ID

3494

Beschreibung

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

Link

http://www.himssehra.org

Stichworte

Versionen (1)
  1. 27.09.12 27.09.12 - Martin Dugas
Hochgeladen am

27. September 2012

DOI

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

Deutsch Englisch

level2 example

1 Formulare  
  1. StudyEvent: level2 example
    1. level2 example
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 name
Beschreibung

patientRole_name

Datentyp

string

Alias
cardinality
1..*
UMLS CUI 2011AA
C1299487
gender
Beschreibung

patientRole_administrativeGenderCode

Datentyp

integer

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

patientRole_birthtime

Datentyp

date

Alias
cardinality
0..1
UMLS CUI 2011AA
C0421451
provider organization
Beschreibung

patientRole_providerOrganization

Datentyp

string

Alias
cardinality
0..1
author ID
Beschreibung

author_id

Datentyp

string

Alias
cardinality
1..*
author name
Beschreibung

author_name

Datentyp

string

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

author_representedOrganization_id

Datentyp

string

Alias
cardinality
0..*
represented organization name
Beschreibung

author_representedOrganization_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C0029246
informant represented organization ID
Beschreibung

informant_representedOrganization_id

Datentyp

string

Alias
cardinality
0..*
informant represented organization name
Beschreibung

informant_representedOrganization_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C0029246
custodian ID
Beschreibung

custodian_id

Datentyp

string

Alias
cardinality
0..*
custodian name
Beschreibung

custodian_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1550490
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
authenticator organization ID
Beschreibung

legalAuthenticator_representedOrganization_id

Datentyp

string

Alias
cardinality
1..*
authenticator organization name
Beschreibung

legalAuthenticator_representedOrganization_name

Datentyp

string

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

participant_typeCode

Datentyp

integer

Alias
cardinality
0..*
participant ID
Beschreibung

participant_id

Datentyp

string

Alias
cardinality
0..*
participant address
Beschreibung

participant_addr

Datentyp

string

Alias
cardinality
0..*
participant telecom contacts
Beschreibung

participant_telecom

Datentyp

string

Alias
cardinality
0..*
participant name
Beschreibung

participant_name

Datentyp

string

Alias
cardinality
0..*
UMLS CUI 2011AA
C1550490
service event effective time
Beschreibung

serviceEvent_effectiveTime

Datentyp

string

performer type code
Beschreibung

serviceEvent_performer_typeCode

Datentyp

string

performer name
Beschreibung

serviceEvent_performer_name

Datentyp

string

CDA Body
Beschreibung

CDA Body

purpose
Beschreibung

purpose

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
48764-5
UMLS CUI 2011AA
C1954391
payers
Beschreibung

payers

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
48768-6
UMLS CUI 2011AA
C1954398
advance directives
Beschreibung

advance_directives

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
42348-3
UMLS CUI 2011AA
C1634503
functional status
Beschreibung

functional_status

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
47420-5
UMLS CUI 2011AA
C1831465
problems
Beschreibung

problems

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
11450-4
UMLS CUI 2011AA
C0551631
family history
Beschreibung

family_history

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
10157-6
UMLS CUI 2011AA
C0488495
social history
Beschreibung

social_history

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
29762-2
UMLS CUI 2011AA
C0945165
allergies, adverse reactions, alerts
Beschreibung

alerts

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
48765-2
UMLS CUI 2011AA
C1954393
medications
Beschreibung

medications

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
10160-0
UMLS CUI 2011AA
C0488501
medical equipment
Beschreibung

medical_equipment

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
46264-8
UMLS CUI 2011AA
C1830172
immunizations
Beschreibung

immunizations

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
11369-6
UMLS CUI 2011AA
C0551610
results
Beschreibung

results

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
30954-2
UMLS CUI 2011AA
C1114741
procedures
Beschreibung

procedures

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
47519-4
UMLS CUI 2011AA
C1831565
encounters
Beschreibung

encounters

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
46240-8
UMLS CUI 2011AA
C1830145
plan of care
Beschreibung

plan_of_care

Datentyp

string

Alias
codeSystem
2.16.840.1.113883.6.1
LOINC Version 234
18776-5
UMLS CUI 2011AA
C0801790
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Ähnliche Modelle

level2 example

1 Formulare
  1. StudyEvent: level2 example
    1. level2 example
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_name
Item
patient name
string
1..* (cardinality)
C1299487 (UMLS CUI 2011AA)
Item
gender
integer
0..1 (cardinality)
C0079399 (UMLS CUI 2011AA)
patientRole_administrativeGenderCode
Code List
gender
CL Item
female (F)
CL Item
male (M)
CL Item
undifferentiated (UN)
patientRole_birthtime
Item
date of birth
date
0..1 (cardinality)
C0421451 (UMLS CUI 2011AA)
patientRole_providerOrganization
Item
provider organization
string
0..1 (cardinality)
author_id
Item
author ID
string
1..* (cardinality)
author_name
Item
author name
string
0..* (cardinality)
C0805191 (UMLS CUI 2011AA)
author_representedOrganization_id
Item
represented organization ID
string
0..* (cardinality)
author_representedOrganization_name
Item
represented organization name
string
0..* (cardinality)
C0029246 (UMLS CUI 2011AA)
informant_representedOrganization_id
Item
informant represented organization ID
string
0..* (cardinality)
informant_representedOrganization_name
Item
informant represented organization name
string
0..* (cardinality)
C0029246 (UMLS CUI 2011AA)
custodian_id
Item
custodian ID
string
0..* (cardinality)
custodian_name
Item
custodian name
string
0..* (cardinality)
C1550490 (UMLS CUI 2011AA)
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_representedOrganization_id
Item
authenticator organization ID
string
1..* (cardinality)
legalAuthenticator_representedOrganization_name
Item
authenticator organization name
string
0..* (cardinality)
C1519316 (UMLS CUI 2011AA)
Item
type of participant
integer
0..* (cardinality)
participant_typeCode
Code List
type of participant
CL Item
indirect target (IND)
CL Item
holder (HLD)
CL Item
coverage target (COV)
participant_id
Item
participant ID
string
0..* (cardinality)
participant_addr
Item
participant address
string
0..* (cardinality)
participant_telecom
Item
participant telecom contacts
string
0..* (cardinality)
participant_name
Item
participant name
string
0..* (cardinality)
C1550490 (UMLS CUI 2011AA)
serviceEvent_effectiveTime
Item
service event effective time
string
serviceEvent_performer_typeCode
Item
performer type code
string
serviceEvent_performer_name
Item
performer name
string
Item Group
CDA Body
purpose
Item
purpose
string
2.16.840.1.113883.6.1 (codeSystem)
48764-5 (LOINC Version 234)
C1954391 (UMLS CUI 2011AA)
payers
Item
payers
string
2.16.840.1.113883.6.1 (codeSystem)
48768-6 (LOINC Version 234)
C1954398 (UMLS CUI 2011AA)
advance_directives
Item
advance directives
string
2.16.840.1.113883.6.1 (codeSystem)
42348-3 (LOINC Version 234)
C1634503 (UMLS CUI 2011AA)
functional_status
Item
functional status
string
2.16.840.1.113883.6.1 (codeSystem)
47420-5 (LOINC Version 234)
C1831465 (UMLS CUI 2011AA)
problems
Item
problems
string
2.16.840.1.113883.6.1 (codeSystem)
11450-4 (LOINC Version 234)
C0551631 (UMLS CUI 2011AA)
family_history
Item
family history
string
2.16.840.1.113883.6.1 (codeSystem)
10157-6 (LOINC Version 234)
C0488495 (UMLS CUI 2011AA)
social_history
Item
social history
string
2.16.840.1.113883.6.1 (codeSystem)
29762-2 (LOINC Version 234)
C0945165 (UMLS CUI 2011AA)
alerts
Item
allergies, adverse reactions, alerts
string
2.16.840.1.113883.6.1 (codeSystem)
48765-2 (LOINC Version 234)
C1954393 (UMLS CUI 2011AA)
medications
Item
medications
string
2.16.840.1.113883.6.1 (codeSystem)
10160-0 (LOINC Version 234)
C0488501 (UMLS CUI 2011AA)
medical_equipment
Item
medical equipment
string
2.16.840.1.113883.6.1 (codeSystem)
46264-8 (LOINC Version 234)
C1830172 (UMLS CUI 2011AA)
immunizations
Item
immunizations
string
2.16.840.1.113883.6.1 (codeSystem)
11369-6 (LOINC Version 234)
C0551610 (UMLS CUI 2011AA)
results
Item
results
string
2.16.840.1.113883.6.1 (codeSystem)
30954-2 (LOINC Version 234)
C1114741 (UMLS CUI 2011AA)
procedures
Item
procedures
string
2.16.840.1.113883.6.1 (codeSystem)
47519-4 (LOINC Version 234)
C1831565 (UMLS CUI 2011AA)
encounters
Item
encounters
string
2.16.840.1.113883.6.1 (codeSystem)
46240-8 (LOINC Version 234)
C1830145 (UMLS CUI 2011AA)
plan_of_care
Item
plan of care
string
2.16.840.1.113883.6.1 (codeSystem)
18776-5 (LOINC Version 234)
C0801790 (UMLS CUI 2011AA)
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