Die offizielle und abgenommene Version des Informationsmodells für das Modul Symptome/klinischer Phänotyp findet sich auf ArtDecor. Zur Vereinheitlichung der Repräsentation wurde das Informationsmodell zusätzlich als FHIR Logical Model abgebildet:
MII_LM_Symptom (Symptom) | Element | Element idSymptom MII LM Symptom DefinitionLogische Repräsentation des Basismoduls Symptom/klinischer Phänotyp
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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Condition | 0..* | BackboneElement | Element idSymptom.Condition Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom). DefinitionIm Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.Condition.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Code | 0..1 | CodeableConcept | Element idSymptom.Condition.Code Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA DefinitionCode für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Identifikator | 0..* | Identifier | Element idSymptom.Condition.Identifikator Externer Identifikator für die Condition DefinitionExterner Identifikator für die Condition
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Bezeichnung | 0..1 | string | Element idSymptom.Condition.Bezeichnung Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition DefinitionNatürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition Note that FHIR strings SHALL NOT exceed 1MB in size
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Beschreibung | 0..1 | string | Element idSymptom.Condition.Beschreibung Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition. DefinitionNatürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition. Note that FHIR strings SHALL NOT exceed 1MB in size
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Kategorie | 0..* | CodeableConcept | Element idSymptom.Condition.Kategorie Kategorien der Condition (z.B. problem-list-item | encounter-diagnosis) DefinitionKategorien der Condition (z.B. problem-list-item | encounter-diagnosis) Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Lokalisation | 0..* | CodeableConcept | Element idSymptom.Condition.Lokalisation Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert. DefinitionLokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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KlinischRelevanterZeitraum | 0..1 | BackboneElement | Element idSymptom.Condition.KlinischRelevanterZeitraum Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps DefinitionZeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.Condition.KlinischRelevanterZeitraum.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.KlinischRelevanterZeitraum.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.KlinischRelevanterZeitraum.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Zeitraum | I | 0..1 | Period | Element idSymptom.Condition.KlinischRelevanterZeitraum.Zeitraum Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis. DefinitionKlinisch relevanter Zeitraum als Zeitintervall mit von/am und bis. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.Condition.KlinischRelevanterZeitraum.Zeitraum.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.KlinischRelevanterZeitraum.Zeitraum.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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start | Σ I | 0..1 | dateTime | Element idSymptom.Condition.KlinischRelevanterZeitraum.Zeitraum.start Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps DefinitionStartzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps If the low element is missing, the meaning is that the low boundary is not known.
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end | Σ I | 0..1 | dateTime | Element idSymptom.Condition.KlinischRelevanterZeitraum.Zeitraum.end Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps DefinitionEndzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
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Lebensphase | 0..1 | BackboneElement | Element idSymptom.Condition.KlinischRelevanterZeitraum.Lebensphase Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit. DefinitionZusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.Condition.KlinischRelevanterZeitraum.Lebensphase.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.KlinischRelevanterZeitraum.Lebensphase.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.KlinischRelevanterZeitraum.Lebensphase.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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von | 0..1 | CodeableConcept | Element idSymptom.Condition.KlinischRelevanterZeitraum.Lebensphase.von Lebensphase Start DefinitionLebensphase Start Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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bis | 0..1 | CodeableConcept | Element idSymptom.Condition.KlinischRelevanterZeitraum.Lebensphase.bis Lebensphase Ende DefinitionLebensphase Ende Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Beobachtungszeitpunkt | 0..1 | dateTime | Element idSymptom.Condition.Beobachtungszeitpunkt Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition. DefinitionZeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.
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Dokumentationszeitpunkt | 0..1 | dateTime | Element idSymptom.Condition.Dokumentationszeitpunkt Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition DefinitionZeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition
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Status | 1..1 | CodeableConcept | Element idSymptom.Condition.Status Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT. DefinitionStatus des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Schweregrad | 0..1 | CodeableConcept | Element idSymptom.Condition.Schweregrad Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. DefinitionSchweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Verifikationsstatus | 0..1 | CodeableConcept | Element idSymptom.Condition.Verifikationsstatus Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. DefinitionEmpirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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ZugrundeliegendeBeobachtungEvidenz | 0..* | BackboneElement | Element idSymptom.Condition.ZugrundeliegendeBeobachtungEvidenz Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung DefinitionDie dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.Condition.ZugrundeliegendeBeobachtungEvidenz.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.ZugrundeliegendeBeobachtungEvidenz.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.ZugrundeliegendeBeobachtungEvidenz.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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BeschreibungZugrundeliegendeBeobachtung | 0..1 | string | Element idSymptom.Condition.ZugrundeliegendeBeobachtungEvidenz.BeschreibungZugrundeliegendeBeobachtung Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition DefinitionNatürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition Note that FHIR strings SHALL NOT exceed 1MB in size
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CodeZugrundeliegendeBeobachtung | 0..* | CodeableConcept | Element idSymptom.Condition.ZugrundeliegendeBeobachtungEvidenz.CodeZugrundeliegendeBeobachtung Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC DefinitionCode der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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LinkAufZugrundeliegendeBeobachtung | I | 0..* | Reference() | Element idSymptom.Condition.ZugrundeliegendeBeobachtungEvidenz.LinkAufZugrundeliegendeBeobachtung Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition DefinitionLink auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Stadium | 0..* | BackboneElement | Element idSymptom.Condition.Stadium Stadium der Condition DefinitionStadium der Condition
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.Condition.Stadium.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.Stadium.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Condition.Stadium.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Zusammenfassung | 0..1 | CodeableConcept | Element idSymptom.Condition.Stadium.Zusammenfassung Einfache Zusammenfassung des Stadiums DefinitionEinfache Zusammenfassung des Stadiums Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Einschaetzung | I | 0..* | Reference() | Element idSymptom.Condition.Stadium.Einschaetzung Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation) DefinitionReferenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation) References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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ArtDerStadieneinteilung | 0..1 | CodeableConcept | Element idSymptom.Condition.Stadium.ArtDerStadieneinteilung Art der Stadieneinteilung DefinitionArt der Stadieneinteilung Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Patient | I | 1..1 | Reference() | Element idSymptom.Condition.Patient Link auf Patient DefinitionLink auf Patient References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Fall | I | 0..1 | Reference() | Element idSymptom.Condition.Fall Link auf Behandlungsfall DefinitionLink auf Behandlungsfall References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Observation | 0..* | BackboneElement | Element idSymptom.Observation Observation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein. DefinitionObservation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein.
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.Observation.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Observation.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Observation.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Identifikator | 0..* | Identifier | Element idSymptom.Observation.Identifikator Eindeutiger Identifier der Observation DefinitionEindeutiger Identifier der Observation
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Bezeichnung | 0..1 | string | Element idSymptom.Observation.Bezeichnung Natürlichsprachige Bezeichnung der Observation DefinitionNatürlichsprachige Bezeichnung der Observation Note that FHIR strings SHALL NOT exceed 1MB in size
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Beschreibung | 0..1 | string | Element idSymptom.Observation.Beschreibung Natürlichsprachige Beschreibung der Beobachtung DefinitionNatürlichsprachige Beschreibung der Beobachtung Note that FHIR strings SHALL NOT exceed 1MB in size
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Kategorie | 0..* | CodeableConcept | Element idSymptom.Observation.Kategorie Kategorie der Observation DefinitionKategorie der Observation Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Status | 1..1 | code | Element idSymptom.Observation.Status Status der Observation DefinitionStatus der Observation Note that FHIR strings SHALL NOT exceed 1MB in size
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Code | 1..1 | CodeableConcept | Element idSymptom.Observation.Code Code der Observation: z. B. LOINC, SNOMED CT, HPO DefinitionCode der Observation: z. B. LOINC, SNOMED CT, HPO Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Zeitspanne | I | 0..1 | Period | Element idSymptom.Observation.Zeitspanne Klinisch relevante Zeitpunkte/Zeitspanne DefinitionKlinisch relevante Zeitpunkte/Zeitspanne A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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id | 0..1 | string | There are no (further) constraints on this element Element idSymptom.Observation.Zeitspanne.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idSymptom.Observation.Zeitspanne.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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start | Σ I | 0..1 | dateTime | Element idSymptom.Observation.Zeitspanne.start Klinisch relevanter (Start-)Zeitpunkt einer Observation DefinitionKlinisch relevanter (Start-)Zeitpunkt einer Observation If the low element is missing, the meaning is that the low boundary is not known.
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end | Σ I | 0..1 | dateTime | Element idSymptom.Observation.Zeitspanne.end Klinisch relevanter Endzeitpunkt einer Observation DefinitionKlinisch relevanter Endzeitpunkt einer Observation The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
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Dokumentationsdatum | 0..1 | instant | Element idSymptom.Observation.Dokumentationsdatum Zeitpunkt der Dokumentation der Observation. DefinitionZeitpunkt der Dokumentation der Observation. Note: This is intended for where precisely observed times are required, typically system logs etc., and not human-reported times - for them, see date and dateTime (which can be as precise as instant, but is not required to be) below. Time zone is always required
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Wert[x] | 0..1 | Element idSymptom.Observation.Wert[x] Wert der Observation DefinitionWert der Observation
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WertQuantity | Quantity | Data type | ||
WertCodeableConcept | CodeableConcept | Data type | ||
WertString | string | Data type | ||
WertBoolean | boolean | Data type | ||
WertInteger | integer | Data type | ||
WertRange | Range | Data type | ||
WertRatio | Ratio | Data type | ||
WertSampledData | SampledData | Data type | ||
WertTime | time | Data type | ||
WertDateTime | dateTime | Data type | ||
WertPeriod | Period | Data type | ||
ReferenzIntervall | 0..* | BackboneElement | Element idSymptom.Observation.ReferenzIntervall Referenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange) DefinitionReferenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange)
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GrundNichtVorhandenerDaten | 0..1 | CodeableConcept | Element idSymptom.Observation.GrundNichtVorhandenerDaten Grund für nicht vorhandene Daten der Observation DefinitionGrund für nicht vorhandene Daten der Observation Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Interpretation | 0..* | CodeableConcept | Element idSymptom.Observation.Interpretation Interpretation einer Observation DefinitionInterpretation einer Observation Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Kommentar | 0..* | Annotation | Element idSymptom.Observation.Kommentar Natürlichsprachiger Kommentar zur Observation. DefinitionNatürlichsprachiger Kommentar zur Observation. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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Lokalisation | 0..1 | CodeableConcept | Element idSymptom.Observation.Lokalisation Lokalisation der Observation als SNOMED CT Body Structure codiert. DefinitionLokalisation der Observation als SNOMED CT Body Structure codiert. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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Patient | I | 0..1 | Reference() | Element idSymptom.Observation.Patient Link auf Patient DefinitionLink auf Patient References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Fall | I | 0..1 | Reference() | Element idSymptom.Observation.Fall Fall der Observation DefinitionFall der Observation References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Probe | I | 0..1 | Reference() | Element idSymptom.Observation.Probe Referenz auf die Probe, auf der die Observation basiert DefinitionReferenz auf die Probe, auf der die Observation basiert References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Messgeraet | I | 0..1 | Reference() | Element idSymptom.Observation.Messgeraet Referenz auf das verwendete Mess-/Untersuchungsgerät DefinitionReferenz auf das verwendete Mess-/Untersuchungsgerät References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Methode | 0..1 | CodeableConcept | Element idSymptom.Observation.Methode Methode der Untersuchung DefinitionMethode der Untersuchung Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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BezugZuHatTeil | I | 0..* | Reference() | Element idSymptom.Observation.BezugZuHatTeil Bezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence) DefinitionBezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence) References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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BezugVonIstTeilVon | I | 0..* | Reference() | Element idSymptom.Observation.BezugVonIstTeilVon Referenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht. DefinitionReferenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Komponente | 0..* | BackboneElement | Element idSymptom.Observation.Komponente Komponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben) DefinitionKomponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben)
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Es ist zu beachten, dass das Logical Model rein auf die Abbildung der Datenelemente und deren Beschreibung abzielt. Verwendete Datentypen und Kardinalitäten sind nicht als verpflichtend anzusehen. Dies wird abschließend durch die FHIR-Profile festgelegt. Für jedes Element innerhalb des Logical Models existiert ein 1:1 Mapping auf ein Element einer konkreten FHIR Ressource.
Datensatz | Erklaerung |
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Symptom | Logische Repräsentation des Basismoduls Symptom/klinischer Phänotyp |
Symptom.Condition | Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom). |
Symptom.Condition.Code | Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA |
Symptom.Condition.Identifikator | Externer Identifikator für die Condition |
Symptom.Condition.Bezeichnung | Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition |
Symptom.Condition.Beschreibung | Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition. |
Symptom.Condition.Kategorie | Kategorien der Condition (z.B. problem-list-item | encounter-diagnosis) |
Symptom.Condition.Lokalisation | Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert. |
Symptom.Condition.KlinischRelevanterZeitraum | Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps |
Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum | Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis. |
Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.start | Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps |
Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.end | Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps |
Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase | Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit. |
Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.von | Lebensphase Start |
Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.bis | Lebensphase Ende |
Symptom.Condition.Beobachtungszeitpunkt | Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition. |
Symptom.Condition.Dokumentationszeitpunkt | Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition |
Symptom.Condition.Status | Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT. |
Symptom.Condition.Schweregrad | Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. |
Symptom.Condition.Verifikationsstatus | Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. |
Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz | Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung |
Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.BeschreibungZugrundeliegendeBeobachtung | Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition |
Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.CodeZugrundeliegendeBeobachtung | Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC |
Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.LinkAufZugrundeliegendeBeobachtung | Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition |
Symptom.Condition.Stadium | Stadium der Condition |
Symptom.Condition.Stadium.Zusammenfassung | Einfache Zusammenfassung des Stadiums |
Symptom.Condition.Stadium.Einschaetzung | Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation) |
Symptom.Condition.Stadium.ArtDerStadieneinteilung | Art der Stadieneinteilung |
Symptom.Condition.Patient | Link auf Patient |
Symptom.Condition.Fall | Link auf Behandlungsfall |
Symptom.Observation | Observation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein. |
Symptom.Observation.Identifikator | Eindeutiger Identifier der Observation |
Symptom.Observation.Bezeichnung | Natürlichsprachige Bezeichnung der Observation |
Symptom.Observation.Beschreibung | Natürlichsprachige Beschreibung der Beobachtung |
Symptom.Observation.Kategorie | Kategorie der Observation |
Symptom.Observation.Status | Status der Observation |
Symptom.Observation.Code | Code der Observation: z. B. LOINC, SNOMED CT, HPO |
Symptom.Observation.Zeitspanne | Klinisch relevante Zeitpunkte/Zeitspanne |
Symptom.Observation.Zeitspanne.start | Klinisch relevanter (Start-)Zeitpunkt einer Observation |
Symptom.Observation.Zeitspanne.end | Klinisch relevanter Endzeitpunkt einer Observation |
Symptom.Observation.Dokumentationsdatum | Zeitpunkt der Dokumentation der Observation. |
Symptom.Observation.Wert[x] | Wert der Observation |
Symptom.Observation.ReferenzIntervall | Referenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange) |
Symptom.Observation.GrundNichtVorhandenerDaten | Grund für nicht vorhandene Daten der Observation |
Symptom.Observation.Interpretation | Interpretation einer Observation |
Symptom.Observation.Kommentar | Natürlichsprachiger Kommentar zur Observation. |
Symptom.Observation.Lokalisation | Lokalisation der Observation als SNOMED CT Body Structure codiert. |
Symptom.Observation.Patient | Link auf Patient |
Symptom.Observation.Fall | Fall der Observation |
Symptom.Observation.Probe | Referenz auf die Probe, auf der die Observation basiert |
Symptom.Observation.Messgeraet | Referenz auf das verwendete Mess-/Untersuchungsgerät |
Symptom.Observation.Methode | Methode der Untersuchung |
Symptom.Observation.BezugZuHatTeil | Bezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence) |
Symptom.Observation.BezugVonIstTeilVon | Referenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht. |
Symptom.Observation.Komponente | Komponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben) |
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