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IG/3.0.1/ImplementationGuide-markdown-AnmerkungenMS.html
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| <h1 id="anmerkungen-zu-den-must-support-feldern">Anmerkungen zu den Must-Support-Feldern</h1> | ||
| <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>Hinweis:</strong> Siehe Beschreibung in der <a href="https://hl7.org/fhir/R4/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 einen 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, EKG, GCS) werden die gemessenen Einzelwerte | ||
| 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> | ||
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