MII-Initiative

Medizininformatik Initiative - CORD - Implementierungsleitfaden

Muskelkrämpfe

Abbildung des Leitsymptoms Muskelkrämpfe im ERKER-NMD

ValueSet 'MuscleCramps'

Version2023-04-15T14:31:17
Published byBerliner Institut für Gesundheitsforschung / Berlin Institute of Health (BIH)
StatusDraft
ExperimentalFalse

Muscle cramps

This value set includes codes from the following code systems:

Canonical: https://art-decor.org/fhir/ValueSet/2.16.840.1.113883.3.1937.777.30.11.41--20230415143117

Das Leitsymptom wird in der Ressource Condition abgebildet. Die entwickelten ValueSets werden als Binding an entsprechender Stelle gesetzt. Als Grundprofil soll das Condition-Profil vom GECCO (abgeleitet vom Kerndatensatz der MII) genutzt werden. Im GECCO wurde eine spezielle Extension zur Angabe des Fehlens oder Vorhandensein von Befunden entwickelt (verificationStatus).

idS Σ0..1id
id0..1
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
ReferenzPrimaerdiagnoseS I0..1Extension(Reference(Condition))
uncertaintyOfPresenceS ?! I0..1Extension(CodeableConcept)
identifierΣ0..*Identifier
clinicalStatusS Σ ?! I0..1CodeableConceptBinding
id0..1
extensionI0..*Extension
id0..1
extensionI0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1
extensionI0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
category0..*CodeableConceptBinding
severity0..1CodeableConceptBinding
id0..1
extensionI0..*Extension
id0..1
Mehrfachcodierungs-KennzeichenS I0..1Extension(Coding)
SeitenlokalisationS I0..1Extension(Coding)
DiagnosesicherheitS I0..1Extension(Coding)
systemS Σ1..1uriFixed ValuePattern
versionS Σ1..1string
codeS Σ I1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1
extensionI0..*Extension
systemS Σ1..1uriFixed ValuePattern
versionΣ1..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1
extensionI0..*Extension
id0..1
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1MII-Reference(Patient | Group)
encounterS Σ I0..1MII-Reference(Encounter)
id0..1
extensionI0..*Extension
id0..1
lebensphase-vonS I0..1Extension(CodeableConcept)
value0..1
id0..1
lebensphase-bisS I0..1Extension(CodeableConcept)
value0..1
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)
id0..1
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
summaryI0..1CodeableConcept
assessmentI0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ I0..*CodeableConcept
detailΣ I0..*Reference(Resource)
noteS0..*Annotation

Folgende Bindings sollen für den ERKER-NMD gesetzt werden

Binding Canonical
Condition.code.coding.sct https://art-decor.org/fhir/ValueSet/2.16.840.1.113883.3.1937.777.30.11.41--20230415143117
bodySite.coding.snomed-ct https://art-decor.org/fhir/ValueSet/2.16.840.1.113883.3.1937.777.30.11.37--20230415141658

Außerdem soll eine Extension für die Seitenlokalisation eingerichtet werden, da die Seitenlokalisation bisher an OPS oder ICD-10 gebunden ist.

Lokalisation Leitsymptome

ValueSet 'LeadingSymptomsLocals'

Version2023-04-15T14:09:57
Published byBerliner Institut für Gesundheitsforschung / Berlin Institute of Health (BIH)
StatusDraft
ExperimentalFalse

Localisation symptoms

This value set includes codes from the following code systems:

  • The following codes from system: SNOMED_CT

    CodeDisplay
    61685007Lower limb structure (body structure)
    53120007Upper limb structure (body structure)
    77568009Structure of back of trunk (body structure)
    89545001Face structure (body structure)
    122494005Structure of cervical vertebral column (body structure)
    122495006Structure of thoracic vertebral column (body structure)
    122496007Structure of lumbar vertebral column (body structure)

Canonical: https://art-decor.org/fhir/ValueSet/2.16.840.1.113883.3.1937.777.30.11.37--20230415141658

Seitenlokalisation

ValueSet 'SideLocal'

Version2023-04-15T13:47:49
Published byBerliner Institut für Gesundheitsforschung / Berlin Institute of Health (BIH)
StatusDraft
ExperimentalFalse

Localisation side

This value set includes codes from the following code systems:

Canonical: https://art-decor.org/fhir/ValueSet/2.16.840.1.113883.3.1937.777.30.11.32--20230415134749