Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">S3-Leitlinie zur Epidemiologie, Diagnostik und Therapie erwachsener Patienten mit nosokomialer Pneumonie</div>
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<div xmlns="http://www.w3.org/1999/xhtml">Darstellung und Standardisierung der Diagnostik und Therapie der nosokomialen Pneumonie auf der Basis des aktuellen wissen-schaftlichen Kenntnisstandes für die Sicherstellung einer Evidenz-basierten und optimalen Versorgung von Patienten.</div>
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<div xmlns="http://www.w3.org/1999/xhtml">Die nosokomiale Pneumonie ist in Deutschland eine häufige hospitalerworbene Infektion, die mit einer hohen Morbidität und Mortalität einhergeht. Diagnostik und Therapie stellen hohe Ansprüche an die behandelnden Ärzte, die häufig interdisziplinär gelöst werden müssen. Das therapeutische Vorgehen hat erheblichen Einfluss auf die Entwicklung von Antibiotikaresistenzen bei den ursächlichen Erregern. Revision der bestehenden Leitlinie wurde erforderlich, da die Empfehlungen zur Standardisierung und Qualitätssicherung der Diagnostik und Therapie bei erwachsenen Patienten mit nosokomialen Pneumonien auf den aktuellsten Forschungsergebnissen angepasst werden müssen.</div>
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<div xmlns="http://www.w3.org/1999/xhtml">Die Leitlinie wendet sich an alle im Krankenhaus tätigen Ärzte, die mit der Diagnostik und Therapie nosokomialer Pneumonien konfrontiert sind. Hierzu gehören Fachärzte für Anästhesiologie, Chirurgie, Innere Medizin, Intensivmedizin, Klinische Infektiologie, Klinische Mikrobiologie, Hygiene, Pneumologie, Virologie, und Radiologie, aber auch Ärzten anderer Fachgebiete, die Patienten mit nosokomialen Infektionen betreuen. Zugleich soll sie als Orientierung für Personen, Organisationen, Kostenträger sowie medizinisch-wissenschaftliche Fachgesellschaften und Berufsverbände dienen, die direkt oder indirekt mit diesem Thema in Verbindung stehen.</div>
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<code value="language"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Pneumonie, nosokomial, hospital-acquired pneumonia, HAP, Ventilator-assoziierten Pneumonie, VAP, im Krankenhaus erworbene Lungenentzündung, Epidemiology, diagnosis and treatment of adult patients with nosocomial pneumonia</div>
</text>
</section>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="attachments"/>
<display value="Attachments"/>
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</code>
<section>
<code>
<coding>
<system
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<code value="long-version"/>
<display value="Long Version"/>
</coding>
</code>
<entry>
<reference value="DocumentReference/Guideline-020-013-LongVersion"/>
</entry>
</section>
<section>
<code>
<coding>
<system
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<code value="short-version"/>
<display value="Short Version"/>
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</code>
<entry>
<reference value="DocumentReference/Guideline-020-013-ShortVersion"/>
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</section>
<section>
<code>
<coding>
<system
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<code value="guideline-report"/>
<display value="Guideline Report"/>
</coding>
</code>
<entry>
<reference
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</entry>
</section>
<section>
<code>
<coding>
<system
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<code value="patient-version"/>
<display value="Patient Version"/>
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</code>
<entry>
<reference
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</section>
<section>
<code>
<coding>
<system
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<code value="slide-deck"/>
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</code>
<entry>
<reference value="DocumentReference/Guideline-020-013-SlideDeck"/>
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</section>
<section>
<code>
<coding>
<system
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<code value="implementation-guidance"/>
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<entry>
<reference
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</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="introduction"/>
<display value="Introduction"/>
</coding>
</code>
<section>
<code>
<coding>
<system
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<section>
<extension
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<valueCode value="de"/>
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<title value="Übersicht der Empfehlungen und Statements"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Übersicht der Empfehlungen und Statements</div>
</text>
</section>
<section>
<extension
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<valueCode value="en"/>
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<title value="Overview of Recommendations and Statements"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Overview of Recommendations and Statements</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="ar"/>
</extension>
<title value="نظرة عامة على التوصيات والبيانات"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="rtl">نظرة عامة على التوصيات والبيانات</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Geltungsbereich und Zweck"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Geltungsbereich und Zweck</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Scope and Purpose"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Scope and Purpose</div>
</text>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
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</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Zielsetzung und Fragestellung"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Zielsetzung und Fragestellung</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Objective and Research Question"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Objective and Research Question</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Versorgungsbereich"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Versorgungsbereich</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Healthcare Sector"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Healthcare Sector</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Patientenzielgruppe"/>
<code>
<coding>
<system
value="http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections"/>
<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Patientenzielgruppe</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Target Patient Group"/>
<code>
<coding>
<system
value="http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections"/>
<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Target Patient Group</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Adressaten"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Adressaten</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Audience"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Audience</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Gültigkeitsdauer und Aktualisierungsverfahren"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Gültigkeitsdauer und Aktualisierungsverfahren</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Validity Period and Update Procedure"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Validity Period and Update Procedure</div>
</text>
</section>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Methodische Grundlagen"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Methodische Grundlagen</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Methodological Foundations"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Methodological Foundations</div>
</text>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="de"/>
</extension>
<title value="Kritische Bewertung der Evidenz"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Kritische Bewertung der Evidenz</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Critical Appraisal of Evidence"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Critical Appraisal of Evidence</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="de"/>
</extension>
<title value="Strukturierte Konsensfindung"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Strukturierte Konsensfindung</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Structured Consensus Process"/>
<code>
<coding>
<system
value="http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections"/>
<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Structured Consensus Process</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="de"/>
</extension>
<title
value="Empfehlungsgraduierung und Feststellung der Konsensstärke"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Empfehlungsgraduierung und Feststellung der Konsensstärke</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Recommendation Grading and Consensus Strength"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Recommendation Grading and Consensus Strength</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Statements"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Statements</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Statements"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Statements</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Expertenkonsens"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Expertenkonsens</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Expert Consensus"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Expert Consensus</div>
</text>
</section>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Umgang mit Interessenkonflikten"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Umgang mit Interessenkonflikten</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Handling Conflicts of Interest"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Handling Conflicts of Interest</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
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<code value="default-section"/>
</coding>
</code>
<section>
<extension
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<valueCode value="de"/>
</extension>
<title value="Externe Begutachtung und Verabschiedung"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Externe Begutachtung und Verabschiedung</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="External Review and Approval"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">External Review and Approval</div>
</text>
</section>
</section>
<section>
<code>
<coding>
<system
value="http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections"/>
<code value="default-section"/>
</coding>
</code>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="de"/>
</extension>
<title value="Redaktionelle Hinweise"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Redaktionelle Hinweise</div>
</text>
</section>
<section>
<extension
url="http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language">
<valueCode value="en"/>
</extension>
<title value="Editorial Notes"/>
<code>
<coding>
<system
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<code value="language"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" dir="ltr">Editorial Notes</div>
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