IN ERSTELLUNG
Terminologie Assoziation
| Code | Wiedergabename | Codesystem |
|---|---|---|
| 106076001 | Skin finding (finding) | SNOMED Clinical Terms |
FHIR-Mapping
U2 - Untersuchung - Haut
Terminologie Assoziation
| Code | Wiedergabename | Codesystem |
|---|---|---|
| 106076001 | Skin finding (finding) | SNOMED Clinical Terms |
Typ Kode
Value Set Assoziation required U2 - Haut (Dynamisch)
Konzepte
| Konzept | Beschreibung | Code | Wiedergabename | Codesystem |
|---|---|---|---|---|
| auffällige Blässe | 267029006 | Pale - symptom (finding) | SNOMED Clinical Terms | |
| Zyanose | 3415004 | Cyanosis (finding) | SNOMED Clinical Terms | |
| Ikterus | 162740002 | On examination - jaundiced color (finding) | SNOMED Clinical Terms | |
| Hämangiome | Ein Hämangiom ist eine Blickdiagnose. | 400210000 | Hemangioma (disorder) | SNOMED Clinical Terms |
| Naevi und andere Pigmentanomalien | 21119008 | Pigmented nevus, no International Classification of Diseases for Oncology subtype (morphologic abnormality) | SNOMED Clinical Terms | |
| Ödeme | 267038008 | Edema (finding) | SNOMED Clinical Terms | |
| Anhalt für Verletzungen (z.B. Hämatome, Petechien, Verbrennung, Narben) | 781645001 | Injury to skin caused by trauma (finding) | SNOMED Clinical Terms | |
| Hydratationszustand | 405006006 | Hydration status (observable entity) | SNOMED Clinical Terms |
FHIR-Mapping
U2 - Untersuchung - Thorax, Lunge, Atemwege
Terminologie Assoziation CODE WIEDERGABENAME CODESYSTEM Typ Kode Value Set Assoziation required U2, U3, U4 - Thorax, Lunge, Atemwege (Dynamisch) Konzepte KONZEPT CODE WIEDERGABENAME CODESYSTEM 128254003 Respiratory auscultation finding (finding) SNOMED Clinical Terms 301285005 Finding of sound of breathing (finding) SNOMED Clinical Terms 17077006 Abnormal respiratory rate (finding) SNOMED Clinical Terms 37794007 Retraction (finding) SNOMED Clinical Terms 366457002 Finding of form of thorax (finding) SNOMED Clinical Terms 298761006 Finding of clavicle structure (finding) SNOMED Clinical Terms FHIR-Mapping106048009 Respiratory finding (finding) SNOMED Clinical Terms Auskultation Atemgeräusch Atemfrequenz Einziehungen Thoraxkonfiguration Schlüsselbeine
U2 - Untersuchung - Abdomen, Genitale
Terminologie Assoziation CODE WIEDERGABENAME CODESYSTEM Typ Kode Value Set Assoziation required U2,U3 - Abdomen, Genitale (Dynamisch) Konzepte KONZEPT CODE WIEDERGABENAME CODESYSTEM 822987005 Finding of abdominopelvic segment of trunk (finding) SNOMED Clinical Terms 289299005 Umbilical cord finding (finding) SNOMED Clinical Terms 36760000 Hepatosplenomegaly (disorder) SNOMED Clinical Terms 128545000 Hernia of abdominal wall (disorder) SNOMED Clinical Terms FHIR-Mapping609624008 Finding of abdomen (finding) SNOMED Clinical Terms Anomalien Nabelveränderungen Leber- und Milzgröße Hernien
U2 - Untersuchung - Herz, Kreislauf
Beschreibung Untersuchung des Herz-Kreislaufsystems mittels Auskultation. Terminologie Assoziation CODE WIEDERGABENAME CODESYSTEM Typ Kode Value Set Assoziation required U2, U3, U4, U5, U6 - Herz, Kreislauf (Dynamisch) Konzepte KONZEPT CODE WIEDERGABENAME CODESYSTEM 301113001 Finding of heart rate (finding) SNOMED Clinical Terms 301112006 Finding of heart rhythm (finding) SNOMED Clinical Terms 301126002 Finding of heart sounds (finding) SNOMED Clinical Terms 268934006 On examination - cardiac murmur (finding) SNOMED Clinical Terms 274723005 Femoral bruit present (situation) SNOMED Clinical Terms FHIR-Mapping106063007 Cardiovascular finding (finding) SNOMED Clinical Terms Herzfrequenz Herzrhythmus Herztöne Herznebengeräusche Femoralispulse
U2 - Untersuchung - Ohren
Terminologie Assoziation CODE WIEDERGABENAME CODESYSTEM Typ Kode Value Set Assoziation required U2, U3 - Ohren (Dynamisch) Konzepte KONZEPT CODE WIEDERGABENAME CODESYSTEM 282038006 Congenital abnormality of external ear (disorder) SNOMED Clinical Terms FHIR-Mapping247234006 Ear finding (finding) SNOMED Clinical Terms Fehlbildungen (z. B. Ohrfisteln, Anhängsel, Atresie)
U2 - Untersuchung - Bewegungsapparat
Beschreibung Inspektion des ganzen Körpers in Rücken- und Bauchlage und aufrecht gehalten.
Terminologie Assoziation
| Code | Wiedergabename | Codesystem |
|---|---|---|
| 106028002 | Musculoskeletal finding (finding) | SNOMED Clinical Terms |
Typ Kode
Value Set Assoziation required U2 - Bewegungsapparat (Dynamisch)
Konzepte
| Konzept | Code | Wiedergabename | Codesystem |
|---|---|---|---|
| Asymmetrien | 422949007 | Musculoskeletal asymmetry (finding) | SNOMED Clinical Terms |
| Schiefhaltung | 43029002 | Abnormal posture (finding) | SNOMED Clinical Terms |
| Spontanmotorik | 298325004 | Finding of 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 |
| Moro-Reaktion | 299742001 | Moro reflex absent (finding) | SNOMED Clinical Terms |
| Galant-Reflex | 299796002 | Galant's reflex absent (finding) | SNOMED Clinical Terms |
| Schreitautomatismus | 366210000 | Stepping reflex finding (finding) | SNOMED Clinical Terms |
| klinische Frakturzeichen | 404684003 : 116676008 = 72704001 | Clinical finding (finding) : Associated morphology (attribute) = Fracture (morphologic abnormality) | SNOMED Clinical Terms |
FHIR-Mapping
U2 - Untersuchung - Kopf
Terminologie Assoziation
| Code | Wiedergabename | Codesystem |
|---|---|---|
| 406122000 | Head finding (finding) | SNOMED Clinical Terms |
Typ Kode
Value Set Assoziation required U2 - Kopf (Dynamisch)
Konzepte
| Konzept | Code | Wiedergabename | Codesystem |
|---|---|---|---|
| Fehlhaltung | 70070008 | 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 |
| Crepitatio capitis | 23149001 : 363698007 = 783207002 | Bone crepitus (finding) : Finding site (attribute) = Bone and/or joint structure of cranium (body structure) | SNOMED Clinical Terms |
FHIR-Mapping
U2 - Untersuchung - Mundhöhle, Kiefer, Nase
Terminologie Assoziation
| Code | Wiedergabename | Codesystem |
|---|---|---|
| 301310005 | Finding of face (finding) | SNOMED Clinical Terms |
Typ Kode
Value Set Assoziation required U2 - Mundhöhle, Kiefer, Nase (Dynamisch)
Konzepte
| Konzept | Code | Wiedergabename | Codesystem |
|---|---|---|---|
| Auffälligkeiten der Schleimhaut und des Kieferkamms | 116337000 | Oral cavity finding (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 | Finding of size of tongue (finding) | SNOMED Clinical Terms |
| behinderte Nasenatmung | 232209000 | Nasal obstruction (finding) | SNOMED Clinical Terms |
FHIR-Mapping
U2 - Untersuchung - Augen
Beschreibung Augenuntersuchung mittels Inspektion und Prüfung im durchfallenden Licht. Terminologie Assoziation CODE WIEDERGABENAME CODESYSTEM Typ Kode Value Set Assoziation required U2, U3 - Augen (Dynamisch) Konzepte KONZEPT CODE WIEDERGABENAME CODESYSTEM 737269000 Eye appearance abnormal (finding) SNOMED Clinical Terms 307699005 Nystagmus present (finding) SNOMED Clinical Terms 400964006 Iris transillumination (finding) SNOMED Clinical Terms FHIR-Mapping308923001 Eye symptom (finding) SNOMED Clinical Terms morphologische Auffälligkeiten (z. B. Ptosis, Leukokorie, Bulbusgrößenauffälligkeiten, Kolobom Nystagmus Transilluminationsauffälligkeit bei Trübung der brechenden Medien
Kommentierungen
Fehler beim Ausführen des Makros 'issuereporter'
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