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

: HPO Assessment - Present with Severity

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<Observation xmlns="http://hl7.org/fhir">
  <id value="mii-exa-seltene-hpo-assessment-severity"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-hpo-assessment|2027.0.0-ballot"/>
  </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: Observation mii-exa-seltene-hpo-assessment-severity</b></p><a name="de-mii-exa-seltene-hpo-assessment-severity"> </a><a name="de-hcmii-exa-seltene-hpo-assessment-severity"> </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-hpo-assessment.html">MII Profile SE HPO Assessment</a> version: 2027.0.0-ballot</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://human-phenotype-ontology.org HP:0001638}">Cardiomyopathy</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>effective</b>: 2024-01-15</p><p><b>note</b>: </p><blockquote><div><p>Moderate cardiomyopathy confirmed by echocardiography. Both presence status and severity grade are captured in separate components.</p>
</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 260411009}">Presence findings</span></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA9633-4}">Present</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://human-phenotype-ontology.org HP:0012824}">Severity</span></p><p><b>value</b>: <span title="Codes:{http://human-phenotype-ontology.org HP:0012826}">Moderate</span></p></blockquote></div>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://human-phenotype-ontology.org"/>
      <code value="HP:0001638"/>
      <display value="Cardiomyopathy"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/mii-exa-seltene-patient"/>
  </subject>
  <effectiveDateTime value="2024-01-15"/>
  <note>
    <text
          value="Moderate cardiomyopathy confirmed by echocardiography. Both presence status and severity grade are captured in separate components."/>
  </note>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="260411009"/>
        <display value="Presence findings"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://loinc.org"/>
        <code value="LA9633-4"/>
        <display value="Present"/>
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      <coding>
        <system value="http://human-phenotype-ontology.org"/>
        <code value="HP:0012824"/>
        <display value="Severity"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://human-phenotype-ontology.org"/>
        <code value="HP:0012826"/>
        <display value="Moderate"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>