Complication


Parameter Case Report Form and Response Options

Complication Yes No Unknown
Venous thrombosis
Pulmonary embolism
Stroke
Myocardial infarction
Other thromboembolic events
Infectious disease of lung
Infectious agent in bloodstream

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

ReferenzPrimaerdiagnoseS I0..1Extension(Reference(Condition))
uncertaintyOfPresenceS ?! I0..1Extension(CodeableConcept)
identifierΣ0..*Identifier
clinicalStatusS Σ ?! I0..1CodeableConceptBinding
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
severity0..1CodeableConceptBinding
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
systemS Σ1..1uriFixed Value
versionΣ1..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemS Σ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1MII-Reference(Patient | Group)
encounterS Σ I0..1MII-Reference(Encounter)
lebensphase-vonS I0..1Extension(CodeableConcept)
lebensphase-bisS I0..1Extension(CodeableConcept)
onsetDateTimeS Σ0..1dateTime
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateS Σ1..1dateTime
recorderΣ I0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
asserterΣ I0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
summaryI0..1CodeableConcept
assessmentI0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
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

extensionI0..0Extension
url1..1System.StringFixed Value
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'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

Complications in the context of Covid-19

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:

  • The following codes from system: SNOMED_CT

    CodeDisplay
    439127006Thrombosis (disorder)
    414086009Embolism (disorder)
    128601007Infectious disease of lung (disorder)
    434156008Infectious agent in bloodstream (finding)
    111293003Venous thrombosis (disorder)
    59282003Pulmonary embolism (disorder)
    230690007Cerebrovascular accident (disorder)
    22298006Myocardial infarction (disorder)
    14669001Acute renal failure syndrome (disorder)
  • 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'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

Complications in the context of Covid-19 from ICD-10-GM

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:

  • The following codes from system: ICD10GM

    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 ICD10GM where concept IsA U69.0
  • Include codes from ICD10GM where concept IsA J17
  • Include codes from ICD10GM where concept IsA A15.0Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.0Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.2Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A20.2Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A24.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A48.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA J12Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I80Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I81
  • Include codes from ICD10GM where concept IsA I82Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I74Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I61Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I63Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I64Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I21Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I22Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA N17Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA U69.0
  • Include codes from ICD10GM where concept IsA J17
  • Include codes from ICD10GM where concept IsA A15.0Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.0Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.2Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A20.2Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A24.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A48.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA J12Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I80Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I81
  • Include codes from ICD10GM where concept IsA I82Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I74Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I61Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I63Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I64Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I21Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I22Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA N17Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA U69.0
  • Include codes from ICD10GM where concept IsA J17
  • Include codes from ICD10GM where concept IsA A15.0Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.0Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A16.2Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A20.2Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A24.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA A48.1Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA J12Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I80Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I81
  • Include codes from ICD10GM where concept IsA I82Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I74Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I61Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I63Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I64Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I21Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA I22Include codes from ICD10GM where child Exists false
  • Include codes from ICD10GM where concept IsA N17Include codes from ICD10GM where child Exists false


Examples

Complication Present

{
    "resourceType": "Condition",
    "id": "complication-renal-failure-present",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/complications-covid-19"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "116223007",
                    "system": "http://snomed.info/sct",
                    "display": "Complication (disorder)"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "14669001",
                "display": "Acute renal failure syndrome (disorder)"
            }
        ]
    },
    "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)"
            }
        ]
    },
    "clinicalStatus": {
        "coding":  [
            {
                "code": "active",
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "display": "Active"
            }
        ]
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "recordedDate": "2020-10-15T16:07:48+02:00"
}


Complication Absent

{
    "resourceType": "Condition",
    "id": "complication-bloodstream-infection-absent",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/complications-covid-19"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "116223007",
                    "system": "http://snomed.info/sct",
                    "display": "Complication (disorder)"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "434156008",
                "display": "Infectious agent in bloodstream (finding)"
            }
        ]
    },
    "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)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "recordedDate": "2020-10-15T16:07:48+02:00"
}


Complication Unknown

{
    "resourceType": "Condition",
    "id": "complication-myocardial-infarction-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/complications-covid-19"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "116223007",
                    "system": "http://snomed.info/sct",
                    "display": "Complication (disorder)"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "22298006",
                "display": "Myocardial infarction (disorder)"
            }
        ]
    },
    "modifierExtension":  [
        {
            "url": "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/uncertainty-of-presence",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "261665006",
                        "system": "http://snomed.info/sct",
                        "display": "Unknown (qualifier value)"
                    }
                ],
                "text": "Presence of condition is unknown."
            }
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "recordedDate": "2020-10-15T16:07:48+02:00"
}