Mikroskopie


Beschreibung

Dieses Profil beschreibt die mikroskopischen Tests in der Mikrobiologie. Bildgebung kann über das Element Observation.derivedFrom referenziert werden.

NameCanonical
MII_PR_Mikrobio_Mikroskopiehttps://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mikroskopie

Differential

idS Σ0..1string
id0..1string
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
extensionI0..*Extension
modifierExtension?! I0..*Extension
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemS Σ1..1uri
valueS Σ1..1string
periodΣ I0..1Period
assignerS Σ I1..1MII-Reference(Organization)
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBinding
id0..1string
extensionI0..*Extension
loinc-observationS Σ1..1CodingPattern
observation-categoryS Σ1..1CodingPattern
loinc-microbiology-studiesS Σ1..1CodingPattern
textΣ0..1string
codeS Σ1..1CodeableConceptBindingPattern
subjectS Σ I1..1MII-Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterS Σ I0..1Reference(Encounter)
id0..1string
id0..1string
extensionI0..*Extension
url1..1uriFixed Value
id0..1string
extensionI0..*Extension
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
value0..1System.DateTime
issuedS Σ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueCodeableConceptS Σ I1..1CodeableConceptBinding
dataAbsentReasonS I0..1CodeableConceptBinding
interpretationS0..1CodeableConceptBinding
noteS0..*Annotation
bodySite0..0CodeableConcept
methodS1..1CodeableConceptBinding
id0..1string
extensionI0..*Extension
referenceS Σ I0..1string
typeΣ0..1uriBinding
identifierS Σ0..1Identifier
displayΣ0..1string
deviceS I0..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(MII PR Mikrobio Keimzahl | MII PR Mikrobio Empfindlichkeit | MII PR Mikrobio MRE Klasse | MII PR Mikrobio MRGN Klasse)
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)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConceptPattern
valueIntegerinteger
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)


Hinweise

FHIR-Element Erklärung
Observation.value Nachweis des Organismus
Observation.value Quantitatives Ergebnis
Observation.method Mikroskopische methode
Observation.interpretation Semi-quantitatives Ergebnis
Observation.component:NameMikroorganismus Name des Organismus
Observation.component:Morphologie Morphologische Beschreibung
Observation.component:NugentScore Nugent Score
Observation.component:BarlettScore Barlett score

Mapping

FHIR Element Logischer Datensatz
Observation.value mii-lm-mikrobio-logical-model.KulturDiagnostik.Mikroskopie.Nachweis
Observation.value ii-lm-mikrobio-logical-model.KulturDiagnostik.Mikroskopie.QuantitativesErgebnis
Observation.method mii-lm-mikrobio-logical-model.KulturDiagnostik.Mikroskopie.Methode
Observation.interpretation mii-lm-mikrobio-logical-model.KulturDiagnostik.Mikroskopie.QuantitativesErgebnis
Observation.component:NameMikroorganismus mii-lm-mikrobio-logical-model.KulturDiagnostik.Mikroskopie.Erregername
Observation.component:Morphologie mii-lm-mikrobio-logical-model.KulturDiagnostik.Mikroskopie.Morphologie
Observation.component:NugentScore mii-lm-mikrobio-logical-model.KulturDiagnostik.Mikroskopie.NugentScore
Observation.component:BarlettScore mii-lm-mikrobio-logical-model.KulturDiagnostik.Mikroskopie.BarlettScore

Terminology Bindings

PathNameStrengthURL
Observation.codemii-vs-mikrobio-mikroskopie-tests-loincextensiblehttps://www.medizininformatik-initiative.de/fhir/modul-mikrobiologie/ValueSet/mii-vs-mikrobio-mikroskopie-tests-loinc
Observation.value[x]mii-vs-mikrobio-qualitative-labor-ergebnisse-snomedctrequiredhttps://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-qualitative-labor-ergebnisse-snomedct
Observation.methodmii-vs-mikrobio-mikroskopiemethoden-snomedctrequiredhttps://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-mikroskopiemethoden-snomedct
Observation.component.value[x]mii-vs-mikrobio-morphologie-snomedctrequiredhttps://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-morphologie-snomedct
Observation.component.value[x]mii-vs-mikrobio-barlett-score-loincrequiredhttps://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-barlett-score-loinc
Observation.component.value[x]mii-vs-mikrobio-organismen-snomedctrequiredhttps://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-organismen-snomedct

Snapshot

idS Σ0..1string
id0..1string
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
extensionI0..*Extension
modifierExtension?! I0..*Extension
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemS Σ1..1uri
valueS Σ1..1string
periodΣ I0..1Period
assignerS Σ I1..1MII-Reference(Organization)
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBinding
id0..1string
extensionI0..*Extension
loinc-observationS Σ1..1CodingPattern
observation-categoryS Σ1..1CodingPattern
loinc-microbiology-studiesS Σ1..1CodingPattern
textΣ0..1string
codeS Σ1..1CodeableConceptBindingPattern
subjectS Σ I1..1MII-Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterS Σ I0..1Reference(Encounter)
id0..1string
id0..1string
extensionI0..*Extension
url1..1uriFixed Value
id0..1string
extensionI0..*Extension
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
value0..1System.DateTime
issuedS Σ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueCodeableConceptS Σ I1..1CodeableConceptBinding
dataAbsentReasonS I0..1CodeableConceptBinding
interpretationS0..1CodeableConceptBinding
noteS0..*Annotation
bodySite0..0CodeableConcept
methodS1..1CodeableConceptBinding
id0..1string
extensionI0..*Extension
referenceS Σ I0..1string
typeΣ0..1uriBinding
identifierS Σ0..1Identifier
displayΣ0..1string
deviceS I0..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(MII PR Mikrobio Keimzahl | MII PR Mikrobio Empfindlichkeit | MII PR Mikrobio MRE Klasse | MII PR Mikrobio MRGN Klasse)
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)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConceptPattern
valueIntegerinteger
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConceptPattern
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)


Beispiele

Beispiel (minimal):

{
    "resourceType": "Observation",
    "id": "mii-exa-mikrobio-mikroskopie",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mikroskopie"
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "OBI"
                    }
                ]
            },
            "system": "https://example.org/fhir/sid/test-lab-results",
            "value": "59826-8_1234567890",
            "assigner": {
                "identifier": {
                    "system": "https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier",
                    "value": "DIZ-ID"
                }
            }
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                },
                {
                    "system": "http://loinc.org",
                    "code": "26436-6",
                    "display": "Laboratory studies (set)"
                },
                {
                    "system": "http://loinc.org",
                    "code": "18725-2",
                    "display": "Microbiology studies"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "117259009",
                "display": "Microscopy (procedure)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/example"
    },
    "effectiveDateTime": "2018-11-20T12:05:00+01:00",
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "260373001",
                "display": "Detected (qualifier value)"
            }
        ]
    },
    "method": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "67047002",
                "display": "Microbial wet smear (procedure)"
            }
        ]
    },
    "specimen": {
        "reference": "Specimen/isolate",
        "display": "Microbial isolate specimen 2"
    },
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "89248-9",
                        "display": "Microorganism identified event index case"
                    }
                ]
            },
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "52499004",
                        "display": "Pseudomonas aeruginosa (organism)"
                    }
                ]
            }
        }
    ]
}