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ref Template  Glasgow Coma Scale

Id 1.2.276.0.76.10.4034
ref
aktin-
 		Effective Date 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-459 draft Augenöffnung draft  1
cdachresp-dataelement-458 draft Gesamtscore draft  1
cdachresp-dataelement-112 draft motorische Reaktion draft  1
cdachresp-dataelement-457 draft GCS draft  1
cdachresp-dataelement-461 draft motorische Reaktion draft  1
cdachresp-dataelement-108 draft GCS draft  1
cdachresp-dataelement-460 draft verbale Kommunikation draft  1
cdachresp-dataelement-111 draft verbale Kommunikation draft  1
cdachresp-dataelement-109 draft Gesamtscore draft  1
cdachresp-dataelement-110 draft Augenöffnung draft  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 pending Findings (2017) 2017‑09‑08 10:23:39
2.16.756.5.30.1.1.10.1.2 link pending 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 pending 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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  <templateId root="1.2.276.0.76.10.4034"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="98c1eb7e-dc2d-4d1f-806a-2ad65eba0351"/>  <code code="9269-2" codeSystem="2.16.840.1.113883.6.1" displayName="Glasgow coma score total"/>  <statusCode code="completed"/>  <effectiveTime value="20141019"/>  <value xsi:type="PQ" value="9" 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"/>      <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-457 draft GCS draft  1
cdachresp-dataelement-108 draft GCS draft  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-458 draft Gesamtscore draft  1
cdachresp-dataelement-109 draft Gesamtscore draft  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-459 draft Augenöffnung draft  1
cdachresp-dataelement-110 draft Augenöffnung draft  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-460 draft verbale Kommunikation draft  1
cdachresp-dataelement-111 draft verbale Kommunikation draft  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 draft motorische Reaktion draft  1
cdachresp-dataelement-461 draft motorische Reaktion draft  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"