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changes.mady.by.user Dr. Lea Botermann

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changes.mady.by.user Tharsika Keßler

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Code

BEZEICHNUNG IM CODESYSTEM

Codesystem

106076001364528001Skin finding observable (findingobservable entity)SNOMED Clinical Terms

FHIR®-Mapping: 

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KONZEPT & WIEDERGABENAME

CODE

BEZEICHNUNG IM CODESYSTEM

CODESYSTEM

Auskultation

128254003301272007

Respiratory Chest auscultation finding (finding)

SNOMED Clinical Terms

Atemgeräusch

301285005

301273002

Abnormal breath sounds Finding of sound of breathing (finding)

SNOMED Clinical Terms

Atemfrequenz

17077006

Abnormal respiratory rate (finding)

SNOMED Clinical Terms

Einziehungen

3779400767909005

Retraction Chest wall retraction (finding)

SNOMED Clinical Terms

Thoraxkonfiguration

298706004

Finding of appearance of thorax (finding)

SNOMED Clinical Terms

Schlüsselbeine

298761006

Finding of clavicle structure (finding)

SNOMED Clinical Terms

...

Wert: Code

KONZEPT & WIEDERGABENAMECodeBEZEICHNUNG IM CODESYSTEMCodesystem
Anomalien

822987005 : { 116676008 = 21390004 } { 363698007 = 818987002 } 

Finding of abdominopelvic segment of trunk (finding) : { Associated morphology (attribute)  = Developmental anomaly (morphologic abnormality) } { Finding site (attribute) = Structure of abdominopelvic cavity (body structure) } 

SNOMED Clinical Terms

Leber- und Milzgröße

36760000

Hepatosplenomegaly (disorder)

65476007 : { 363698007 = 10200004 } { 363698007 = 62167004 }

Abnormal size (finding) : { Finding site (attribute) = Liver structure (body structure) } { Finding site (attribute) = Splenic structure (body structure) }

SNOMED Clinical Terms

Hernien

128545000

Hernia of abdominal wall (disorder)

SNOMED Clinical Terms


Untersuchung - Herz, Kreislauf

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KONZEPT & WIEDERGABENAME

Code

BEZEICHNUNG IM CODESYSTEM

Codesystem

Herzfrequenz

361135004

Abnormal cardiac rate (finding)

SNOMED Clinical Terms

Herzrhythmus

698247007

Cardiac arrhythmia (disorder)

SNOMED Clinical Terms

Herztöne

123824001

Heart sounds abnormal (finding)

SNOMED Clinical Terms

Herznebengeräusche

268934006

88610006

Heart On examination - cardiac murmur (finding)

SNOMED Clinical Terms

Femoralispulse

274723005

50178004Abnormal femoral pulse (findingFemoral bruit present (situation)

SNOMED Clinical Terms


U4 - Untersuchung - Bewegungsapparat

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CodeBEZEICHNUNG IM CODESYSTEMCodesystem
106028002106029005Musculoskeletal finding function (findingobservable entity)SNOMED Clinical Terms

FHIR®-Mapping: 

...

KONZEPT & WIEDERGABENAMECodeBEZEICHNUNG IM CODESYSTEMCodesystem
Asymmetrien

422949007

Musculoskeletal asymmetry (finding)

SNOMED Clinical Terms

Schiefhaltung

43029002

Abnormal posture (finding)

SNOMED Clinical Terms

Spontanmotorik

225606002

Abnormal movement (finding)

SNOMED Clinical Terms

Muskeltonus

366725004

Finding of muscle tone (finding)

SNOMED Clinical Terms

Opisthotonus

8652009

Opisthotonus (finding)

SNOMED Clinical Terms

passive Beweglichkeit der großen Gelenke

298180004

Finding of range of joint movement (finding)

SNOMED Clinical Terms

Muskeleigenreflexe

366420008

Peripheral reflex finding (finding)

SNOMED Clinical Terms

Handgreifreflex

366142003299745004 + 299746003

Palmar reflex absent (finding) + Palmar reflex equivocal (finding)

SNOMED Clinical Terms

Fußgreifreflex

366553001

246592003 + 246589002

Absent plantar response (finding) + Equivocal plantar response Plantar reflex finding (finding)

SNOMED Clinical Terms

Neugeborenenreflexe

366121000

Primitive reflex finding (finding)

SNOMED Clinical Terms

klinische Frakturzeichen

404684003 : 116676008 = 72704001

Clinical finding (finding) : Associated morphology (attribute) = Fracture (morphologic abnormality)

SNOMED Clinical Terms

...

KONZEPT & WIEDERGABENAMECodeBEZEICHNUNG IM CODESYSTEMCodesystem
Fehlhaltung

70070008

111235007

Musculoskeletal disorder of the neck Torticollis (disorder)

SNOMED Clinical Terms

Dysmorphiezeichen

253978002

Dysmorphic features (finding)

SNOMED Clinical Terms

Schädelnähte

248387005

Cranial suture finding (finding)

SNOMED Clinical Terms

Kephalhämatom

206200000

Cephalhematoma due to birth trauma (disorder)

SNOMED Clinical Terms

Fontanellentonus

366372002

Finding of level of fontanelle (finding)

SNOMED Clinical Terms

...

Terminologie Assoziation:

CODE

BEZEICHNUNG IM CODESYSTEM

CODESYSTEM

301310005Finding of face (finding
271914002 + 364111005Ear, nose and throat examination finding (observable entity)  + Oral cavity observable (observable entity)SNOMED Clinical Terms

FHIR®-Mapping: 

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KONZEPT & WIEDERGABENAMECodeBEZEICHNUNG IM CODESYSTEMCodesystem
Auffälligkeiten der Schleimhaut und des Kieferkamms

116337000300255008

Oral cavity finding problem (finding)

SNOMED Clinical Terms

Kiefer- Gaumenanomalie

449790007

Orofacial cleft (disorder)

SNOMED Clinical Terms

Verletzungszeichen

125593007

Injury of face (disorder)

SNOMED Clinical Terms

abnorme Größe der Zunge

366233004

65476007 : 363698007 = 21974007

Abnormal size (finding) : Finding site (attribute) = Tongue structure (body structureFinding of size of tongue (finding)

SNOMED Clinical Terms

behinderte Nasenatmung

232209000

Nasal obstruction (disorder)

SNOMED Clinical Terms

orofacialer Hypotonus

367381002

Weak mouth closure (finding)

SNOMED Clinical Terms

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