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ref Template  Handover

Id 2.16.756.5.30.1.1.10.3.15 Effective Date valid from 2017‑09‑08 10:23:39
Status draft Draft Version Label 2017
Name HandoverSection Display Name Handover
Description Handover Section
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.15
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 1 concept
Id Name Data Set
cdachresp-dataelement-22 Übergabe 1
Used by / Uses
Used by 0 transactions and 2 templates, Uses 4 templates
Used by as Name Version
2.16.756.5.30.1.1.10.1.2 Containment 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
notice Circular reference found with cdachresp-template-document-2, please check
Uses as Name Version
2.16.756.5.30.1.1.10.4.66 Containment draft Patient Status Priority (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.65 Containment draft Patient Condition Change (2017) DYNAMIC
1.2.276.0.76.10.4167 Containment draft Injury Severity Observation DYNAMIC
1.2.276.0.76.10.4034 Containment active Glasgow Coma Scale DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.15"/>  <code code="1100011" codeSystem="2.16.756.5.30.1.143.5.1" displayName="Übergabe" codeSystemName="IVR Codesystem RESP"/>  <title>Übergabe</title>  <text>
    <paragraph>Schmerz 4 </paragraph>    <table>
      <tbody>
        <tr>
          <th>GCS</th>        </tr>        <tr>
          <td ID="gcs2">15(4/5/6) um 13.03</td>        </tr>        <tr>
          <th>NACA</th>        </tr>        <tr>
          <td ID="naca">NACA: III</td>        </tr>        <tr>
          <th>Zustand</th>        </tr>        <tr>
          <td ID="statusdischarge">der Zustand des Patienten hat sich im Verlauf des
Einsatzes verbessert </td>        </tr>      </tbody>    </table>    <paragraph> Übergabe an USZ Wertsachenbeutel mit Portemonaie,
Handy, Uhr, Schlüssel, Bargel sowie Wertsachenverzeichnis
</paragraph>  </text>  <entry>
    <!-- cdachresp-dataelement-108 GCS -->
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.2.276.0.76.10.4034"/>      <id root="1.2.276.0.76.4.17.9814184919" extension="9B19B61B-B0B9-49C9-85C7-15B25D1B26D9"/>      <code code="9269-2" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score total"/>      <text>
        <reference value="#gcs1"/>      </text>      <statusCode code="completed"/>      <effectiveTime value="20161210120300.0000+0100"/>      <!-- cdachresp-dataelement-109 -->
      <value xsi:type="PQ" value="15" unit="{score}"/>      <entryRelationship typeCode="COMP" contextConductionInd="true">
        <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"/>          <!-- cdachresp-dataelement-110 -->
          <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"/>          <!-- cdachresp-dataelement-111 -->
          <value xsi:type="PQ" value="5" 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"/>          <!-- cdachresp-dataelement-112 -->
          <value xsi:type="PQ" value="6" unit="{score}"/>        </observation>      </entryRelationship>    </observation>  </entry>  <entry>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.2.276.0.76.10.4167"/>      <code code="X-NACA" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="NACA Score"/>      <statusCode code="completed"/>      <value xsi:type="CE" code="III" codeSystem="1.2.276.0.76.5.82"/>    </observation>  </entry>  <entry>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.65"/>      <code code="75527-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital status at discharge"/>      <text>
        <reference value="#statusdischarge"/>      </text>      <statusCode code="completed"/>      <value xsi:type="CD" code="385425000" codeSystem="2.16.840.1.113883.6.96" displayName="Improved"/>    </observation>  </entry></section>
Item DT Card Conf Description Label
hl7:section
 (Handotsion)
 
target cdachresp-dataelement-22 Übergabe 1
@classCode
 cs 0 … 1 F DOCSECT
@moodCode
 cs 0 … 1 F EVN
hl7:templateId
 II 1 … 1 M (Handotsion)
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.15
hl7:code
 CE 1 … 1 M (Handotsion)
@code
 CONF 1 … 1 F 1100011
@codeSystem
 1 … 1 F 2.16.756.5.30.1.143.5.1
@codeSystemName
 1 … 1 F IVR Codesystem RESP
@displayName
 1 … 1 F Übergabe
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Übergabe'
  • [fr]: 'TODO'
  • [it]: 'TODO'
  • [en]: 'TODO'
The German title must read 'Übergabe' 		(Handotsion)
hl7:text
 SD.TEXT 1 … 1 M Human readable text of this section. (Handotsion)
hl7:entry
 0 … 1 Contains 2.16.756.5.30.1.1.10.4.66 Patient Status Priority (DYNAMIC) (Handotsion)
treeblank where [hl7:observation [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.66']]]
hl7:entry
 0 … 1 Contains 2.16.756.5.30.1.1.10.4.65 Patient Condition Change (DYNAMIC) (Handotsion)
treeblank where [hl7:observation [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.65']]]
hl7:entry
 0 … 1 Contains 1.2.276.0.76.10.4167 Injury Severity Observation (DYNAMIC) (Handotsion)
treeblank where [hl7:observation [hl7:templateId [@root='1.2.276.0.76.10.4167']]]
hl7:entry
 0 … 1 Contains 1.2.276.0.76.10.4034 Glasgow Coma Scale (DYNAMIC) (Handotsion)
treeblank where [hl7:observation [hl7:templateId [@root='1.2.276.0.76.10.4034']]]