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

: Marfan-Syndrom - Klinisch ausgeschlossen

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<Condition xmlns="http://hl7.org/fhir">
  <id value="mii-exa-seltene-example-marfan-excluded-clinical"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-clinical-diagnosis|2027.0.0-ballot"/>
  </meta>
  <language value="de"/>
  <text>
    <status value="extensions"/>
    <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-marfan-excluded-clinical</b></p><a name="de-mii-exa-seltene-example-marfan-excluded-clinical"> </a><a name="de-hcmii-exa-seltene-example-marfan-excluded-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>: 2024-12-15</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical inactive}">Inactive</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status refuted}">Refuted</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 154700}, {http://www.orpha.net 558}">Marfan-Syndrom (ausgeschlossen)</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>encounter</b>: <a href="Encounter-mii-exa-seltene-encounter-cardiology-consultation.html">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Seen in cardiac clinic (finding); period = 2024-12-15 --&gt; 2024-12-15</a></p><p><b>abatement</b>: 2024-12-15</p><p><b>recordedDate</b>: 2024-12-15</p><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title="Codes:">Normale Aortenwurzel</span></p><p><b>detail</b>: <a href="Observation-mii-exa-seltene-aortic-root-normal.html">Observation Aorta root Diameter by US 2D</a></p></blockquote><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title="Codes:">Keine Linsenluxation</span></p><p><b>detail</b>: <a href="Observation-mii-exa-seltene-lens-examination-normal.html">Observation Ectopia lentis</a></p></blockquote><p><b>note</b>: </p><blockquote><div><p>Marfan-Syndrom klinisch ausgeschlossen. Ghent-Kriterien nicht erfüllt. Aortenwurzel normwertig, keine ophthalmologischen Manifestationen, Körpergröße im Normbereich.</p>
</div></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
    <valueDateTime value="2024-12-15"/>
  </extension>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      <code value="inactive"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
      <code value="refuted"/>
    </coding>
  </verificationStatus>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
      <code value="encounter-diagnosis"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://omim.org"/>
      <version value="2024"/>
      <code value="154700"/>
      <display value="Marfan syndrome"/>
    </coding>
    <coding>
      <system value="http://www.orpha.net"/>
      <code value="558"/>
      <display value="Marfan syndrome"/>
    </coding>
    <text value="Marfan-Syndrom (ausgeschlossen)"/>
  </code>
  <subject>🔗 
    <reference value="Patient/mii-exa-seltene-patient"/>
  </subject>
  <encounter>🔗 
    <reference
               value="Encounter/mii-exa-seltene-encounter-cardiology-consultation"/>
  </encounter>
  <abatementDateTime value="2024-12-15"/>
  <recordedDate value="2024-12-15"/>
  <evidence>
    <code>
      <text value="Normale Aortenwurzel"/>
    </code>
    <detail>🔗 
      <reference value="Observation/mii-exa-seltene-aortic-root-normal"/>
    </detail>
  </evidence>
  <evidence>
    <code>
      <text value="Keine Linsenluxation"/>
    </code>
    <detail>🔗 
      <reference value="Observation/mii-exa-seltene-lens-examination-normal"/>
    </detail>
  </evidence>
  <note>
    <text
          value="Marfan-Syndrom klinisch ausgeschlossen. Ghent-Kriterien nicht erfüllt. Aortenwurzel normwertig, keine ophthalmologischen Manifestationen, Körpergröße im Normbereich."/>
  </note>
</Condition>