Diabetes mellitus


PARAMETER CASE REPORT FORM RESPONSE OPTIONS
Does the patient suffer from diabetes? Diabetes mellitus type 1 / Diabetes mellitus type 2 / Insulin treated type 2 diabetes mellitus / Secondary diabetes mellitus / No / Unknown

This profile of a FHIR Condition is derived from the Diagnosis-profile of the Medical Informatics Initiative (MII). The valueset bindings on the Condition.code element have been constrained to solely feature the response options for this particular parameter of the case report form.

To represent the presence, absence or uncertainty of findings, use Condition.verificationStatus or uncertaintyOfPresence on Condition.extension. Note the additional constrain on Condition that checks if either verificationStatus or the extension is present:

unk-1:If verificationStatus is present, uncertaintyOfPresence-Extension SHALL NOT be present.

verificationStatus.exists() != Condition.modifierExtension.where(url = 'https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/uncertainty-of-presence').exists()


Profile - Diabetes Mellitus

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/diabetes-mellitus

Snapshot

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
ReferenzPrimaerdiagnoseS I0..1Extension(Reference(Condition))
uncertaintyOfPresenceS ?! I0..1Extension(CodeableConcept)
identifierΣ0..*Identifier
clinicalStatusS Σ ?! I0..1CodeableConceptBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
severity0..1CodeableConceptBinding
id0..1string
extensionI0..*Extension
id0..1string
Mehrfachcodierungs-KennzeichenS I0..1Extension(Coding)
SeitenlokalisationS I0..1Extension(Coding)
DiagnosesicherheitS I0..1Extension(Coding)
systemS Σ1..1uriFixed Value
versionS Σ1..1string
codeS Σ I1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ1..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1MII-Reference(Patient | Group)
encounterS Σ I0..1MII-Reference(Encounter)
id0..1string
dataAbsentReasonI0..1Extension(code)
id0..1string
lebensphase-vonS I0..1Extension(CodeableConcept)
value0..1System.DateTime
id0..1string
lebensphase-bisS I0..1Extension(CodeableConcept)
value0..1System.DateTime
id0..1string
dataAbsentReasonI0..1Extension(code)
value0..1System.DateTime
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateS Σ1..1dateTime
recorderΣ I0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
asserterΣ I0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
summaryI0..1CodeableConcept
assessmentI0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ I0..*CodeableConcept
detailΣ I0..*Reference(Resource)
noteS0..*Annotation


Extension - Uncertainty of Presence

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/uncertainty-of-presence

Snapshot

id0..1string
extensionI0..*Extension
url1..1uriFixed Value
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string


ValueSets

Valuesets are provided with both SNOMED-CT and ICD-10-GM codes.


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/diabetes-mellitus-diseases

ValueSet 'DiabetesMellitusDiseases'

Version1.0
Published byCharité
StatusActive
ExperimentalFalse

Diabetes mellitus in the context of Covid-19

This value set includes codes from the following code systems:

  • The following codes from system: SNOMED_CT

    CodeDisplaySynonym (de-DE)
    46635009Diabetes mellitus type 1 (disorder)Diabetes Typ 1
    44054006Diabetes mellitus type 2 (disorder)Diabetes Typ 2
    237599002Insulin treated type 2 diabetes mellitus (disorder)Diabetes Typ 2 insulinpflichtig
    8801005Secondary diabetes mellitus (disorder)Diabetes Typ 3
  • Include codes from SNOMED_CT where concept IsA 73211009


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/diabetes-mellitus-diseases-icd

ValueSet 'DiabetesMellitusDiseasesICD'

Version1.0.5
Published byCharité
StatusActive
ExperimentalFalse

Diabetes mellitus in the context of Covid-19 from ICD-10-GM

This value set includes codes from the following code systems:

  • The following codes from system: Icd-10-gm

    CodeDisplay
    E11.9Diabetes mellitus, Typ 2 : Ohne Komplikationen
    E10.9Diabetes mellitus, Typ 1 : Ohne Komplikationen
    E13.9Sonstiger näher bezeichneter Diabetes mellitus : Ohne Komplikationen
  • Include codes from Icd-10-gm where concept IsA E11
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA E10
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA E13
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA E14
    Include codes from Icd-10-gm where child Exists false


Examples

Diabetes mellitus present
Example condition that is confirmed present

{
    "resourceType": "Condition",
    "id": "4d5600e0-adf9-4399-a773-6ac35e7d9632",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/diabetes-mellitus"
        ]
    },
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "confirmed",
                "display": "Confirmed"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "410605003",
                "display": "Confirmed present (qualifier value)"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "408475000",
                    "display": "Diabetic medicine"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "73211009",
                "display": "Diabetes mellitus"
            }
        ]
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "recordedDate": "2020-10-06"
}


Diabetes mellitus type 1 absent
Example condition that is confirmed absent

{
    "resourceType": "Condition",
    "id": "56fd2ef9-3d92-4278-9277-dd1b5ca7e3d5",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/diabetes-mellitus"
        ]
    },
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "refuted",
                "display": "Refuted"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "410594000",
                "display": "Definitely NOT present (qualifier value)"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "408475000",
                    "display": "Diabetic medicine"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "46635009",
                "display": "Diabetes mellitus type 1"
            }
        ]
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "recordedDate": "2020-10-06"
}


Diabetes mellitus type 2 present
Example condition that is confirmed present

{
    "resourceType": "Condition",
    "id": "ef325840-ac25-4f22-ba03-c5a6fddcdb0c",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/diabetes-mellitus"
        ]
    },
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "confirmed",
                "display": "Confirmed"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "410605003",
                "display": "Confirmed present (qualifier value)"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "408475000",
                    "display": "Diabetic medicine"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "44054006",
                "display": "Diabetes mellitus type 2"
            }
        ]
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "recordedDate": "2020-10-06"
}


Insulin treated type 2 diabetes mellitus absent
Example condition that is confirmed absent

{
    "resourceType": "Condition",
    "id": "1db11e0e-9fe8-4c02-85d1-4afbcd7c7f52",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/diabetes-mellitus"
        ]
    },
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "refuted",
                "display": "Refuted"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "410594000",
                "display": "Definitely NOT present (qualifier value)"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "408475000",
                    "display": "Diabetic medicine"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "237599002",
                "display": "Insulin treated type 2 diabetes mellitus"
            }
        ]
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "recordedDate": "2020-10-06"
}


Secondary diabetes mellitus unknown
Example condition where the presence is unknown

{
    "resourceType": "Condition",
    "id": "bcac302e-0f7c-4deb-b56c-bf9eac1c4c39",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/diabetes-mellitus"
        ]
    },
    "modifierExtension":  [
        {
            "url": "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/uncertainty-of-presence",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "261665006",
                        "display": "Unknown (qualifier value)"
                    }
                ],
                "text": "Presence of condition is unknown."
            }
        }
    ],
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "408475000",
                    "display": "Diabetic medicine"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "8801005",
                "display": "Secondary diabetes mellitus"
            }
        ]
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "recordedDate": "2020-10-06"
}