| TEMPLATE ID | KDS_Todesursache |
|---|---|
| Concept | KDS_Todesursache |
| Description | Zur Erfassung der Todesursache eines Patienten oder einer Patientin |
| Use | Ermöglicht die strukturierte Erfassung der Todesursache einschließlich klinischer und verifizierender Statusinformationen, Klassifikationen, Codierungen sowie relevanter Zusatzinformationen |
| Purpose | Zur Erfassung der Todesursache eines Patienten oder einer Patientin |
| References | |
| Authors | date: 2025-01-08; name: test |
| Other Details Language | date: 2025-01-08; name: test |
| Other Details (Language Independent) |
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| Keywords | Todesursache, Tod |
| Language used | en |
| Citeable Identifier | 1246.169.3707 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| KDS_Todesursache | KDS_Todesursache: Document to communicate information to others, commonly in response to a request from another party. |
| Other Context | |
| Report ID | Report ID: Identification information about the report. |
| Status | Status: The status of the entire report. Note: This is not the status of any of the report components.
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| Case identification | Case identification: To record case identification details for public health purposes. |
| Case identifier | Case identifier: The identifier of this case. |
| Cause of death | Cause of death: Details about specific diseases, conditions or injuries that caused or contributed to the death of an individual. |
| Data | |
| Todesursache | Todesursache: The disease, condition or injury that directly led to, or occurred closest to, the time of death. It is recommended that 'Direct cause' be coded with an external terminology. This data element may also be considered as the Cause labelled as 'A' within a death certificate recording a sequence of events leading to death. For example: Cerebral haemorrhage (as 'Direct cause', A) - 'due to' Metastasis of the brain ('Antecedent cause B'); - 'due to' Breast cancer (as the earliest 'Antecedent cause C'; or 'Underlying cause'). Terminology: http://fhir.de/CodeSystem/bfarm/icd-10-gm Value set: terminology://fhir.hl7.org/ValueSet/$expand?url=http://fhir.de/ValueSet/bfarm/icd-10-gm
Annotations
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| Problem/Diagnosis qualifier | Problem/Diagnosis qualifier: Contextual or temporal qualifier for a specified problem or diagnosis. |
| Verifizierungsstatus | Verifizierungsstatus: Stage or phase of diagnostic process. The status is usually determined by a combination of the timing of diagnosis plus level of clinical certainty resulting from diagnostic tests and clinical evidence available. This data element and 'Diagnostic certainty' in EVALUATION.problem_diagnosis are two important axes of the diagnostic process, and valid combinations will need to be presented by software that exposes both data elements, so it is not possible for users to select conflicting combinations. Preliminary or working diagnoses are intended to represent the single most likely choice out of all differential diagnosis options. Value set: terminology://fhir.hl7.org/ValueSet/$expand?url=http://terminology.hl7.org/ValueSet/condition-ver-status Annotations
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| Klinischer Status | Klinischer Status: Reason for a problem or diagnosis not resolving as expected. For example: incomplete or failed treatment. Terminology: http://terminology.hl7.org/CodeSystem/condition-clinical Value set: terminology://fhir.hl7.org/ValueSet/$expand?url=http://hl7.org/fhir/ValueSet/condition-clinical
Annotations
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| Comment | Comment: Additional narrative about the cause of death, not captured in other fields.Annotations
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| Protocol | |
| Last updated | Last updated: The date when the cause of death was last updated.Annotations
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