MII IG Kerndatensatz-Modul Lungenfunktion
2027.0.0-ballot.1 - Germany

MII IG Kerndatensatz-Modul Lungenfunktion - Downloaded Version 2027.0.0-ballot.1 See the Directory of published versions

: MII Example Lungenfunktion Spirometrie Befund

Raw xml | Download


<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="mii-exa-lungenfunktion-spirometrie-befund"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/StructureDefinition/mii-pr-lungenfunktion-spirometrie"/>
  </meta>
  <language value="de"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version
               value="http://snomed.info/sct/900000000000207008/version/20260701"/>
      <code value="720449003"/>
      <display value="Pulmonary function report (record artifact)"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version
               value="http://snomed.info/sct/900000000000207008/version/20260701"/>
      <code value="258058009"/>
      <display value="Open spirometry (procedure)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/mii-exa-lungenfunktion-patient"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/mii-exa-lungenfunktion-kontakt"/>
  </encounter>
  <effectiveDateTime value="2024-07-19T12:03:30+02:00"/>
  <issued value="2024-07-19T13:03:20+02:00"/>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-fev1"/>
  </result>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-fvc"/>
  </result>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-fev1-fvc"/>
  </result>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-mef25"/>
  </result>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-mef50"/>
  </result>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-mef75"/>
  </result>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-pef"/>
  </result>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-vc"/>
  </result>
  <result>🔗 
    <reference value="Observation/mii-exa-lungenfunktion-erv"/>
  </result>
  <conclusion value="Increased lung compliance"/>
  <conclusionCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version
               value="http://snomed.info/sct/900000000000207008/version/20260701"/>
      <code value="21368004"/>
      <display value="Increased lung compliance (finding)"/>
    </coding>
  </conclusionCode>
</DiagnosticReport>