Symptom


Parameter Case Report Form and Response Options

Symptom Present Severity
Loss of taste or smell Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Abdominal pain Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Clouded consciousness Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Diarrhea Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Vomiting Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Cough Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Dyspnea Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Nausea Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Fever Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐
Headache Yes ☐
No ☐
Unknown ☐
Mild ☐
Moderate ☐
Severe ☐
Life threatening ☐

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 - Presence Covid-19 Symptoms

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/symptoms-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
severityS0..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
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 SNOMED-CT codes.


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/sars-cov-2-symptoms

ValueSet 'SARSCoV2Symptoms'

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

Symptoms for SARS-CoV-2 infection

Contact Information

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

This value set includes codes from the following code systems:


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/condition-severity

ValueSet 'Severity'

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

Severity of symptoms 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
    255604002Mild (qualifier value)
    6736007Moderate (severity modifier) (qualifier value)
    24484000Severe (severity modifier) (qualifier value)
    442452003Life threatening severity (qualifier value)


Examples

Symptom present
Example condition where symptom with severity is present

{
    "resourceType": "Condition",
    "id": "symptoms-covid-19-cough-present",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/symptoms-covid-19"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "75325-1",
                    "system": "http://loinc.org",
                    "display": "Symptom"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "49727002",
                "display": "Cough"
            }
        ]
    },
    "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"
            }
        ]
    },
    "severity": {
        "coding":  [
            {
                "code": "24484000",
                "system": "http://snomed.info/sct",
                "display": "Severe"
            }
        ]
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "recordedDate": "2020-10-05"
}


Symptom absent
Example condition where symptom is absent

{
    "resourceType": "Condition",
    "id": "symptoms-covid-19-clouded-consciousness-absent",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/symptoms-covid-19"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "75325-1",
                    "system": "http://loinc.org",
                    "display": "Symptom"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "40917007",
                "display": "Clouded consciousness"
            }
        ]
    },
    "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": "2020-10-05"
}


Symptom unknown
Example condition where presence of symptom is unknown

{
    "resourceType": "Condition",
    "id": "symptoms-covid-19-loss-of-taste-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/symptoms-covid-19"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "75325-1",
                    "system": "http://loinc.org",
                    "display": "Symptom"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "36955009",
                "display": "Loss of taste"
            }
        ]
    },
    "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 symptom is unknown."
            }
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "recordedDate": "2020-10-05"
}