Versionen im Vergleich

Alte Version 17

changes.mady.by.user Dr. Heiko Waldmüller

Gespeichert am

verglichen mit

Neue Version Aktuell

changes.mady.by.user Samer Schaat

Gespeichert am

Schlüssel

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Es wurden keine medizinisch-fachlichen Änderungen am Informationsmodell durchgeführt. Jedoch gab es kleinere Anpassungen im Informationsmodell wegen der Weiterentwicklung bestimmter Modellierungsregeln im Sinne einer Vereinheitlichung der MIOs untereinander, z. B. eine Anpassung einiger Konformitäten ohne Veränderung der Kardinalitäten, so dass die FHIR®-Spezifikation hiervon nicht berührt wird. Es erfolgte eine Änderung (Format-Erläuterungen):

  • von 1...1 R auf 1...1 M und
  • von 1...* R auf 1...* M

Außerdem wurde die aktuellen aktuelle Version der KBV-Basisprofile (1.1.3) verwendet. Dies führte jedoch zu keiner Änderungen Änderung der Modellstruktur.

1.2 Codierung

  • Die LOINC® Version wurde auf 2.7 69 aktualisiert, jedoch waren keine Anpassung Anpassungen nötig.
  • Die SNOMED-CT® Version wurde auf das die Version des International Release vom 31.0701.212021 aktualisiert. Folgende Anpassungen waren dabei nötigDies erforderte folgende Anpassungen:
BeschreibungVersion 1.0.0Version 1.0.1Begründung

Ikterus

U2 - Untersuchung -Haut

U3 - Untersuchung - Haut

U4 - Untersuchung - Haut

162740002 |On examination - jaundiced color (finding)|

18165001 |Jaundice (finding)|

Code inaktiv

Hornhautreflexbildchen: auffällig (Strabismus)

U7a - Untersuchung -Augen

U8 - Untersuchung - Augen

U9 - Untersuchung - Augen


164011009 |On examination - strabismus - squint (finding)|

 22066006 |Strabismus (disorder)|

Code inaktiv
pH-Wert (Nabelarterie)

363787002 : 370134009 = 123029007 , 704319004 = 12499000 , 704318007 = 118556004 , 370132008 = 30766002 , 704327008 = 703430008 , 246093002 = 68615006 , 246501002 = 723208001

Observable entity (observable entity) : Time aspect (attribute) = Single point in time (qualifier value) , Inheres in (attribute) = Cord blood (substance) , Property type (attribute) = Substance concentration (property) (qualifier value) , Scale type (attribute) = Quantitative (qualifier value) , Direct site (attribute) = Arterial cord blood specimen (specimen) , Component (attribute) = Bicarbonate (substance) , Technique (attribute) = Base excess calculation technique (qualifier value)

363787002 : 370134009 = 123029007 , 704319004 = 12499000 , 118598001 = 118556004 , 370132008 = 30766002 , 704327008 = 703430008 , 246093002 = 68615006 , 246501002 = 723208001

Observable entity (observable entity) : Time aspect (attribute) = Single point in time (qualifier value) , Inheres in (attribute) = Cord blood (substance) , Property (attribute) = Substance concentration (property) (qualifier value) , Scale type (attribute) = Quantitative (qualifier value) , Direct site (attribute) = Arterial cord blood specimen (specimen) , Component (attribute) = Bicarbonate (substance) , Technique (attribute) = Base excess calculation technique (qualifier value)

Code inaktiv
Base excess

363787002 : 370134009 = 123029007 , 704319004 = 12499000 , 704318007 = 118556004 , 370132008 = 30766002 , 704327008 = 703430008 , 246093002 = 68615006 , 246501002 = 723208001

Observable entity (observable entity) : Time aspect (attribute) = Single point in time (qualifier value) , Inheres in (attribute) = Cord blood (substance) , Property type (attribute) = Substance concentration (property) (qualifier value) , Scale type (attribute) = Quantitative (qualifier value) , Direct site (attribute) = Arterial cord blood specimen (specimen) , Component (attribute) = Bicarbonate (substance) , Technique (attribute) = Base excess calculation technique (qualifier value)

363787002 : 370134009 = 123029007 , 704319004 = 12499000 , 118598001 = 118556004 , 370132008 = 30766002 , 704327008 = 703430008 , 246093002 = 68615006 , 246501002 = 723208001

Observable entity (observable entity) : Time aspect (attribute) = Single point in time (qualifier value) , Inheres in (attribute) = Cord blood (substance) , Property (attribute) = Substance concentration (property) (qualifier value) , Scale type (attribute) = Quantitative (qualifier value) , Direct site (attribute) = Arterial cord blood specimen (specimen) , Component (attribute) = Bicarbonate (substance) , Technique (attribute) = Base excess calculation technique (qualifier value)

Code inaktiv

U2 - Untersuchung - Abdomen, Genitale

U3 - Untersuchung - Abdomen, Genitale

U4 - Untersuchung - Abdomen, Genitale

U5 - Untersuchung - Abdomen, Genitale

U6 - Untersuchung - Abdomen, Genitale

U7 - Untersuchung - Abdomen, Genitale

 U7a - Untersuchung - Abdomen, Genitale

U8 - Untersuchung - Abdomen, Genitale

U9 - Untersuchung - Abdomen, Genitale

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

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

65476007:{363698007=10200004,363698007=78961009}

Abnormal size (finding) : {Finding site (attribute) = Liver structure (body structure) , Finding site (attribute) = Splenic structure (body structure)}		Code inaktiv
U5U2/U6 U3 - Untersuchung  Untersuchung - Abdomen, Genitale

Alter inaktiver Code innerhalb des postkoordinierten Codes: 21390004 21390004 |Developmental anomaly (morphologic abnormality)|


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) }


Neuer aktiver Code innerhalb des postkoordinierten Codes: 49755003 |Morphologically abnormal structure (morphologic abnormality)|


822987005:{116676008=49755003,363698007=818987002}

Finding of abdominopelvic segment of trunk (finding) : {Associated morphology (attribute)  = Morphologically abnormal structure (morphologic abnormality) , Finding site (attribute) = Structure of abdominopelvic cavity (body structure)

Code inaktiv

}


U4 U2/U3 - Untersuchung - Abdomen, Genitale

Alter inaktiver Code innerhalb des postkoordinierten Codes: 21390004 21390004 |Developmental anomaly (morphologic abnormality)|


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) }


Neuer aktiver Code innerhalb des postkoordinierten Codes: 49755003 |Morphologically abnormal structure (morphologic abnormality)|


822987005:{116676008=49755003,363698007=818987002

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

Code inaktiv
U5/U6 - Untersuchung U4 - Untersuchung - Abdomen, Genitale

Alter inaktiver Code innerhalb des postkoordinierten Codes: 21390004 21390004 |Developmental anomaly (morphologic abnormality)|


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) }


Neuer aktiver Code innerhalb des postkoordinierten Codes: 49755003 |Morphologically abnormal structure (morphologic abnormality)|


822987005:{116676008=49755003,363698007=818987002}

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

Code inaktiv


1.3 Technische Spezifikation

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