<effectiveTime value="20060529"/> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> <setId extension="165" root="1.2.276.0.76.3.46.5.1.5"/> <versionNumber value="1"/> <recordTarget> <patientRole> <id extension="789987" root="1.2.276.0.76.3.1.13.99"/> <addr> <streetAddressLine>Kölner Wiesenweg 44</streetAddressLine> <postalCode>52330</postalCode> <city>Düren</city> </addr> <telecom use="HP" value="tel:Tel:02421-2356532|Privat"/> <patient> <name> <given>Karl</given> <family>Krummbein</family> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19520917"/> </patient> <providerOrganization> <telecom use="WP" value="tel:02421-23214"/> <telecom use="WP" value="fax:02421-35412-9"/> <addr> <streetAddressLine>Tivolistr. 11</streetAddressLine> <postalCode>52349</postalCode> <city>Düren</city> </addr> </providerOrganization> </patientRole> </recordTarget> <author> <time value="20060529"/> <assignedAuthor> <id extension="2300023" root="1.2.276.0.76.3.1.13.89"/> <assignedPerson> <name> <prefix qualifier="AC">Dr.</prefix> <given>Doris</given> <family>Doren</family> </name> </assignedPerson> <representedOrganization> <telecom use="WP" value="tel:02421-23214"/> <telecom use="WP" value="fax:02421-35412-9"/> <addr> <streetAddressLine>Tivolistr. 11</streetAddressLine> <postalCode>52349</postalCode> <city>Düren</city> </addr> </representedOrganization> </assignedAuthor> </author> <custodian> <assignedCustodian> <representedCustodianOrganization> <id extension="9823723" root="1.2.276.0.76.3.1.13.79"/> <name>Gemeinschaftspraxis Doren und Campioni</name> <addr> <streetAddressLine>Tivolistr. 11</streetAddressLine> <postalCode>52349</postalCode> <city>Düren</city> </addr> </representedCustodianOrganization> </assignedCustodian> </custodian> <informationRecipient typeCode="PRCP"> <intendedRecipient> <id extension="2342323" root="1.2.276.0.76.3.1.13.89"/> <informationRecipient> <name> <prefix qualifier="AC">Dr.</prefix> <given>Gustav</given> <family>Gesund</family> </name> </informationRecipient> <receivedOrganization> <telecom use="WP" value="tel:02421-43628-0"/> <addr> <streetAddressLine>Hohenzollernstr. 66</streetAddressLine> <postalCode>52351</postalCode> <city>Düren</city> </addr> </receivedOrganization> </intendedRecipient> </informationRecipient> <legalAuthenticator> <time value="20060529"/> <signatureCode code="S"/> <assignedEntity> <id extension="2300023" root="1.2.276.0.76.3.1.13.89"/> <assignedPerson> <name> <prefix qualifier="AC">Dr.</prefix> <given>Doris</given> <family>Doren</family> </name> </assignedPerson> <representedOrganization> <name>Gemeinschaftspraxis Doren und Campioni</name> <telecom use="WP" value="tel:02421-23214"/> <telecom use="WP" value="fax:02421-35412-9"/> <addr> <streetAddressLine>Tivolistr. 11</streetAddressLine> <postalCode>52349</postalCode> <city>Düren</city> </addr> </representedOrganization> </assignedEntity> </legalAuthenticator> <participant typeCode="HLD"> <associatedEntity classCode="POLHOLD"> <id extension="1234567890" root="2.16.840.1.113883.2.6.234.93345"/> <code code="SELF" codeSystem="2.16.840.1.113883.5.111"/> <addr> <streetAddressLine>Kölner Wiesenweg 44</streetAddressLine> <postalCode>52330</postalCode> <city>Düren</city> </addr> <associatedPerson> <name> <given>Karl</given> <family>Krummbein</family> </name> </associatedPerson> <scopingOrganization> <id extension="93345" root="2.16.840.1.113883.2.6.234"/> <name/> </scopingOrganization> </associatedEntity> </participant> <component> <structuredBody> <component> <section> <code code="X-SALUT" codeSystem="2.16.840.1.113883.6.1"/> <text> <paragraph>Sehr geehrte Kolleginnen und Kollegen,</paragraph> <paragraph>Herr Karl Krummbein, geboren 17-09-1952, stellte sich hier am 24.01.2006 vor.</paragraph> </text> </section> </component> <component> <section> <code code="10164-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Anamnese


    
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                <postalCode>52330</postalCode>
                <city>Düren</city>
            </addr>
            <telecom use="HP" value="tel:Tel:02421-2356532|Privat"/>
            <patient>
                <name>
                    <given>Karl</given>
                    <family>Krummbein</family>
                </name>
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                <birthTime value="19520917"/>
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                <telecom use="WP" value="tel:02421-23214"/>
                <telecom use="WP" value="fax:02421-35412-9"/>
                <addr>
                    <streetAddressLine>Tivolistr. 11</streetAddressLine>
                    <postalCode>52349</postalCode>
                    <city>Düren</city>
                </addr>
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                <name>
                    <prefix qualifier="AC">Dr.</prefix>
                    <given>Doris</given>
                    <family>Doren</family>
                </name>
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                <telecom use="WP" value="tel:02421-23214"/>
                <telecom use="WP" value="fax:02421-35412-9"/>
                <addr>
                    <streetAddressLine>Tivolistr. 11</streetAddressLine>
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                    <city>Düren</city>
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                <name>Gemeinschaftspraxis Doren und Campioni</name>
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                    <streetAddressLine>Tivolistr. 11</streetAddressLine>
                    <postalCode>52349</postalCode>
                    <city>Düren</city>
                </addr>
            </representedCustodianOrganization>
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            <id extension="2342323" root="1.2.276.0.76.3.1.13.89"/>
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                <name>
                    <prefix qualifier="AC">Dr.</prefix>
                    <given>Gustav</given>
                    <family>Gesund</family>
                </name>
            </informationRecipient>
            <receivedOrganization>
                <telecom use="WP" value="tel:02421-43628-0"/>
                <addr>
                    <streetAddressLine>Hohenzollernstr. 66</streetAddressLine>
                    <postalCode>52351</postalCode>
                    <city>Düren</city>
                </addr>
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        </intendedRecipient>
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        <signatureCode code="S"/>
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            <id extension="2300023" root="1.2.276.0.76.3.1.13.89"/>
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                <name>
                    <prefix qualifier="AC">Dr.</prefix>
                    <given>Doris</given>
                    <family>Doren</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <name>Gemeinschaftspraxis Doren und Campioni</name>
                <telecom use="WP" value="tel:02421-23214"/>
                <telecom use="WP" value="fax:02421-35412-9"/>
                <addr>
                    <streetAddressLine>Tivolistr. 11</streetAddressLine>
                    <postalCode>52349</postalCode>
                    <city>Düren</city>
                </addr>
            </representedOrganization>
        </assignedEntity>
    </legalAuthenticator>
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            <addr>
                <streetAddressLine>Kölner Wiesenweg 44</streetAddressLine>
                <postalCode>52330</postalCode>
                <city>Düren</city>
            </addr>
            <associatedPerson>
                <name>
                    <given>Karl</given>
                    <family>Krummbein</family>
                </name>
            </associatedPerson>
            <scopingOrganization>
                <id extension="93345" root="2.16.840.1.113883.2.6.234"/>
                <name/>
            </scopingOrganization>
        </associatedEntity>
    </participant>
    <component>
        <structuredBody>
            <component>
                <section>
                    <code code="X-SALUT" codeSystem="2.16.840.1.113883.6.1"/>
                    <text>
                        <paragraph>Sehr geehrte Kolleginnen und Kollegen,</paragraph>
                        <paragraph>Herr Karl Krummbein, geboren 17-09-1952, stellte sich hier am
                            24.01.2006 vor.</paragraph>
                    </text>
                </section>
            </component>
            <component>
                <section>
                    <code code="10164-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
                    <title>Anamnese
                    
                        24.01.2006
                        Herr Krummbein gibt an, am 19.01.2006 von seinem eigenen Trecker
                            auf Beckenhöhe überrollt worden zu sein. Er arbeitete zunächst wie
                            gewohnt weiter und stellte sich erst heute wegen persistierender
                            Schmerzen und Schwellung beider Beine hier vor.
                    
                
            
            
                
                    
                    Diagnosen
                    
                        
                            
                                
                                    Diagnose
                                    ICD Code
                                    Sicherheit
                                    Lokalisation
                                    Zusatz
                                    Feststelldatum
                                
                            
                            
                                
                                    Verdacht auf Fraktur des Beckens, Teil nicht näher
                                        bezeichnet
                                    
                                        S32.83
                                    
                                    Verdacht auf
                                    
                                    
                                    24.01.2006
                                
                            
                        
                    
                    
                        
                            
                            
                            
                            
                                
                                    
                                
                                
                            
                        
                    
                

            
            
                
                    Datei: pelvis.jpg
                    
                        
                            
                        
                    
                    
                        
                            
                                
                            
                        
                    
                
            
            
                
                    
                    Grund für die Überweisung / Einweisung
                    
                        Wir überweisen Herr Krummbein zur weiteren Abklärung der
                            Beschwerden in Ihre Unfallchirurgische Klinik