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. For a full list of available versions, see the Directory of published versions

: MII Example SE Symptom Condition

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<Condition xmlns="http://hl7.org/fhir">
  <id value="mii-exa-seltene-symptom-condition"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-symptom-condition|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: Condition mii-exa-seltene-symptom-condition</b></p><a name="de-mii-exa-seltene-symptom-condition"> </a><a name="de-hcmii-exa-seltene-symptom-condition"> </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-symptom-condition.html">MII Profile SE Symptom Condition</a> version: 2027.0.0-ballot</p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>severity</b>: <span title="Codes:{http://human-phenotype-ontology.org HP:0012825}">Mild severity</span></p><p><b>code</b>: <span title="Codes:{http://human-phenotype-ontology.org HP:0001324}">Muscle weakness</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 127954009}">Skeletal muscle</span></p><p><b>subject</b>: <a href="Patient-mii-exa-seltene-patient.html">Example Patient</a></p><p><b>onset</b>: 15 years<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p><p><b>recordedDate</b>: 2024-01-15</p><h3>Evidences</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://human-phenotype-ontology.org HP:0001324}">Muscle weakness</span></td><td><a href="Observation-mii-exa-seltene-hpo-assessment.html">Observation Intellectual disability</a></td></tr></table><p><b>note</b>: </p><blockquote><div><p>Patient reports progressive muscle weakness affecting daily activities, particularly climbing stairs and lifting objects. Symptom has been gradually worsening over the past 2 years.</p>
</div></blockquote></div>
  </text>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      <code value="active"/>
      <display value="Active"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
      <code value="confirmed"/>
      <display value="Confirmed"/>
    </coding>
  </verificationStatus>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
      <code value="problem-list-item"/>
      <display value="Problem List Item"/>
    </coding>
  </category>
  <severity>
    <coding>
      <system value="http://human-phenotype-ontology.org"/>
      <code value="HP:0012825"/>
      <display value="Mild"/>
    </coding>
    <text value="Mild severity"/>
  </severity>
  <code>
    <coding>
      <system value="http://human-phenotype-ontology.org"/>
      <code value="HP:0001324"/>
      <display value="Muscle weakness"/>
    </coding>
    <text value="Muscle weakness"/>
  </code>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="127954009"/>
      <display value="Skeletal muscle structure"/>
    </coding>
    <text value="Skeletal muscle"/>
  </bodySite>
  <subject>🔗 
    <reference value="Patient/mii-exa-seltene-patient"/>
    <display value="Example Patient"/>
  </subject>
  <onsetAge>
    <value value="15"/>
    <unit value="years"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="a"/>
  </onsetAge>
  <recordedDate value="2024-01-15"/>
  <evidence>
    <code>
      <coding>
        <system value="http://human-phenotype-ontology.org"/>
        <code value="HP:0001324"/>
        <display value="Muscle weakness"/>
      </coding>
    </code>
    <detail>🔗 
      <reference value="Observation/mii-exa-seltene-hpo-assessment"/>
    </detail>
  </evidence>
  <note>
    <text
          value="Patient reports progressive muscle weakness affecting daily activities, particularly climbing stairs and lifting objects. Symptom has been gradually worsening over the past 2 years."/>
  </note>
</Condition>