MII IG Modul Kardio DE - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Narrativer Inhalt
• XML
• JSON

: MII EXA Kardio Raucherstatus

Raw json | Download

{
  "resourceType" : "Observation",
  "id" : "mii-exa-kardio-raucherstatus",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-observation-rauchen"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de\" lang=\"de\"><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-kardio-raucherstatus</b></p><a name=\"mii-exa-kardio-raucherstatus\"> </a><a name=\"hcmii-exa-kardio-raucherstatus\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: de</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-kardio-observation-rauchen.html\">MII PR Kardio Observation Rauchen</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 72166-2}\">Raucherstatus</span></p><p><b>subject</b>: <a href=\"#hcmii-exa-kardio-raucherstatus/Beispielpatient\">Max Mustermann (official) Male, DoB: 1980-01-01 ( Krankenaktennummer: 0123456789\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>encounter</b>: <a href=\"#hcmii-exa-kardio-raucherstatus/Beispielfall\">Encounter: status = finished; class = inpatient encounter (ActCode[10.0.0]#IMP); period = 2023-12-01 10:00:00+0100 --&gt; 2023-12-03 11:00:00+0100</a></p><p><b>effective</b>: 2023-12-01</p><p><b>performer</b>: Beispielkardiologe</p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA18976-3}\">Current every day smoker</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 401201003}\">Cigarette pack-years</span></p><p><b>value</b>: 35.5 {pack-years}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{pack-years} = '{pack-years}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 63640-7}\">How many cigarettes per day do, or did, you smoke</span></p><p><b>value</b>: 1 {cigarettes-per-day}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{cigarettes-per-day} = '{cigarettes-per-day}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 266929003}\">Smoking started</span></p><p><b>value</b>: 2025-01-31</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 266929003}\">Smoking started</span></p><p><b>value</b>: 19 year<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 228487000}\">Total time smoked</span></p><p><b>value</b>: &lt;=35.5 year<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #Beispielpatient</b></p><a name=\"mii-exa-kardio-raucherstatus/Beispielpatient\"> </a><a name=\"hcmii-exa-kardio-raucherstatus/Beispielpatient\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: de</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Max Mustermann (official) Male, DoB: 1980-01-01 ( Krankenaktennummer: 0123456789\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">Musterstraße 1 Musterstadt 12345 DE </td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter #Beispielfall</b></p><a name=\"mii-exa-kardio-raucherstatus/Beispielfall\"> </a><a name=\"hcmii-exa-kardio-raucherstatus/Beispielfall\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: de</p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter) (version = 10.0.0 )</p><p><b>subject</b>: <a href=\"#hcmii-exa-kardio-raucherstatus/Beispielpatient\">Max Mustermann (official) Male, DoB: 1980-01-01 ( Krankenaktennummer: 0123456789\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>period</b>: 2023-12-01 10:00:00+0100 --&gt; 2023-12-03 11:00:00+0100</p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Patient",
      "id" : "Beispielpatient",
      "language" : "de",
      "identifier" : [
        {
          "use" : "usual",
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "version" : "5.0.0",
                "code" : "MR",
                "display" : "Krankenaktennummer"
              }
            ]
          },
          "value" : "0123456789"
        }
      ],
      "name" : [
        {
          "use" : "official",
          "family" : "Mustermann",
          "given" : [
            "Max"
          ]
        }
      ],
      "gender" : "male",
      "birthDate" : "1980-01-01",
      "address" : [
        {
          "type" : "both",
          "line" : [
            "Musterstraße 1"
          ],
          "city" : "Musterstadt",
          "postalCode" : "12345",
          "country" : "DE"
        }
      ]
    },
    {
      "resourceType" : "Encounter",
      "id" : "Beispielfall",
      "language" : "de",
      "status" : "finished",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "10.0.0",
        "code" : "IMP"
      },
      "subject" : {
        "reference" : "#Beispielpatient"
      },
      "period" : {
        "start" : "2023-12-01T10:00:00+01:00",
        "end" : "2023-12-03T11:00:00+01:00"
      }
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "version" : "2.0.0",
          "code" : "social-history",
          "display" : "Social History"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "version" : "2.83",
        "code" : "72166-2",
        "display" : "Raucherstatus"
      }
    ]
  },
  "subject" : {
    "reference" : "#Beispielpatient"
  },
  "encounter" : {
    "reference" : "#Beispielfall"
  },
  "effectiveDateTime" : "2023-12-01",
  "performer" : [
    {
      "display" : "Beispielkardiologe"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "version" : "2.83",
        "code" : "LA18976-3",
        "display" : "Current every day smoker"
      }
    ]
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
            "code" : "401201003",
            "display" : "Cigarette pack-years"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 35.5,
        "unit" : "{pack-years}",
        "system" : "http://unitsofmeasure.org",
        "code" : "{pack-years}"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "version" : "2.83",
            "code" : "63640-7"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 1,
        "unit" : "{cigarettes-per-day}",
        "system" : "http://unitsofmeasure.org",
        "code" : "{cigarettes-per-day}"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
            "code" : "266929003"
          }
        ]
      },
      "valueDateTime" : "2025-01-31"
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
            "code" : "266929003"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 19,
        "unit" : "year",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
            "code" : "228487000"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 35.5,
        "comparator" : "<=",
        "unit" : "year",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    }
  ]
}