TEMPLATE Stationärer Versorgungsfall (Stationärer Versorgungsfall)

TEMPLATE IDStationärer Versorgungsfall
ConceptStationärer Versorgungsfall
DescriptionZur Repräsentation der administrativen Daten eines Falls (Fallinformationen, Aufnahme, Entlassung) eines Patienten innerhalb einer Einrichtung. Ein “Fall” beginnt mit der Aufnahme ins Krankenhaus an einem Aufnahmedatum und endet mit der Entlassung an einem Entlassungsdatum.
UseFür die Repräsentation stationärer Aufenthalte eines Patienten in einer Gesundheitseinrichtung.
MisuseNicht zur Repräsentation eines einzelnen stationären Aufenthalts eines Patienten auf einer Station zu verwenden. Nicht für die Abbildung prästationärer, nachstationärer, ambulanter oder sonstiger Aufenthalte eines Patienten in einer Gesundheitseinrichtung. Bitte das Template "Sonstiger Versorgungsfall" dafür verwenden.
PurposeZur Repräsentation der administrativen Daten eines Falls (Fallinformationen, Aufnahme, Entlassung) eines Patienten innerhalb einer Einrichtung. Ein “Fall” beginnt mit der Aufnahme ins Krankenhaus an einem Aufnahmedatum und endet mit der Entlassung an einem Entlassungsdatum.
References
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set, PARENT:MD5-CAM-1.0.1=AFFFB351A3113D61F0822FEBDF5F42E3, original_language=ISO_639-1::de, MD5-CAM-1.0.1=d2b3086b84e38305200a7978c60a4b7e, sem_ver=9.2.0}
KeywordsVersorgungsfall; Fall; Aufnahme; Encounter; Stationär; Krankenhausaufenthalt; Hospitalisierung; Kerndatensatz
Language useden
Citeable Identifier1246.169.620
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.fall.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1], code=at0000, itemType=COMPOSITION, level=0, text=Stationärer Versorgungsfall, description=Strukturierte Sammlung von Informationen zu einem Sachverhalt oder Problem, der bzw. das bearbeitet werden muss. Die Bearbeitungsschritte eines Falles werden durch Aktivitäten und Bearbeiter definiert, die dem Fall zugeordnet werden., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Falltyp, description=Charaktierisierung des Falls, bspw. als Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: local_terms
  • Einrichtungskontakt 

Default value: Einrichtungskontakt, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Fallklasse, description=Nähere Beschreibung des Falls als Fallklasse, z.B. ambulanter Besuch, stationärer, prä- oder nachstationärer Aufenthalt., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: local_terms
  • Stationär (inpatient encounter) 
  • Teilstationär (short stay) 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Fallstatus, description=Status des Falls, comment=Status des Falls, uncommonOntologyItems={fhir=Encounter.status}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: http://hl7.org/fhir/encounter-status
Value set: terminology://fhir.hl7.org/ValueSet/$expand?url=http://fhir.de/ValueSet/EncounterStatusDe
  • planned | Planned 
  • in-progress | In Progress 
  • onleave | On Leave 
  • finished | Finished 
  • cancelled | Cancelled 
  • entered-in-error | Entered in Error 
  • unknown | Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Fall-Kennung, description=Eindeutige Identifikation des Falls, z.B. Fallnummer., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Übergeordneter Fall, description=Ein anderer Fall, von dem dieser Fall ein Teil ist (administrativ oder zeitlich)., comment=Ein anderer Fall, von dem dieser Fall ein Teil ist (administrativ oder zeitlich)., uncommonOntologyItems={fhir=Encounter.partOf}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0], code=at0000, itemType=CLUSTER, level=2, text=Fachliche Organisationseinheit, description=Location includes both casual locations (a place used for health care without prior designation or authorisation) and dedicated, formally designated locations. The sites can be private, public, mobile or fixed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0051], code=at0051, itemType=ELEMENT, level=3, text=Type, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded TextTerminology: local_terms
    • Hospital Department 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0024], code=at0024, itemType=ELEMENT, level=3, text=Identifier, description=A group of buildings or other locations such as a site or campus. For example: Campus that is outside the facility, but belongs to the hospital, university., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0052], code=at0052, itemType=ELEMENT, level=3, text=Name, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0050], code=at0050, itemType=ELEMENT, level=3, text=Active/Inactive, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0046], code=at0046, itemType=ELEMENT, level=3, text=Location description, description=The field contains the optional free text description of the location, e.g. thoracic, heart and vascular surgery., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0], code=at0000, itemType=ADMIN_ENTRY, level=1, text=Aufnahmedaten, description=Used for admitted patient only. It signals the beginning of a patient's stay in a health care facility., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[at0013 and name/value='Aufnahmegrund - 1. und 2. Stelle'], code=at0013, itemType=ELEMENT, level=3, text=Aufnahmegrund - 1. und 2. Stelle, description=The circumstance under which the patient will be admitted., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[at0013 and name/value='Aufnahmegrund - 3. Stelle'], code=at0013, itemType=ELEMENT, level=3, text=Aufnahmegrund - 3. Stelle, description=The circumstance under which the patient will be admitted., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[at0013 and name/value='Aufnahmegrund - 4. Stelle'], code=at0013, itemType=ELEMENT, level=3, text=Aufnahmegrund - 4. Stelle, description=The circumstance under which the patient will be admitted., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[at0049], code=at0049, itemType=ELEMENT, level=3, text=Aufnahmeanlass, description=Detailed description of the mode of admission., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: http://fhir.de/CodeSystem/dgkev/Aufnahmeanlass
Value set: terminology://fhir.hl7.org/ValueSet/$expand?url=http://fhir.de/ValueSet/dgkev/Aufnahmeanlass
  • R | Aufnahme nach vorausgehender Behandlung in einer Rehabilitationseinrichtung 
  • B | Begleitperson oder mitaufgenommene Pflegekraft 
  • E | Einweisung durch einen Arzt 
  • Z | Einweisung durch einen Zahnarzt 
  • G | Geburt 
  • N | Notfall 
  • A | Verlegung mit Behandlungsdauer im verlegenden Krankenhaus bis zu 24 Stunden 
  • V | Verlegung mit Behandlungsdauer im verlegenden Krankenhaus länger als 24 Stunden 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[at0023], code=at0023, itemType=ELEMENT, level=3, text=Pre-admit number, description=ID number of patient's pre-admission, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[at0071], code=at0071, itemType=ELEMENT, level=3, text=Admit date/time, description=Date/time the patient was admitted., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1], code=at0000, itemType=CLUSTER, level=3, text=Vorheriger Patientenstandort (vor Aufnahme), description=Location includes both casual locations (a place used for health care without prior designation or authorisation) and dedicated, formally designated locations. The sites can be private, public, mobile or fixed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Campus, description=A group of buildings or other locations such as a site or campus. For example: Campus that is outside the facility, but belongs to the hospital, university., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Building, description=Either building or structure. These can include rooms, corridors, wings, etc.. It may not have walls or a roof, but is considered a defined/allocated space., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Level, description=A level in a multi-level building/structure., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Ward, description=A ward is part of a medical facility that can contain rooms and other types of locations., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=Room, description=A location that was declared as a room. Some locations can have the room in the corridor, e.g. ward XYZ corridor 2; where bed space 2 is in the corridor of the respective ward., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Bed Location, description=Used to document information about the bed space e.g. bed was placed next to the window or next to the door., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=Location description, description=The field contains the optional free text description of the location, e.g. thoracic, heart and vascular surgery., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0], code=at0000, itemType=CLUSTER, level=3, text=Vorherige verantwortliche Organisationseinheit (vor Aufnahme), description=Location includes both casual locations (a place used for health care without prior designation or authorisation) and dedicated, formally designated locations. 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  •  Coded TextTerminology: local_terms
    • Hospital Department 
    • Healthcare Provider 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Identifier, description=A group of buildings or other locations such as a site or campus. For example: Campus that is outside the facility, but belongs to the hospital, university., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0052], code=at0052, itemType=ELEMENT, level=4, text=Name, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0050], code=at0050, itemType=ELEMENT, level=4, text=Active/Inactive, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.admission.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=Location description, description=The field contains the optional free text description of the location, e.g. thoracic, heart and vascular surgery., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0], code=at0000, itemType=ADMIN_ENTRY, level=1, text=Discharge summary, description=Used for discharged patient only., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Entlassungsgrund, description=Discharge status., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Datum/Uhrzeit der Entlassung, description=Date/Time the patiente was discharge., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[at0050], code=at0050, itemType=ELEMENT, level=3, text=Additional information, description=Comments, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1], code=at0000, itemType=CLUSTER, level=3, text=Zugewiesener Standort (bei Entlassung), description=Location includes both casual locations (a place used for health care without prior designation or authorisation) and dedicated, formally designated locations. The sites can be private, public, mobile or fixed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Campus, description=A group of buildings or other locations such as a site or campus. For example: Campus that is outside the facility, but belongs to the hospital, university., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Building, description=Either building or structure. These can include rooms, corridors, wings, etc.. It may not have walls or a roof, but is considered a defined/allocated space., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Level, description=A level in a multi-level building/structure., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Ward, description=A ward is part of a medical facility that can contain rooms and other types of locations., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=Room, description=A location that was declared as a room. Some locations can have the room in the corridor, e.g. ward XYZ corridor 2; where bed space 2 is in the corridor of the respective ward., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Bed Location, description=Used to document information about the bed space e.g. bed was placed next to the window or next to the door., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.location.v1]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=Location description, description=The field contains the optional free text description of the location, e.g. thoracic, heart and vascular surgery., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0], code=at0000, itemType=CLUSTER, level=3, text=Zugewiesene verantwortliche Organisationseinheit (bei Entlassung), description=Location includes both casual locations (a place used for health care without prior designation or authorisation) and dedicated, formally designated locations. The sites can be private, public, mobile or fixed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0051], code=at0051, itemType=ELEMENT, level=4, text=Type, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded TextTerminology: local_terms
    • Hospital Department 
    • Healthcare Provider 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Identifier, description=A group of buildings or other locations such as a site or campus. For example: Campus that is outside the facility, but belongs to the hospital, university., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0052], code=at0052, itemType=ELEMENT, level=4, text=Name, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0050], code=at0050, itemType=ELEMENT, level=4, text=Active/Inactive, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=Location description, description=The field contains the optional free text description of the location, e.g. thoracic, heart and vascular surgery., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]