MII IG Modul Kardio DE
2027.0.0-ballot - Germany

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

: MII EXA Kardio Raucherstatus

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<Observation xmlns="http://hl7.org/fhir">
  <id value="mii-exa-kardio-raucherstatus"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-observation-rauchen"/>
  </meta>
  <language value="de"/>
  <text>
    <status value="generated"/>
    <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 (use: usual, ))</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 (use: usual, ))</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 (use: usual, ))</a></p><p><b>period</b>: 2023-12-01 10:00:00+0100 --&gt; 2023-12-03 11:00:00+0100</p></blockquote></div>
  </text>
  <contained>
    <Patient>
      <id value="Beispielpatient"/>
      <language value="de"/>
      <identifier>
        <use value="usual"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <version value="5.0.0"/>
            <code value="MR"/>
            <display value="Krankenaktennummer"/>
          </coding>
        </type>
        <value value="0123456789"/>
      </identifier>
      <name>
        <use value="official"/>
        <family value="Mustermann"/>
        <given value="Max"/>
      </name>
      <gender value="male"/>
      <birthDate value="1980-01-01"/>
      <address>
        <type value="both"/>
        <line value="Musterstraße 1"/>
        <city value="Musterstadt"/>
        <postalCode value="12345"/>
        <country value="DE"/>
      </address>
    </Patient>
  </contained>
  <contained>
    <Encounter>
      <id value="Beispielfall"/>
      <language value="de"/>
      <status value="finished"/>
      <class>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <version value="10.0.0"/>
        <code value="IMP"/>
      </class>
      <subject>
        <reference value="#Beispielpatient"/>
      </subject>
      <period>
        <start value="2023-12-01T10:00:00+01:00"/>
        <end value="2023-12-03T11:00:00+01:00"/>
      </period>
    </Encounter>
  </contained>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <version value="2.0.0"/>
      <code value="social-history"/>
      <display value="Social History"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <version value="2.83"/>
      <code value="72166-2"/>
      <display value="Raucherstatus"/>
    </coding>
  </code>
  <subject>
    <reference value="#Beispielpatient"/>
  </subject>
  <encounter>
    <reference value="#Beispielfall"/>
  </encounter>
  <effectiveDateTime value="2023-12-01"/>
  <performer>
    <display value="Beispielkardiologe"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://loinc.org"/>
      <version value="2.83"/>
      <code value="LA18976-3"/>
      <display value="Current every day smoker"/>
    </coding>
  </valueCodeableConcept>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version
                 value="http://snomed.info/sct/900000000000207008/version/20260701"/>
        <code value="401201003"/>
        <display value="Cigarette pack-years"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="35.5"/>
      <unit value="{pack-years}"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{pack-years}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <version value="2.83"/>
        <code value="63640-7"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="1"/>
      <unit value="{cigarettes-per-day}"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{cigarettes-per-day}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version
                 value="http://snomed.info/sct/900000000000207008/version/20260701"/>
        <code value="266929003"/>
      </coding>
    </code>
    <valueDateTime value="2025-01-31"/>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version
                 value="http://snomed.info/sct/900000000000207008/version/20260701"/>
        <code value="266929003"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="19"/>
      <unit value="year"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="a"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version
                 value="http://snomed.info/sct/900000000000207008/version/20260701"/>
        <code value="228487000"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="35.5"/>
      <comparator value="&lt;="/>
      <unit value="year"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="a"/>
    </valueQuantity>
  </component>
</Observation>