": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:35",
                  "#text": "Tr"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:35",
                  "#text": "TraumaRegister"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21972",
                  "flexibility": "2020-08-31T10:53:20",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-08-31T10:53:20",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21972",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "CT Kopf durchgeführt"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20723",
                  "flexibility": "2019-03-02T15:40:17",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:40:17",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20723",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T20:59:35",
                  "#text": "\n <span style=\"color: rgb(51, 51, 51); font-family: Arial, Helvetica, Geneva, sans-serif; font-size: 12px;\">JA wenn CT-Untersuchungsregion = Kopf</span> \n "
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21972",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "303653007",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Computed tomography of head (procedure)",
                  "effectiveDate": "2024-07-24T21:08:07",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21974",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T21:00:07",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21974",
              "shortName": "ct_hws_durchgefuhrt",
              "implementation": 
              [
                {
                  "shortName": "ct_hws_durchgefuhrt",
                  "markdown": "Wurde ein selektives CT der Halswirbelsäule durchgeführt?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:07",
                  "#text": "CT HWS durchgeführt"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:07",
                  "#text": "TraumaRegister-SR-CT-HWS"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:07",
                  "#text": "Wurde ein selektives CT der Halswirbelsäule durchgeführt?"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:07",
                  "#text": "TraumaRegister"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21974",
                  "flexibility": "2020-08-31T10:58:34",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-08-31T10:58:34",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21974",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "CT HWS durchgeführt"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20723",
                  "flexibility": "2019-03-02T15:40:17",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
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                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:40:17",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20723",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:07",
                  "#text": "JA wenn Untersuchungsregion = Halswirbelsäule"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21974",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "241578008",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Computed tomography of cervical spine (procedure)",
                  "effectiveDate": "2024-07-24T21:07:32",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21976",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T21:00:27",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21976",
              "shortName": "ct_thorax_durchgefuhrt",
              "implementation": 
              [
                {
                  "shortName": "ct_thorax_durchgefuhrt",
                  "markdown": "Wurde ein CT des Thorax durchgeführt?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:27",
                  "#text": "CT Thorax durchgeführt"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:27",
                  "#text": "TraumaRegister-SR-CT-Thorax"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:27",
                  "#text": "Wurde ein CT des Thorax durchgeführt?"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:27",
                  "#text": "TraumaRegister"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21976",
                  "flexibility": "2020-08-31T11:07:09",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-08-31T11:07:09",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21976",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "CT Thorax durchgeführt"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20723",
                  "flexibility": "2019-03-02T15:40:17",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:40:17",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20723",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:27",
                  "#text": "JA wenn Untersuchungsregion = Thorax"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21976",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "169069000",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Computed tomography of chest (procedure)",
                  "effectiveDate": "2024-07-24T21:06:47",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21978",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T21:00:40",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21978",
              "shortName": "ct_abdomen_durchgefuhrt",
              "implementation": 
              [
                {
                  "shortName": "ct_abdomen_durchgefuhrt",
                  "markdown": "Wurde ein selektives CT des Abdomens durchgführt?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:40",
                  "#text": "CT Abdomen durchgeführt"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:40",
                  "#text": "TraumaRegister-SR-CT-Abdomen"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:40",
                  "#text": "Wurde ein selektives CT des Abdomens durchgführt?"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:40",
                  "#text": "TraumaRegister"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21978",
                  "flexibility": "2020-08-31T11:39:05",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-08-31T11:39:05",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21978",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "CT Abdomen durchgeführt"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20723",
                  "flexibility": "2019-03-02T15:40:17",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:40:17",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20723",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:00:40",
                  "#text": "JA wenn Untersuchungsregion = Abdomen"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "boolean"
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21978",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "169070004",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Computed tomography of abdomen (procedure)",
                  "effectiveDate": "2024-07-24T21:06:09",
                  "codeSystemName": "SNOMED Clinical Terms"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.22056",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-07-24T21:15:32",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-22056",
              "shortName": "ct_bzw_mr_bzw_dsangiographie",
              "implementation": 
              [
                {
                  "shortName": "ct_bzw_mr_bzw_dsangiographie",
                  "markdown": "Wurde und wenn wann wurde ein CT-/MR-/DS-Angiographie im Vergleich zur nativen Bildgebung durchgeführt worden?"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:15:32",
                  "#text": "CT- bzw. MR- bzw. DS-Angiographie"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:15:32",
                  "#text": "ADSR-31"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:15:32",
                  "#text": "Wurde und wenn wann wurde ein CT-/MR-/DS-Angiographie im Vergleich zur nativen Bildgebung durchgeführt worden?"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:15:32",
                  "#text": "ADSR"
                }
              ],
              "relationship": 
              [
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.22060",
                  "flexibility": "2020-09-10T17:36:31",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-09-10T17:36:31",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-22060",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Kontrastmittel"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.22058",
                  "flexibility": "2020-09-10T17:24:38",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-09-10T17:24:38",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-22058",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20724",
                  "flexibility": "2019-03-02T15:42:57",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:42:57",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20724",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Kontrastmittel"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20726",
                  "flexibility": "2019-03-02T15:46:18",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:46:18",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20726",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                },
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.22056",
                  "flexibility": "2020-09-10T17:14:51",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-09-10T17:14:51",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-22056",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "CT- bzw. MR- bzw. DS-Angiographie"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20721",
                  "flexibility": "2019-03-02T15:37:15",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:37:15",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20721",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungszeitpunkt"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20723",
                  "flexibility": "2019-03-02T15:40:17",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2019-03-02T15:40:17",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-20723",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Untersuchungsregion"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.22059",
                  "flexibility": "2020-09-10T17:31:50",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-09-10T17:31:50",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-22059",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Angiographie"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.22061",
                  "flexibility": "2020-09-10T17:38:04",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-09-10T17:38:04",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-22061",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Angiographie"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-07-24T21:15:32",
                  "#text": "Möglichst automatische Bewertung: <br clear=\"none\"/> nein WENN kein Angiographie dokumentiert <br clear=\"none\"/> vor Aufnahme WENN Untersuchungszeitpunkt Angiographie &lt; Aufnahmezeitpunkt <br clear=\"none\"/> direkt im Anschluss an native Bildgebung WENN Untersuchungszeitpunkt Angiographie &gt;=\n Aufnahmezeitpunkt UND Untersuchungszeitpunkt Kopf-CT = Untersuchungszeitpunkt Kontrastmittel <br clear=\"none\"/> nicht direkt im Anschluss an native Bildgebung aber ≤ 24 h WENN Untersuchungszeitpunkt Angiographie &gt;= Aufnahmezeitpunkt UND Angiographie-Aufnahmezeitpunkt &lt;= 24 h UND Untersuchungszeitpunkt Kopf-CT = Untersuchungszeitpunkt Kontrastmittel <br clear=\"none\"/> nicht direkt im Anschluss an native Bildgebung aber &gt; 24 h WENN Untersuchungszeitpunkt Angiographie &gt;= Aufnahmezeitpunkt UND Angiographie-Aufnahmezeitpunkt &gt; 24 h UND Untersuchungszeitpunkt Kopf-CT = Untersuchungszeitpunkt Kontrastmittel <br clear=\"none\"/>"
                }
              ],
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                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
                              "#text": "nein"
                            }
                          ],
                          "synonym": 
                          [
                            {
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                              "lastTranslated": "2024-07-24T21:15:32",
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                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
                              "#text": "vor Aufnahme"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
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                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
                              "#text": "direkt im Anschluss an native Bildgebung"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
                              "#text": "2"
                            }
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                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.22056.20231120000000.0.4",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
                              "#text": "nicht direkt im Anschluss an native Bildgebung aber ≤ 24 h"
                            }
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                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
                              "#text": "3"
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                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.22056.20231120000000.0.5",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
                              "#text": "nicht direkt im Anschluss an native Bildgebung aber > 24 h"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-07-24T21:15:32",
                              "#text": "4"
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                        }
                      ]
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                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.22056",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "FLN-122",
                  "codeSystem": "1.2.276.0.76.3.1.195.5.98",
                  "displayName": "Wurde und wenn wann wurde ein CT-/MR-/DS-Angiographie im Vergleich zur nativen Bildgebung durchgeführt?",
                  "equivalence": "equal",
                  "effectiveDate": "2024-08-20T19:54:34",
                  "codeSystemName": "Kandidaten LOINC Terme"
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          "id": "2.16.840.1.113883.2.6.60.3.2.9.29601",
          "effectiveDate": "2023-12-28T21:38:31",
          "statusCode": "draft",
          "lastModifiedDate": "2026-09-09T12:31:56",
          "type": "group",
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          "maximumMultiplicity": "*",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-29601",
          "shortName": "wildcard_diagnostik",
          "implementation": 
          [
            {
              "shortName": "wildcard_diagnostik",
              "markdown": "**Wildcard für Diagnostische Befunde und Beobachtungen** \n\nMehr Informationen finden sich im zugehörigen[Datensatz](http://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39)in diesem Projekt."
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2023-12-28T21:38:51",
              "#text": "Wildcard: Diagnostik"
            }
          ],
          "synonym": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2025-11-09T09:17:28",
              "#text": "Wildcard: Observation"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2023-12-28T21:38:51",
              "#text": "<p><strong>Wildcard für Diagnostische Befunde und Beobachtungen</strong></p> \n <p>Mehr Informationen finden sich im zugehörigen <a href=\"http://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39\" rel=\"noopener noreferrer nofollow\">Datensatz</a> in diesem Projekt.</p>"
            }
          ],
          "concept": 
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              "id": "2.16.840.1.113883.2.6.60.3.2.9.29608",
              "effectiveDate": "2023-12-28T22:19:55",
              "statusCode": "draft",
              "lastModifiedDate": "2023-12-28T22:31:46",
              "type": "group",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29608",
              "shortName": "klinisch_relevante_zeitangaben",
              "implementation": 
              [
                {
                  "shortName": "klinisch_relevante_zeitangaben",
                  "markdown": "Klinisch relevante Zeitangaben"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:20:10",
                  "#text": "Klinisch relevante Zeitangaben"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:20:10",
                  "#text": "Klinisch relevante Zeitangaben"
                }
              ],
              "concept": 
              [
                {
                  "id": "2.16.840.1.113883.2.6.60.3.2.9.29603",
                  "effectiveDate": "2023-12-28T22:08:09",
                  "statusCode": "draft",
                  "lastModifiedDate": "2023-12-28T22:20:50",
                  "type": "item",
                  "minimumMultiplicity": "0",
                  "maximumMultiplicity": "1",
                  "conformance": "R",
                  "isMandatory": "false",
                  "iddisplay": "notfdok-dataelement2025-29603",
                  "shortName": "zeitpunkt",
                  "implementation": 
                  [
                    {
                      "shortName": "zeitpunkt",
                      "markdown": "Klinisch relevanter Zeitpunkt"
                    }
                  ],
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-12-28T22:08:40",
                      "#text": "Zeitpunkt"
                    }
                  ],
                  "desc": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-12-28T22:08:40",
                      "#text": "Klinisch relevanter Zeitpunkt"
                    }
                  ],
                  "valueDomain": 
                  [
                    {
                      "type": "datetime"
                    }
                  ]
                },
                {
                  "id": "2.16.840.1.113883.2.6.60.3.2.9.29609",
                  "effectiveDate": "2023-12-28T22:20:54",
                  "statusCode": "draft",
                  "lastModifiedDate": "2023-12-28T22:31:46",
                  "type": "item",
                  "minimumMultiplicity": "0",
                  "maximumMultiplicity": "1",
                  "conformance": "R",
                  "isMandatory": "false",
                  "iddisplay": "notfdok-dataelement2025-29609",
                  "shortName": "zeitraum",
                  "implementation": 
                  [
                    {
                      "shortName": "zeitraum",
                      "markdown": "Klinisch relevanter Zeitraum von / (bis)"
                    }
                  ],
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-12-28T22:21:28",
                      "#text": "Zeitraum"
                    }
                  ],
                  "desc": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-12-28T22:21:28",
                      "#text": "\n <p>Klinisch relevanter Zeitraum von / (bis)</p> \n "
                    }
                  ],
                  "valueDomain": 
                  [
                    {
                      "type": "duration"
                    }
                  ]
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.29604",
              "effectiveDate": "2023-12-28T22:09:04",
              "statusCode": "draft",
              "lastModifiedDate": "2026-09-09T12:08:53",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29604",
              "shortName": "code",
              "implementation": 
              [
                {
                  "shortName": "code",
                  "markdown": "Code der Wildcard-Diagnostilk / Wildcard-Therapie laut[Verzeichnis](https://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39)."
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:09:45",
                  "#text": "Code"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:09:45",
                  "#text": "<p>Code der Wildcard-Diagnostilk / Wildcard-Therapie laut <a href=\"https://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39\" rel=\"noopener noreferrer nofollow\">Verzeichnis</a>.</p>"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "code"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.29605",
              "effectiveDate": "2023-12-28T22:09:50",
              "statusCode": "draft",
              "lastModifiedDate": "2023-12-28T22:10:58",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29605",
              "shortName": "wert",
              "implementation": 
              [
                {
                  "shortName": "wert",
                  "markdown": "Ergebnis der diagnostischen Verrichtung / Ergebnis der Beobachtung laut[Verzeichnis](http://art-decor.org/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39)."
                }
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              "name": 
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                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:10:58",
                  "#text": "Wert"
                }
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              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:10:58",
                  "#text": "\n <p>Ergebnis der diagnostischen Verrichtung / Ergebnis der Beobachtung laut <a href=\"http://art-decor.org/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39\" rel=\"noopener noreferrer nofollow\">Verzeichnis</a>.</p> \n "
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            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.29606",
              "effectiveDate": "2023-12-28T22:11:14",
              "statusCode": "draft",
              "lastModifiedDate": "2026-09-09T12:09:06",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29606",
              "shortName": "definitorischer_link",
              "implementation": 
              [
                {
                  "shortName": "definitorischer_link",
                  "markdown": "Link zur Definition im[Verzeichnis](https://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39)der Wildcard-Diagnostilk / Wildcard-Therapie"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:12:01",
                  "#text": "Definitorischer Link"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:12:01",
                  "#text": "<p>Link zur Definition im <a href=\"https://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39\" rel=\"noopener noreferrer nofollow\">Verzeichnis</a> der Wildcard-Diagnostilk / Wildcard-Therapie</p>"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "string"
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            }
          ]
        }
      ]
    },
    {
      "id": "2.16.840.1.113883.2.6.60.3.2.9.22159",
      "effectiveDate": "2023-11-20T00:00:00",
      "statusCode": "draft",
      "lastModifiedDate": "2026-09-09T12:21:31",
      "type": "group",
      "minimumMultiplicity": "1",
      "maximumMultiplicity": "1",
      "conformance": "R",
      "isMandatory": "false",
      "iddisplay": "notfdok-dataelement2025-22159",
      "shortName": "masnahmen",
      "implementation": 
      [
        {
          "shortName": "masnahmen",
          "markdown": "Maßnahmen, die in der Notaufnahme an dem Patienten durchgeführt werden"
        }
      ],
      "name": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2023-12-28T22:30:30",
          "#text": "Maßnahmen"
        }
      ],
      "desc": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2023-12-28T22:30:30",
          "#text": "Maßnahmen, die in der Notaufnahme an dem Patienten durchgeführt werden"
        }
      ],
      "relationship": 
      [
        {
          "type": "SPEC",
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          "refdisplay": "nap-dataelement2020(1)-20159",
          "name": 
          [
            {
              "language": "de-DE",
              "#text": "Maßnahmen"
            }
          ]
        }
      ],
      "concept": 
      [
        {
          "id": "2.16.840.1.113883.2.6.60.3.2.9.20668",
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          "effectiveDate": "2023-11-20T00:00:00",
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          "type": "group",
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          "conformance": "R",
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          "iddisplay": "notfdok-dataelement2025-20668",
          "shortName": "medikamentose_therapie",
          "implementation": 
          [
            {
              "shortName": "medikamentose_therapie",
              "markdown": "Informationen zur medikamentösen Therapie "
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          "inherit": 
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              "iddisplay": "nap-dataelement2020(1)-20668",
              "refdisplay": "nap-dataelement2020(1)-20668",
              "localInherit": "true",
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              "inheritExtraConcepts": "2",
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            }
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              "language": "de-DE",
              "#text": "Medikamentöse Therapie"
            }
          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Informationen zur medikamentösen Therapie "
            }
          ],
          "concept": 
          [
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.30086",
              "effectiveDate": "2023-12-28T16:29:51",
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              "iddisplay": "notfdok-dataelement2025-30086",
              "shortName": "medikation",
              "implementation": 
              [
                {
                  "shortName": "medikation",
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              "shortName": "isolation",
              "markdown": "Isolation des Patienten notwendig?"
            }
          ],
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          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-05-13T13:54:49",
              "#text": "Isolation"
            }
          ],
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          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-05-13T13:54:49",
              "#text": "Isolation des Patienten notwendig?"
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          ],
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                  "language": "de-DE",
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              "datasetVersionLabel": "v2020.1",
              "iType": "group",
              "iEffectiveDate": "2018-01-25T00:00:00",
              "iStatusCode": "final",
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              "refdisplay": "nap-dataelement2020(1)-10004",
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              [
                {
                  "language": "de-DE",
                  "#text": "Isolation"
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              ]
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              "id": "2.16.840.1.113883.2.6.60.3.2.9.7",
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              "statusCode": "draft",
              "lastModifiedDate": "2025-12-23T12:29:40",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-7",
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              "implementation": 
              [
                {
                  "shortName": "isolation",
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                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2025-12-23T12:28:53",
                  "#text": "Isolation"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2025-12-23T12:28:53",
                  "#text": "Patient muss aufgrund einer (z.B. möglicherweise übertragbaren Erkrankung) isoliert werden."
                }
              ],
              "source": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2025-12-23T12:28:53",
                  "#text": "Ansprechpartner: Kulla"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2025-12-23T12:29:40",
                  "#text": "<p>Optionen: Patient muss isoliert werden / Patient muss nicht isoliert werden</p>"
                }
              ],
              "relationship": 
              [
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                  "type": "COPY",
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                  "flexibility": "2014-09-25T00:00:00",
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                  "datasetEffectiveDate": "2014-09-15T00:00:00",
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                    {
                      "language": "de-DE",
                      "#text": "Isolation"
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                  "iEffectiveDate": "2015-01-15T00:00:00",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2015(1)-7",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Isolation"
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              [
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                          "id": "2.16.840.1.113883.2.6.60.3.2.9.7.20231120000000.0.1",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2025-12-23T12:28:53",
                              "#text": "Patient muss isoliert werden"
                            }
                          ]
                        },
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                          "exception": "false",
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                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2025-12-23T12:28:53",
                              "#text": "Patient muss nicht isoliert werden"
                            }
                          ]
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                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.7",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "40174006",
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                  "displayName": "Isolation procedure (procedure)",
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                  "codeSystemName": "SNOMED Clinical Terms"
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              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.8",
              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-05-13T13:59:54",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-8",
              "shortName": "isolation_begrundung",
              "implementation": 
              [
                {
                  "shortName": "isolation_begrundung",
                  "markdown": "Begründung und Beschreibung der Hintergründe der Patientenisolation"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-05-13T13:55:15",
                  "#text": "Isolation Begründung"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-05-13T13:55:15",
                  "#text": "nokeda_isolation"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-05-13T13:55:15",
                  "#text": "Begründung und Beschreibung der Hintergründe der Patientenisolation"
                }
              ],
              "rationale": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-05-13T13:55:15",
                  "#text": "\n <ul><li>Abbildung des Aufwandes für die Isolation</li> [Sekt. am 5.7.2014] <li>Einschätzung der Infektionsgefahr (für Personal und Patienten)</li><li>Dokumentation des Infektionsschutz</li><li>Einhaltung der Hygienerichtlinien</li></ul> \n "
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.2.8",
                  "flexibility": "2015-01-15T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.2",
                  "datasetEffectiveDate": "2015-01-15T00:00:00",
                  "datasetStatusCode": "final",
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                  "iEffectiveDate": "2015-01-15T00:00:00",
                  "iStatusCode": "final",
                  "refdisplay": "aktin-dataelement2015(1)-8",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Isolation Begründung"
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                },
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                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.8",
                  "flexibility": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
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                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-8",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Isolation Begründung"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.10004",
                  "flexibility": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
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                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "group",
                  "iEffectiveDate": "2018-01-25T00:00:00",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-10004",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Isolation"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-05-13T13:55:15",
                  "#text": "Automatische Befüllung von \"Keine Isolation\" wenn Isolation = Nein"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "code",
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0",
                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.1",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Keine Isolation"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.2",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "multiresistenter Keim"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.3",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Gastroenteritis"
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                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.4",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Tuberkulose"
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                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.5",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Meningitis"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.6",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Influenza"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.7",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "COVID-19"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.8",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Neutropenie"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.9",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Prophylaktische Isolation auf Basis RKI-Empfehlung"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.11"
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.10",
                          "exception": "true",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Andere"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "valueSet": 
              [
                {
                  "id": "1.2.276.0.76.3.1.195.11.25",
                  "name": "isolation-reason",
                  "displayName": "Isolationsgrund",
                  "effectiveDate": "2024-02-19T12:55:34",
                  "statusCode": "draft",
                  "versionLabel": "2024",
                  "canonicalUri": "http://aktin.org/fhir/ValueSet/aktin-vs-isolation-reason",
                  "lastModifiedDate": "2025-05-26T16:12:12",
                  "terminologyAssociation": 
                  [
                    {
                      "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0",
                      "valueSet": "1.2.276.0.76.3.1.195.11.25",
                      "flexibility": "2024-02-19T12:55:34",
                      "effectiveDate": "2024-05-13T13:55:14",
                      "valueSetName": "Isolationsgrund",
                      "valueSetStatusCode": "draft",
                      "valueSetVersionLabel": "2024",
                      "valueSetEffectiveDate": "2024-02-19T12:55:34"
                    }
                  ],
                  "sourceCodeSystem": 
                  [
                    {
                      "id": "2.16.840.1.113883.6.96",
                      "identifierName": "SNOMED Clinical Terms",
                      "canonicalUri": "http://snomed.info/sct",
                      "canonicalUriDSTU2": "http://snomed.info/sct",
                      "canonicalUriSTU3": "http://snomed.info/sct",
                      "canonicalUriR4": "http://snomed.info/sct",
                      "canonicalUriR4B": "http://snomed.info/sct",
                      "canonicalUriR5": "http://snomed.info/sct"
                    }
                  ],
                  "publishingAuthority": 
                  [
                    {
                      "name": "AKTIN e. V.",
                      "inherited": "project",
                      "addrLine": 
                      [
                        "c/o Uniklinik RWTH Aachen",
                        "Institut für Medizinische Informatik",
                        "Pauwelsstraße 35",
                        "52074 Aachen",
                        {
                          "type": "phone",
                          "#text": "Tel. +49 391 67 28186"
                        },
                        {
                          "type": "email",
                          "#text": "office@aktin.org"
                        }
                      ]
                    }
                  ],
                  "copyright": 
                  [
                    {
                      "language": "en-US",
                      "inherited": "true",
                      "#text": "This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org."
                    }
                  ],
                  "conceptList": 
                  [
                    {
                      "id": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0",
                      "concept": 
                      [
                        {
                          "localId": "1",
                          "code": "32811000119109",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Infection caused by multi antimicrobial drug resistant bacteria (disorder)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "multiresistenter Keim"
                            }
                          ]
                        },
                        {
                          "localId": "2",
                          "code": "25374005",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Inflammation of stomach and intestine (disorder)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Gastroenteritis"
                            }
                          ]
                        },
                        {
                          "localId": "3",
                          "code": "56717001",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Tuberculosis (disorder)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Tuberkulose"
                            }
                          ]
                        },
                        {
                          "localId": "4",
                          "code": "7180009",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Meningitis (disorder)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Meningitis"
                            }
                          ]
                        },
                        {
                          "localId": "5",
                          "code": "6142004",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Influenza (disorder)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Influenza"
                            }
                          ]
                        },
                        {
                          "localId": "6",
                          "code": "840539006",
                          "codeSystem": "2.16.840.1.113883.6.96",
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                              "language": "de-DE",
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                            {
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                              "lastTranslated": "2024-05-13T13:55:15",
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                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Prophylaktische Isolation auf Basis RKI-Empfehlung"
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                        },
                        {
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                          "code": "6415009",
                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Human respiratory syncytial virus (organism)",
                          "level": "0",
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                          "name": 
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                          "codeSystem": "2.16.840.1.113883.6.96",
                          "displayName": "Other (qualifier value)",
                          "level": "0",
                          "type": "L",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "lastTranslated": "2024-05-13T13:55:15",
                              "#text": "Andere"
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                }
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              "terminologyAssociation": 
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                  "valueSetName": "Isolationsgrund",
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                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.8.20231120000000.0.2",
                  "code": "32811000119109",
                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Infection caused by multi antimicrobial drug resistant bacteria (disorder)",
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                  "codeSystemName": "SNOMED Clinical Terms"
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                  "code": "25374005",
                  "codeSystem": "2.16.840.1.113883.6.96",
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                  "effectiveDate": "2025-05-26T16:13:10",
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                  "code": "56717001",
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                  "codeSystem": "2.16.840.1.113883.6.96",
                  "displayName": "Meningitis (disorder)",
                  "effectiveDate": "2024-05-13T13:55:14",
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                {
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                  "code": "6142004",
                  "codeSystem": "2.16.840.1.113883.6.96",
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                  "code": "303011007",
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          "statusCode": "draft",
          "lastModifiedDate": "2026-09-09T12:21:31",
          "type": "group",
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          "iddisplay": "notfdok-dataelement2025-29610",
          "shortName": "wildcard_therapie",
          "implementation": 
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            {
              "shortName": "wildcard_therapie",
              "markdown": "**Wildcard für Therapien und Prozeduren** \n\nMehr Informationen finden sich im zugehörigen [Datensatz](http://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39) in diesem Projekt."
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              "#text": "Wildcard: Procedure"
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              "lastTranslated": "2023-12-28T21:38:51",
              "#text": "<p><strong>Wildcard für Therapien und Prozeduren</strong></p> <p>Mehr Informationen finden sich im zugehörigen <a href=\"http://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39\" rel=\"noopener noreferrer nofollow\">Datensatz</a> in diesem Projekt.</p>"
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          "concept": 
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              "id": "2.16.840.1.113883.2.6.60.3.2.9.29613",
              "effectiveDate": "2023-12-28T22:40:19",
              "statusCode": "draft",
              "lastModifiedDate": "2023-12-28T22:40:46",
              "type": "group",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29613",
              "shortName": "klinisch_relevante_zeitangaben",
              "implementation": 
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                {
                  "shortName": "klinisch_relevante_zeitangaben",
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                  "ref": "2.16.840.1.113883.2.6.60.3.2.9.29608",
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                  "prefix": "aktin-",
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                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:20:10",
                  "#text": "Klinisch relevante Zeitangaben"
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              ],
              "concept": 
              [
                {
                  "id": "2.16.840.1.113883.2.6.60.3.2.9.29614",
                  "effectiveDate": "2023-12-28T22:40:44",
                  "statusCode": "draft",
                  "lastModifiedDate": "2023-12-28T22:40:46",
                  "type": "item",
                  "minimumMultiplicity": "1",
                  "maximumMultiplicity": "1",
                  "conformance": "R",
                  "isMandatory": "false",
                  "iddisplay": "notfdok-dataelement2025-29614",
                  "shortName": "zeitpunkt",
                  "implementation": 
                  [
                    {
                      "shortName": "zeitpunkt",
                      "markdown": "Klinisch relevanter Zeitpunkt"
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                  ],
                  "inherit": 
                  [
                    {
                      "ref": "2.16.840.1.113883.2.6.60.3.2.9.29603",
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                      "prefix": "aktin-",
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                      "iStatusCode": "draft",
                      "iEffectiveDate": "2023-12-28T22:08:09",
                      "iddisplay": "notfdok-dataelement2025-29603",
                      "refdisplay": "notfdok-dataelement2025-29603",
                      "localInherit": "true"
                    }
                  ],
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-12-28T22:08:40",
                      "#text": "Zeitpunkt"
                    }
                  ],
                  "desc": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-12-28T22:08:40",
                      "#text": "Klinisch relevanter Zeitpunkt"
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                  "id": "2.16.840.1.113883.2.6.60.3.2.9.29615",
                  "effectiveDate": "2023-12-28T22:40:44",
                  "statusCode": "draft",
                  "lastModifiedDate": "2023-12-28T22:40:46",
                  "type": "item",
                  "minimumMultiplicity": "1",
                  "maximumMultiplicity": "1",
                  "conformance": "R",
                  "isMandatory": "false",
                  "iddisplay": "notfdok-dataelement2025-29615",
                  "shortName": "zeitraum",
                  "implementation": 
                  [
                    {
                      "shortName": "zeitraum",
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                  "inherit": 
                  [
                    {
                      "ref": "2.16.840.1.113883.2.6.60.3.2.9.29609",
                      "effectiveDate": "2023-12-28T22:20:54",
                      "prefix": "aktin-",
                      "datasetId": "2.16.840.1.113883.2.6.60.3.1.9",
                      "datasetEffectiveDate": "2023-11-20T00:00:00",
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                      "datasetVersionLabel": "2025.1",
                      "iType": "item",
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                      "iEffectiveDate": "2023-12-28T22:20:54",
                      "iddisplay": "notfdok-dataelement2025-29609",
                      "refdisplay": "notfdok-dataelement2025-29609",
                      "localInherit": "true"
                    }
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                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-12-28T22:21:28",
                      "#text": "Zeitraum"
                    }
                  ],
                  "desc": 
                  [
                    {
                      "language": "de-DE",
                      "lastTranslated": "2023-12-28T22:21:28",
                      "#text": "\n <p>Klinisch relevanter Zeitraum von / (bis)</p> \n "
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              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29612",
              "shortName": "code",
              "implementation": 
              [
                {
                  "shortName": "code",
                  "markdown": "Code der Wildcard-Diagnostilk / Wildcard-Therapie laut[Verzeichnis](https://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39)."
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                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.9",
                  "datasetEffectiveDate": "2023-11-20T00:00:00",
                  "datasetStatusCode": "draft",
                  "datasetVersionLabel": "2025.1",
                  "iType": "item",
                  "iStatusCode": "draft",
                  "iEffectiveDate": "2023-12-28T22:09:04",
                  "iddisplay": "notfdok-dataelement2025-29604",
                  "refdisplay": "notfdok-dataelement2025-29604",
                  "localInherit": "true"
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              ],
              "name": 
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                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:09:45",
                  "#text": "Code"
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              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:09:45",
                  "#text": "<p>Code der Wildcard-Diagnostilk / Wildcard-Therapie laut <a href=\"https://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39\" rel=\"noopener noreferrer nofollow\">Verzeichnis</a>.</p>"
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              "effectiveDate": "2023-12-28T22:34:39",
              "statusCode": "draft",
              "lastModifiedDate": "2023-12-28T22:34:52",
              "type": "item",
              "minimumMultiplicity": "1",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29611",
              "shortName": "definitorischer_link",
              "implementation": 
              [
                {
                  "shortName": "definitorischer_link",
                  "markdown": "Link zur Definition im[Verzeichnis](https://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39)der Wildcard-Diagnostilk / Wildcard-Therapie"
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              "inherit": 
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                  "effectiveDate": "2023-12-28T22:11:14",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.9",
                  "datasetEffectiveDate": "2023-11-20T00:00:00",
                  "datasetStatusCode": "draft",
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                  "iType": "item",
                  "iStatusCode": "draft",
                  "iEffectiveDate": "2023-12-28T22:11:14",
                  "iddisplay": "notfdok-dataelement2025-29606",
                  "refdisplay": "notfdok-dataelement2025-29606",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:12:01",
                  "#text": "Definitorischer Link"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2023-12-28T22:12:01",
                  "#text": "<p>Link zur Definition im <a href=\"https://art-decor.org/ad/#/aktin-/datasets/dataset/2.16.840.1.113883.2.6.60.3.1.11/2023-12-28T22:06:39\" rel=\"noopener noreferrer nofollow\">Verzeichnis</a> der Wildcard-Diagnostilk / Wildcard-Therapie</p>"
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          "lastTranslated": "2023-12-28T16:54:09",
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      "terminologyAssociation": 
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                {
                  "language": "de-DE",
                  "#text": "Abschlussdiagnose"
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              ]
            }
          ],
          "terminologyAssociation": 
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              "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.10012",
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              "codeSystem": "2.16.840.1.113883.6.1",
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            }
          ],
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              "effectiveDate": "2023-11-20T00:00:00",
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              "shortName": "freitext_abschlussdiagnose",
              "implementation": 
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                {
                  "shortName": "freitext_abschlussdiagnose",
                  "markdown": "Freitext der Abschlussdiagnose"
                }
              ],
              "name": 
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                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:29:51",
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                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:29:51",
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              ],
              "comment": 
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                  "lastTranslated": "2024-08-08T17:29:51",
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              "maximumMultiplicity": "1",
              "conformance": "R",
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              "iddisplay": "notfdok-dataelement2025-44",
              "shortName": "icd10",
              "implementation": 
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                {
                  "shortName": "icd10",
                  "markdown": "ICD10 Code / Primärdiagnose bei mehrfachkodierten ICD-10-Codes"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:32:56",
                  "#text": "ICD-10"
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              ],
              "desc": 
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                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:32:56",
                  "#text": "<p>ICD10 Code / Primärdiagnose bei mehrfachkodierten ICD-10-Codes</p>"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:32:56",
                  "#text": "options: X00.00"
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              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-29508",
              "shortName": "icd10_sekundardiagnose",
              "implementation": 
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                  "shortName": "icd10_sekundardiagnose",
                  "markdown": "Bei mehrfachkodierten ICD-10-Codes: Sekundärdiagnose zur ICD-10 Primärdiagnose"
                }
              ],
              "name": 
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                {
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                  "lastTranslated": "2024-08-08T17:33:50",
                  "#text": "ICD-10 Sekundärdiagnose"
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              "desc": 
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                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:33:50",
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              ],
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                      "#text": "ICD10 Sekundärdiagnose"
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                }
              ],
              "valueDomain": 
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                {
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              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-20024",
              "shortName": "zusatzkennzeichen",
              "implementation": 
              [
                {
                  "shortName": "zusatzkennzeichen",
                  "markdown": "Ambulante Diagnosen, die den ambulanten Abrechnungskriterien unterliegen, können mit Zusatzkennzeichen erweitert werden."
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.20024",
                  "effectiveDate": "2018-01-25T00:00:00",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
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                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2018-01-25T00:00:00",
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                  "iddisplay": "nap-dataelement2020(1)-20024",
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              "synonym": 
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                  "#text": "nokeda_diagnosis_icd4_certainty"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Ambulante Diagnosen, die den ambulanten Abrechnungskriterien unterliegen, können mit Zusatzkennzeichen erweitert werden. <br clear=\"none\"/>"
                }
              ],
              "comment": 
              [
                {
                  "language": "de-DE",
                  "#text": "Ambulante Diagnosen müssen mit einem Zusatzkennzeichen erweitert werden. Diagnosen nach DRG-Kodierrichtlinien haben kein Attribut, was in diesem Zusammenhang immer das Attribut gesichert bedeutet."
                }
              ],
              "relationship": 
              [
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                  "ref": "2.16.840.1.113883.2.6.60.3.2.3.20024",
                  "flexibility": "2016-01-12T19:37:32",
                  "prefix": "aktin-",
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                  "conceptList": 
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                      "concept": 
                      [
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.3.20024.1",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Verdachtsdiagnose"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "V"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.3.20024.2",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "ausgeschlossene Diagnose "
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "A"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.3.20024.3",
                          "exception": "false",
                          "name": 
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                            {
                              "language": "de-DE",
                              "#text": "Zustand nach der Diagnose"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "Z"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE"
                            }
                          ]
                        },
                        {
                          "id": "2.16.840.1.113883.2.6.60.3.2.3.20024.4",
                          "exception": "false",
                          "name": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "gesicherte Diagnose"
                            }
                          ],
                          "synonym": 
                          [
                            {
                              "language": "de-DE",
                              "#text": "G"
                            }
                          ],
                          "desc": 
                          [
                            {
                              "language": "de-DE"
                            }
                          ]
                        }
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              "effectiveDate": "2023-11-20T00:00:00",
              "statusCode": "draft",
              "lastModifiedDate": "2024-08-08T17:35:46",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "aktin-dataelement2015(1)-20023",
              "shortName": "fuhrende_abschlussdiagnoseq_sequenznummer",
              "implementation": 
              [
                {
                  "shortName": "fuhrende_abschlussdiagnoseq_sequenznummer",
                  "markdown": "Ist diese Abschlussdiagnose die Hauptdiagnose?\nEine Abschlussdiagnose muss als führende Diagnose und damit Hauptdiagnose gekennzeichnet werden.\n\nFührende Abschlussdiagnose: Sequenznummer = 1\nWeitere Abschlussdiagnosen: Sequenznummer > 1"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:35:34",
                  "#text": "Führende Abschlussdiagnose? / Sequenznummer"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:35:34",
                  "#text": "nokeda_diagnosis_icd4_rank"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-08-08T17:35:34",
                  "#text": "<div>Ist diese Abschlussdiagnose die Hauptdiagnose?</div> Eine Abschlussdiagnose muss als führende Diagnose und damit Hauptdiagnose gekennzeichnet werden. <br clear=\"none\"/> \n <br clear=\"none\"/> Führende Abschlussdiagnose: Sequenznummer = 1 <br clear=\"none\"/> Weitere Abschlussdiagnosen: Sequenznummer &gt; 1"
                }
              ],
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                }
              ],
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                {
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                  "property": 
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    },
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      "id": "2.16.840.1.113883.2.6.60.3.2.9.10014",
      "effectiveDate": "2023-11-20T00:00:00",
      "statusCode": "draft",
      "lastModifiedDate": "2023-12-28T16:30:01",
      "type": "group",
      "minimumMultiplicity": "0",
      "maximumMultiplicity": "1",
      "conformance": "R",
      "isMandatory": "false",
      "iddisplay": "notfdok-dataelement2025-10014",
      "shortName": "weiteres_procedere_therapieempfehlung_weiterbehandler",
      "implementation": 
      [
        {
          "shortName": "weiteres_procedere_therapieempfehlung_weiterbehandler",
          "markdown": "Weiteres Procedere / Therapieempfehlung / Weiterbehandler"
        }
      ],
      "name": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2023-12-28T16:29:23",
          "#text": "Weiteres Procedere / Therapieempfehlung / Weiterbehandler"
        }
      ],
      "desc": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2023-12-28T16:29:23",
          "#text": "Weiteres Procedere / Therapieempfehlung / Weiterbehandler"
        }
      ],
      "relationship": 
      [
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          "ref": "2.16.840.1.113883.2.6.60.3.2.6.10014",
          "flexibility": "2018-01-25T00:00:00",
          "prefix": "aktin-",
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          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-20237",
          "shortName": "zeitpunkt_entscheidung_zur_verlegung_entlassung",
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          [
            {
              "shortName": "zeitpunkt_entscheidung_zur_verlegung_entlassung",
              "markdown": "Der Zeitpunkt, zu dem die Entscheidung zur stationären Verlegung oder ambulanten Entlassung festgelegt wurden. "
            }
          ],
          "inherit": 
          [
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          ],
          "name": 
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            {
              "language": "de-DE",
              "#text": "Zeitpunkt Entscheidung zur Verlegung / Entlassung"
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          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Der Zeitpunkt, zu dem die Entscheidung zur stationären Verlegung oder ambulanten Entlassung festgelegt wurden. "
            }
          ],
          "valueDomain": 
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          "terminologyAssociation": 
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          "shortName": "zeitpunkt_patient_verlegungs_entlassungsfahig",
          "implementation": 
          [
            {
              "shortName": "zeitpunkt_patient_verlegungs_entlassungsfahig",
              "markdown": "Zeitpunkt, zu dem die Behandlung in der Notaufnahme beendet ist und die Befundung/Therapie/deren Dokumentation abgeschlossen wurde. Ab dann wartet der Patient auf ein Bett bzw. auf die Transportgelegenheit in die ambulante Versorgung, unter Umständen bei weiterer dokumentationswürdigem Monitoring und Therapie. "
            }
          ],
          "inherit": 
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          ],
          "name": 
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            {
              "language": "de-DE",
              "#text": "Zeitpunkt Patient verlegungs- / entlassungsfähig"
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          ],
          "desc": 
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            {
              "language": "de-DE",
              "#text": "Zeitpunkt, zu dem die Behandlung in der Notaufnahme beendet ist und die Befundung/Therapie/deren Dokumentation abgeschlossen wurde. Ab dann wartet der Patient auf ein Bett bzw. auf die Transportgelegenheit in die ambulante Versorgung, unter Umständen bei weiterer dokumentationswürdigem Monitoring und Therapie. "
            }
          ],
          "rationale": 
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              "language": "de-DE",
              "#text": "Notwendig zur Berechnung eines Exit-Blocks"
            }
          ],
          "valueDomain": 
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              "equivalence": "equal",
              "effectiveDate": "2024-08-20T19:58:22",
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        },
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          "iddisplay": "notfdok-dataelement2025-882",
          "shortName": "zeitpunkt_patient_verlegt_entlassen_nach",
          "implementation": 
          [
            {
              "shortName": "zeitpunkt_patient_verlegt_entlassen_nach",
              "markdown": "Wann wurde der Patient verlegt oder entlassen?"
            }
          ],
          "inherit": 
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              "language": "de-DE",
              "#text": "Zeitpunkt Patient verlegt / entlassen nach"
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          ],
          "synonym": 
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            {
              "language": "de-DE",
              "#text": "TraumaRegister-SR-Weiterverlegung-Zeitpunkt"
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          ],
          "desc": 
          [
            {
              "language": "de-DE",
              "#text": "Wann wurde der Patient verlegt oder entlassen?"
            }
          ],
          "rationale": 
          [
            {
              "language": "de-DE",
              "#text": "Traumaregister 2014"
            }
          ],
          "comment": 
          [
            {
              "language": "de-DE",
              "#text": "dd.mm.yyyy hh24:mi"
            },
            {
              "language": "de-DE",
              "#text": "options: Datum Uhrzeit"
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          ],
          "relationship": 
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          ],
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      "iddisplay": "notfdok-dataelement2025-21743",
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        {
          "shortName": "dokumentationsinformationen"
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      ],
      "name": 
      [
        {
          "language": "de-DE",
          "lastTranslated": "2024-02-14T10:23:33",
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        }
      ],
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      ],
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          "effectiveDate": "2023-11-20T00:00:00",
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          "maximumMultiplicity": "1",
          "conformance": "R",
          "isMandatory": "false",
          "iddisplay": "notfdok-dataelement2025-21755",
          "shortName": "berechnete_zeitintervalle",
          "implementation": 
          [
            {
              "shortName": "berechnete_zeitintervalle",
              "markdown": "Berechnete Zeitintervalle zwischen verschiedenen Prozesszeitpunkten"
            }
          ],
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              "language": "de-DE",
              "#text": "Berechnete Zeitintervalle zwischen verschiedenen Prozesszeitpunkten"
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              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21742",
              "shortName": "zeit_bis_zum_export",
              "implementation": 
              [
                {
                  "shortName": "zeit_bis_zum_export",
                  "markdown": "Zeit [in vollen Stunden] vom Beginn der Vorstellung bis zum Export-Zeitpunkt aus dem Primärsystem; Bei mehr als 28 Tagen (=672 Stunden) Maximalwert angeben."
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              ],
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                  "iddisplay": "nap-dataelement2020(1)-21742",
                  "refdisplay": "nap-dataelement2020(1)-21742",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Zeit bis zum Export"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_refresh_period"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Zeit [in vollen Stunden] vom Beginn der Vorstellung bis zum Export-Zeitpunkt aus dem Primärsystem; Bei mehr als 28 Tagen (=672 Stunden) Maximalwert angeben."
                }
              ],
              "relationship": 
              [
                {
                  "type": "ADAPT",
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                  "prefix": "aktin-",
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                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
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                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21744",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Zeitpunkt Beginn patientenbezogene Dokumentation"
                    }
                  ]
                },
                {
                  "type": "ADAPT",
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                  "flexibility": "2020-02-25T11:19:24",
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                  "datasetStatusCode": "final",
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                  "iEffectiveDate": "2020-02-25T11:19:24",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21741",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Zeitpunkt Export aus EDIS"
                    }
                  ]
                },
                {
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                  "ref": "2.16.840.1.113883.3.1937.777.47.2.46",
                  "flexibility": "2020-01-09T21:42:34",
                  "prefix": "nokeda-",
                  "datasetId": "2.16.840.1.113883.3.1937.777.47.1.1",
                  "datasetEffectiveDate": "2019-11-07T11:36:25",
                  "datasetStatusCode": "draft",
                  "iType": "item",
                  "iEffectiveDate": "2020-01-09T21:42:34",
                  "iStatusCode": "draft",
                  "refdisplay": "nokeda-dataelement-46",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Zeit bis zum Export"
                    },
                    {
                      "language": "en-US",
                      "#text": "Time to export"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "#text": "has_multiple_instances = FALSE <br clear=\"none\"/> <div>Kein Mapping aus Rohdaten; bei der Datenbereitstellung berechnetes Zeitintervall aus Exportzeitpunkt und nokeda_date/nokeda_hour.<br clear=\"none\"/><br clear=\"none\"/>Automatische Berechnung aus Zeitpunkt Export aus EDIS - Aufnahmezeitpunkt </div>"
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "quantity",
                  "property": 
                  [
                    {
                      "unit": "Stunden",
                      "minInclude": "0",
                      "maxInclude": "672"
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
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                  "displayName": "Abgeleitete Informationen über Diagnostik zur Weitergabe - Zeit [in vollen Stunden] vom Beginn der Vorstellung bis zum Export-Zeitpunkt aus dem Primärsystem",
                  "equivalence": "equal",
                  "effectiveDate": "2024-08-20T20:09:14",
                  "codeSystemName": "Kandidaten LOINC Terme"
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              ]
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          "maximumMultiplicity": "1",
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          "iddisplay": "notfdok-dataelement2025-21739",
          "shortName": "datenbereitstellung",
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          [
            {
              "shortName": "datenbereitstellung"
            }
          ],
          "name": 
          [
            {
              "language": "de-DE",
              "lastTranslated": "2024-02-14T10:23:42",
              "#text": "Datenbereitstellung"
            }
          ],
          "desc": 
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            {
              "language": "de-DE"
            }
          ],
          "relationship": 
          [
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            }
          ],
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              "type": "item",
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              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21738",
              "shortName": "name_des_edis",
              "implementation": 
              [
                {
                  "shortName": "name_des_edis",
                  "markdown": ""
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-14T10:23:51",
                  "#text": "Name des EDIS"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-14T10:23:51",
                  "#text": "nokeda_edis_software"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-14T10:23:51",
                  "#text": "\n <table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"256\" style=\"border-collapse: collapse;width:192pt\">\n <div>Name der lokal verwendeten Software zur primären Datenerfassung (EDIS, emergency department information system); wenn keine ED-Spezialanwendung verwendet wird, das KIS.</div>\n </table> \n "
                }
              ],
              "relationship": 
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                  "ref": "2.16.840.1.113883.3.1937.777.47.2.15",
                  "flexibility": "2019-11-28T10:24:09",
                  "prefix": "nokeda-",
                  "datasetId": "2.16.840.1.113883.3.1937.777.47.1.1",
                  "datasetEffectiveDate": "2019-11-07T11:36:25",
                  "datasetStatusCode": "draft",
                  "iType": "item",
                  "iEffectiveDate": "2019-11-28T10:24:09",
                  "iStatusCode": "draft",
                  "iVersionLabel": "2.6",
                  "refdisplay": "nokeda-dataelement-15",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Name des EDIS"
                    },
                    {
                      "language": "en-US",
                      "lastTranslated": "2019-12-03T12:33:20",
                      "#text": "Name of Emergency Department Information System"
                    }
                  ]
                },
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21738",
                  "flexibility": "2020-02-25T10:28:27",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iEffectiveDate": "2020-02-25T10:28:27",
                  "iStatusCode": "final",
                  "iVersionLabel": "v2020.1",
                  "refdisplay": "nap-dataelement2020(1)-21738",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Name des EDIS"
                    },
                    {
                      "language": "en-US",
                      "lastTranslated": "2019-12-03T12:33:20",
                      "#text": "Name of Emergency Department Information System"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "lastTranslated": "2024-02-14T10:23:51",
                  "#text": "\n <p>has_multiple_instances = FALSE </p> \n <p>Kein Mapping aus Rohdaten; manuell beschrieben aus der Kenntnis der lokal verwendeten Software; Information zur Software und zum Hersteller bereitstellen, sollte der Hersteller unterschiedliche Produkte anbieten.</p> \n "
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "string",
                  "property": 
                  [
                    {
                      "minLength": "0",
                      "maxLength": "32"
                    }
                  ],
                  "example": 
                  [
                    {
                      "type": "neutral",
                      "#text": "Epias ED"
                    },
                    {
                      "type": "neutral",
                      "#text": "ERPath"
                    },
                    {
                      "type": "neutral",
                      "#text": "e.care"
                    },
                    {
                      "type": "neutral",
                      "#text": "ORBIS Cockpit Notaufnahme"
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21738",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "FLN-135",
                  "codeSystem": "1.2.276.0.76.3.1.195.5.98",
                  "displayName": "Abgeleitete Informationen über Diagnostik zur Weitergabe - Name der lokal verwendeten Software zur primären Datenerfassung (EDIS, emergency department information system",
                  "equivalence": "equal",
                  "effectiveDate": "2024-08-20T20:10:21",
                  "codeSystemName": "Kandidaten LOINC Terme"
                }
              ]
            },
            {
              "id": "2.16.840.1.113883.2.6.60.3.2.9.21740",
              "statusCode": "draft",
              "effectiveDate": "2023-11-20T00:00:00",
              "lastModifiedDate": "2023-11-27T17:39:29",
              "type": "item",
              "minimumMultiplicity": "0",
              "maximumMultiplicity": "1",
              "conformance": "R",
              "isMandatory": "false",
              "iddisplay": "notfdok-dataelement2025-21740",
              "shortName": "version_des_edis",
              "implementation": 
              [
                {
                  "shortName": "version_des_edis",
                  "markdown": "Versionsnummer und/oder Bezeichnung (nach Herstellerangaben) des EDIS (ggf. KIS)"
                }
              ],
              "inherit": 
              [
                {
                  "ref": "2.16.840.1.113883.2.6.60.3.2.6.21740",
                  "effectiveDate": "2020-02-25T11:11:36",
                  "prefix": "aktin-",
                  "datasetId": "2.16.840.1.113883.2.6.60.3.1.6",
                  "datasetEffectiveDate": "2018-08-17T00:00:00",
                  "datasetStatusCode": "final",
                  "datasetVersionLabel": "v2020.1",
                  "iType": "item",
                  "iStatusCode": "final",
                  "iEffectiveDate": "2020-02-25T11:11:36",
                  "iVersionLabel": "v2020.1",
                  "iddisplay": "nap-dataelement2020(1)-21740",
                  "refdisplay": "nap-dataelement2020(1)-21740",
                  "localInherit": "true"
                }
              ],
              "name": 
              [
                {
                  "language": "de-DE",
                  "#text": "Version des EDIS"
                }
              ],
              "synonym": 
              [
                {
                  "language": "de-DE",
                  "#text": "nokeda_edis_version"
                }
              ],
              "desc": 
              [
                {
                  "language": "de-DE",
                  "#text": "Versionsnummer und/oder Bezeichnung (nach Herstellerangaben) des EDIS (ggf. KIS) <br clear=\"none\"/>"
                }
              ],
              "relationship": 
              [
                {
                  "type": "SPEC",
                  "ref": "2.16.840.1.113883.3.1937.777.47.2.43",
                  "flexibility": "2020-01-09T21:39:03",
                  "prefix": "nokeda-",
                  "datasetId": "2.16.840.1.113883.3.1937.777.47.1.1",
                  "datasetEffectiveDate": "2019-11-07T11:36:25",
                  "datasetStatusCode": "draft",
                  "iType": "item",
                  "iEffectiveDate": "2020-01-09T21:39:03",
                  "iStatusCode": "draft",
                  "refdisplay": "nokeda-dataelement-43",
                  "name": 
                  [
                    {
                      "language": "de-DE",
                      "#text": "Version des EDIS"
                    },
                    {
                      "language": "en-US",
                      "#text": "Version EDIS"
                    }
                  ]
                }
              ],
              "operationalization": 
              [
                {
                  "language": "de-DE",
                  "#text": "\n <span style=\"color: rgb(51, 51, 51); font-family: Arial, Helvetica, Geneva, sans-serif; font-size: 12px;\">has_multiple_instances = FALSE</span> \n <br clear=\"none\"/> \n <span style=\"color: rgb(51, 51, 51); font-family: Arial, Helvetica, Geneva, sans-serif; font-size: 12px;\">Kein Mapping aus Rohdaten; manuell beschrieben aus der Kenntnis der lokal verwendeten Software-Version; alternativ dynamisches Auslesen falls lokal oder zentral verzeichnet.</span> \n <br clear=\"none\"/> \n "
                }
              ],
              "valueDomain": 
              [
                {
                  "type": "string",
                  "property": 
                  [
                    {
                      "minLength": "0",
                      "maxLength": "32"
                    }
                  ]
                }
              ],
              "terminologyAssociation": 
              [
                {
                  "conceptId": "2.16.840.1.113883.2.6.60.3.2.9.21740",
                  "conceptFlexibility": "2023-11-20T00:00:00",
                  "code": "FLN-136",
                  "codeSystem": "1.2.276.0.76.3.1.195.5.98",
                  "displayName": "Abgeleitete Informationen über Diagnostik zur Weitergabe - Versionsnummer und/oder Bezeichnung (nach Herstellerangaben) des EDIS (ggf. KIS)",
                  "equivalence": "equal",
                  "effectiveDate": "2024-08-20T20:10:59",
                  "codeSystemName": "Kandidaten LOINC Terme"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}