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ref Template  Glasgow Coma Scale

Id 1.2.276.0.76.10.4034
ref
(from repository: aktin-)		 Effective Date valid from 2014‑09‑16
Status active Active Version Label
Name GlasgowComaScale Display Name Glasgow Coma Scale
Description Glasgow Coma Scale (GCS)
Context Parent nodes of template element with id 1.2.276.0.76.10.4034
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 10 concepts
Id Name Data Set
cdachresp-dataelement-108 GCS 1
cdachresp-dataelement-109 Gesamtscore 1
cdachresp-dataelement-110 Augenöffnung 1
cdachresp-dataelement-111 verbale Kommunikation 1
cdachresp-dataelement-112 motorische Reaktion 1
cdachresp-dataelement-457 GCS 1
cdachresp-dataelement-458 Gesamtscore 1
cdachresp-dataelement-459 Augenöffnung 1
cdachresp-dataelement-460 verbale Kommunikation 1
cdachresp-dataelement-461 motorische Reaktion 1
Used by / Uses
Used by 0 transactions and 4 templates, Uses 0 templates
Used by as Name Version
2.16.756.5.30.1.1.10.3.14 Containment draft Findings (2017) 2017‑09‑08 10:23:39
2.16.756.5.30.1.1.10.1.2 link draft EmergencyMedicalServiceProtocol (2017) 2017‑06‑13 17:19:29
2.16.756.5.30.1.1.10.1.2 link cancelled EmergencyMedicalServiceProtocol (2017) 2017‑05‑31 17:19:29
2.16.756.5.30.1.1.10.3.15 Containment draft Handover (2017) 2017‑09‑08 10:23:39
Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Example
Example
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    <observation classCode="OBS" moodCode="EVN">
      <code code="9267-6" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score eye opening"/>      <statusCode code="completed"/>      <value xsi:type="PQ" value="4" unit="{score}"/>    </observation>  </entryRelationship>  <entryRelationship typeCode="COMP" contextConductionInd="true">
    <observation classCode="OBS" moodCode="EVN">
      <code code="9270-0" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score verbal"/>      <statusCode code="completed"/>      <value xsi:type="PQ" value="3" unit="{score}"/>    </observation>  </entryRelationship>  <entryRelationship typeCode="COMP" contextConductionInd="true">
    <observation classCode="OBS" moodCode="EVN">
      <code code="9268-4" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score motor"/>      <statusCode code="completed"/>      <value xsi:type="PQ" value="2" unit="{score}"/>    </observation>  </entryRelationship></observation>
Item DT Card Conf Description Label
hl7:observation
 (Gladotsale)
 
target cdachresp-dataelement-108 GCS 1
  cdachresp-dataelement-457 GCS 1
@classCode
 1 … 1 F OBS
@moodCode
 1 … 1 F EVN
hl7:templateId
 II 1 … 1 M (Gladotsale)
@root
 1 … 1 F 1.2.276.0.76.10.4034
hl7:id
 0 … 1 R (Gladotsale)
hl7:code
 CE 1 … 1 M (Gladotsale)
@code
 CONF 1 … 1 F 9269-2
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
hl7:text
 ED 0 … 1
de-DE Lediglich reference in den Text der zugehörigen Section
(Gladotsale)
hl7:reference
 URL 1 … 1 (Gladotsale)
hl7:statusCode
 CS 1 … 1 M (Gladotsale)
@code
 CONF 1 … 1 F completed
hl7:effectiveTime
 TS 0 … 1 R (Gladotsale)
hl7:value
 PQ 1 … 1 R (Gladotsale)
 
target cdachresp-dataelement-109 Gesamtscore 1
  cdachresp-dataelement-458 Gesamtscore 1
@value
 1 … 1 R
de-DE Score
@unit
 1 … 1 F {score}
  CONF
minInclude low boundary is "3"
-and-
maxInclude high boundary is "15"
hl7:entryRelationship
 0 … 1 C (Gladotsale)
treeblank where [hl7:observation/hl7:code/@code='9267-6']
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:observation
 1 … 1 M (Gladotsale)
@classCode
 1 … 1 F OBS
@moodCode
 1 … 1 F EVN
hl7:code
 CE 1 … 1 M (Gladotsale)
@code
 CONF 1 … 1 F 9267-6
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
hl7:statusCode
 CS 1 … 1 M (Gladotsale)
@code
 CONF 1 … 1 F completed
hl7:value
 PQ 1 … 1 R (Gladotsale)
 
target cdachresp-dataelement-110 Augenöffnung 1
  cdachresp-dataelement-459 Augenöffnung 1
@value
 1 … 1 R
de-DE Score
@unit
 1 … 1 F {score}
  CONF
minInclude low boundary is "1"
-and-
maxInclude high boundary is "4"
hl7:entryRelationship
 0 … 1 C (Gladotsale)
treeblank where [hl7:observation/hl7:code/@code='9270-0']
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:observation
 1 … 1 M (Gladotsale)
@classCode
 1 … 1 F OBS
@moodCode
 1 … 1 F EVN
hl7:code
 CE 1 … 1 M (Gladotsale)
@code
 CONF 1 … 1 F 9270-0
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
hl7:statusCode
 CS 1 … 1 M (Gladotsale)
@code
 CONF 1 … 1 F completed
hl7:value
 PQ 1 … 1 R (Gladotsale)
 
target cdachresp-dataelement-111 verbale Kommunikation 1
  cdachresp-dataelement-460 verbale Kommunikation 1
@value
 1 … 1 R
de-DE Score
@unit
 1 … 1 F {score}
  CONF
minInclude low boundary is "1"
-and-
maxInclude high boundary is "5"
hl7:entryRelationship
 0 … 1 C (Gladotsale)
treeblank where [hl7:observation/hl7:code/@code='9268-4']
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:observation
 1 … 1 M (Gladotsale)
@classCode
 1 … 1 F OBS
@moodCode
 1 … 1 F EVN
hl7:code
 CE 1 … 1 M (Gladotsale)
@code
 CONF 1 … 1 F 9268-4
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
hl7:statusCode
 CS 1 … 1 M (Gladotsale)
@code
 CONF 1 … 1 F completed
hl7:value
 PQ 1 … 1 R (Gladotsale)
 
target cdachresp-dataelement-112 motorische Reaktion 1
  cdachresp-dataelement-461 motorische Reaktion 1
@value
 1 … 1 R
de-DE Score
@unit
 1 … 1 F {score}
  CONF
minInclude low boundary is "1"
-and-
maxInclude high boundary is "6"