MII IG Kerndatensatz-Modul Seltene Erkrankungen
2027.0.0-ballot - Germany

MII IG Kerndatensatz-Modul Seltene Erkrankungen - Downloaded Version 2027.0.0-ballot 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: Provisional

category: Encounter Diagnosis

code: Marfan-Syndrom, klinisch diagnostiziert

subject: Max Mustermann (official) Male, DoB: 1990-01-01 ( http://test-krankenhaus.de/fhir/sid/patienten#12345)

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

recordedDate: 2024-12-15

evidence

code: Aortenwurzeldilatation

detail: Observation Aortic root aneurysm

evidence

code: Linsenluxation

detail: Observation Ectopia lentis

evidence

code: Hochwuchs

detail: Observation Tall stature

evidence

code: Arachnodaktylie

detail: Observation Arachnodactyly

note:

Klinische Diagnose basierend auf Ghent-Kriterien. Patient erfüllt Major-Kriterien in kardiovaskulärem und ophthalmologischem System. Genetische Testung wird veranlasst.