ID

3494

Description

ODM derived from http://www.himssehra.org

Link

http://www.himssehra.org

Keywords

Versions (1)
  1. 9/27/12 9/27/12 - Martin Dugas
Uploaded on

September 27, 2012

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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level2 example CCD any condition

German English

level2 example

1 forms  
  1. StudyEvent: level2 example
    1. level2 example
CDA Header
Description

CDA Header

Dokumenten-Id
Description

id

Data type

string

Alias
cardinality
1..1
UMLS CUI 2011AA
CL425233
Dokumententyp
Description

code

Data type

string

Alias
cardinality
1..1
UMLS CUI 2011AA
C1547673
SNOMED CT 2011_0731
229059009
Erstellungsdatum des Dokuments
Description

effectiveTime

Data type

date

Alias
cardinality
1..1
UMLS CUI 2011AA
C0807937
Vertraulichkeitsgrad
Description

confidentialityCode

Data type

integer

Alias
cardinality
1..1
UMLS CUI 2011AA
C1553801
Sprache des Dokuments
Description

languageCode

Data type

integer

Alias
cardinality
0..1
UMLS CUI 2011AA
C1708640
Set-Kennung des Dokuments
Description

setID

Data type

string

Alias
cardinality
0..1
Versionsnummer
Description

versionNumber

Data type

string

Alias
cardinality
0..1
Patienten-Identifikationsnummer
Description

patientRole_id

Data type

string

Alias
cardinality
1..*
UMLS CUI 2011AA
C1830427
Name des Patienten
Description

patientRole_name

Data type

string

Alias
cardinality
1..*
UMLS CUI 2011AA
C1299487
Geschlecht
Description

patientRole_administrativeGenderCode

Data type

integer

Alias
cardinality
0..1
UMLS CUI 2011AA
C0079399
Geburtsdatum
Description

patientRole_birthtime

Data type

date

Alias
cardinality
0..1
UMLS CUI 2011AA
C0421451
den Patienten betreuende Organisation
Description

patientRole_providerOrganization

Data type

string

Alias
cardinality
0..1
ID des Autors
Description

author_id

Data type

string

Alias
cardinality
1..*
Name des Autors
Description

author_name

Data type

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C0805191
ID der durch den Autor repräsentierten Organisation
Description

author_representedOrganization_id

Data type

string

Alias
cardinality
0..*
Name der durch den Autor repräsentierten Organisation
Description

author_representedOrganization_name

Data type

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C0029246
ID der durch den Auskunftsgeber repräsentierten Organisation
Description

informant_representedOrganization_id

Data type

string

Alias
cardinality
0..*
Name der durch den Auskunftsgeber repräsentierten Organisation
Description

informant_representedOrganization_name

Data type

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C0029246
ID der Heilberufler-Organisation
Description

custodian_id

Data type

string

Alias
cardinality
0..*
Name der Heilberufler-Organisation
Description

custodian_name

Data type

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1550490
Zeitpunkt der Unterschrift
Description

legalAuthenticator_time

Data type

date

Alias
cardinality
1..1
UMLS CUI 2011AA
C0807937
Typisierung der Unterschrift
Description

legalAuthenticator_signatureCode

Data type

integer

Alias
cardinality
1..1
ID der Organisation des Unterzeichners
Description

legalAuthenticator_representedOrganization_id

Data type

string

Alias
cardinality
1..*
Name der Organisation des Unterzeichners
Description

legalAuthenticator_representedOrganization_name

Data type

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1519316
Typisierung der Beteiligung
Description

participant_typeCode

Data type

integer

Alias
cardinality
0..*
ID des Beteiligten
Description

participant_id

Data type

string

Alias
cardinality
0..*
Adresse des Beteiligten
Description

participant_addr

Data type

string

Alias
cardinality
0..*
Telekommunikation-Kontakte des Beteiligten
Description

participant_telecom

Data type

string

Alias
cardinality
0..*
Name des Beteiligten
Description

participant_name

Data type

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1550490
Zeitraum der Behandlung
Description

serviceEvent_effectiveTime

Data type

string

Art der Behandlung
Description

serviceEvent_performer_typeCode

Data type

string

Name des Behandlers
Description

serviceEvent_performer_name

Data type

string

CDA Body
Description

CDA Body

Zweck des Dokuments
Description

purpose

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
48764-5
UMLS CUI 2011AA
C1954391
Kostenträger
Description

payers

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
48768-6
UMLS CUI 2011AA
C1954398
Patientenverfügung
Description

advance_directives

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
42348-3
UMLS CUI 2011AA
C1634503
Funktionsstatus
Description

functional_status

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
47420-5
UMLS CUI 2011AA
C1831465
Probleme
Description

problems

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
11450-4
UMLS CUI 2011AA
C0551631
Familienanamnese
Description

family_history

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
10157-6
UMLS CUI 2011AA
C0488495
Sozialanamnese
Description

social_history

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
29762-2
UMLS CUI 2011AA
C0945165
Allergien, Nebenwirkungen und Warnhinweise
Description

alerts

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
48765-2
UMLS CUI 2011AA
C1954393
Medikation
Description

medications

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
10160-0
UMLS CUI 2011AA
C0488501
medizinische Hilfsmittel
Description

medical_equipment

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
46264-8
UMLS CUI 2011AA
C1830172
Impfungen
Description

immunizations

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
11369-6
UMLS CUI 2011AA
C0551610
Befunde
Description

results

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
30954-2
UMLS CUI 2011AA
C1114741
Prozeduren
Description

procedures

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
47519-4
UMLS CUI 2011AA
C1831565
Besuche
Description

encounters

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
46240-8
UMLS CUI 2011AA
C1830145
Pflegeplanung
Description

plan_of_care

Data type

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
18776-5
UMLS CUI 2011AA
C0801790
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Similar models

level2 example

1 forms
  1. StudyEvent: level2 example
    1. level2 example
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
CDA Header
id
Item
Dokumenten-Id
string
1..1 (cardinality)
CL425233 (UMLS CUI 2011AA)
code
Item
Dokumententyp
string
1..1 (cardinality)
C1547673 (UMLS CUI 2011AA)
229059009 (SNOMED CT 2011_0731)
effectiveTime
Item
Erstellungsdatum des Dokuments
date
1..1 (cardinality)
C0807937 (UMLS CUI 2011AA)
Item
Vertraulichkeitsgrad
integer
1..1 (cardinality)
C1553801 (UMLS CUI 2011AA)
confidentialityCode
Code List
Vertraulichkeitsgrad
CL Item
normale Vertraulichkeit (N)
CL Item
eingeschränkter Zugriff (R)
CL Item
stark eingeschränkter Zugriff (V)
Item
Sprache des Dokuments
integer
0..1 (cardinality)
C1708640 (UMLS CUI 2011AA)
languageCode
Code List
Sprache des Dokuments
CL Item
deutsch (de-DE)
CL Item
englisch (en-EN)
setID
Item
Set-Kennung des Dokuments
string
0..1 (cardinality)
versionNumber
Item
Versionsnummer
string
0..1 (cardinality)
patientRole_id
Item
Patienten-Identifikationsnummer
string
1..* (cardinality)
C1830427 (UMLS CUI 2011AA)
patientRole_name
Item
Name des Patienten
string
1..* (cardinality)
C1299487 (UMLS CUI 2011AA)
Item
Geschlecht
integer
0..1 (cardinality)
C0079399 (UMLS CUI 2011AA)
patientRole_administrativeGenderCode
Code List
Geschlecht
CL Item
weiblich (F)
CL Item
männlich (M)
CL Item
nicht bestimmbar (UN)
patientRole_birthtime
Item
Geburtsdatum
date
0..1 (cardinality)
C0421451 (UMLS CUI 2011AA)
patientRole_providerOrganization
Item
den Patienten betreuende Organisation
string
0..1 (cardinality)
author_id
Item
ID des Autors
string
1..* (cardinality)
author_name
Item
Name des Autors
string
0..* (cardinality)
C0805191 (UMLS CUI 2011AA)
author_representedOrganization_id
Item
ID der durch den Autor repräsentierten Organisation
string
0..* (cardinality)
author_representedOrganization_name
Item
Name der durch den Autor repräsentierten Organisation
string
0..* (cardinality)
C0029246 (UMLS CUI 2011AA)
informant_representedOrganization_id
Item
ID der durch den Auskunftsgeber repräsentierten Organisation
string
0..* (cardinality)
informant_representedOrganization_name
Item
Name der durch den Auskunftsgeber repräsentierten Organisation
string
0..* (cardinality)
C0029246 (UMLS CUI 2011AA)
custodian_id
Item
ID der Heilberufler-Organisation
string
0..* (cardinality)
custodian_name
Item
Name der Heilberufler-Organisation
string
0..* (cardinality)
C1550490 (UMLS CUI 2011AA)
legalAuthenticator_time
Item
Zeitpunkt der Unterschrift
date
1..1 (cardinality)
C0807937 (UMLS CUI 2011AA)
Item
Typisierung der Unterschrift
integer
1..1 (cardinality)
legalAuthenticator_signatureCode
Code List
Typisierung der Unterschrift
CL Item
Signatur ist beabsichtigt (I)
CL Item
Signatur ist vorhanden (S)
CL Item
Signatur ist erforderlich (R)
legalAuthenticator_representedOrganization_id
Item
ID der Organisation des Unterzeichners
string
1..* (cardinality)
legalAuthenticator_representedOrganization_name
Item
Name der Organisation des Unterzeichners
string
0..* (cardinality)
C1519316 (UMLS CUI 2011AA)
Item
Typisierung der Beteiligung
integer
0..* (cardinality)
participant_typeCode
Code List
Typisierung der Beteiligung
CL Item
indirekte Beziehung (IND)
CL Item
Inhaber (HLD)
CL Item
Mitversichert (COV)
participant_id
Item
ID des Beteiligten
string
0..* (cardinality)
participant_addr
Item
Adresse des Beteiligten
string
0..* (cardinality)
participant_telecom
Item
Telekommunikation-Kontakte des Beteiligten
string
0..* (cardinality)
participant_name
Item
Name des Beteiligten
string
0..* (cardinality)
C1550490 (UMLS CUI 2011AA)
serviceEvent_effectiveTime
Item
Zeitraum der Behandlung
string
serviceEvent_performer_typeCode
Item
Art der Behandlung
string
serviceEvent_performer_name
Item
Name des Behandlers
string
Item Group
CDA Body
purpose
Item
Zweck des Dokuments
string
2.16.840.1.113883.6.1 (codeSystem)
48764-5 (LOINC Version 234)
C1954391 (UMLS CUI 2011AA)
payers
Item
Kostenträger
string
2.16.840.1.113883.6.1 (codeSystem)
48768-6 (LOINC Version 234)
C1954398 (UMLS CUI 2011AA)
advance_directives
Item
Patientenverfügung
string
2.16.840.1.113883.6.1 (codeSystem)
42348-3 (LOINC Version 234)
C1634503 (UMLS CUI 2011AA)
functional_status
Item
Funktionsstatus
string
2.16.840.1.113883.6.1 (codeSystem)
47420-5 (LOINC Version 234)
C1831465 (UMLS CUI 2011AA)
problems
Item
Probleme
string
2.16.840.1.113883.6.1 (codeSystem)
11450-4 (LOINC Version 234)
C0551631 (UMLS CUI 2011AA)
family_history
Item
Familienanamnese
string
2.16.840.1.113883.6.1 (codeSystem)
10157-6 (LOINC Version 234)
C0488495 (UMLS CUI 2011AA)
social_history
Item
Sozialanamnese
string
2.16.840.1.113883.6.1 (codeSystem)
29762-2 (LOINC Version 234)
C0945165 (UMLS CUI 2011AA)
alerts
Item
Allergien, Nebenwirkungen und Warnhinweise
string
2.16.840.1.113883.6.1 (codeSystem)
48765-2 (LOINC Version 234)
C1954393 (UMLS CUI 2011AA)
medications
Item
Medikation
string
2.16.840.1.113883.6.1 (codeSystem)
10160-0 (LOINC Version 234)
C0488501 (UMLS CUI 2011AA)
medical_equipment
Item
medizinische Hilfsmittel
string
2.16.840.1.113883.6.1 (codeSystem)
46264-8 (LOINC Version 234)
C1830172 (UMLS CUI 2011AA)
immunizations
Item
Impfungen
string
2.16.840.1.113883.6.1 (codeSystem)
11369-6 (LOINC Version 234)
C0551610 (UMLS CUI 2011AA)
results
Item
Befunde
string
2.16.840.1.113883.6.1 (codeSystem)
30954-2 (LOINC Version 234)
C1114741 (UMLS CUI 2011AA)
procedures
Item
Prozeduren
string
2.16.840.1.113883.6.1 (codeSystem)
47519-4 (LOINC Version 234)
C1831565 (UMLS CUI 2011AA)
encounters
Item
Besuche
string
2.16.840.1.113883.6.1 (codeSystem)
46240-8 (LOINC Version 234)
C1830145 (UMLS CUI 2011AA)
plan_of_care
Item
Pflegeplanung
string
2.16.840.1.113883.6.1 (codeSystem)
18776-5 (LOINC Version 234)
C0801790 (UMLS CUI 2011AA)
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