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| <!DOCTYPE html> | ||
| <html lang="en"> | ||
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| <meta charset="utf-8" /> | ||
| <title>Implementierungsleitfaden ISiK-Modul Vitalwerte und Körpermaße</title> | ||
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| <link rel="icon" href="guide/ISiK-Modul_Vitalwerte_und_Koerpermaße/files/styles/common/favicon.ico" /> | ||
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| <div class="header" role="banner" aria-label="Header"> | ||
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| <nav class="navbar navbar-default" role="navigation"> | ||
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| <button type="button" class="navbar-toggle" data-toggle="collapse" data-target="#bs-example-navbar-collapse-1"> | ||
| <span class="sr-only">Toggle navigation</span> | ||
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| <a class="navbar-brand" href="Einfuehrung.html"> | ||
| Implementierungsleitfaden ISiK-Modul Vitalwerte und Körpermaße | ||
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| <a href="Einfuehrung.html"> | ||
| Einführung | ||
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| <li> | ||
| <a href="ReleaseNotes.html"> | ||
| Release Notes | ||
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| <a href="Motivation.html"> | ||
| Motivation | ||
| </a> | ||
| </li> | ||
| <li class="dropdown"> | ||
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| <a href="#" class="dropdown-toggle" data-toggle="dropdown"> | ||
| Übergreifende Festlegungen <span class="caret"></span> | ||
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| <a href="UebergreifendeFestlegungen.html"> | ||
| Übergreifende Festlegungen | ||
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| <li role="separator" class="divider"></li> | ||
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| <a href="Methodik.html"> | ||
| Methodik | ||
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| <a href="BestaetigungsrelevanteSysteme.html"> | ||
| Bestätigungsrelevante Systeme | ||
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| <a href="Kompatibilitaet.html"> | ||
| Kompatibilität | ||
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| <a href="MustSupportFlags.html"> | ||
| Must-Support-Flags | ||
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| <a href="Repraesentationsformate.html"> | ||
| Repräsentationsformate | ||
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| <a href="Suchparameter.html"> | ||
| Suchparameter | ||
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| <a href="RestApi.html"> | ||
| REST-API | ||
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| <a href="AnmerkungenMS.html"> | ||
| Anmerkungen zu Must-Support-Feldern | ||
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| <a href="Interaktionen.html"> | ||
| Interaktionen | ||
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| <a href="Signaldaten.html"> | ||
| Signaldaten | ||
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| <li class="dropdown"> | ||
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| Datenobjekte | ||
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| <a href="CapabilityStatement.html"> | ||
| CapabilityStatement | ||
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| <a href="Koerpergewicht.html"> | ||
| Koerpergewicht | ||
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| <a href="Koerpergroesse.html"> | ||
| Koerpergroesse | ||
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| <a href="Koerpertemperatur.html"> | ||
| Koerpertemperatur | ||
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| <a href="Kopfumfang.html"> | ||
| Kopfumfang | ||
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| <a href="Atemfrequenz.html"> | ||
| Atemfrequenz | ||
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| <a href="Blutdruck.html"> | ||
| Blutdruck | ||
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| <a href="Herzfrequenz.html"> | ||
| Herzfrequenz | ||
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| <a href="Sauerstoffsaettigung.html"> | ||
| Sauerstoffsaettigung | ||
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| <a href="Ekg.html"> | ||
| EKG | ||
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| <a href="GCS.html"> | ||
| GCS | ||
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| <div class="col-md-24"> | ||
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| <div id="preview-content"> | ||
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| <h2 id="anmerkungen-zu-den-must-support-feldern">Anmerkungen zu den Must-Support-Feldern</h2> | ||
| <h3 id="observation.status"><code>Observation.status</code></h3> | ||
| <p><strong>Bedeutung:</strong> Der Status MUSS insbesondere zur Differenzierung von abgeschlossenen, vorläufigen oder korrigierten Beobachtungen angegeben werden. | ||
| Es ist möglich, dass einzelne Systeme nur Werte vom Status <code>final</code> bereitstellen. Empfangende Systeme müssen jedoch in der Lage sein, sämtliche Status-Codes zu interpretieren.</p> | ||
| <p><strong>Hinweise:</strong> Siehe Beschreibung in der <a href="http://hl7.org/fhir/observation-definitions.html#Observation.status">FHIR Kernspezifikation</a></p> | ||
| <h3 id="observation.category"><code>Observation.category</code></h3> | ||
| <p><strong>Bedeutung:</strong> Die Observation-Ressource kann für eine Vielzahl verschiedener Messungen und Beobachtungen eingesetzt werden (Vitalparameter, Laborwerte, Risiko-Scores etc). | ||
| Vitalwerte werden stets mit der Kategorie <code>vital-signs</code> klassifiziert.</p> | ||
| <h3 id="observation.code"><code>Observation.code</code></h3> | ||
| <p><strong>Bedeutung:</strong> Der Code gibt an, um welchen konkreten Vitalparameter es sich in einer Observation-Instanz handelt. Für jedes Vitalparameter-Profil ist ein entsprechender LOINC-Code festgelegt.</p> | ||
| <h3 id="observation.subject"><code>Observation.subject</code></h3> | ||
| <p><strong>Bedeutung:</strong> Stellt den Bezug zum Patienten her.</p> | ||
| <h3 id="observation.encounter"><code>Observation.encounter</code></h3> | ||
| <p><strong>Bedeutung:</strong> Stellt den Bezug zum Einrichtungs-Kontakt/Aufenthalt des Patienten her.</p> | ||
| <h3 id="observation.effective"><code>Observation.effective</code></h3> | ||
| <p><strong>Bedeutung:</strong> Gibt den Zeitpunkt der Erhebung des Vitalparameters an.</p> | ||
| <h3 id="observation.value"><code>Observation.value</code></h3> | ||
| <p><strong>Bedeutung:</strong> Gibt den gemessenen Wert und dessen Maßeinheit an, es sei denn es handelt sich um einn Vitalparameter mit mehreren Komponenten (siehe <code>Observation.component</code>).</p> | ||
| <h3 id="observation.component"><code>Observation.component</code></h3> | ||
| <p><strong>Bedeutung:</strong> Bei Vitalparametern, die aus mehreren Einzelnen Messpunkten bestehen (Blutdruck) werden die gemessenen Einzelwerte (systolisch/diastolisch) | ||
| jeweils mit einem separaten LOINC-Code in <code>Observation.component.code</code> versehen und der entsprechende Messwert in <code>Observation.component.value</code> erfasst.</p> | ||
| <p><code>Observation.value</code> bleibt in diesem Fall leer.</p> | ||
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