Complication


PARAMETER CASE REPORT FORM RESPONSE OPTIONS
Thromboembolic events Venous thrombosis / Pulmonary embolism / Stroke / Myocardial infarction / Other
Infectious disease of lung Yes / No / Unknown
Infectious agent in bloodstream Yes / 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 or absence of findings, use verificationStatus.


Profile - Complication

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/complications-covid-19

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
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/complications-covid-19

ValueSet 'ComplicationsCovid19'

Version1.0.4
Published byCharité
StatusActive
ExperimentalFalse

Complications 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)
    439127006Thrombosis (disorder)Thrombose
    414086009Embolism (disorder)Embolie
    128601007Infectious disease of lung (disorder)Infektion der Lunge
    434156008Infectious agent in bloodstream (finding)Blutstrominfektion
    111293003Venous thrombosis (disorder)Venöse Thrombose
    59282003Pulmonary embolism (disorder)Lungenarterienembolie
    230690007Cerebrovascular accident (disorder)Stroke
    22298006Myocardial infarction (disorder)Myokardinfarkt
    14669001Acute renal failure syndrome (disorder)Akutes Nierenversagen
  • Include codes from SNOMED_CT where concept IsA 439127006
  • Include codes from SNOMED_CT where concept IsA 414086009
  • Include codes from SNOMED_CT where concept IsA 128601007
  • Include codes from SNOMED_CT where concept IsA 434156008


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/complications-covid-19-icd

ValueSet 'ComplicationsCovid19ICD'

Version1.0.5
Published byCharité
StatusActive
ExperimentalFalse

Complications 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
    J18.9Pneumonie, nicht näher bezeichnet
    A41.9Sepsis, nicht näher bezeichnet
    I82.9Embolie und Thrombose nicht näher bezeichneter Vene
    I26.9Lungenembolie ohne Angabe eines akuten Cor pulmonale
    I64Schlaganfall, nicht als Blutung oder Infarkt bezeichnet
    I21.9Akuter Myokardinfarkt, nicht näher bezeichnet
    N17.9Akutes Nierenversagen, nicht näher bezeichnet
  • Include codes from Icd-10-gm where concept IsA U69.0
  • Include codes from Icd-10-gm where concept IsA J17
  • Include codes from Icd-10-gm where concept IsA A15.0
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA A16.0
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA A16.1
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA A16.2
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA A20.2
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA A24.1
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA A48.1
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA J12
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA I80
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA I81
  • Include codes from Icd-10-gm where concept IsA I82
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA I74
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA I61
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA I63
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA I64
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA I21
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA I22
    Include codes from Icd-10-gm where child Exists false
  • Include codes from Icd-10-gm where concept IsA N17
    Include codes from Icd-10-gm where child Exists false


Examples

Complication Present

{
    "resourceType": "Condition",
    "id": "77a8826d-4397-4937-8cca-de90008d3368",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/complications-covid-19"
        ]
    },
    "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": "116223007",
                    "display": "Complication (disorder)"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "128601007",
                "display": "Infectious disease of lung (disorder)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "recordedDate": "2020-10-15T16:07:48+02:00"
}


Complication Absent

{
    "resourceType": "Condition",
    "id": "c989bb6b-e165-4896-8e4b-ae7ab80b4a9e",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/complications-covid-19"
        ]
    },
    "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": "116223007",
                    "display": "Complication (disorder)"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "434156008",
                "display": "Infectious agent in bloodstream (finding)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "recordedDate": "2020-10-15T16:07:48+02:00"
}


Complication Unknown

{
    "resourceType": "Condition",
    "id": "ef23aad6-3e79-4e0d-a017-8915d7ed1480",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/complications-covid-19"
        ]
    },
    "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": "116223007",
                    "display": "Complication (disorder)"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "22298006",
                "display": "Myocardial infarction (disorder)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "recordedDate": "2020-10-15T16:07:48+02:00"
}