MII IG Kerndatensatz-Modul Seltene Erkrankungen
2027.0.0-ballot - Germany

This page is part of the MII Implementation Guide Seltene Erkrankungen (v2027.0.0-ballot: 2027 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Mukoviszidose - Klinischer Verdacht

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{
  "resourceType" : "Condition",
  "id" : "mii-exa-seltene-example-cf-clinical",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-clinical-diagnosis|2027.0.0-ballot"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "extensions",
    "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-seltene-example-cf-clinical</b></p><a name=\"de-mii-exa-seltene-example-cf-clinical\"> </a><a name=\"de-hcmii-exa-seltene-example-cf-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=\"StructureDefinition-mii-pr-seltene-clinical-diagnosis.html\">MII PR SE Clinical Diagnosis</a> version: 2027.0.0-ballot</p></div><p><b>Condition Asserted Date</b>: 2024-08-10</p><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 provisional}\">Provisional</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://omim.org 219700}, {http://www.orpha.net 586}\">Cystic fibrosis</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient.html\">Max Mustermann (official) Male, DoB: 1990-01-01 ( http://test-krankenhaus.de/fhir/sid/patienten#12345)</a></p><p><b>recordedDate</b>: 2024-08-10</p><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title=\"Codes:{http://human-phenotype-ontology.org HP:0002099}\">Asthma</span></p><p><b>detail</b>: <a href=\"Observation-mii-exa-seltene-recurrent-respiratory-infections.html\">Observation Asthma</a></p></blockquote><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title=\"Codes:{http://human-phenotype-ontology.org HP:0002028}\">Chronic diarrhea</span></p><p><b>detail</b>: <a href=\"Observation-mii-exa-seltene-chronic-diarrhea.html\">Observation Chronic diarrhea</a></p></blockquote><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title=\"Codes:{http://human-phenotype-ontology.org HP:0001508}\">Failure to thrive</span></p><p><b>detail</b>: <a href=\"Observation-mii-exa-seltene-failure-to-thrive.html\">Observation Failure to thrive</a></p></blockquote><p><b>note</b>: </p><blockquote><div><p>Schweißtest positiv (Chlorid 85 mmol/l). Klinisches Bild vereinbar mit CF. Genetische Testung veranlasst.</p>\n</div></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
      "valueDateTime" : "2024-08-10"
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "provisional"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://omim.org",
        "version" : "2024",
        "code" : "219700",
        "display" : "Cystic fibrosis"
      },
      {
        "system" : "http://www.orpha.net",
        "code" : "586",
        "display" : "Cystic fibrosis"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/mii-exa-seltene-patient"
  },
  "recordedDate" : "2024-08-10",
  "evidence" : [
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://human-phenotype-ontology.org",
              "code" : "HP:0002099",
              "display" : "Asthma"
            }
          ]
        }
      ],
      "detail" : [
        {
          🔗 "reference" : "Observation/mii-exa-seltene-recurrent-respiratory-infections"
        }
      ]
    },
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://human-phenotype-ontology.org",
              "code" : "HP:0002028",
              "display" : "Chronic diarrhea"
            }
          ]
        }
      ],
      "detail" : [
        {
          🔗 "reference" : "Observation/mii-exa-seltene-chronic-diarrhea"
        }
      ]
    },
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://human-phenotype-ontology.org",
              "code" : "HP:0001508",
              "display" : "Failure to thrive"
            }
          ]
        }
      ],
      "detail" : [
        {
          🔗 "reference" : "Observation/mii-exa-seltene-failure-to-thrive"
        }
      ]
    }
  ],
  "note" : [
    {
      "text" : "Schweißtest positiv (Chlorid 85 mmol/l). Klinisches Bild vereinbar mit CF. Genetische Testung veranlasst."
    }
  ]
}