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

Example Condition: Marfan-Syndrom - Klinische Diagnose

English

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

Condition Asserted Date: 2024-12-15

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Marfan-Syndrom

subject: Anonymous Patient Male, DoB: 2005-01-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#MRF-2024-001)

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

recordedDate: 2024-12-15

evidence

code: Aortic root aneurysm

detail: Observation Aortic root aneurysm

evidence

code: Aortic regurgitation

detail: Observation Aortic regurgitation

evidence

code: Mitral regurgitation

detail: Observation Mitral regurgitation

evidence

code: Tall stature

detail: Observation Body height

evidence

code: Lower limb asymmetry

detail: Observation Leg length discrepancy

evidence

code: Chest pain

detail: Observation Chest pain

note:

Marfan-Syndrom klinisch diagnostiziert basierend auf kardialen Befunden, Skelettmerkmalen und ophthalmologischer Manifestation