MII Implementierungsleitfaden Kerndatensatz-Modul Molekulargenetischer Befundbericht
2027.0.0-ballot.1 - Germany

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: mii-exa-molgen-condition-nipbl-clinical

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{
  "resourceType" : "Condition",
  "id" : "mii-exa-molgen-condition-nipbl-clinical",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose"
    ]
  },
  "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: Condition mii-exa-molgen-condition-nipbl-clinical</b></p><a name=\"de-mii-exa-molgen-condition-nipbl-clinical\"> </a><a name=\"de-hcmii-exa-molgen-condition-nipbl-clinical\"> </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=\"https://medizininformatik-initiative.github.io/kerndatensatz-basis/2027.0.0-ballot/StructureDefinition-mii-pr-diagnose-condition.html\">MII PR Diagnose Condition</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm Q87.1}, {http://www.omim.org 122470}\">Angeborene Fehlbildungssyndrome, die vorwiegend mit Kleinwuchs einhergehen</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-molgen-patient-2.html\">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Krankenaktennummer\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>onset</b>: 2021-09-19 --&gt; (ongoing)</p><p><b>recordedDate</b>: 2022-03-06 07:36:00+0100</p><p><b>recorder</b>: <a href=\"Practitioner-mii-exa-molgen-practitioner-physician.html\">Practitioner Dr. Linda Rubens(official)</a></p><p><b>asserter</b>: <a href=\"Practitioner-mii-exa-molgen-practitioner-physician.html\">Practitioner Dr. Linda Rubens(official)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"DiagnosticReport-mii-exa-molgen-befundbericht-2.html\">Diagnostic Report for 'Genetic analysis report' for '-&gt;Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Krankenaktennummer\u00a0(use:\u00a0usual,\u00a0))'</a></td></tr></table></div>"
  },
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "extension" : [
          {
            "url" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT",
              "code" : "G"
            }
          }
        ],
        "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
        "version" : "2021",
        "code" : "Q87.1",
        "display" : "Angeborene Fehlbildungssyndrome, die vorwiegend mit Kleinwuchs einhergehen"
      },
      {
        "system" : "http://www.omim.org",
        "code" : "122470",
        "display" : "Cornelia de Lange syndrome 1"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/mii-exa-molgen-patient-2"
  },
  "onsetPeriod" : {
    "start" : "2021-09-19",
    "_start" : {
      "extension" : [
        {
          "url" : "http://fhir.de/StructureDefinition/lebensphase",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "255407002",
                "display" : "Neonatal (qualifier value)"
              }
            ]
          }
        }
      ]
    }
  },
  "recordedDate" : "2022-03-06T07:36:00+01:00",
  "recorder" : {
    🔗 "reference" : "Practitioner/mii-exa-molgen-practitioner-physician"
  },
  "asserter" : {
    🔗 "reference" : "Practitioner/mii-exa-molgen-practitioner-physician"
  },
  "evidence" : [
    {
      "detail" : [
        {
          🔗 "reference" : "DiagnosticReport/mii-exa-molgen-befundbericht-2"
        }
      ]
    }
  ]
}