ID

3492

Beschreibung

ODM derived from http://www.bvitg.de/arztbrief.html

Link

http://www.bvitg.de/arztbrief.html

Stichworte

Versionen (4)
  1. 24.09.12 24.09.12 - Martin Dugas
  2. 27.09.12 27.09.12 - Martin Dugas
  3. 27.09.12 27.09.12 - Martin Dugas
  4. 27.09.12 27.09.12 - Martin Dugas
Hochgeladen am

27. September 2012

DOI

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CDA discharge letter VHitG 1.50 CDA_discharge_letter_1.50 any condition

Deutsch Englisch

CDA discharge letter VHitG 1.50

1 Formulare  
  1. StudyEvent: CDA discharge letter VHitG 1.50
    1. CDA discharge letter VHitG 1.50
CDA Header
Beschreibung

CDA Header

document ID
Beschreibung

id

Datentyp

string

Alias
cardinality
1..1
UMLS CUI 2011AA
CL425233
document type
Beschreibung

code

Datentyp

string

Alias
cardinality
1..1
UMLS CUI 2011AA
C1547673
SNOMED CT 2011_0731
229059009
effective time
Beschreibung

effectiveTime

Datentyp

date

Alias
cardinality
1..1
UMLS CUI 2011AA
C0807937
confidentiality code
Beschreibung

confidentialityCode

Datentyp

integer

Alias
cardinality
1..1
UMLS CUI 2011AA
C1553801
language of document
Beschreibung

languageCode

Datentyp

integer

Alias
cardinality
0..1
UMLS CUI 2011AA
C1708640
set ID of document
Beschreibung

setID

Datentyp

string

Alias
cardinality
0..1
version number
Beschreibung

versionNumber

Datentyp

string

Alias
cardinality
0..1
patient identification number
Beschreibung

PatientRole_id

Datentyp

string

Alias
cardinality
1..*
UMLS CUI 2011AA
C1830427
patient address
Beschreibung

PatientRole_addr

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C0421449
SNOMED CT 2011_0731
184097001
patient telecom contacts
Beschreibung

PatientRole_telecom

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
CL426070
patient name
Beschreibung

PatientRole_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1299487
gender
Beschreibung

administrativeGenderCode

Datentyp

integer

Alias
cardinality
0..1
UMLS CUI 2011AA
C0079399
date of birth
Beschreibung

birthtime

Datentyp

date

Alias
cardinality
0..1
UMLS CUI 2011AA
C0421451
place of birth
Beschreibung

birthPlace

Datentyp

string

Alias
cardinality
0..1
UMLS CUI 2011AA
C0584985
provider organization
Beschreibung

providerOrganization

Datentyp

string

Alias
cardinality
0..1
custodian ID
Beschreibung

custodian_id

Datentyp

string

Alias
cardinality
1..*
custodian name
Beschreibung

custodian_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1550490
custodian telecom contacts
Beschreibung

custodian_telecom

Datentyp

string

Alias
cardinality
0..*
custodian address
Beschreibung

custodian_addr

Datentyp

string

Alias
cardinality
0..*
function of author
Beschreibung

author_functionCode

Datentyp

string

Alias
cardinality
0..1
documentation time point
Beschreibung

author_time

Datentyp

date

Alias
cardinality
1..1
author ID
Beschreibung

author_id

Datentyp

string

Alias
cardinality
1..*
author address
Beschreibung

author_addr

Datentyp

string

Alias
cardinality
0..*
author telecom contacts
Beschreibung

author_telecom

Datentyp

string

Alias
cardinality
0..*
author name
Beschreibung

author_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C0805191
represented organization ID
Beschreibung

representedOrganization_id

Datentyp

string

Alias
cardinality
0..*
represented organization name
Beschreibung

representedOrganization_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C0029246
represented organization telecom contacts
Beschreibung

representedOrganization_telecom

Datentyp

string

Alias
cardinality
0..*
represented organization address
Beschreibung

representedOrganization_addr

Datentyp

string

Alias
cardinality
0..*
type of recipient
Beschreibung

IntendedRecipient_typeCode

Datentyp

integer

time of signature
Beschreibung

legalAuthenticator_time

Datentyp

date

Alias
cardinality
1..1
UMLS CUI 2011AA
C0807937
signature code
Beschreibung

legalAuthenticator_signatureCode

Datentyp

integer

Alias
cardinality
1..1
signer ID
Beschreibung

legalAuthenticator_id

Datentyp

string

Alias
cardinality
1..*
signer address
Beschreibung

legalAuthenticator_addr

Datentyp

string

Alias
cardinality
0..*
signer telecom contacts
Beschreibung

legalAuthenticator_telecom

Datentyp

string

Alias
cardinality
0..*
signer name
Beschreibung

legalAuthenticator_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1519316
type of participant
Beschreibung

participant_typeCode

Datentyp

integer

Alias
cardinality
0..1
timeframe of participation
Beschreibung

participant_time

Datentyp

string

Alias
cardinality
0..1
Encounter code
Beschreibung

EncompassingEncounter_code

Datentyp

integer

Alias
cardinality
0..1
UMLS CUI 2011AA
C0586002
Encounter timeframe
Beschreibung

EncompassingEncounter_effectiveTime

Datentyp

string

Alias
cardinality
0..1
UMLS CUI 2011AA
CL425519
consent ID
Beschreibung

Consent_id

Datentyp

string

Alias
cardinality
0..*
consent code
Beschreibung

Consent_code

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1511481
consent status
Beschreibung

Consent_statusCode

Datentyp

integer

Alias
cardinality
0..*
UMLS CUI 2011AA
C0586888
CDA R2 Body
Beschreibung

CDA R2 Body

salutation
Beschreibung

X-SALUT

Datentyp

string

medical problem
Beschreibung

X-RFR

Datentyp

string

Alias
UMLS CUI 2011AA
C1254481
medical history
Beschreibung

medical history

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
10164-2
UMLS CUI 2011AA
C0262926
physical finding
Beschreibung

finding

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
10210-3
UMLS CUI 2011AA
C0311392
diagnosis
Beschreibung

diagnosis

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
29308-4
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0731
439401001
caveat
Beschreibung

cave

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
11382-9
UMLS CUI 2011AA
C0871599
Therapeutic procedure
Beschreibung

therapy

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
19009-0
UMLS CUI 2011AA
C0087111
SNOMED CT 2011_0731
277132007
notes
Beschreibung

notes

Datentyp

string

Alias
UMLS CUI 2011AA
C1317574
epicrisis
Beschreibung

epicrisis

Datentyp

string

Alias
UMLS CUI 2011AA
C0743221
document attachment
Beschreibung

attachment

Datentyp

string

Alias
UMLS CUI 2011AA
CL414284
conclusion
Beschreibung

conclusion

Datentyp

string

Alias
UMLS CUI 2011AA
C1707478
Cross-Reference
Beschreibung

xref

Datentyp

string

Alias
UMLS CUI 2011AA
C1707532
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Ähnliche Modelle

CDA discharge letter VHitG 1.50

1 Formulare
  1. StudyEvent: CDA discharge letter VHitG 1.50
    1. CDA discharge letter VHitG 1.50
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
CDA Header
id
Item
document ID
string
1..1 (cardinality)
CL425233 (UMLS CUI 2011AA)
code
Item
document type
string
1..1 (cardinality)
C1547673 (UMLS CUI 2011AA)
229059009 (SNOMED CT 2011_0731)
effectiveTime
Item
effective time
date
1..1 (cardinality)
C0807937 (UMLS CUI 2011AA)
Item
confidentiality code
integer
1..1 (cardinality)
C1553801 (UMLS CUI 2011AA)
confidentialityCode
Code List
confidentiality code
CL Item
normal (N)
CL Item
restricted (R)
CL Item
very restricted (V)
Item
language of document
integer
0..1 (cardinality)
C1708640 (UMLS CUI 2011AA)
languageCode
Code List
language of document
CL Item
german (de-DE)
CL Item
english (en-EN)
setID
Item
set ID of document
string
0..1 (cardinality)
versionNumber
Item
version number
string
0..1 (cardinality)
PatientRole_id
Item
patient identification number
string
1..* (cardinality)
C1830427 (UMLS CUI 2011AA)
PatientRole_addr
Item
patient address
string
0..* (cardinality)
C0421449 (UMLS CUI 2011AA)
184097001 (SNOMED CT 2011_0731)
PatientRole_telecom
Item
patient telecom contacts
string
0..* (cardinality)
CL426070 (UMLS CUI 2011AA)
PatientRole_name
Item
patient name
string
0..* (cardinality)
C1299487 (UMLS CUI 2011AA)
Item
gender
integer
0..1 (cardinality)
C0079399 (UMLS CUI 2011AA)
administrativeGenderCode
Code List
gender
CL Item
female (F)
CL Item
male (M)
CL Item
undifferentiated (UN)
birthtime
Item
date of birth
date
0..1 (cardinality)
C0421451 (UMLS CUI 2011AA)
birthPlace
Item
place of birth
string
0..1 (cardinality)
C0584985 (UMLS CUI 2011AA)
providerOrganization
Item
provider organization
string
0..1 (cardinality)
custodian_id
Item
custodian ID
string
1..* (cardinality)
custodian_name
Item
custodian name
string
0..* (cardinality)
C1550490 (UMLS CUI 2011AA)
custodian_telecom
Item
custodian telecom contacts
string
0..* (cardinality)
custodian_addr
Item
custodian address
string
0..* (cardinality)
author_functionCode
Item
function of author
string
0..1 (cardinality)
author_time
Item
documentation time point
date
1..1 (cardinality)
author_id
Item
author ID
string
1..* (cardinality)
author_addr
Item
author address
string
0..* (cardinality)
author_telecom
Item
author telecom contacts
string
0..* (cardinality)
author_name
Item
author name
string
0..* (cardinality)
C0805191 (UMLS CUI 2011AA)
representedOrganization_id
Item
represented organization ID
string
0..* (cardinality)
representedOrganization_name
Item
represented organization name
string
0..* (cardinality)
C0029246 (UMLS CUI 2011AA)
representedOrganization_telecom
Item
represented organization telecom contacts
string
0..* (cardinality)
representedOrganization_addr
Item
represented organization address
string
0..* (cardinality)
Item
type of recipient
integer
IntendedRecipient_typeCode
Code List
type of recipient
CL Item
primary recipient (PRCP)
C1552012 (UMLS CUI 2011AA)
CL Item
secondary recipient (TRC)
legalAuthenticator_time
Item
time of signature
date
1..1 (cardinality)
C0807937 (UMLS CUI 2011AA)
Item
signature code
integer
1..1 (cardinality)
legalAuthenticator_signatureCode
Code List
signature code
CL Item
Intended (I)
CL Item
Signed (S)
CL Item
Required (R)
legalAuthenticator_id
Item
signer ID
string
1..* (cardinality)
legalAuthenticator_addr
Item
signer address
string
0..* (cardinality)
legalAuthenticator_telecom
Item
signer telecom contacts
string
0..* (cardinality)
legalAuthenticator_name
Item
signer name
string
0..* (cardinality)
C1519316 (UMLS CUI 2011AA)
Item
type of participant
integer
0..1 (cardinality)
participant_typeCode
Code List
type of participant
CL Item
indirect target (IND)
CL Item
holder (HLD)
CL Item
coverage target (COV)
participant_time
Item
timeframe of participation
string
0..1 (cardinality)
Item
Encounter code
integer
0..1 (cardinality)
C0586002 (UMLS CUI 2011AA)
EncompassingEncounter_code
Code List
Encounter code
CL Item
Inpatient encounter (IMP)
C0420512 (UMLS CUI 2011AA)
CL Item
Ambulatory (AMB)
C0029921 (UMLS CUI 2011AA)
CL Item
Virtual (VR)
EncompassingEncounter_effectiveTime
Item
Encounter timeframe
string
0..1 (cardinality)
CL425519 (UMLS CUI 2011AA)
Consent_id
Item
consent ID
string
0..* (cardinality)
Consent_code
Item
consent code
string
0..* (cardinality)
C1511481 (UMLS CUI 2011AA)
Item
consent status
integer
0..* (cardinality)
C0586888 (UMLS CUI 2011AA)
Consent_statusCode
Code List
consent status
CL Item
completed (completed)
CL Item
not completed (not_completed)
Item Group
CDA R2 Body
X-SALUT
Item
salutation
string
X-RFR
Item
medical problem
string
C1254481 (UMLS CUI 2011AA)
medical history
Item
medical history
string
2.16.840.1.113883.6.1 (codeSystem)
10164-2 (LOINC Version 234)
C0262926 (UMLS CUI 2011AA)
finding
Item
physical finding
string
2.16.840.1.113883.6.1 (codeSystem)
10210-3 (LOINC Version 234)
C0311392 (UMLS CUI 2011AA)
diagnosis
Item
diagnosis
string
2.16.840.1.113883.6.1 (codeSystem)
29308-4 (LOINC Version 234)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0731)
cave
Item
caveat
string
2.16.840.1.113883.6.1 (codeSystem)
11382-9 (LOINC Version 234)
C0871599 (UMLS CUI 2011AA)
therapy
Item
Therapeutic procedure
string
2.16.840.1.113883.6.1 (codeSystem)
19009-0 (LOINC Version 234)
C0087111 (UMLS CUI 2011AA)
277132007 (SNOMED CT 2011_0731)
notes
Item
notes
string
C1317574 (UMLS CUI 2011AA)
epicrisis
Item
epicrisis
string
C0743221 (UMLS CUI 2011AA)
attachment
Item
document attachment
string
CL414284 (UMLS CUI 2011AA)
conclusion
Item
conclusion
string
C1707478 (UMLS CUI 2011AA)
xref
Item
Cross-Reference
string
C1707532 (UMLS CUI 2011AA)
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