...
| Short | Definition | Min | Max | Type(s) | Binding Strength | Binding Description | E-hälsomyndigheten (arbete med PS MyHealth@EU, land B) | ||||
| B.1.3.2 - Current problems section | Current problems section | 0 | 1 | Base | |||||||
| B.1.3.2.1 - Subsection narativeNarative | Narrative, potentially formatted, content of the | subsection.section | 0 | 1 | string | ||||||
| B.1.3.2.2 - | Health conditions affecting the health of the patient and are important to be known for a health professional during a health encounter. | 1 | * | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition | Benämning: "Diagnoser" (kallade detta initialt Hälsoproblem / diagnoser, men då det endast var ICD-10 och orpanet-koder för sällsynta sjukdomar döpte vi denna till Diagnoser) |
...
| Short | Definition | Min | Max | Type(s) | Binding Strength | Binding Description | E-hälsomyndigheten (arbete med PS MyHealth@EU, land B) | |||
| Condition model | C.15 - EHDS refined base model for A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. | 0 | * | |||||||
| C.15.1 - Identifier | Condition identifier | 0 | * | Identifier | Inget som visas i gränssnittet | |||||
| C.15.2 - Description | Condition specification in narrative form | 0 | 1 | Narrative | Problem vi sett: Informationen beskrivs textuellt eller som tabeller, dvs all den strukturerade informationen upprepas här, på olika sätt. Svårt att visa bra i ett gränssnitt. | |||||
| C.15.3 - Code | Code identifying the condition, problem or diagnosis | 0 | 1 | CodeableConcept | preferred | ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed | Benämning: "Hälsoproblem / diagnos" 3 kodverk:
Snomed CT beskrivs inte inom MyHealth@EU. Är det till för mappningen Snomed - Orphanet eller för vilka diagnoser/hälsotillstånd? | |||
| C.15.4 - Onset date | Onset date of a problem/condition | 0 | 1 | dateTime | Benämning: "Diagnosdatum" och "Diagnosdatum start" (används när slutdatumet också visas) | |||||
| C.15.5 - End date | The date or estimated date that the condition resolved or went into remission. | 0 | 1 | dateTime | Benämning: "Diagnosdatum slut" | |||||
| C.15.6 - Category | Category or categories of the problem. | 0 | * | CodeableConcept | Nytt, finns inte i MyHealth@EU | |||||
| C.15.7 - Clinical status | Status of the condition/problem (active, resolved, inactive, ...) | 0 | 1 | CodeableConcept | preferred | HL7 Condition-clinical-status
| Benämning: "Status" och "Status för diagnos" används. Snomed CT:
| |||
| C.15.8 - Resolution circumstances | Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.). This field includes "free text" if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures). | 0 | * | CodeableReference(Resource) | Benämning: "Aktuellt hälsotillstånd" Snomed CT (för kodat) eHDSIResolutionOutcome
| |||||
| C.15.9 - Severity | A subjective assessment of the severity of the condition as evaluated by the clinician. | 0 | 1 | CodeableConcept | preferred | HL7 Condtion-severity
| Benämning: "Allvarlighetsgrad" Snomed CT eHDSISeverity
| |||
| C.15.10 - Anatomic location | The anatomical location including laterality where this condition manifests itself. | 0 | * | CodeableConcept | preferred | SNOMED CT | Nytt, finns inte i MyHealth@EU | |||
| C.15.11 - Stage | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used. | 0 | * | CodeableConcept | preferred | e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, … | Nytt, finns inte i MyHealth@EU | |||
| C.15.12 - Subject | Indicates the patient or group who the condition record is associated with. | 1 | 1 | Reference(https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient|https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSGroup) | Benämning: Patient Grupp är nytt, finns inte i MyHealth@EU | |||||
| C.15.13 - Participant | Who or what participated in the activities related to the condition and how they were involved. | 0 | * | Base | Tror att detta motsvarar Reference Center/Practitioner The contained entry describes the care provision act performed by the reference center and practictioner. Benämning. "Vårdgivare kontakt" | |||||
| C.15.13.1 - Function | Type of participant involvement. | 0 | 1 | CodeableConcept | preferred | To be specified | Nytt, finns inte i MyHealth@EU | |||
| C.15.13.2 - Actor | Identify the Health Professional who may be specifically related to the condition, e.g., as a preferred contact. | 1 | 1 | Reference(https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional) | Benämning: "Vårdpersonal" (för person) och "Vårdgivare/vårdenhet" (för organisation) | |||||
| C.15.14 - External Resourcerelated with | Identify the External Resource which may be specifically relatedto the problem, for example a link between a rare disease problemand the corresponding guidelines. | 0 | * | uri | Benämning: "Referenser" | |||||
| C.15.15 - Diagnosis assertion status | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition. | 0 | 1 | CodeableConcept | preferred | HL7 Condition-ver-status
| Benämning: "Bestämningsvärde för diagnos" eHDSICertainty
|
