<xsl:value-of select="$title"/>

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Ereignis:
Patient:
Empfänger:

Datum:

Adresse:

Geburtsdatum:

Name ID: Geschlecht:

;

#CCCCCC #EEEEEE

Diagnose	Code	Codesystem	Lok./Zusatz	Datum

#CCCCCC #EEEEEE

Parameter	Ergebnis	Normbereich	Datum	Status
		-

#CCCCCC #EEEEEE

Handelsname	PZN	Dosis	Verabreichung	Status	Dauer	Datum

[ ]

Unterzeichnet durch:

LOINC ICD 9 ICD 10 ICD 10 ICPM PZN endgültig verabreicht empfohlen Behandelnder Arzt Primary surgeon First assistant Second assistant Scrub nurse Third assistant Nurse assistant Anesthetist Anesthesia nurse Midwife Attending physician Admitting physician Discharging physician Rounding physician Primary care provider

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