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: SMA Klinische Diagnose

English

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

Condition Asserted Date: 2024-07-22

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Infantile spinale Muskelatrophie, Typ I [Typ Werdnig-Hoffmann]

subject: Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Follow-up encounter; period = 2024-07-22 --> 2024-07-22

onset: 2024-07-01

recordedDate: 2024-07-22

Evidences

-CodeDetail
*Klinische PräsentationObservation Troponin T.cardiac [Mass/volume] in Serum or Plasma

note:

Klinische Diagnose basierend auf typischer Präsentation: Neonatale Hypotonie, fehlende Muskeleigenreflexe, erhöhtes Troponin