Is the patient in the intensive care unit?


Parameter Case Report Form and Response Options

Patient in ICU
Is the patient in the intensive care unit? Yes ☐
No ☐
Unknown ☐

Note that in prior versions to 1.0.4 of this implementation guide, Observation.code used a proprietary code defined by this guide here which is now deprecated. The appropriate LOINC code 95420-6 Whether the patient was admitted to intensive care unit (ICU) for condition of interest was added to LOINC Version 2.69 and shall be used on Observation.code.


RESPONSE OPTIONS Observation.value[x]
Yes 373066001 |Yes (qualifier value)|
No 373067005 |No (qualifier value)|
Unknown 261665006 |Unknown (qualifier value)|

Profile - Patient in Intensive Care Unit

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/patient-in-icu

Snapshot

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBindingFixed Value
category0..*CodeableConceptBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1Reference(Patient | Group)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
effectiveTimingTiming
effectiveInstantinstant
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..0CodeableConcept
method0..1CodeableConcept
specimenI0..0Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)


ValueSets

Valuesets are provided with SNOMED-CT codes.

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/yes-no-unknown-other-na

ValueSet 'YesNoUnknownOtherNa'

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

Yes/No/Unknown/Other/Na response options

Contact Information

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

This value set includes codes from the following code systems:


Examples

Yes
Patient is in ICU

{
    "resourceType": "Observation",
    "id": "patient-in-icu-yes",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/patient-in-icu"
        ]
    },
    "status": "final",
    "code": {
        "coding":  [
            {
                "code": "95420-6",
                "system": "http://loinc.org",
                "display": "Whether the patient was admitted to intensive care unit (ICU) for condition of interest"
            }
        ]
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes (qualifier value)"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "survey",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "display": "Survey"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-14"
}


No
Patient is not in ICU

{
    "resourceType": "Observation",
    "id": "patient-in-icu-no",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/patient-in-icu"
        ]
    },
    "status": "final",
    "code": {
        "coding":  [
            {
                "code": "95420-6",
                "system": "http://loinc.org",
                "display": "Whether the patient was admitted to intensive care unit (ICU) for condition of interest"
            }
        ]
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No (qualifier value)"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "survey",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "display": "Survey"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-14"
}


Unknown
Unknown if patient is in ICU

{
    "resourceType": "Observation",
    "id": "patient-in-icu-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/patient-in-icu"
        ]
    },
    "status": "final",
    "code": {
        "coding":  [
            {
                "code": "95420-6",
                "system": "http://loinc.org",
                "display": "Whether the patient was admitted to intensive care unit (ICU) for condition of interest"
            }
        ]
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "261665006",
                "display": "Unknown (qualifier value)"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "survey",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "display": "Survey"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-14"
}