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{ | ||
"resourceType": "Condition", | ||
"id": "mii-exa-diagnose", | ||
"meta": { | ||
"profile": [ | ||
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose" | ||
] | ||
}, | ||
"code": { | ||
"coding": [ | ||
{ | ||
"system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm", | ||
"extension": [ | ||
{ | ||
"url": "http://fhir.de/StructureDefinition/seitenlokalisation", | ||
"valueCoding": { | ||
"code": "R", | ||
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION", | ||
"display": "rechts" | ||
} | ||
} | ||
], | ||
"code": "C50.4", | ||
"version": "2020", | ||
"display": "Oberer äußerer Quadrant der Brustdrüse" | ||
}, | ||
{ | ||
"system": "http://terminology.hl7.org/CodeSystem/icd-o-3", | ||
"code": "8500/3", | ||
"display": "Invasives duktales Karzinom o.n.A. [C50.-]" | ||
} | ||
] | ||
}, | ||
"verificationStatus": { | ||
"coding": [ | ||
{ | ||
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", | ||
"code": "confirmed" | ||
}, | ||
{ | ||
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung", | ||
"code": "7", | ||
"display": "histologische Untersuchung eines Primärtumors" | ||
} | ||
] | ||
}, | ||
"bodySite": [ | ||
{ | ||
"coding": [ | ||
{ | ||
"system": "http://snomed.info/sct", | ||
"code": "76365002", | ||
"display": "Structure of upper outer quadrant of breast (body structure)" | ||
}, | ||
{ | ||
"system": "http://terminology.hl7.org/CodeSystem/icd-o-3", | ||
"code": "C50.4", | ||
"display": "Oberer äußerer Quadrant der Brust" | ||
} | ||
] | ||
} | ||
], | ||
"clinicalStatus": { | ||
"coding": [ | ||
{ | ||
"code": "active", | ||
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical" | ||
} | ||
] | ||
}, | ||
"subject": { | ||
"reference": "Patient/example" | ||
}, | ||
"recordedDate": "2020-02-16" | ||
} |
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Instance: mii-exa-diagnose | ||
InstanceOf: mii-pr-onko-diagnose | ||
Usage: #example | ||
* clinicalStatus = $condition-clinical#active | ||
* verificationStatus.coding[condition-ver-status] = $condition-ver-status#confirmed | ||
* verificationStatus.coding[primaertumorDiagnosesicherung] = $mii-cs-onko-primaertumor-diagnosesicherung#7 "histologische Untersuchung eines Primärtumors" | ||
* code.coding[icd10-gm] = $ICD10GM|2020#C50.4 "Oberer äußerer Quadrant der Brustdrüse" | ||
* code.coding[icd10-gm].extension[Seitenlokalisation].valueCoding = $icd-seitenlokalisation#R "rechts" | ||
* code.coding[icd-o-3] = $ICDO3#8500/3 "Invasives duktales Karzinom o.n.A. [C50.-]" | ||
* subject = Reference(Patient/example) | ||
* recordedDate = "2020-02-16" | ||
* bodySite.coding[snomed-ct] = $SCT#76365002 "Structure of upper outer quadrant of breast (body structure)" | ||
* bodySite.coding[icd-o-3] = $ICDO3#C50.4 "Oberer äußerer Quadrant der Brust" |