ECMO therapy


Parameter Case Report Form and Response Options

ECMO therapy Present
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

DokumentationsdatumS I0..1Extension(dateTime)
durchfuehrungsabsichtS I0..1Extension(Coding)
identifierΣ0..*Identifier
instantiatesCanonicalΣ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)
instantiatesUriΣ0..*uri
basedOnΣ I0..*Reference(CarePlan | ServiceRequest)
partOfΣ I0..*Reference(Procedure | Observation | MedicationAdministration)
statusS Σ ?!1..1codeBinding
statusReasonΣ0..1CodeableConcept
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
SeitenlokalisationS I0..1Extension(Coding)
systemS Σ1..1uriFixed Value
versionS Σ1..1string
codeS Σ I1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectΣ I1..1MII-Reference(Patient)
encounterΣ I0..1Reference(Encounter)
performedDateTimedateTime
performedPeriodPeriod
recorderΣ I0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
asserterΣ I0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
functionΣ0..1CodeableConcept
actorΣ I1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)
onBehalfOfI0..1Reference(Organization)
locationΣ I0..1Reference(Location)
reasonCodeΣ0..*CodeableConcept
reasonReferenceΣ I0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)
bodySiteS Σ0..*CodeableConceptBinding
outcomeΣ0..1CodeableConcept
reportI0..*Reference(DiagnosticReport | DocumentReference | Composition)
complication0..*CodeableConcept
complicationDetailI0..*Reference(Condition)
followUp0..*CodeableConcept
noteS0..*Annotation
action0..1CodeableConceptBinding
manipulatedI1..1Reference(Device)
usedReferenceI0..*Reference(Device | Medication | Substance)
usedCode0..*CodeableConcept


ValueSets

Valuesets are provided with OPS codes.

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

ValueSet 'ECMOTherapiesOPS'

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

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

Contact Information

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

This value set includes codes from the following code systems:

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


Examples

ECMO Yes
Patient is receiving ECMO treatment

{
    "resourceType": "Procedure",
    "id": "extracorporeal-membrane-oxygenation-in-progress",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/extracorporeal-membrane-oxygenation"
        ]
    },
    "status": "in-progress",
    "category": {
        "coding":  [
            {
                "code": "277132007",
                "system": "http://snomed.info/sct",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "233573008",
                "system": "http://snomed.info/sct",
                "display": "Extracorporeal membrane oxygenation (procedure)"
            }
        ],
        "text": "ECMO"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "_performedDateTime": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode": "unknown"
            }
        ]
    }
}


ECMO No
Patient is not receiving ECMO treatment

{
    "resourceType": "Procedure",
    "id": "extracorporeal-membrane-oxygenation-not-done",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/extracorporeal-membrane-oxygenation"
        ]
    },
    "status": "not-done",
    "category": {
        "coding":  [
            {
                "code": "277132007",
                "system": "http://snomed.info/sct",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "233573008",
                "system": "http://snomed.info/sct",
                "display": "Extracorporeal membrane oxygenation (procedure)"
            }
        ],
        "text": "ECMO"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "_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": "extracorporeal-membrane-oxygenation-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/extracorporeal-membrane-oxygenation"
        ]
    },
    "status": "unknown",
    "category": {
        "coding":  [
            {
                "code": "277132007",
                "system": "http://snomed.info/sct",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "233573008",
                "system": "http://snomed.info/sct",
                "display": "Extracorporeal membrane oxygenation (procedure)"
            }
        ],
        "text": "ECMO"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "_performedDateTime": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode": "unknown"
            }
        ]
    }
}