Diagnose, Gesundheitszustand

Basisprofil Diagnose

Canonical URL: http://fhir.de/StructureDefinition/condition-de-basis/0.2

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
textC0..1Narrative
contained0..*Resource
DiagnosesicherheitC0..1Extension(CodeableConcept)
modifierExtension?!0..*Extension
identifierΣ0..*Identifier
clinicalStatusΣ ?! C0..1codeBinding
verificationStatusΣ ?! C0..1codeBinding
category0..*CodeableConcept
severity0..1CodeableConceptBinding
id0..1string
extension0..*Extension
id0..1string
Haupt-Code_Kreuz-CodeC0..1Extension(CodeableConcept)
Stern-CodeC0..*Extension(CodeableConcept)
Ausrufezeichen-CodeC0..*Extension(CodeableConcept)
systemΣ1..1uriAuto Value
versionΣ1..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
id0..1string
extension0..*Extension
url1..1uriAuto Value
valueReference0..1Reference(BodySite)
id0..1string
extension0..*Extension
systemΣ1..1uriAuto Value
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectΣ1..1Reference(Group | Patient, deutsches Basisprofil (Version 0.2))
contextΣ0..1Reference(Encounter | EpisodeOfCare)
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementBooleanboolean
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
assertedDateΣ0..1dateTime
asserterΣ0..1Reference(RelatedPerson | Patient, deutsches Basisprofil (Version 0.2) | Practitioner, deutsches Basisprofil (Version 0.2))
id0..1string
extension0..*Extension
modifierExtensionΣ ?!0..*Extension
summaryC0..1CodeableConcept
assessmentC0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
id0..1string
extension0..*Extension
modifierExtensionΣ ?!0..*Extension
codeΣ C0..*CodeableConcept
detailΣ C0..*Reference(Resource)
note0..*Annotation

Beispiele

XML-Format

Einfache Diagnose:

<Condition xmlns="http://hl7.org/fhir">
<profile value="http://fhir.de/StructureDefinition/condition-de-basis/0.2" />
</meta>
<status value="generated" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<system value="http://fhir.de/CodeSystem/dimdi/icd-10-gm" />
<version value="2017" />
<code value="Q90.0" />
<display value="Trisomie 21, meiotische Non-disjunction" />
</coding>
<text value="Trisomie 21, meiotische Non-disjunction" />
</code>
<reference value="Patient/12345" />
</subject>
</Condition>

Diagnose mit Seitenlokalisation:

<Condition xmlns="http://hl7.org/fhir">
<profile value="http://fhir.de/StructureDefinition/condition-de-basis/0.2" />
</meta>
<status value="generated" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<system value="http://fhir.de/CodeSystem/dimdi/icd-10-gm" />
<version value="2017" />
<code value="S51.9" />
<display value="Schnittwunde am Unterarm" />
</coding>
<text value="Schnittwunde am Unterarm" />
</code>
<system value="http://fhir.de/CodeSystem/kbv/s_icd_seitenlokalisation" />
<code value="L" />
<display value="links" />
</coding>
<text value="links" />
</bodySite>
<reference value="Patient/12345" />
</subject>
</Condition>

Diagnose mit Angabe der Diagnosesicherheit:

<Condition xmlns="http://hl7.org/fhir">
<profile value="http://fhir.de/StructureDefinition/condition-de-basis/0.2" />
</meta>
<status value="generated" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<extension url="http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit/0.2">
<system value="http://fhir.de/CodeSystem/kbv/s-icd-diagnosesicherheit" />
<code value="V" />
</coding>
</valueCodeableConcept>
</extension>
<clinicalStatus value="active" />
<verificationStatus value="provisional" />
<system value="http://fhir.de/CodeSystem/dimdi/icd-10-gm" />
<version value="2017" />
<code value="I21.9" />
<display value="Herzinfarkt" />
</coding>
<text value="Herzinfarkt" />
</code>
<reference value="Patient/12345" />
</subject>
</Condition>

Diagnose mit Angabe der Seitenlokalisation und der Diagnosesicherheit:

<Condition xmlns="http://hl7.org/fhir">
<profile value="http://fhir.de/StructureDefinition/condition-de-basis/0.2" />
</meta>
<status value="generated" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<extension url="http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit/0.2">
<system value="http://fhir.de/CodeSystem/kbv/s-icd-diagnosesicherheit" />
<code value="G" />
</coding>
</valueCodeableConcept>
</extension>
<clinicalStatus value="active" />
<verificationStatus value="confirmed" />
<system value="http://fhir.de/CodeSystem/dimdi/icd-10-gm" />
<version value="2017" />
<code value="S51.9" />
<display value="Schnittwunde am Unterarm" />
</coding>
<text value="Schnittwunde am Unterarm" />
</code>
<system value="http://fhir.de/CodeSystem/kbv/s_icd_seitenlokalisation" />
<code value="L" />
<display value="links" />
</coding>
<text value="links" />
</bodySite>
<reference value="Patient/12345" />
</subject>
</Condition>

JSON-Format

Einfache Diagnose:

{
"resourceType": "Condition",
"meta": {
"profile": [
"http://fhir.de/StructureDefinition/condition-de-basis/0.2"
]
},
"text": {
"status": "generated",
--- We have skipped the narrative for better readability of the resource ---
},
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
"version": "2017",
"code": "Q90.0",
"display": "Trisomie 21, meiotische Non-disjunction"
}
],
"text": "Trisomie 21, meiotische Non-disjunction"
},
"subject": {
"reference": "Patient/12345"
}
}

Diagnose mit Seitenlokalisation:

{
"resourceType": "Condition",
"meta": {
"profile": [
"http://fhir.de/StructureDefinition/condition-de-basis/0.2"
]
},
"text": {
"status": "generated",
--- We have skipped the narrative for better readability of the resource ---
},
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
"version": "2017",
"code": "S51.9",
"display": "Schnittwunde am Unterarm"
}
],
"text": "Schnittwunde am Unterarm"
},
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/kbv/s_icd_seitenlokalisation",
"code": "L",
"display": "links"
}
],
"text": "links"
}
],
"subject": {
"reference": "Patient/12345"
}
}

Diagnose mit Angabe der Diagnosesicherheit:

{
"resourceType": "Condition",
"meta": {
"profile": [
"http://fhir.de/StructureDefinition/condition-de-basis/0.2"
]
},
"text": {
"status": "generated",
--- We have skipped the narrative for better readability of the resource ---
},
{
"url": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit/0.2",
"coding": [
{
"system": "http://fhir.de/CodeSystem/kbv/s-icd-diagnosesicherheit",
"code": "V"
}
]
}
}
],
"clinicalStatus": "active",
"verificationStatus": "provisional",
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
"version": "2017",
"code": "I21.9",
"display": "Herzinfarkt"
}
],
"text": "Herzinfarkt"
},
"subject": {
"reference": "Patient/12345"
}
}

Diagnose mit Angabe der Seitenlokalisation und der Diagnosesicherheit:

{
"resourceType": "Condition",
"meta": {
"profile": [
"http://fhir.de/StructureDefinition/condition-de-basis/0.2"
]
},
"text": {
"status": "generated",
--- We have skipped the narrative for better readability of the resource ---
},
{
"url": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit/0.2",
"coding": [
{
"system": "http://fhir.de/CodeSystem/kbv/s-icd-diagnosesicherheit",
"code": "G"
}
]
}
}
],
"clinicalStatus": "active",
"verificationStatus": "confirmed",
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
"version": "2017",
"code": "S51.9",
"display": "Schnittwunde am Unterarm"
}
],
"text": "Schnittwunde am Unterarm"
},
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/kbv/s_icd_seitenlokalisation",
"code": "L",
"display": "links"
}
],
"text": "links"
}
],
"subject": {
"reference": "Patient/12345"
}
}