MII IG Kerndatensatz-Modul Lungenfunktion
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: MII Example Lungenfunktion Spirometrie Befund

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{
  "resourceType" : "DiagnosticReport",
  "id" : "mii-exa-lungenfunktion-spirometrie-befund",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/StructureDefinition/mii-pr-lungenfunktion-spirometrie"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport mii-exa-lungenfunktion-spirometrie-befund</b></p><a name=\"de-mii-exa-lungenfunktion-spirometrie-befund\"> </a><a name=\"de-hcmii-exa-lungenfunktion-spirometrie-befund\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-lungenfunktion-spirometrie.html\">MII PR Lungenfunktion Spirometrie</a></p></div><h2><span title=\"Codes:{http://snomed.info/sct 258058009}\">Open spirometry (procedure)</span> (<span title=\"Codes:{http://snomed.info/sct 720449003}\">Pulmonary function report (record artifact)</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Erika Beispielpatientin  Female, DoB: 1970-01-01</td></tr><tr><td>Relevant Time</td><td>2024-07-19 12:03:30+0200</td></tr><tr><td>Reported</td><td>2024-07-19 13:03:20+0200</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reference Range</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-fev1.html\"><span title=\"Codes:{http://snomed.info/sct 59328004}\">Forced expired volume in 1 second (observable entity)</span></a></td><td>2.23 L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL = 'L')</span></td><td>&gt;2.98 L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL = 'L')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-fvc.html\"><span title=\"Codes:{http://snomed.info/sct 50834005}\">Forced vital capacity (observable entity)</span></a></td><td>2.65 L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL = 'L')</span></td><td>&gt;3.76 L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL = 'L')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-fev1-fvc.html\"><span title=\"Codes:{http://snomed.info/sct 251944000}\">Forced expired volume in one second/forced vital capacity ratio (observable entity)</span></a></td><td>83.93 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></td><td>&gt;68.88 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-mef25.html\"><span title=\"Codes:{http://snomed.info/sct 251919008}\">Maximum expiratory flow rate at 25 percent of vital capacity (observable entity)</span></a></td><td>1.21 L/s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/s = 'L/s')</span></td><td>&gt;0.57 L/s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/s = 'L/s')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-mef50.html\"><span title=\"Codes:{http://snomed.info/sct 251920002}\">Maximum expiratory flow rate at 50 percent of vital capacity (observable entity)</span></a></td><td>2.81 L/s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/s = 'L/s')</span></td><td>&gt;2.59 L/s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/s = 'L/s')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-mef75.html\"><span title=\"Codes:{http://snomed.info/sct 251921003}\">Maximum expiratory flow rate at 75 percent of vital capacity (observable entity)</span></a></td><td>3.74 L/s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/s = 'L/s')</span></td><td>&gt;4.83 L/s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/s = 'L/s')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-pef.html\"><span title=\"Codes:{http://snomed.info/sct 18491006}\">Peak expiratory flow rate (observable entity)</span></a></td><td>3.82 L/s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/s = 'L/s')</span></td><td>&gt;6.79 L/s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/s = 'L/s')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-vc.html\"><span title=\"Codes:{http://snomed.info/sct 251913009}\">Inspiratory vital capacity (observable entity)</span></a></td><td>1.98 L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL = 'L')</span></td><td>&gt;3.7 L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL = 'L')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr><tr><td><a href=\"Observation-mii-exa-lungenfunktion-erv.html\"><span title=\"Codes:{http://snomed.info/sct 55532004}\">Expiratory reserve volume (observable entity)</span></a></td><td>0.23 L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL = 'L')</span></td><td>&gt;1.31 L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL = 'L')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td></tr></table><p>Increased lung compliance</p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 21368004}\">Increased lung compliance (finding)</span></li></ul></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
          "code" : "720449003",
          "display" : "Pulmonary function report (record artifact)"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
        "code" : "258058009",
        "display" : "Open spirometry (procedure)"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/mii-exa-lungenfunktion-patient"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/mii-exa-lungenfunktion-kontakt"
  },
  "effectiveDateTime" : "2024-07-19T12:03:30+02:00",
  "issued" : "2024-07-19T13:03:20+02:00",
  "result" : [
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-fev1"
    },
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-fvc"
    },
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-fev1-fvc"
    },
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-mef25"
    },
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-mef50"
    },
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-mef75"
    },
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-pef"
    },
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-vc"
    },
    {
      🔗 "reference" : "Observation/mii-exa-lungenfunktion-erv"
    }
  ],
  "conclusion" : "Increased lung compliance",
  "conclusionCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
          "code" : "21368004",
          "display" : "Increased lung compliance (finding)"
        }
      ]
    }
  ]
}