Versionen im Vergleich

Alte Version 10

changes.mady.by.user Benutzer-ead62

Gespeichert am

verglichen mit

Neue Version Aktuell

changes.mady.by.user Dr. Julia Flis

Gespeichert am

Schlüssel

  • Diese Zeile wurde hinzugefügt.
  • Diese Zeile wurde entfernt.
  • Formatierung wurde geändert.

Dokumentationsteil für die Hüftsonographie entsprechend der Methode nach Graf

Status
colourBlue
titlefachliche QS
 Dr. Lea Botermann

Kommentar

Dokumentationsteil Hüftsonographie

Mio iconlink
Link

https://www.kbv.de/
media
html/
sp/KBV_PraxisWissenSpezial_SonografieSaeugling.pdf

Hüftbefund Vorhandensein

Typ Kode

Value Set Assoziation required Hüftbefund Typ (Dynamisch)

Konzepte

themen_2856.php
LinkTitleKBV Themenseite: Sonographie der Säuglingshüfte

Hüftbefund Vorhandensein

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.value[x]

Wert: Code

KONZEPT & WIEDERGABENAMECodeBEZEICHNUNG IM CODESYSTEMCodesystem
Hüftsonographischer Vorbefund: ja129125009 : { 363589002 = 241503003 , 408730004 = 398166005 , 408731000 = 410588008 }Procedure
KonzeptCodeWiedergabenameCodesystemHüftvorbefund rechts vorhanden

413350009:{246090004=(118952005+116313000:{363698007=362908009}),408729009=410605003,408731000=410588008}

Finding
with explicit context (situation) : { Associated
finding
procedure (attribute) =
( Joint finding (finding) + Finding of hip region (finding) : { Finding site (attribute) = Right hip joint structure (body structure) } ) , Finding context (attribute) = Confirmed present
 Ultrasound scan of neonatal hip (procedure) , Procedure context (situation) = Performed (qualifier value) , Temporal context (
attribute
situation) =
Past
 Past - time unspecified (qualifier value) }SNOMED Clinical Terms
Hüftvorbefund rechts nicht vorhanden

Hüftsonographischer Vorbefund: nein

129125009 : { 363589002 = 241503003 , 408730004 = 385660001 , 408731000
413350009:{246090004=(118952005+116313000:{363698007=362908009}),408729009=410516002,408731000
= 410588008 }
Finding
Procedure with explicit context (situation) : { Associated
finding
procedure (attribute) =
( Joint finding (finding) + Finding of hip region (finding) : { Finding site (attribute) = Right hip joint structure (body structure) } ) , Finding context (attribute) = Known absent
 Ultrasound scan of neonatal hip (procedure) , Procedure context (situation) = Not done (qualifier value)
|
, Temporal context (
attribute
situation) =
Past
 Past - time unspecified (qualifier value) }SNOMED Clinical Terms
Hüftvorbefund rechts
Hüftsonographischer Vorbefund: unbekannt
413350009
129125009 : {
246090004=(118952005+116313000:{363698007=362908009}),408729009=261665006,408731000
363589002 = 241503003 , 408730004 = 410537005 , 408731000 = 410588008 }
Finding
Procedure with explicit context (situation) : { Associated
finding
procedure (attribute) =
( Joint finding (finding) + Finding of hip region (finding) : { Finding site (attribute) = Right hip joint structure (body structure) } ) , Finding context (attribute) = Unknown
 Ultrasound scan of neonatal hip (procedure) , Procedure context (situation) = Action status unknown (qualifier value) , Temporal context (
attribute
situation) = Past - time unspecified (qualifier value) }SNOMED Clinical Terms
Hüftvorbefund links vorhanden

413350009:{246090004=(118952005+116313000:{363698007=362907004}),408729009=410605003,408731000=410588008}

Finding
Hüftsonographischer Befund in der 4.-5. Lebenswoche129125009 : { 363589002 = 241503003 , 408730004 = 398166005 , 408731000 = 410584005 }Procedure with explicit context (situation) : { Associated
finding
procedure (attribute) =
( Joint finding (finding) + Finding of hip region (finding) : { Finding site (attribute) = Left hip joint structure (body structure) } ) , Finding context (attribute) = Confirmed present
 Ultrasound scan of neonatal hip (procedure) , Procedure context (situation) =  Performed (qualifier value) , Temporal context (
attribute
situation) =
Past
 Current - time
unspecified
specified (qualifier value) }SNOMED Clinical Terms
Hüftvorbefund links nicht vorhanden

413350009:{246090004=(118952005+116313000:{363698007=362907004}),408729009=410516002,408731000=410588008}

Finding with explicit context (situation) : { Associated finding (attribute) = ( Joint finding (finding) + Finding of hip region (finding) : { Finding site (attribute) = Left hip joint structure (body structure) } ) , Finding context (attribute) = Known absent (qualifier value) , Temporal context (attribute) = Past - time unspecified (qualifier value) }

SNOMED Clinical Terms

Hüftvorbefund links unbekannt

413350009:{246090004=(118952005+116313000:{363698007=362907004}),408729009=261665006,408731000=410588008}

Finding with explicit context (situation) : { Associated finding (attribute) = ( Joint finding (finding) + Finding of hip region (finding) : { Finding site (attribute) = Left hip joint structure (body structure) } ) , Finding context (attribute) = Unknown (qualifier value) , Temporal context (attribute) = Past - time unspecified (qualifier value) }

SNOMED Clinical Terms

Hüftbefund rechts vorhanden

413350009:{246090004=(118952005+116313000:{363698007=362908009}),408729009=410605003,408731000=410585006}

Finding with explicit context (situation) : { Associated finding (attribute) = ( Joint finding (finding) + Finding of hip region (finding) : { Finding site (attribute) = Right hip joint structure (body structure) } ) , Finding context (attribute) = Confirmed present (qualifier value) , Temporal context (attribute) = Current - time unspecified (qualifier value) }

SNOMED Clinical Terms

Hüftbefund links vorhanden

413350009:{246090004=(118952005+116313000:{363698007=362907004}),408729009=410605003,408731000=410585006}

Finding with explicit context (situation) : { Associated finding (attribute) = ( Joint finding (finding) + Finding of hip region (finding) : { Finding site (attribute) = Left hip joint structure (body structure) } ) , Finding context (attribute) = Confirmed present (qualifier value) , Temporal context (attribute) = Current - time unspecified (qualifier value) }

SNOMED Clinical Terms

FHIR-Mapping

hüftsonographischer Vorbefund

Linke Hüfte

Hüftlateralität

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.bodySite

Wert: Code

KONZEPT & WIEDERGABENAMECodeBEZEICHNUNG IM CODESYSTEMCodesystem
rechte Hüfte

362906008

Entire right hip joint (body structure)

SNOMED Clinical Terms

linke Hüfte

362905007

Entire left hip joint (body structure)

SNOMED Clinical Terms


Hüftsonographischer Vorbefund

Angaben der Ergebnisse aus einem hüftsonographischen Vorbefund.

Linke Hüfte

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.bodySite

FHIR-Mapping

Beta-Winkel (Grad)

Terminologie Assoziation:

Auszug
Auszug

Terminologie Assoziation

CodeWiedergabenameCodesystem
426100003Ultrasound scan of left hip (procedure)SNOMED Clinical Terms
Wiedergabename
CodeBEZEICHNUNG IM CODESYSTEMCodesystem
364501006 : { 704321009 = 241503003 , 246501002 = 278395004 , 246514001 = 259046004 , 718497002 = 91685003 }Hip joint feature (observable entity) : { Characterizes (attribute) = Ultrasound scan of neonatal hip (procedure) , Technique (attribute) = Imaging technique (qualifier value) , Units (attribute) = degrees of arc (qualifier value) , Inherent location (attribute) = Fibrocartilage (body structure) }SNOMED Clinical Terms

Typ Quantität

FHIR-Mapping

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.component:betaWinkel.value[x]

Wert: Quantität (Einheit: Grad)

Alpha-Winkel (Grad)

Terminologie Assoziation:

Wiedergabename
CodeBEZEICHNUNG IM CODESYSTEMCodesystem
364501006 : { 704321009 = 241503003 , 246501002 = 278395004 , 246514001 = 259046004 , 718497002 = 58823008 }Hip joint feature (observable entity) : { Characterizes (attribute) = Ultrasound scan of neonatal hip (procedure) , Technique (attribute) = Imaging technique (qualifier value) , Units (attribute) = degrees of arc (qualifier value) , Inherent location (attribute) = Structure of acetabular fossa (body structure) }SNOMED Clinical Terms

Typ Quantität

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.component:alphaWinkel.value[x]

Wert: Quantität (Einheit: Grad)FHIR-Mapping

Hüfttyp (nach Graf)

Operationalisation: Automatisierte Erstellung des Hüfttyps basierend auf Angaben für Alpha und Beta Winkel .

Typ Kode

Value Set Assoziation required Hüfttyp nach Graf (Dynamisch)

Konzepte

sind möglich.

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.value[x]:valueCodeableConcept 

Wert: Code

Wiedergabename
KONZEPT & WIEDERGABENAMECodeBEZEICHNUNG IM CODESYSTEMKonzeptCodeCodesystem
Ia/Ib

1ab

Graf Ia/Ib

Uheft-valueset-88

IIa

2a

Graf IIa

Uheft-valueset-88

IIc/D

2cd

Graf IIc/D

Uheft-valueset-88

IIIa

3a

Graf IIIa

Uheft-valueset-88

IIIb

3b

Graf IIIb

Uheft-valueset-88

IV

4

Graf IV

Uheft-valueset-88



Rechte Hüfte

...

FHIR®-Mapping

...

: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.bodySite

Rechte Hüfte

Auszug einschließen
6.2.1 Hüftsonographie nach Graf, Phase I
6.2.1 Hüftsonographie nach Graf, Phase I
nopaneltrue


Hüftsonographie 4. bis 5.

...

Lebenswoche

Angaben der Befunde aus der durchgeführten Hüftsonographie.

Linke Hüfte

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.bodySite

Auszug einschließen
6.2.1 Hüftsonographie nach Graf, Phase I
6.2.1 Hüftsonographie nach Graf, Phase I
nopaneltrue


Rechte Hüfte

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.bodySite

Wert: Quantität (Einheit: Grad)

Auszug einschließen
6.2.1 Hüftsonographie nach Graf, Phase I
6.2.1 Hüftsonographie nach Graf, Phase I
nopaneltrue



Kommentierungsbutton
ticketLabelKommentar
expirationIdUH1X0
projectUH1X0
position

...

frueherkennung_hueftgelenksdysplasie_sonographie
buttonLabelKommentieren


Kommentierungen

Issuereporter
templateListe
jqlproject = UH1X0 AND issuetype = KOMMENTAR AND Anzeige = "public" AND Veroeffentlichung = zugestimmt AND labels = "hüftsonographiefrueherkennung_hueftgelenksdysplasie_sonographie" AND status not in ("Open", "In Vorprüfung")
sortableColumnsKey; Erstellt; Name; Organisation; Zusammenfassung; Beschreibung
columnsKey; Erstellt; Name; Organisation;Kommentierungsart; Zusammenfassung; Beschreibung

...