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

Beispiel Condition: Marfan-Syndrom - Klinische Diagnose

German

Profile: MII PR SE Clinical Diagnosis version: 2027.0.0-ballot

Condition Asserted Date: 2024-12-15

clinicalStatus: Active

verificationStatus: Provisional

category: Encounter Diagnosis

code: Marfan-Syndrom, klinisch diagnostiziert

subject: Max Mustermann (official) Male, DoB: 1990-01-01 ( http://test-krankenhaus.de/fhir/sid/patienten#12345)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Seen in cardiac clinic (finding); period = 2024-12-15 --> 2024-12-15

recordedDate: 2024-12-15

evidence

code: Aortenwurzeldilatation

detail: Observation Aortic root aneurysm

evidence

code: Linsenluxation

detail: Observation Ectopia lentis

evidence

code: Hochwuchs

detail: Observation Tall stature

evidence

code: Arachnodaktylie

detail: Observation Arachnodactyly

note:

Klinische Diagnose basierend auf Ghent-Kriterien. Patient erfüllt Major-Kriterien in kardiovaskulärem und ophthalmologischem System. Genetische Testung wird veranlasst.