Stage at diagnosis


Parameter Case Report Form and Response Options

Stage at diagnosis Uncomplicated phase Complicated phase Critical phase Recovery phase Dead Unknown
Stage of illness at the time of COVID-19 diagnosis

Control the different response options via the Condition.stage element:

RESPONSE OPTIONS Condition.stage.summary Definition
Uncomplicated phase Mild (qualifier value)
Mild to moderate (qualifier value)
Asymptomatic OR Symptoms of upper respiratory tract infection / Nausea, emesis, diarrhea / Fever
Complicated phase Moderate (severity modifier) (qualifier value)
Moderate to severe (qualifier value)
Need for oxygen supplementation / paO2 at room air < 70 mmHg / SO2 at room air < 90 mmHg / GOT or GPT > 5x ULN / New cardiac arrhythmia / New pericardial effusion > 1 cm / New heart failure with pulmonary edema, congestive hepatopathy or peripheral edema
Critical phase Severe (severity modifier) (qualifier value)
Life threatening severity (qualifier value)
Need for catecholamines / Life-threatening cardiac arrhythmia / Mechanical ventilation (invasive or non-invasive) / Liver failure with Quick < 50% / qSOFA >= 2 / Renal failure in need of dialysis
Recovery phase Remission phase (qualifier value) Improvement by one degree of severity according to this scheme AND Defervescence
Dead Fatal (qualifier value)
Unknown Unknown (qualifier value)

Profile - Diagnosis Covid-19

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

Snapshot

ReferenzPrimaerdiagnoseS I0..1Extension(Reference(Condition))
identifierΣ0..*Identifier
clinicalStatusS Σ ?! I0..1CodeableConceptBinding
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
snomedΣ1..1CodingBinding
textΣ0..1string
systemΣ1..1uri
versionΣ0..1string
codeΣ1..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)
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
assessmentI0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
codeΣ I0..*CodeableConcept
detailΣ I0..*Reference(Resource)
noteS0..*Annotation


ValueSets

Valuesets are provided with both SNOMED-CT codes.


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/stage-at-diagnosis

ValueSet 'StageAtDiagnosis'

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

Disease stage at diagnosis

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
    255604002Mild (qualifier value)
    371923003Mild to moderate (qualifier value)
    6736007Moderate (severity modifier) (qualifier value)
    371924009Moderate to severe (qualifier value)
    24484000Severe (severity modifier) (qualifier value)
    442452003Life threatening severity (qualifier value)
    277022003Remission phase (qualifier value)
    399166001Fatal (qualifier value)
    261665006Unknown (qualifier value)


Examples

Critical phase at Covid-19 Diagnosis

{
    "resourceType": "Condition",
    "id": "diagnosis-covid-19-present",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/diagnosis-covid-19"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "394807007",
                    "system": "http://snomed.info/sct",
                    "display": "Infectious diseases (specialty) (qualifier value)"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "840539006",
                "system": "http://snomed.info/sct",
                "display": "Disease caused by Severe acute respiratory syndrome coronavirus 2 (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)"
            }
        ]
    },
    "stage":  [
        {
            "summary": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "24484000",
                        "display": "Severe (severity modifier) (qualifier value)"
                    }
                ],
                "text": "Critical phase"
            },
            "type": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "88859-4",
                        "display": "Disease stage score for risk calculation"
                    }
                ]
            }
        }
    ],
    "clinicalStatus": {
        "coding":  [
            {
                "code": "active",
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "display": "Active"
            }
        ]
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "recordedDate": "2020-10-23T12:48:23+02:00"
}