hl7:section
|
|
1 … 1 |
M |
|
(plC ion) |
@classCode
|
|
0 … 1 |
F |
DOCSECT |
@moodCode
|
|
0 … 1 |
F |
EVN |
hl7:templateId
|
II |
1 … 1 |
M |
|
(plC ion) |
@root
|
uid |
1 … 1 |
F |
2.16.840.1.113883.3.4424.13.10.3.223 |
hl7:id
|
II |
0 … 1 |
|
|
(plC ion) |
hl7:code
|
CE |
1 … 1 |
M |
|
(plC ion) |
@codeSystem
|
CONF |
1 … 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
@codeSystemName
|
1 … 1 |
F |
LOINC |
| |
Schematron assert |
rola |
error
|
|
| |
test |
hl7:code/@code = /hl7:ClinicalDocument/hl7:code/@code and hl7:code/@displayName =
/hl7:ClinicalDocument/hl7:code/@displayName
|
|
| |
Komunikat |
Kod typu sekcji postaci binarnej dokumentu musi byc zgodny z kodem typu dokumentu. |
|
hl7:title
|
ST |
|
NP |
|
(plC ion) |
hl7:text
|
SD.TEXT |
1 … 1 |
M |
|
(plC ion) |
hl7:confidentialityCode
|
CE |
0 … 1 |
|
|
(plC ion) |
| |
CONF |
|
hl7:languageCode
|
CS |
0 … 1 |
|
|
(plC ion) |
| |
CONF |
|
hl7:subject
|
|
0 … 1 |
|
Zawiera 2.16.840.1.113883.3.4424.13.10.4.15 [4] Dane podmiotu związanego z fragmentem treści dokumentu (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.4.15']] |
|
|
hl7:author
|
|
0 … * |
|
Zawiera 2.16.840.1.113883.3.4424.13.10.4.18 [4] Autor fragmentu treści dokumentu (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.4.18']] |
|
|
hl7:informant
|
|
0 … * |
|
Zawiera 2.16.840.1.113883.3.4424.13.10.4.14 [4] Dane informatora dla fragmentu treści dokumentu (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.4.14']] |
|
|
hl7:entry
|
|
1 … * |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.49 [4] Dokument w postaci binarnej (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observationMedia/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.49']
[not(@nullFlavor)] |
|
|
@typeCode
|
cs |
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.1 [4] Rozpoznanie główne (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.1'] [not(@nullFlavor)] |
|
|
@typeCode
|
cs |
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:entry
|
|
0 … 1 |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.2 [4] Rozpoznania dodatkowe (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.2'] |
|
|
@typeCode
|
cs |
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.282 [4] Wezwanie, opis miejsca zdarzenia (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:act/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.282'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.283 [4] Wezwanie, powiadomione służby (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.283'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.286 [4] Podsumowanie, Data i czas realizacji zlecenia (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.286'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.287 [4] KMLZRM IIIa Pomoc udzielona przed przybyciem, Procedury i czynności (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.287'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.288 [4] KMLZRM VIa Medyczne czynności ratunkowe, Procedury i czynności (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.288'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.289 [4] KMLZRM VIc Opis stanu pacjenta (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.289'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.290 [4] KMLZRM VId Medyczne czynności ratunkowe, Zalecenia i inne istotne informacje (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:act/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.290'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.291 [4] KMLZRM VIIIb Udzielono medycznych czynności ratunkowych (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.291'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.292 [4] KMLZRM VIIId Karta medyczna (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:act/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.292'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.293 [4] KMLZRM VIIIe Załączniki (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.293'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.294 [4] Powód wezwania (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.294'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.299 [4] KMLZRM IIIb Pomoc udzielona przed przybyciem, Leki (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.299'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.300 [4] KMLZRM VIb Medyczne czynności ratunkowe, Leki (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.300'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.304 [4] Wezwanie zespołu ratownictwa medycznego (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:encounter/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.304'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.302 [4] Pacjent, wiek pacjenta (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.302'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 2 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.240 [4] Ocena w skali Glasgow Coma Scale (GCS) (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.240'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 2 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.241 [4] Ocena w skali Revised Trauma Score (RTS) (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.241'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.242 [4] Częstość oddechów (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.242'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … 1 |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.245 [4] Duszność (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.245'] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … 1 |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.246 [4] Bezdech (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.246'] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … 1 |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.247 [4] Sinica (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.247'] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.248 [4] Ocena objawów osłuchiwania płuc (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.248'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … * |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.250 [4] Ocena reakcji źrenic na światło (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.250'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … * |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.251 [4] Ocena szerokości źrenic (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.251'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.254 [4] Objawy oponowe (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.254'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.255 [4] Napady drgawek (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.255'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.256 [4] Afazja (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.256'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … * |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.295 [4] Ocena niedowładu/porażenia kończyny (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.295'] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … 1 |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.296 [4] Pomiar stężenie glikemii z oceną według normy (mg/dl) (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:procedure/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.306'] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … 1 |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.306 [4] Procedura sedacji (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:procedure/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.306'] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.307 [4] Procedura zwiotczenia mięśni (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:procedure/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.307'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … 2 |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.308 [4] Ocena szacunkowej utraty krwi (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.308'] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
2 … 2 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.324 [4] Obrażenia pacjenta (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.324'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.309 [4] Ocena profilu zdarzenia w skali NACA (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.309'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.310 [4] Pomiar stężenie glikemii (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:observation/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.310'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
1 … 1 |
M |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.323 [4] Monitorowanie pacjenta (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:organizer/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.323'] [not(@nullFlavor)] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … 1 |
R |
Zawiera 2.16.840.1.113883.3.4424.13.10.4.325 [4] Uprawnienia i dane płatnika na karcie medycznych czynności ratunkowych (DYNAMICZNE)
|
(plC ion) |
 |
gdzie [hl7:act/hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.325'] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:entry
|
|
0 … * |
|
|
(plC ion) |
@typeCode
|
cs |
0 … 1 |
F |
COMP |
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:component
|
|
0 … * |
|
|
(plC ion) |
@typeCode
|
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0 … 1 |
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