ECMO therapy


PARAMETER CASE REPORT FORM RESPONSE OPTIONS
ECMO therapy Yes / No / Unknown

This profile of a FHIR Procedure is derived from the Procedure-profile of the Medical Informatics Initiative (MII).

The response options can be controlled via the status-Element of the Procedure resource:

Response option Procedure.status
Yes in-progress
No not-done
Unknown unknown

Notice however that this should not discourage systems, that implement the entire workflow execution states, to exchange resources which may contain information deemed relevant for this use case. This can especially include procedures where the status is completed.


Use the SNOMED CT concept 233573008 |Extracorporeal membrane oxygenation (procedure)| for Procedure.code.coding:sct.

Any OPS code from chapter 8-852 Extrakorporaler Gasaustausch ohne und mit Herzunterstützung und Prä-ECMO-Therapie is applicable for Procedure.code.coding:ops.


Profile - Extracorporeal membrane oxygenation

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/extracorporeal-membrane-oxygenation

Snapshot

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id0..1string
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lastUpdatedΣ0..1instant
sourceS Σ0..1uri
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implicitRulesΣ ?!0..1uri
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contained0..*Resource
DokumentationsdatumS I0..1Extension(dateTime)
durchfuehrungsabsichtS I0..1Extension(Coding)
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instantiatesCanonicalΣ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)
instantiatesUriΣ0..*uri
basedOnΣ I0..*Reference(CarePlan | ServiceRequest)
partOfΣ I0..*Reference(Procedure | Observation | MedicationAdministration)
statusS Σ ?!1..1codeBinding
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extensionI0..*Extension
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reportI0..*Reference(DiagnosticReport | DocumentReference | Composition)
complication0..*CodeableConcept
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manipulatedI1..1Reference(Device)
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usedCode0..*CodeableConcept


ValueSets

Valuesets are provided with OPS codes.

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/extracorporeal-membrane-oxygenation

ValueSet 'ECMOTherapiesOPS'

Version1.0.5
Published byCharité
StatusActive
ExperimentalFalse

Extracorporeal membrane oxygenation (ECMO) procedures in the context of Covid-19 from the German procedure classification (Operationen- und Prozedurenschlüssel - OPS)

This value set includes codes from the following code systems:

  • Include codes from OPS where concept DescendentOf 8-852
    Include codes from OPS where child Exists false


Examples

ECMO Yes
Patient is receiving ECMO treatment

{
    "resourceType": "Procedure",
    "id": "1a596d5e-cf8c-4a67-a434-727c51350d5d",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/extracorporeal-membrane-oxygenation"
        ]
    },
    "status": "in-progress",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "277132007",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "233573008",
                "display": "Extracorporeal membrane oxygenation (procedure)"
            }
        ],
        "text": "ECMO"
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "_performedDateTime": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode": "unknown"
            }
        ]
    }
}


ECMO No
Patient is not receiving ECMO treatment

{
    "resourceType": "Procedure",
    "id": "8bdeab33-e12e-4927-b161-80d7ba8a1188",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/extracorporeal-membrane-oxygenation"
        ]
    },
    "status": "not-done",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "277132007",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "233573008",
                "display": "Extracorporeal membrane oxygenation (procedure)"
            }
        ],
        "text": "ECMO"
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "_performedDateTime": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode": "not-performed"
            }
        ]
    }
}


ECMO Unknown
Unknown if patient is receiving ECMO treatment

{
    "resourceType": "Procedure",
    "id": "f079c3cd-27da-44de-89c4-37cbefb98c99",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/extracorporeal-membrane-oxygenation"
        ]
    },
    "status": "unknown",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "277132007",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "233573008",
                "display": "Extracorporeal membrane oxygenation (procedure)"
            }
        ],
        "text": "ECMO"
    },
    "subject": {
        "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6"
    },
    "_performedDateTime": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode": "unknown"
            }
        ]
    }
}