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RE: Exceptions Saxon HE with .NET » ELGA-Befund_bildgebende_Diagnostik_EIS-FullSupport.xml

Katharina Zeiringer, 2015-11-20 19:15

 
<?xml version="1.0" encoding="utf-8" standalone="yes"?>
<?xml-stylesheet type="text/xsl" href="ELGA_Stylesheet_v1.0.xsl"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<!--
=======================================================================
ELGA CDA Implementierungsleitfäden

*** CDA Demo-Dokument***
Dies ist ein Beispielbefund. Bei den Inhalten handelt es sich um synthetische Mustertexte und keinesfalls um personenbezogene Echtdaten oder realistische Befunde.
Das Beispiel veranschaulicht die technischen Möglichkeiten unter Verwendung eines Maximums der erlaubten Optionen.

Spezieller Leitfaden: Befund bildgebende Diagnostik
ELGA Interoperabilitätsstufe (EIS) "Full Support"


Die Kommentare in diesem CDA Dokument dienen lediglich der Orientierungshilfe und sind nicht
Bestandteil einer konkreten Implementierung!
Beispielbefund "Befund Bildgebende Diagnostik" durch Dr. Andreas O. Lindner / Lindner TAC (23.04.2012)
Datum: 23.04.2012
=======================================================================
Revision und Adaptierungen gemäß Geschäftsregeln und Constraints der Leitfaden Version 2.05
durch ELGA GmbH (Oliver Kuttin, Stefan Sabutsch, Carina Seerainer)
Dokumentrevision: 7
Datum: 03.04.2015
=======================================================================
-->
<!--
************************************************************************************************************************************************
************************************************************************************************************************************************
************************************************************************************************************************************************
************************************************************************************************************************************************

Administrative Daten "CDA Header"

siehe Allgemeiner Leitfaden, Kapitel 6

************************************************************************************************************************************************
************************************************************************************************************************************************
************************************************************************************************************************************************
************************************************************************************************************************************************
-->
<!--
========================================================================
========================================================================
Dokumentenstruktur
siehe Allgemeiner Leitfaden, Kapitel 6.2
========================================================================
========================================================================
-->
<!--
Hoheitsbereich des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.2.3)
-->
<realmCode code="AT"/>
<!--
Dokumentformat (siehe Allgemeiner Leitfaden, Kapitel 6.2.4)
-->
<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<!--
ELGA Implementierungsleitfaden-Kennzeichnung (siehe Allgemeiner Leitfaden, Kapitel 6.2.5)
-->
<!-- Folgt dem Template des Allgemeinen Implementierungsleitfadens "CDA Dokumente im österreichischen Gesundheitswesen" -->
<templateId root="1.2.40.0.34.11.1" assigningAuthorityName="ELGA"/>
<!-- Folgt dem Template des Speziellen Implementierungsleitfadens "Befund Bildgebende Diagnostik“ -->
<templateId root="1.2.40.0.34.11.5" assigningAuthorityName="ELGA"/>

<!--
EIS „Full support“
-->
<templateId root="1.2.40.0.34.11.5.0.3" assigningAuthorityName="ELGA"/>
<!--
Dokumenten-Id (siehe Allgemeiner Leitfaden, Kapitel 6.2.6)
-->
<id root="1.2.40.0.34.99.111.1.1" extension="134F989" assigningAuthorityName="Amadeus Spital"/>
<!--
Dokumentenklasse (siehe Allgemeiner Leitfaden, Kapitel 6.2.7)
-->
<code code="25056-3" displayName="Magnetresonanztomographie-Befund" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<!--
Titel des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.2.8)
-->
<title>MRT-Befund der Lendenwirbelsäule</title>
<!--
Erstellungsdatum des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.2.9)
-->
<effectiveTime value="20120824081015+0100"/>
<!--
Vertraulichkeitscode (siehe Allgemeiner Leitfaden, Kapitel 6.2.10)
-->
<confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25" codeSystemName="HL7:Confidentiality"/>
<!--
Sprachcode des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.2.11)
-->
<languageCode code="de-AT"/>
<!--
Versionierung des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.2.12)
-->
<setId root="1.2.40.0.34.99.111.1.1" extension="134F989" assigningAuthorityName="Amadeus Spital"/>
<versionNumber value="1"/>
<!--
========================================================================
========================================================================
Teilnehmende Parteien
siehe Allgemeiner Leitfaden, Kapitel 6.3
========================================================================
========================================================================
-->
<!--
========================================================================
Patient (siehe Allgemeiner Leitfaden, Kapitel 6.3.1)
========================================================================
-->
<recordTarget>
<patientRole>
<!--
IDs des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.2)
-->
<!-- Identifikation des Patienten im lokalen System -->
<id root="1.2.40.0.34.99.111.1.2" extension="4711" assigningAuthorityName="Amadeus Spital"/>
<!-- Sozialversicherungsnummer des Patienten -->
<id root="1.2.40.0.10.1.4.3.1" extension="1111241249" assigningAuthorityName="Österreichische Sozialversicherung"/>
<!--
Adresse des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.3)
-->
<addr use="H">
<streetAddressLine>Musterstraße 13a</streetAddressLine>
<postalCode>7000</postalCode>
<city>Eisenstadt</city>
<state>Burgenland</state>
<country>Österreich</country>
</addr>
<!--
Kontaktdaten des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.4)
-->
<telecom use="H" value="tel:+43.2682.40400"/>
<telecom use="MC" value="tel:+43.664.1234567"/>
<telecom value="mailto:herberthannes.mustermann@provider.at"/>
<patient>
<!--
Name des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.5)
-->
<name>
<prefix qualifier="AC">Dipl.Ing.</prefix>
<prefix qualifier="PR">Hofrat</prefix>
<given>Herbert</given>
<given>Hannes</given>
<family>Mustermann</family>
<family qualifier="BR">VorDerHeirat</family>
<suffix qualifier="AC">BSc</suffix>
<suffix qualifier="AC">MBA</suffix>
</name>
<!--
Geschlecht des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.6)
-->
<administrativeGenderCode code="M" displayName="Male" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7:AdministrativeGender"/>
<!--
Geburtsdatum des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.7)
-->
<birthTime value="19491224"/>
<!--
Familienstand des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.8)
-->
<maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="HL7:MaritalStatus"/>
<!--
Religionszugehörigkeit des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.9)
-->
<religiousAffiliationCode code="101" codeSystem="2.16.840.1.113883.2.16.1.4.1" codeSystemName="HL7.AT:ReligionAustria" displayName="Römisch-Katholisch"/>
<guardian>
<!--
Adresse des Vormunds/Sachwalters (Person)
-->
<addr>
<streetAddressLine>Musterstraße 1234</streetAddressLine>
<postalCode>8011</postalCode>
<city>Graz</city>
<state>Steiermark</state>
<country>Österreich</country>
</addr>
<!--
Kontaktdaten des Vormunds/Sachwalters (Person)
-->
<telecom use="MC" value="tel:+43.676.1234567"/>
<telecom use="H" value="tel:+43.316.717.653.9939"/>
<telecom use="WP" value="tel:+43.316.608.271.9000"/>
<guardianPerson>
<!--
Name der Vormund/Sachwalter-Organisation
-->
<name>
<given>Susi</given>
<family>Sorgenvoll</family>
</name>
</guardianPerson>
</guardian>
<!--
Geburtsort des Patienten (siehe Allgemeiner Leitfaden, Kapitel 6.3.1.2.13)
-->
<birthplace>
<place>
<addr>
<streetAddressLine>Musterstraße 23b</streetAddressLine>
<postalCode>8011</postalCode>
<city>Graz</city>
<state>Steiermark</state>
<country>Österreich</country>
</addr>
</place>
</birthplace>
</patient>
</patientRole>
</recordTarget>
<!--
========================================================================
Verfasser des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.3.2)
========================================================================
-->
<author>
<!--
Funktionscode (siehe Allgemeiner Leitfaden, Kapitel 6.3.2.3.1.1)
-->
<functionCode code="OA" codeSystem="1.2.40.0.34.99.111.2.1" codeSystemName="Amadeus Spital - Funktionscodes" displayName="Diensthabender Oberarzt"/>
<!--
Zeitpunkt der Erstellung (z.B. des Diktats) (siehe Allgemeiner Leitfaden, Kapitel 6.3.2.3.1.2)
-->
<time value="20120824081015+0100"/>
<assignedAuthor>
<!--
Identifikation des Verfassers des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.3.2.3.1.3)
-->
<id root="1.2.40.0.34.99.111.1.3" extension="1111" assigningAuthorityName="Amadeus Spital"/>
<!--
Fachrichtung des Verfassers des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.3.2.3.1.4)
-->
<code code="144" codeSystem="1.2.40.0.34.5.160" codeSystemName="ELGA_Fachärzte" displayName="Fachärztin/Facharzt für Radiologie"/>

<!--
Kontaktdaten des Verfassers des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.3.2.3.1.5)
-->
<telecom use="WP" value="tel:+43.6138.3453446.1111"/>
<!--
Personendaten des Verfassers des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.3.2.3.1.6)
-->
<assignedPerson>
<!-- Name des Verfassers des Dokuments -->
<name>
<prefix>Dr.</prefix>
<family>Isabella</family>
<given>Stern</given>
</name>
</assignedPerson>
<!--
Organisation, in deren Auftrag der Verfasser des Dokuments die Dokumentation verfasst hat (siehe Allgemeiner Leitfaden, Kapitel 6.3.2.3.1.7)
-->
<representedOrganization>
<!--
ID der Organisation aus dem GDA Index
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>

<!--
Name der Organisation
-->
<name>Amadeus Spital - Chirurgische Abteilung</name>
<!--
Kontaktdaten der Organisation
-->
<telecom value="tel:+43.6138.3453446.0"/>
<telecom value="fax:+43.6138.3453446.4674"/>
<telecom value="mailto:info@amadeusspital.at"/>
<telecom value="http://www.amadeusspital.at"/>
<!--
Adresse der Organisation
-->
<addr>
<streetName>Mozartgasse</streetName>
<houseNumber>1-7</houseNumber>
<postalCode>5350</postalCode>
<city>St.Wolfgang</city>
<state>Salzburg</state>
<country>Österreich</country>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<!--
========================================================================
Personen der Dateneingabe (siehe Allgemeiner Leitfaden, Kapitel 6.3.3)
========================================================================
-->
<dataEnterer>
<!--
Zeitpunkt des Schreibens (siehe Allgemeiner Leitfaden, Kapitel 6.3.3.2.2)
-->
<time value="20120824080815+0100"/>
<!--
Personendaten der schreibenden Person (siehe Allgemeiner Leitfaden, Kapitel 6.3.3.2.3)
-->
<assignedEntity>
<!--
ID der schreibenden Person
-->
<id root="1.2.40.0.34.99.111.1.2" extension="4711" assigningAuthorityName="Amadeus Spital"/>
<assignedPerson>
<!--
Name der schreibenden Person
-->
<name>
<family>Bauer</family>
<given>Maria</given>
</name>
</assignedPerson>
</assignedEntity>
</dataEnterer>
<!--
========================================================================
Verwahrer des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.3.4)
========================================================================
-->
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<!--
ID der Organisation aus dem GDA Index (siehe Allgemeiner Leitfaden, Kapitel 6.3.4.2.2)
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>

<!--
Name der Organisation (siehe Allgemeiner Leitfaden, Kapitel 6.3.4.2.3)
-->
<name>Amadeus Spital</name>
<!--
Kontaktdaten der Organisation (siehe Allgemeiner Leitfaden, Kapitel 6.3.4.2.4)
-->
<telecom value="tel:+43.6138.3453446.0"/>
<!--
Adresse der Organisation (siehe Allgemeiner Leitfaden, Kapitel 6.3.4.2.5)
-->
<addr>
<streetName>Mozartgasse</streetName>
<houseNumber>1-7</houseNumber>
<postalCode>5350</postalCode>
<city>St.Wolfgang</city>
<state>Salzburg</state>
<country>Österreich</country>
</addr>

</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<!--
========================================================================
Beabsichtigte Empfänger des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.3.5)
========================================================================
-->
<!--
+++++++++++++++++
PRIMÄRER Empfänger
+++++++++++++++++
-->
<informationRecipient typeCode="PRCP">
<intendedRecipient>
<!--
Identifikation des beabsichtigten Empfängers (Person) aus dem GDA-Index (siehe Allgemeiner Leitfaden, Kapitel 6.3.5.2.2)
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>
<!--
Personendaten des beabsichtigten Empfängers (siehe Allgemeiner Leitfaden, Kapitel 6.3.5.2.3)
-->
<informationRecipient>
<name>
<prefix qualifier="AC">Univ.-Prof. Dr.</prefix>
<given>Herbert</given>
<family>Empfänger</family>
</name>
</informationRecipient>
<!--
Organisation, der der beabsichtigte Empfänger angehört (siehe Allgemeiner Leitfaden, Kapitel 6.3.5.2.4)
-->
<receivedOrganization>
<!--
Identifikation der Organisation des beabsichtigten Empfängers aus dem GDA-Index
-->
<id root="1.2.40.0.34.99.111.0.1" assigningAuthorityName="GDA Index"/>
<!--
Name der Organisation des beabsichtigten Empfängers
-->
<name>Ordination Dr. Empfänger</name>
<!--
Kontaktdaten der Organisation des beabsichtigten Empfängers
-->
<telecom value="tel:0512.1234567"/>
<telecom value="fax:0512.1234567.11"/>
<telecom value="mailto:office@ordination-empfaenger.at"/>
<telecom value="http://www.ordination-empfaenger.at"/>
<telecom value="me:12345678791"/>
<!--
Adresse der Organisation des beabsichtigten Empfängers
-->
<addr>
<streetName>Musterstraße</streetName>
<houseNumber>27/1/13</houseNumber>
<postalCode>6020</postalCode>
<city>Innsbruck</city>
<country>Österreich</country>
</addr>
</receivedOrganization>
</intendedRecipient>
</informationRecipient>
<!--
+++++++++++++++++
SEKUNDÄRER Empfänger
+++++++++++++++++
-->
<informationRecipient typeCode="TRC">
<intendedRecipient>
<!--
Identifikation des beabsichtigten Empfängers (Person) aus dem GDA-Index (siehe Allgemeiner Leitfaden, Kapitel 6.3.5.2.2)
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>
<!--
Personendaten des beabsichtigten Empfängers (siehe Allgemeiner Leitfaden, Kapitel 6.3.5.2.3)
-->
<informationRecipient>
<name>
<prefix qualifier="AC">Dr.</prefix>
<given>Walter</given>
<family>Empfänger Sekundär</family>
</name>
</informationRecipient>
<!--
Organisation, der der beabsichtigte Empfänger angehört (siehe Allgemeiner Leitfaden, Kapitel 6.3.5.2.4)
-->
<receivedOrganization>
<!--
Identifikation der Organisation des beabsichtigten Empfängers aus dem GDA-Index
-->
<id root="1.2.40.0.34.99.111.0.1" assigningAuthorityName="GDA Index"/>
<!--
Name der Organisation des beabsichtigten Empfängers
-->
<name>Ordination Dr. Sekundär</name>
<!--
Kontaktdaten der Organisation des beabsichtigten Empfängers
-->
<telecom value="tel:0512.1234567"/>
<telecom value="fax:0512.1234567.11"/>
<telecom value="mailto:office@ordination-sekundaer.at"/>
<telecom value="http://www.ordination-sekundaer.at"/>
<telecom value="me:12345678792"/>
<!--
Adresse der Organisation des beabsichtigten Empfängers
-->
<addr>
<streetName>Sekundärstraße</streetName>
<houseNumber>22</houseNumber>
<postalCode>6020</postalCode>
<city>Innsbruck</city>
<country>Österreich</country>
</addr>
</receivedOrganization>
</intendedRecipient>
</informationRecipient>
<!--
========================================================================
Rechtlicher Unterzeichner (siehe Allgemeiner Leitfaden, Kapitel 6.3.6)
========================================================================
-->
<legalAuthenticator>
<!--
Zeitpunkt der Unterzeichnung (siehe Allgemeiner Leitfaden, Kapitel 6.3.6.2.2)
-->
<time value="20120824082015+0100"/>
<!--
Signaturcode (siehe Allgemeiner Leitfaden, Kapitel 6.3.6.2.3)
-->
<signatureCode code="S"/>
<!--
Personen- und Organisationsdaten des Rechtlichen Unterzeichners des Dokuments (siehe Allgemeiner Leitfaden, Kapitel 6.3.6.2.4)
-->
<assignedEntity>
<!--
Identifikation des Rechtlichen Unterzeichners des Dokuments
-->
<id root="1.2.40.0.34.99.111.1.3" extension="2222" assigningAuthorityName="Amadeus Spital"/>
<!--
Kontaktdaten des Rechtlichen Unterzeichners des Dokuments
-->
<telecom use="WP" value="tel:+43.6138.3453446.2222"/>
<!--
Personendaten des Rechtlichen Unterzeichners des Dokuments
-->
<assignedPerson>
<!-- Name des Rechtlichen Unterzeichners des Dokuments -->
<name>
<prefix>Univ.-Prof.Dr.</prefix>
<family>Sigrid</family>
<given>Kollmann</given>
</name>
</assignedPerson>
<!--
Organisation, in deren Auftrag der Rechtlichen Unterzeichners des Dokuments die Dokumentation unterzeichnet hat
-->
<representedOrganization>
<!--
ID der Organisation aus dem GDA Index
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>

<!--
Name der Organisation
-->
<name>Amadeus Spital - Radiologie</name>
<!--
Kontaktdaten der Organisation
-->
<telecom value="tel:+43.6138.3453446.0"/>
<telecom value="fax:+43.6138.3453446.4674"/>
<telecom value="mailto:info@amadeusspital.at"/>
<telecom value="http://www.amadeusspital.at"/>
<!--
Adresse der Organisation
-->
<addr>
<streetName>Mozartgasse</streetName>
<houseNumber>1-7</houseNumber>
<postalCode>5350</postalCode>
<city>St.Wolfgang</city>
<state>Salzburg</state>
<country>Österreich</country>
</addr>
</representedOrganization>
</assignedEntity>
</legalAuthenticator>
<!--
========================================================================
Weitere Unterzeichner (siehe Allgemeiner Leitfaden, Kapitel 6.3.7)
========================================================================
-->
<authenticator>
<!--
Zeitpunkt der Unterzeichnung (siehe Allgemeiner Leitfaden, Kapitel 6.3.7.2.2)
-->
<time value="20121224081915+0100"/>
<!--
Signaturcode (siehe Allgemeiner Leitfaden, Kapitel 6.3.7.2.3)
-->
<signatureCode code="S"/>
<assignedEntity>
<!--
Identifikation des Weiteren Unterzeichners des Dokuments
-->
<id root="1.2.40.0.34.99.111.1.3" extension="3333" assigningAuthorityName="Amadeus Spital"/>
<!--
Kontaktdaten des Weiteren Unterzeichners des Dokuments
-->
<telecom use="WP" value="tel:+43.6138.3453446.3333"/>
<!--
Personendaten des Weiteren Unterzeichners des Dokuments
-->
<assignedPerson>
<!-- Name des Weiteren Unterzeichners des Dokuments -->
<name>
<prefix>Univ.-Prof.Dr.</prefix>
<family>Sigrid</family>
<given>Kollmann</given>
</name>
</assignedPerson>
<!--
Organisation, in deren Auftrag der Weiteren Unterzeichner des Dokuments die Dokumentation unterzeichnet hat
-->
<representedOrganization>
<!--
ID der Organisation aus dem GDA Index
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>

<!--
Name der Organisation
-->
<name>Amadeus Spital - Radiologie</name>
<!--
Kontaktdaten der Organisation
-->
<telecom value="tel:+43.6138.3453446.0"/>
<telecom value="fax:+43.6138.3453446.4674"/>
<telecom value="mailto:info@amadeusspital.at"/>
<telecom value="http://www.amadeusspital.at"/>
<!--
Adresse der Organisation
-->
<addr>
<streetName>Mozartgasse</streetName>
<houseNumber>1-7</houseNumber>
<postalCode>5350</postalCode>
<city>St.Wolfgang</city>
<state>Salzburg</state>
<country>Österreich</country>
</addr>
</representedOrganization>
</assignedEntity>
</authenticator>

<!--
========================================================================
========================================================================
Weitere Beteiligte
siehe Allgemeiner Leitfaden, Kapitel 6.3.8
========================================================================
========================================================================
-->
<!--
Medizinischer Ansprechpartner (siehe Allgemeiner Leitfaden, Kapitel 6.3.8.2.2)
-->
<participant typeCode="CALLBCK">
<templateId root="1.2.40.0.34.11.1.1.1"/>
<associatedEntity classCode="PROV">
<!--
Verpflichtende Telefonnummer des fachlichen Ansprechpartners
-->
<telecom use="WP" value="tel:+43.6138.3453446.1"/>
<associatedPerson>
<!--
Name des Fachlichen Ansprechpartners
-->
<name>Sekretariat Radiologische Abteilung</name>
</associatedPerson>
<!--
Organisation des Fachlichen Ansprechpartners
-->
<scopingOrganization>
<!--
ID der Organisation aus dem GDA Index
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>

<!--
Name der Organisation
-->
<name>Amadeus Spital - Radiologie</name>
<!--
Kontaktdaten der Organisation
-->
<telecom value="tel:+43.6138.3453446.0"/>
<telecom value="fax:+43.6138.3453446.4674"/>
<telecom value="mailto:info@amadeusspital.at"/>
<telecom value="http://www.amadeusspital.at"/>

<!--
Adresse der Organisation
-->
<addr>
<streetName>Mozartgasse</streetName>
<houseNumber>1-7</houseNumber>
<postalCode>5350</postalCode>
<city>St.Wolfgang</city>
<state>Salzburg</state>
<country>Österreich</country>
</addr>
</scopingOrganization>
</associatedEntity>
</participant>
<!--
Einweisender Arzt (siehe Allgemeiner Leitfaden, Kapitel 6.3.8.3.2)
-->
<participant typeCode="REF">
<templateId root="1.2.40.0.34.11.1.1.2"/>
<associatedEntity classCode="PROV">
<!--
Identifikation des einweisenden Arztes (Person) aus dem GDA-Index
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>
<!--
Personendaten des einweisenden Arztes
-->
<associatedPerson>
<name>
<prefix qualifier="AC">Univ.-Prof. Dr.</prefix>
<given>Herbert</given>
<family>Empfänger</family>
</name>
</associatedPerson>
<!--
Organisation, der der einweisenden Arzt angehört
-->
<scopingOrganization>
<!--
Identifikation der Organisation des beabsichtigten Empfängers aus dem GDA-Index
-->
<id root="1.2.40.0.34.99.111.0.1" assigningAuthorityName="GDA Index"/>
<!--
Name der Organisation des einweisenden Arztes
-->
<name>Ordination Dr. Empfänger</name>
<!--
Kontaktdaten der Organisation des einweisenden Arztes
-->
<telecom value="tel:0512.1234567"/>
<telecom value="fax:0512.1234567.11"/>
<telecom value="mailto:office@ordination-empfaenger.at"/>
<telecom value="http://www.ordination-empfaenger.at"/>
<telecom value="me:12345678791"/>
<!--
Adresse der Organisation des einweisenden Arztes
-->
<addr>
<streetName>Musterstraße</streetName>
<houseNumber>27/1/13</houseNumber>
<postalCode>6020</postalCode>
<city>Innsbruck</city>
<country>Österreich</country>
</addr>
</scopingOrganization>
</associatedEntity>
</participant>

<!--
Hausarzt (siehe Allgemeiner Leitfaden, Kapitel 6.3.8.4.2)
-->
<participant typeCode="IND">
<templateId root="1.2.40.0.34.11.1.1.3"/>
<functionCode code="PCP" displayName="primary care physician" codeSystem="2.16.840.1.113883.5.88" codeSystemName="HL7:ParticipationFunction"/>
<associatedEntity classCode="PROV">

<!--
Identifikation des Hausarztes (Person) aus dem GDA-Index
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>
<!--
Personendaten des Hausarztes
-->
<associatedPerson>
<name>
<prefix qualifier="AC">Dr.</prefix>
<given>Walter</given>
<family>Empfänger Sekundär</family>
</name>
</associatedPerson>
<!--
Organisation, der der Hausarzt angehört
-->
<scopingOrganization>
<!--
Identifikation der Organisation des Hausarztes
-->
<id root="1.2.40.0.34.99.111.0.1" assigningAuthorityName="GDA Index"/>
<!--
Name der Organisation des Hausarztes
-->
<name>Ordination Dr. Sekundär</name>
<!--
Kontaktdaten der Organisation Hausarztes
-->
<telecom value="tel:0512.1234567"/>
<telecom value="fax:0512.1234567.11"/>
<telecom value="mailto:office@ordination-sekundaer.at"/>
<telecom value="http://www.ordination-sekundaer.at"/>
<telecom value="me:12345678792"/>
<!--
Adresse der Organisation des Hausarztes
-->
<addr>
<streetName>Sekundärstraße</streetName>
<houseNumber>22</houseNumber>
<postalCode>6020</postalCode>
<city>Innsbruck</city>
<country>Österreich</country>
</addr>
</scopingOrganization>
</associatedEntity>
</participant>
<!--
Notfall-Kontakt / Auskunftsberechtigte Person (siehe Allgemeiner Leitfaden, Kapitel 6.3.8.5.2)
-->
<participant typeCode="IND">
<templateId root="1.2.40.0.34.11.1.1.4"/>
<associatedEntity classCode="ECON">
<!--
Verwandtschaftsverhältnis zum Notfall-Kontakts / Auskunftsberechtigte Person
-->
<code code="FTH" codeSystem="2.16.840.1.113883.5.111" codeSystemName="HL7:RoleCode" displayName="Father"/>

<!--
Adresse des Notfall-Kontakts / Auskunftsberechtigte Person
-->
<addr>Heimstrasse 1, 1220 Wien</addr>

<!--
Kontaktdaten des Notfall-Kontakts / Auskunftsberechtigte Person
-->
<telecom use="MC" value="tel:+43.664.12345678"/>
<!--
Personendaten des Notfall-Kontakts / Auskunftsberechtigte Person
-->
<associatedPerson>
<name>Franz Vater</name>
</associatedPerson>
</associatedEntity>
</participant>
<!--
Angehörige (siehe Allgemeiner Leitfaden, Kapitel 6.3.8.6.2)
-->
<participant typeCode="IND">
<templateId root="1.2.40.0.34.11.1.1.5"/>
<associatedEntity classCode="PRS">
<!--
Verwandtschaftsverhältnis zum Angehörigen
-->
<code code="MTH" codeSystem="2.16.840.1.113883.5.111" codeSystemName="HL7:RoleCode" displayName="Mother"/>

<!--
Adresse des Angehörigen
-->
<addr>Heimstrasse 1, 1220 Wien</addr>

<!--
Kontaktdaten des Angehörigen
-->
<telecom use="MC" value="tel:+43.664.98765432"/>
<!--
Personendaten des Angehörigen
-->
<associatedPerson>
<name>Hertha Mutter</name>
</associatedPerson>
</associatedEntity>
</participant>

<!--
Versicherter/Versicherung (siehe Allgemeiner Leitfaden, Kapitel 6.3.8.7.3)
-->
<participant typeCode="HLD">
<templateId root="1.2.40.0.34.11.1.1.6"/>

<!-- Versicherungszeitraum vom 01.01.2002 – 31.12.2013 -->
<time>
<low value="20020101"/>
<high value="20131231"/>
</time>

<associatedEntity classCode="POLHOLD">
<!-- Sozialversicherungsnummer des Patienten -->
<id root="1.2.40.0.10.1.4.3.1" extension="123424121949" assigningAuthorityName="Österreichische Sozialversicherung"/>

<!-- Code SELF (Patient ist selbst der Versicherungsnehmer) -->
<code code="SELF" codeSystem="2.16.840.1.113883.5.111" codeSystemName="HL7:RoleCode" displayName="self"/>
<!-- Versicherungsgesellschaft -->
<scopingOrganization>
<name>Sozialversicherung der gew. Wirtschaft</name>
<telecom value="tel:01.54654.0"/>
<telecom value="fax:01.54654.385"/>
<telecom value="http://esv-sva.sozvers.at"/>
<addr>
<streetName>Wiedner Hauptstraße</streetName>
<houseNumber>84-86</houseNumber>
<postalCode>1051</postalCode>
<city>Wien</city>
<state>Wien</state>
<country>Österreich</country>
</addr>
</scopingOrganization>
</associatedEntity>
</participant>
<!--
Betreuende Organisation (siehe Allgemeiner Leitfaden, Kapitel 6.3.8.8.2)
-->
<participant typeCode="IND">
<templateId root="1.2.40.0.34.11.1.1.7"/>
<associatedEntity classCode="CAREGIVER">
<scopingOrganization>
<!--
ID der Organisation aus dem GDA Index
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>

<!--
Name der betreuenden Organisation
-->
<name>Hauskrankenpflege Sorgenfrei</name>
<!--
Kontaktdaten der Organisation
-->
<telecom value="tel:+43.2252.3453446.0"/>
<telecom value="fax:+43.2252.3453446.4674"/>
<telecom value="mailto:info@hauskrankenpflege-sorgenfrei.at"/>
<telecom value="http://www.hauskrankenpflege-sorgenfrei.at"/>

<!--
Adresse der Organisation
-->
<addr>
<streetName>Im schönen Walde</streetName>
<houseNumber>24</houseNumber>
<postalCode>2500</postalCode>
<city>Baden</city>
<state>Niederösterreich</state>
<country>Österreich</country>
</addr>
</scopingOrganization>
</associatedEntity>
</participant>
<!--
========================================================================
========================================================================
Zuweisung und Ordermanagement
siehe Allgemeiner Leitfaden, Kapitel 6.4
========================================================================
========================================================================
-->
<!-- inFulfillmentOf -->
<!-- Nicht anwendbar in diesem Demo-Dokument -->
<!--
========================================================================
========================================================================
Dokumentation der Gesundheitsdienstleistung
siehe Allgemeiner Leitfaden, Kapitel 6.5
========================================================================
========================================================================
-->
<documentationOf>
<serviceEvent>

<!-- APPC code für die gegenständliche Untersuchung -->
<code code="3.4.0.5-3-3" codeSystem="1.2.40.0.34.5.38" codeSystemName="APPC" displayName="MRT.Unpaarig.Unbestimmte Prozedur.Lendenwirbelsäule"/>
<!--
Zeitraum der Gesundheitsdienstleistung (siehe Allgemeiner Leitfaden, Kapitel 6.5.1.2.3)
-->
<effectiveTime>
<!-- Im Falle des Befundes Bildgebende Diagnostik: Zeitpunkt der 1. Untersuchung in der Radiologie -->
<low value="20120823082015+0100"/>
<!-- Im Falle des Befundes Bildgebende Diagnostik: Gleicher Zeitpunkt wenn nur 1 Untersuchung im Befund referenziert wird -->
<high value="20120823083727+0100"/>
</effectiveTime>
</serviceEvent>
</documentationOf>


<!--
========================================================================
========================================================================
Bezug zu vorgehenden Dokumenten
siehe Allgemeiner Leitfaden, Kapitel 6.6
========================================================================
========================================================================
-->
<!-- relatedDocument -->
<!-- transformation of a DICOM SR
Ist nur anzugeben, wenn es sich tatsächlich um einen automatisch übersetzten DICOM SR handelt
-->

<!--
========================================================================
========================================================================
Einverständniserklärung
siehe Allgemeiner Leitfaden, Kapitel 6.7
========================================================================
========================================================================
-->
<!-- authorization -->
<!-- Wird in ELGA nicht verwendet -->
<!--
========================================================================
========================================================================
Informationen zum Patientenkontakt
siehe Allgemeiner Leitfaden, Kapitel 6.8
========================================================================
========================================================================
-->
<componentOf>
<encompassingEncounter>
<!--
Aufenthaltszahl (siehe Allgemeiner Leitfaden, Kapitel 6.8.1.2.2)
-->
<id root="1.2.40.0.34.11.0.1.4" extension="Az123456" assigningAuthorityName="Amadeus Spital"/>
<!--
Codierung des Patientenkontakts (siehe Allgemeiner Leitfaden, Kapitel 6.8.1.2.3)
-->
<code code="AMB" displayName="ambulatory" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7:ActCode"/>
<!--
Zeitraum des Patientenkontakts (siehe Allgemeiner Leitfaden, Kapitel 6.8.1.2.4)
-->
<effectiveTime>
<!-- Im Falle des Befundes Bildgebende Diagnostik: Zeitpunkt der 1. Untersuchung in der Radiologie -->
<low value="20120823082015+0100"/>
<!-- Im Falle des Befundes Bildgebende Diagnostik: Gleicher Zeitpunkt wenn nur 1 Untersuchung im Befund referenziert wird -->
<high value="20120823083727+0100"/>
</effectiveTime>
<!--
Verantwortliche Person für den Patientenkontakt (siehe Allgemeiner Leitfaden, Kapitel 6.8.1.2.5)
-->
<responsibleParty>
<assignedEntity>

<!--
Identifikation der Verantwortlichen Person für den Patientenkontakt
-->
<id root="1.2.40.0.34.99.111.1.3" extension="2222" assigningAuthorityName="Amadeus Spital"/>
<!--
Kontaktdaten der Verantwortlichen Person für den Patientenkontakt
-->
<telecom use="WP" value="tel:+43.1.3453446.2222"/>
<!--
Personendaten der Verantwortlichen Person für den Patientenkontakt
-->
<assignedPerson>
<!-- Name der Verantwortlichen Person für den Patientenkontakt -->
<name>
<prefix>Univ.-Prof.Dr.</prefix>
<family>Sigrid</family>
<given>Kollmann</given>
</name>
</assignedPerson>
</assignedEntity>
</responsibleParty>
<!--
Organisation, in deren Verantwortungsbereich der Patientenkontakt stattfand (siehe Allgemeiner Leitfaden, Kapitel 6.8.1.2.6)
-->
<location>
<healthCareFacility>
<serviceProviderOrganization>
<!--
ID der Organisation aus dem GDA Index
-->
<id root="1.2.40.0.34.3.1" assigningAuthorityName="GDA Index"/>
<!--
Name der Organisation
-->
<name>Amadeus Spital - Radiologische Abteilung</name>
<!--
Kontaktdaten der Organisation
-->
<telecom value="tel:+43.6138.3453446.0"/>
<telecom value="fax:+43.6138.3453446.4674"/>
<telecom value="mailto:info@amadeusspital.at"/>
<telecom value="http://www.amadeusspital.at"/>
<!--
Adresse der Organisation
-->
<addr>
<streetName>Mozartgasse</streetName>
<houseNumber>1-7</houseNumber>
<postalCode>5350</postalCode>
<city>St.Wolfgang</city>
<state>Salzburg</state>
<country>Österreich</country>
</addr>
</serviceProviderOrganization>
</healthCareFacility>
</location>
</encompassingEncounter>
</componentOf>



<!--
************************************************************************************************************************************************
************************************************************************************************************************************************
************************************************************************************************************************************************
************************************************************************************************************************************************

Medizinische Inhalte "CDA Body"

siehe Allgemeiner Leitfaden, Kapitel 7

************************************************************************************************************************************************
************************************************************************************************************************************************
************************************************************************************************************************************************
************************************************************************************************************************************************
-->
<component>
<!--
ELGA Interoperabilitätsstufe (EIS 3) "Full Support"
-->
<structuredBody>

<component>
<!--
**********************************************************************
DICOM Object Catalog Section
**********************************************************************
-->
<!--
**********************************************************************
**********************************************************************
**********************************************************************
ACHTUNG, Bildmaterial hat mit Befund nichts zu
tun, ist nur zwecks Beispiel enthalten !!!
**********************************************************************
**********************************************************************
**********************************************************************
-->
<section classCode="DOCSECT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.6.1.1"/>
<code code="121181" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="DICOM Object Catalog"/>
<entry>
<!--
**********************************************************************
Study
**********************************************************************
-->
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.6.2.6"/>
<id root="1.2.840.113619.2.62.994044785528.114289542805"/>
<code code="113014" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="DICOM Study"/>
<!--
*****************************************************************
Series
*****************************************************************
-->
<entryRelationship typeCode="COMP">
<act classCode="ACT" moodCode="EVN">
<id root="1.2.840.113619.2.62.994044785528.20060823223142485051"/>
<code code="113015" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="DICOM Series">
<qualifier>
<name code="121139" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Modality"> </name>
<value code="CR" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Computed Radiography"> </value>
</qualifier>
</code>
<!--
*****************************************************************
SopInstance UID
*****************************************************************
-->
<!-- 2 References (chest PA and LAT) -->
<entryRelationship typeCode="COMP">
<observation classCode="DGIMG" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.6.2.8"/>
<id root="1.2.840.113619.2.62.994044785528.20060823.200608232232322.3"/>
<code code="1.2.840.10008.5.1.4.1.1.1" codeSystem="1.2.840.10008.2.6.1" codeSystemName="DCMUID" displayName="Computed Radiography Image Storage">
</code>
<text xsi:type="ED" mediaType="application/dicom">
<reference value="http://www.example.org/wado?requestType=WADO&amp;studyUID=1.2.840.113619.2.62.994044785528.114289542805&amp;seriesUID=1.2.840.113619.2.62.994044785528.20060823223142485051&amp;objectUID=1.2.840.113619.2.62.994044785528.20060823.200608232232322.3&amp;contentType=application/DICOM"/>
<!--reference to image 1 (PA) -->
</text>
<effectiveTime value="20060823223232"/>
</observation>
</entryRelationship>
<entryRelationship typeCode="COMP">
<observation classCode="DGIMG" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.6.2.8"/>
<id root="1.2.840.113619.2.62.994044785528.20060823.200608232231422.3"/>
<code code="1.2.840.10008.5.1.4.1.1.1" codeSystem="1.2.840.10008.2.6.1" codeSystemName="DCMUID" displayName="Computed Radiography Image Storage">
</code>
<text xsi:type="ED" mediaType="application/dicom">
<reference value="http://www.example.org/wado?requestType=WADO&amp;studyUID=1.2.840.113619.2.62.994044785528.114289542805&amp;seriesUID=1.2.840.113619.2.62.994044785528.20060823223142485051&amp;objectUID=1.2.840.113619.2.62.994044785528.20060823.200608232231422.3&amp;contentType=application/DICOM"/>
<!--reference to image 2 (LAT) -->
</text>
<effectiveTime value="20060823223142"/>
</observation>
</entryRelationship>
</act>
</entryRelationship>
</act>
</entry>
</section>
<!--
**********************************************************************
End of DICOM Object Catalog Section
**********************************************************************
-->
</component>

<!--
*********************************************************************************
Brieftext

Siehe Allgemeiner Leitfaden, Kapitel 7.3.1
*********************************************************************************
-->
<component>
<section>
<templateId root="1.2.40.0.34.11.1.2.1" assigningAuthorityName="ELGA"/>
<code code="BRIEFT" displayName="Brieftext" codeSystem="1.2.40.0.34.5.40" codeSystemName="ELGA_Sections"/>
<title>Brieftext</title>
<text>Sehr geehrte Herr/Frau Kollege(in)
<br/><br/>
<content styleCode="Italics">
Dies ist ein Beispielbefund. Bei den Inhalten handelt es sich um synthetische Mustertexte und keinesfalls um personenbezogene Echtdaten oder realistische Befunde.
Das Beispiel veranschaulicht die technischen Möglichkeiten unter Verwendung eines Maximums der erlaubten Optionen.
</content>
</text>
<!--
Logo
-->
<entry>
<observationMedia classCode="OBS" moodCode="EVN">
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<templateId root="1.2.40.0.34.11.1.3.2" assigningAuthorityName="ELGA"/>
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</value>
</observationMedia>
</entry>
</section>
</component>

<component>
<!--
**********************************************************************
Requested imaging studies information / Anforderung
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.2.1.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.1"/>
<code code="55115-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Requested imaging studies information"/>
<title>Anforderung</title>
<text>
MRT der LWS
</text>
</section>
</component>
<component>
<!--
**********************************************************************
History general / Anamnese
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.2.2.3
**********************************************************************
-->
<section>
<templateId root='1.2.40.0.34.11.5.2.2'/>
<code code="11329-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History general"/>
<title>Anamnese</title>
<text>
Akute Lumboischialgie, Laseque hoch positiv bei 30 Grad
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Radiology reason for study / Indikation
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.2.3.3
**********************************************************************
-->
<section>
<templateId root='1.2.40.0.34.11.5.2.3'/>
<code code="18785-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Reason for study"/>
<title>Indikation</title>
<text>
Verdacht auf Bandscheibenvorfall
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Clinical presentation / Patientenstatus/Patientenangaben
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.3.1.3
**********************************************************************
-->
<section>
<templateId root='1.2.40.0.34.11.5.2.4'/>
<code code="55108-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical presentation"/>
<title>Patientenstatus / Patientenangaben</title>
<text>
Schmerz lumbal re. ausstrahlen, fallweise in den re. Oberschenkel seit Anfang 08/2011, keine Parästhesien oder Bewegungsschmerzen
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Current imaging procedure descriptions / Aktuelle Untersuchung
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.3.2.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.5"/>
<code code="55111-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Current imaging procedure descriptions"/>
<title>Aktuelle Untersuchung</title>
<text>
MRT der LWS<br/>1,5 Tesla Hochfeldgerät, sagittale und axiale T2 betonte TSE, sagittale T1 betonte TSE, sagittale T2 betonte TSE FS
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Prior imaging procedure descriptions / Frühere Untersuchungen
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.3.3.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.6"/>
<code code="55114-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Prior imaging procedure descriptions"/>
<title>Frühere Untersuchungen</title>
<text>
Bildvergleich mit einer Untersuchung vom 10.11.2009
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Radiology comparison study observation / Frühere Befunde
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.3.4.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.7"/>
<code code="18834-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Comparison.study"/>
<title>Frühere Befunde</title>
<text>
Darüber hinaus existiert ein schriftlicher Vorbefund aus dem Krankenhaus Wiener Neustadt vom 11.10.2004 – Bilder liegen hier keine vor.
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Complications / Komplikationen
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.3.5.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.8"/>
<code code="55109-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Complications"/>
<title>Komplikationen</title>
<text>
Der Patient berichtet über eine Allergie auf jodhältige Kontrastmittel.
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Radiology study observation / Befund
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.4.1.4
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.9"/>
<code code="18782-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Study observation"/>
<title>Befund</title>
<text>
<content ID="finding-1">Regulärer Achsenverlauf, die Wirbelkörper von normaler Form und Höhe.<br/>
Im 2. LWK findet sich ein etwa 2 cm großer, signalreicher Herd an T2 und fettsupprimierten Sequenzen, der in erster Linie einem Hämangiom entspricht.<br/>
Die Intervertberalräume L4 – S1 verschmälert, die Disci signalreduziert.<br/>
Im Segment L4/5 findet sich ein postero-lateral re. gelegener Diskusprolaps, der den Rezessus lateralis re. im Verlauf der L5 Wurzel bedrängt und das Foramen L4/5 re. deutlich einengt.<br/>
Auch li. wird das Neuroforamen durch eine postero-laterale Protrusionskomponente zum Teil eingeengt ohne die austretende Nervenwurzel zu erreichen.<br/>
Der Spinalkanal ist konstitutionell relativ eng, insofern ergibt sich auf Höhe L4/5 durchaus auch eine mäßige Spinalkanalstenose.<br/>
Die Intervertebralgelenke multisegmental gering subchondral sklerosiert mit Punktum maximum L4/5 bds.</content>
</text>
<entry>
<observation classCode="OBS" moodCode="EVN">
<!-- Text Observation -->
<templateId root="1.2.40.0.34.11.5.3.2"/>
<templateId root="2.16.840.1.113883.10.20.6.2.12"/>
<code code="121071" codeSystem="1.2.840.10008.2.16.4"
codeSystemName="DCM" displayName="Finding"/>
<value xsi:type="ED">
<reference value="#finding-1"/>
</value>
</observation>
</entry>
</section>
</component>
<component>
<!--
**********************************************************************
Documentation summary / Zusammenfassung/Ergebnis
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.4.2.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.10"/>
<code code="55112-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Document summary"/>
<title>Zusammenfassung / Ergebnis</title>
<text>
Postero-lateral re. gelegener Diskusprolaps L4/5 mit Beeinträchtigung der L5-Wurzel re., aber auch der L4-Wurzel intraforaminär. Zusätzlich ergibt sich daher auch eine mäßiggradige Spinalkanalstenose.
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Radiology impression / Verdachtsdiagnose
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.4.3.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.11"/>
<code code="19005-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Impression"/>
<title>Verdachtsdiagnose</title>
<text>
Hämangiom im L2.
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Conclusions / Schlussfolgerung
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.4.4.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.12"/>
<code code="55110-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Conclusions"/>
<title>Schlussfolgerung</title>
<text>
Die gefundene Läsion re. L4/5 korreliert gut mit der Klinik und ist wohl für die klinischen Beschwerden verantwortlich.
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Radiology study recommendation / Empfehlung
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.4.5.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.13"/>
<code code="18783-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Study recommendation"/>
<title>Empfehlung</title>
<text>
Die Vorstellung an einer neurochirurgischen Abteilung wird empfohlen.
</text>
</section>
</component>
<component>
<!--
**********************************************************************
Addendum
Siehe Spezieller Leitfaden "Befund bildgebende Diagnostik", Kapitel 4.4.6.3
**********************************************************************
-->
<section>
<templateId root="1.2.40.0.34.11.5.2.14"/>
<code code="55107-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Addendum"/>
<title>Addendum</title>
<text>
Als Nebenbefund findet sich eine diffus ektatische Aorta – diesbezüglich Observanz empfohlen.
</text>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>
    (1-1/1)