FHIR IG analytics| Package | de.medizininformatikinitiative.kerndatensatz.seltene |
| Resource Type | Bundle |
| Id | Bundle-mii-exa-seltene-bundle-sma-complete.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "mii-exa-seltene-bundle-sma-complete",
"type": "transaction",
"timestamp": "2024-08-12T14:00:00Z",
"entry": [
{
"fullUrl": "urn:uuid:6830d99e-9bbe-48ed-8927-ff28eadc42e0",
"resource": {
"resourceType": "Patient",
"id": "mii-exa-seltene-patient-sma-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Patient_mii-exa-seltene-patient-sma-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient mii-exa-seltene-patient-sma-001</b></p><a name=\"mii-exa-seltene-patient-sma-001\"> </a><a name=\"hcmii-exa-seltene-patient-sma-001\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</p><hr/></div></div>"
},
"identifier": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/sid/patient-id",
"value": "SMA-2024-001"
}
],
"gender": "female",
"birthDate": "2024-07-01"
},
"request": {
"method": "POST",
"url": "Patient"
}
},
{
"fullUrl": "urn:uuid:117180a6-0392-47c5-8841-aa5b57d0e47e",
"resource": {
"resourceType": "Condition",
"id": "mii-exa-seltene-condition-sma-suspected",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-clinical-diagnosis|2027.0.0-ballot"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Condition_mii-exa-seltene-condition-sma-suspected\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition mii-exa-seltene-condition-sma-suspected</b></p><a name=\"mii-exa-seltene-condition-sma-suspected\"> </a><a name=\"hcmii-exa-seltene-condition-sma-suspected\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-seltene-clinical-diagnosis.html\">MII PR SE Clinical Diagnosis</a> version: 2027.0.0-ballot</p></div><p><b>Condition Asserted Date</b>: 2024-07-18</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status unconfirmed}\">Unconfirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 64383006}, {http://human-phenotype-ontology.org HP:0007373}\">Verdacht auf Spinale Muskelatrophie</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-seltene-encounter-screening-001.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Neonatal screening (procedure); period = 2024-07-18 --> 2024-07-18; reasonCode = </a></p><p><b>recordedDate</b>: 2024-07-18</p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Positives Neugeborenenscreening</span></td><td><a href=\"Observation-mii-exa-seltene-observation-sma-screening.html\">Observation Spinal muscular atrophy newborn screening panel</a></td></tr></table><p><b>note</b>: </p><blockquote><div><p>Verdacht beim Neugeborenenscreening gestellt - SMN1 Exon 7 nicht nachweisbar</p>\n</div></blockquote></div></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime": "2024-07-18"
}
],
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "unconfirmed"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "64383006",
"display": "Werdnig-Hoffmann disease"
},
{
"system": "http://human-phenotype-ontology.org",
"code": "HP:0007373",
"display": "Motor neuron atrophy"
}
],
"text": "Verdacht auf Spinale Muskelatrophie"
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"encounter": {
"reference": "Encounter/mii-exa-seltene-encounter-screening-001"
},
"recordedDate": "2024-07-18",
"evidence": [
{
"code": [
{
"text": "Positives Neugeborenenscreening"
}
],
"detail": [
{
"reference": "Observation/mii-exa-seltene-observation-sma-screening"
}
]
}
],
"note": [
{
"text": "Verdacht beim Neugeborenenscreening gestellt - SMN1 Exon 7 nicht nachweisbar"
}
]
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:7041e5af-feab-4650-af1b-e2051ba0a95a",
"resource": {
"resourceType": "Condition",
"id": "mii-exa-seltene-condition-sma-clinical",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-clinical-diagnosis|2027.0.0-ballot"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Condition_mii-exa-seltene-condition-sma-clinical\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition mii-exa-seltene-condition-sma-clinical</b></p><a name=\"mii-exa-seltene-condition-sma-clinical\"> </a><a name=\"hcmii-exa-seltene-condition-sma-clinical\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-seltene-clinical-diagnosis.html\">MII PR SE Clinical Diagnosis</a> version: 2027.0.0-ballot</p></div><p><b>Condition Asserted Date</b>: 2024-07-22</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm G12.0}, {http://snomed.info/sct 64383006}, {http://www.orpha.net 83330}, {http://human-phenotype-ontology.org HP:0007373}\">Infantile spinale Muskelatrophie, Typ I [Typ Werdnig-Hoffmann]</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-seltene-encounter-ambulant-001.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Follow-up encounter; period = 2024-07-22 --> 2024-07-22</a></p><p><b>onset</b>: 2024-07-01</p><p><b>recordedDate</b>: 2024-07-22</p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Klinische Präsentation</span></td><td><a href=\"Observation-mii-exa-seltene-observation-troponin-001.html\">Observation Troponin T.cardiac [Mass/volume] in Serum or Plasma</a></td></tr></table><p><b>note</b>: </p><blockquote><div><p>Klinische Diagnose basierend auf typischer Präsentation: Neonatale Hypotonie, fehlende Muskeleigenreflexe, erhöhtes Troponin</p>\n</div></blockquote></div></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime": "2024-07-22"
}
],
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
"version": "2024",
"code": "G12.0",
"display": "Infantile spinale Muskelatrophie, Typ I [Typ Werdnig-Hoffmann]"
},
{
"system": "http://snomed.info/sct",
"code": "64383006",
"display": "Werdnig-Hoffmann disease"
},
{
"system": "http://www.orpha.net",
"code": "83330",
"display": "Proximal spinal muscular atrophy type 1"
},
{
"system": "http://human-phenotype-ontology.org",
"code": "HP:0007373",
"display": "Motor neuron atrophy"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"encounter": {
"reference": "Encounter/mii-exa-seltene-encounter-ambulant-001"
},
"onsetDateTime": "2024-07-01",
"recordedDate": "2024-07-22",
"evidence": [
{
"code": [
{
"text": "Klinische Präsentation"
}
],
"detail": [
{
"reference": "Observation/mii-exa-seltene-observation-troponin-001"
}
]
}
],
"note": [
{
"text": "Klinische Diagnose basierend auf typischer Präsentation: Neonatale Hypotonie, fehlende Muskeleigenreflexe, erhöhtes Troponin"
}
]
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:9596df71-0f1b-495f-bf1c-16708dc952bf",
"resource": {
"resourceType": "Condition",
"id": "mii-exa-seltene-condition-sma-genetic",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-genetic-diagnosis|2027.0.0-ballot"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Condition_mii-exa-seltene-condition-sma-genetic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition mii-exa-seltene-condition-sma-genetic</b></p><a name=\"mii-exa-seltene-condition-sma-genetic\"> </a><a name=\"hcmii-exa-seltene-condition-sma-genetic\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-seltene-genetic-diagnosis.html\">MII PR SE Genetic Diagnosis</a> version: 2027.0.0-ballot</p></div><p><b>Condition Asserted Date</b>: 2024-07-26</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 782964007}\">Genetic disease</span></p><p><b>code</b>: <span title=\"Codes:{http://omim.org 253300}, {http://snomed.info/sct 64383006}, {http://www.orpha.net 83330}\">Spinal muscular atrophy, type I</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>onset</b>: 2024-07-01</p><p><b>recordedDate</b>: 2024-07-26</p><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 106221001}\">Genetic finding</span></p><p><b>detail</b>: </p><ul><li><a href=\"Observation-mii-exa-seltene-variant-smn1-001.html\">Observation Genetic analysis master panel</a></li><li><a href=\"Observation-mii-exa-seltene-variant-smn2-001.html\">Observation Genetic analysis master panel</a></li></ul></blockquote><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 405824009}\">Genetic test</span></p><p><b>detail</b>: <a href=\"DiagnosticReport-mii-exa-seltene-molgen-diagnostic-implication-sma.html\">Diagnostic Report for 'Genetic analysis report' for '->Max Mustermann (official) Male, DoB: 1990-01-01 ( http://test-krankenhaus.de/fhir/sid/patienten#12345)'</a></p></blockquote><p><b>note</b>: </p><blockquote><div><p>0 Kopien des SMN1-Gens, 2 Kopien des SMN2-Gens - krankheitsursächlich. Genetische Diagnose existiert parallel zur klinischen Diagnose.</p>\n</div></blockquote></div></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime": "2024-07-26"
}
],
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
}
]
},
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "782964007",
"display": "Genetic disease"
}
]
}
],
"code": {
"coding": [
{
"system": "http://omim.org",
"version": "2024",
"code": "253300",
"display": "Spinal muscular atrophy, type I"
},
{
"system": "http://snomed.info/sct",
"code": "64383006",
"display": "Werdnig-Hoffmann disease"
},
{
"system": "http://www.orpha.net",
"code": "83330",
"display": "Proximal spinal muscular atrophy type 1"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"onsetDateTime": "2024-07-01",
"recordedDate": "2024-07-26",
"evidence": [
{
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "106221001",
"display": "Genetic finding"
}
]
}
],
"detail": [
{
"reference": "Observation/mii-exa-seltene-variant-smn1-001"
},
{
"reference": "Observation/mii-exa-seltene-variant-smn2-001"
}
]
},
{
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "405824009",
"display": "Genetic test"
}
]
}
],
"detail": [
{
"reference": "DiagnosticReport/mii-exa-seltene-molgen-diagnostic-implication-sma"
}
]
}
],
"note": [
{
"text": "0 Kopien des SMN1-Gens, 2 Kopien des SMN2-Gens - krankheitsursächlich. Genetische Diagnose existiert parallel zur klinischen Diagnose."
}
]
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:00e23000-f21c-470d-8f71-1942f0f72efe",
"resource": {
"resourceType": "FamilyMemberHistory",
"id": "mii-exa-seltene-family-history-001",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-familienanamnese|2027.0.0-ballot"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"FamilyMemberHistory_mii-exa-seltene-family-history-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory mii-exa-seltene-family-history-001</b></p><a name=\"mii-exa-seltene-family-history-001\"> </a><a name=\"hcmii-exa-seltene-family-history-001\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-seltene-familienanamnese.html\">MII PR SE Familienanamnese</a> version: 2027.0.0-ballot</p></div><p><b>MII EX SE Von SE betroffen</b>: <span title=\"Codes:{http://snomed.info/sct 261665006}\">Unknown</span></p><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>date</b>: 2024-07-22</p><p><b>relationship</b>: <span title=\"Codes:{http://snomed.info/sct 78652007}\">Great grandmother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 129565002}\">Unbekannte Muskelerkrankung</span></td></tr></table></div></div>"
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-von-se-betroffen",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "261665006",
"display": "Unknown"
}
]
}
}
],
"status": "completed",
"patient": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"date": "2024-07-22",
"relationship": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "78652007",
"display": "Great grandmother"
}
]
},
"condition": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129565002",
"display": "Disorder of muscle"
}
],
"text": "Unbekannte Muskelerkrankung"
}
}
]
},
"request": {
"method": "POST",
"url": "FamilyMemberHistory"
}
},
{
"fullUrl": "urn:uuid:07ff35a6-561b-4a3b-bfc0-be528e6ab5a4",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-observation-sma-screening",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-observation-sma-screening\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-observation-sma-screening</b></p><a name=\"mii-exa-seltene-observation-sma-screening\"> </a><a name=\"hcmii-exa-seltene-observation-sma-screening\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 92005-8}\">Spinal muscular atrophy newborn screening panel</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-07-18</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260373001}\">Detected</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation A}\">Abnormal</span></p><p><b>note</b>: </p><blockquote><div><p>Positives SMA-Screening. Konfirmatorische Diagnostik empfohlen.</p>\n</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 92004-1}\">Spinal muscular atrophy newborn screen interpretation</span></p><p><b>value</b>: <span title=\"Codes:\">Hinweis auf SMA - SMN1 Exon 7 Deletion nachgewiesen</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 92002-5}\">SMN1 gene [Cycle Threshold #] in DBS by NAA with probe detection</span></p><p><b>value</b>: 0 Ct<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1 = '1')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation A}\">Abnormal</span></p></blockquote></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92005-8",
"display": "Spinal muscular atrophy newborn screening panel"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-07-18",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260373001",
"display": "Detected"
}
]
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "A",
"display": "Abnormal"
}
]
}
],
"note": [
{
"text": "Positives SMA-Screening. Konfirmatorische Diagnostik empfohlen."
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92004-1",
"display": "Spinal muscular atrophy newborn screen interpretation"
}
]
},
"valueCodeableConcept": {
"text": "Hinweis auf SMA - SMN1 Exon 7 Deletion nachgewiesen"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92002-5",
"display": "SMN1 gene [Cycle Threshold #] in DBS by NAA with probe detection"
}
]
},
"valueQuantity": {
"value": 0,
"unit": "Ct",
"system": "http://unitsofmeasure.org",
"code": "1"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "A",
"display": "Abnormal"
}
]
}
]
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:89231fbc-2218-499e-b3f5-c11368975c6e",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-variant-smn1-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-variant-smn1-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-variant-smn1-001</b></p><a name=\"mii-exa-seltene-variant-smn1-001\"> </a><a name=\"hcmii-exa-seltene-variant-smn1-001\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 55233-1}\">Genetic analysis master panel</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-07-26</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 10828004}\">Positive</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation POS}\">Positive</span></p><p><b>note</b>: </p><blockquote><div><p>Homozygote Deletion des SMN1-Gens, krankheitsursächlich für SMA</p>\n</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.genenames.org/geneId HGNC:11117}\">SMN1</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 62374-4}\">Human reference sequence assembly version</span></p><p><b>value</b>: <span title=\"Codes:\">GRCh38</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 53034-5}\">Allelic state</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6705-3}\">Homozygous</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Copy Number</span></p><p><b>value</b>: 0 copies</p></blockquote></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55233-1",
"display": "Genetic analysis master panel"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-07-26",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "POS",
"display": "Positive"
}
]
}
],
"note": [
{
"text": "Homozygote Deletion des SMN1-Gens, krankheitsursächlich für SMA"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48018-6",
"display": "Gene studied [ID]"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://www.genenames.org/geneId",
"code": "HGNC:11117",
"display": "SMN1"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "62374-4",
"display": "Human reference sequence assembly version"
}
]
},
"valueCodeableConcept": {
"text": "GRCh38"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "53034-5",
"display": "Allelic state"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6705-3",
"display": "Homozygous"
}
]
}
},
{
"code": {
"text": "Copy Number"
},
"valueQuantity": {
"value": 0,
"unit": "copies"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:3325c12d-0646-433e-8e46-042168eccf92",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-variant-smn2-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-variant-smn2-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-variant-smn2-001</b></p><a name=\"mii-exa-seltene-variant-smn2-001\"> </a><a name=\"hcmii-exa-seltene-variant-smn2-001\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 55233-1}\">Genetic analysis master panel</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-07-26</p><p><b>note</b>: </p><blockquote><div><p>2 Kopien des SMN2-Gens, Modifikator des Phänotyps</p>\n</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.genenames.org/geneId HGNC:11118}\">SMN2</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Copy Number</span></p><p><b>value</b>: 2 copies</p></blockquote></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55233-1",
"display": "Genetic analysis master panel"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-07-26",
"note": [
{
"text": "2 Kopien des SMN2-Gens, Modifikator des Phänotyps"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48018-6",
"display": "Gene studied [ID]"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://www.genenames.org/geneId",
"code": "HGNC:11118",
"display": "SMN2"
}
]
}
},
{
"code": {
"text": "Copy Number"
},
"valueQuantity": {
"value": 2,
"unit": "copies"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:127dc51a-19ad-44ff-bf75-b1804d232109",
"resource": {
"resourceType": "Procedure",
"id": "mii-exa-seltene-procedure-gentherapy-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Procedure_mii-exa-seltene-procedure-gentherapy-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-seltene-procedure-gentherapy-001</b></p><a name=\"mii-exa-seltene-procedure-gentherapy-001\"> </a><a name=\"hcmii-exa-seltene-procedure-gentherapy-001\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 277132007}\">Therapeutic procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fdasis.nlm.nih.gov MLU3LU3EVV}, {http://snomed.info/sct 788110002}\">Gentherapie mit Onasemnogene abeparvovec (Zolgensma)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>performed</b>: 2024-07-29</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-seltene-condition-sma-genetic.html\">Condition Spinal muscular atrophy, type I</a></p><p><b>note</b>: </p><blockquote><div><p>Gentherapeutikum ohne Komplikationen verabreicht, vorherige Gabe von Prednisolon</p>\n</div></blockquote></div></div>"
},
"status": "completed",
"category": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "277132007",
"display": "Therapeutic procedure"
}
]
},
"code": {
"coding": [
{
"system": "http://fdasis.nlm.nih.gov",
"code": "MLU3LU3EVV",
"display": "ONASEMNOGENE ABEPARVOVEC"
},
{
"system": "http://snomed.info/sct",
"code": "788110002",
"display": "Onasemnogene abeparvovec"
}
],
"text": "Gentherapie mit Onasemnogene abeparvovec (Zolgensma)"
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"performedDateTime": "2024-07-29",
"reasonReference": [
{
"reference": "Condition/mii-exa-seltene-condition-sma-genetic"
}
],
"note": [
{
"text": "Gentherapeutikum ohne Komplikationen verabreicht, vorherige Gabe von Prednisolon"
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:ccdcbdd3-8153-4ef2-8d76-1ee0f681328b",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-observation-alt-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-observation-alt-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-observation-alt-001</b></p><a name=\"mii-exa-seltene-observation-alt-001\"> </a><a name=\"hcmii-exa-seltene-observation-alt-001\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 1742-6}\">Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-07-29</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>note</b>: </p><blockquote><div><p>Normwertig post-therapeutisch</p>\n</div></blockquote></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "1742-6",
"display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-07-29",
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"
}
]
}
],
"note": [
{
"text": "Normwertig post-therapeutisch"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:bb92ee35-b577-42a8-bf9a-b51cbe5debae",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-observation-ast-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-observation-ast-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-observation-ast-001</b></p><a name=\"mii-exa-seltene-observation-ast-001\"> </a><a name=\"hcmii-exa-seltene-observation-ast-001\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 1920-8}\">Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-07-29</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>note</b>: </p><blockquote><div><p>Normwertig post-therapeutisch</p>\n</div></blockquote></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "1920-8",
"display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-07-29",
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"
}
]
}
],
"note": [
{
"text": "Normwertig post-therapeutisch"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:38b52a28-bfa6-451f-8dad-9d0b8a8466bc",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-observation-plt-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-observation-plt-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-observation-plt-001</b></p><a name=\"mii-exa-seltene-observation-plt-001\"> </a><a name=\"hcmii-exa-seltene-observation-plt-001\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 777-3}\">Platelets [#/volume] in Blood by Automated count</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-07-29</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>note</b>: </p><blockquote><div><p>Normwertig post-therapeutisch</p>\n</div></blockquote></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "777-3",
"display": "Platelets [#/volume] in Blood by Automated count"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-07-29",
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"
}
]
}
],
"note": [
{
"text": "Normwertig post-therapeutisch"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:ab5b69cf-4eae-4aa3-8ce4-5b5eb1a4a46a",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-observation-troponin-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-observation-troponin-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-observation-troponin-001</b></p><a name=\"mii-exa-seltene-observation-troponin-001\"> </a><a name=\"hcmii-exa-seltene-observation-troponin-001\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 6598-7}\">Troponin T.cardiac [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-07-22</p><p><b>value</b>: 92 ng/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeng/L = 'ng/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "6598-7",
"display": "Troponin T.cardiac [Mass/volume] in Serum or Plasma"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-07-22",
"valueQuantity": {
"value": 92,
"unit": "ng/L",
"system": "http://unitsofmeasure.org",
"code": "ng/L"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:23b8775e-4704-4037-930e-68d1628cf0b8",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-observation-troponin-002",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-observation-troponin-002\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-observation-troponin-002</b></p><a name=\"mii-exa-seltene-observation-troponin-002\"> </a><a name=\"hcmii-exa-seltene-observation-troponin-002\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 6598-7}\">Troponin T.cardiac [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-07-28</p><p><b>value</b>: 58 ng/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeng/L = 'ng/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "6598-7",
"display": "Troponin T.cardiac [Mass/volume] in Serum or Plasma"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-07-28",
"valueQuantity": {
"value": 58,
"unit": "ng/L",
"system": "http://unitsofmeasure.org",
"code": "ng/L"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:7d919637-556d-441d-8145-706eb3543fa3",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-observation-troponin-003",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-observation-troponin-003\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-observation-troponin-003</b></p><a name=\"mii-exa-seltene-observation-troponin-003\"> </a><a name=\"hcmii-exa-seltene-observation-troponin-003\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 6598-7}\">Troponin T.cardiac [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-08-01</p><p><b>value</b>: 57 ng/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeng/L = 'ng/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "6598-7",
"display": "Troponin T.cardiac [Mass/volume] in Serum or Plasma"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-08-01",
"valueQuantity": {
"value": 57,
"unit": "ng/L",
"system": "http://unitsofmeasure.org",
"code": "ng/L"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:0ccc9861-03d4-403b-a650-a9f24d64a615",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-seltene-observation-troponin-004",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-seltene-observation-troponin-004\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-seltene-observation-troponin-004</b></p><a name=\"mii-exa-seltene-observation-troponin-004\"> </a><a name=\"hcmii-exa-seltene-observation-troponin-004\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 6598-7}\">Troponin T.cardiac [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>effective</b>: 2024-08-12</p><p><b>value</b>: 106 ng/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeng/L = 'ng/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><p><b>note</b>: </p><blockquote><div><p>Troponin T weiter erhöht, bereits prä-therapeutisch erhöht</p>\n</div></blockquote></div></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "6598-7",
"display": "Troponin T.cardiac [Mass/volume] in Serum or Plasma"
}
]
},
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"effectiveDateTime": "2024-08-12",
"valueQuantity": {
"value": 106,
"unit": "ng/L",
"system": "http://unitsofmeasure.org",
"code": "ng/L"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
],
"note": [
{
"text": "Troponin T weiter erhöht, bereits prä-therapeutisch erhöht"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:81c1e902-ea19-4d32-adbf-3ee234509cf6",
"resource": {
"resourceType": "ClinicalImpression",
"id": "mii-exa-seltene-clinical-impression-erstvorstellung",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-clinical-impression|2027.0.0-ballot"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"ClinicalImpression_mii-exa-seltene-clinical-impression-erstvorstellung\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClinicalImpression mii-exa-seltene-clinical-impression-erstvorstellung</b></p><a name=\"mii-exa-seltene-clinical-impression-erstvorstellung\"> </a><a name=\"hcmii-exa-seltene-clinical-impression-erstvorstellung\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-seltene-clinical-impression.html\">MII Profile SE Clinical Impression</a> version: 2027.0.0-ballot</p></div><p><b>status</b>: Completed</p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-seltene-encounter-ambulant-001.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Follow-up encounter; period = 2024-07-22 --> 2024-07-22</a></p><p><b>effective</b>: 2024-07-22</p><p><b>date</b>: 2024-07-22</p><p><b>problem</b>: <a href=\"Condition-mii-exa-seltene-condition-sma-suspected.html\">Condition Werdnig-Hoffmann disease</a></p><blockquote><p><b>investigation</b></p><p><b>code</b>: <span title=\"Codes:\">Familienanamnese</span></p><p><b>item</b>: <a href=\"FamilyMemberHistory-mii-exa-seltene-family-history-001.html\">FamilyMemberHistory: extension = Unknown; status = completed; date = 2024-07-22; relationship = Great grandmother</a></p></blockquote><blockquote><p><b>investigation</b></p><p><b>code</b>: <span title=\"Codes:\">Labordiagnostik</span></p><p><b>item</b>: <a href=\"Observation-mii-exa-seltene-observation-troponin-001.html\">Observation Troponin T.cardiac [Mass/volume] in Serum or Plasma</a></p></blockquote><p><b>summary</b>: Neugeborenes mit V.a. SMA aus Neugeborenenscreening. Familienanamnese zeigt unklare Muskelerkrankung der Urgroßmutter. Troponin T bereits erhöht (92 ng/l).</p><blockquote><p><b>finding</b></p><p><b>itemReference</b>: <a href=\"Condition-mii-exa-seltene-condition-sma-clinical.html\">Condition Infantile spinale Muskelatrophie, Typ I [Typ Werdnig-Hoffmann]</a></p></blockquote><blockquote><p><b>finding</b></p><p><b>itemReference</b>: <a href=\"Condition-mii-exa-seltene-condition-sma-genetic.html\">Condition Spinal muscular atrophy, type I</a></p></blockquote><blockquote><p><b>finding</b></p><p><b>itemCodeableConcept</b>: <span title=\"Codes:{http://snomed.info/sct 1363512008}\">Troponin above reference range</span></p><p><b>itemReference</b>: <a href=\"Observation-mii-exa-seltene-observation-troponin-001.html\">Observation Troponin T.cardiac [Mass/volume] in Serum or Plasma</a></p></blockquote><p><b>prognosisCodeableConcept</b>: <span title=\"Codes:{http://snomed.info/sct 67334001}\">Guarded prognosis</span></p><p><b>note</b>: , </p><blockquote><div><p>Klinische Untersuchung gemäß SMA-Diagnoseprotokoll. Blutentnahme für Genetik veranlasst.</p>\n</div></blockquote><blockquote><div><p>Klinisches Bild vereinbar mit SMA Typ 1. Molekulargenetische Bestätigung ausstehend. Eltern über Therapieoptionen informiert.</p>\n</div></blockquote></div></div>"
},
"status": "completed",
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"encounter": {
"reference": "Encounter/mii-exa-seltene-encounter-ambulant-001"
},
"effectiveDateTime": "2024-07-22",
"date": "2024-07-22",
"problem": [
{
"reference": "Condition/mii-exa-seltene-condition-sma-suspected"
}
],
"investigation": [
{
"code": {
"text": "Familienanamnese"
},
"item": [
{
"reference": "FamilyMemberHistory/mii-exa-seltene-family-history-001"
}
]
},
{
"code": {
"text": "Labordiagnostik"
},
"item": [
{
"reference": "Observation/mii-exa-seltene-observation-troponin-001"
}
]
}
],
"summary": "Neugeborenes mit V.a. SMA aus Neugeborenenscreening. Familienanamnese zeigt unklare Muskelerkrankung der Urgroßmutter. Troponin T bereits erhöht (92 ng/l).",
"finding": [
{
"itemReference": {
"reference": "Condition/mii-exa-seltene-condition-sma-clinical"
}
},
{
"itemReference": {
"reference": "Condition/mii-exa-seltene-condition-sma-genetic"
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363512008",
"display": "Troponin above reference range"
}
]
},
"itemReference": {
"reference": "Observation/mii-exa-seltene-observation-troponin-001"
}
}
],
"prognosisCodeableConcept": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "67334001",
"display": "Guarded prognosis"
}
]
}
],
"note": [
{
"text": "Klinische Untersuchung gemäß SMA-Diagnoseprotokoll. Blutentnahme für Genetik veranlasst."
},
{
"text": "Klinisches Bild vereinbar mit SMA Typ 1. Molekulargenetische Bestätigung ausstehend. Eltern über Therapieoptionen informiert."
}
]
},
"request": {
"method": "POST",
"url": "ClinicalImpression"
}
},
{
"fullUrl": "urn:uuid:b764f4a2-50c0-4624-ad49-8eb9405aaf9d",
"resource": {
"resourceType": "ClinicalImpression",
"id": "mii-exa-seltene-clinical-impression-nachsorge",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-clinical-impression|2027.0.0-ballot"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"ClinicalImpression_mii-exa-seltene-clinical-impression-nachsorge\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClinicalImpression mii-exa-seltene-clinical-impression-nachsorge</b></p><a name=\"mii-exa-seltene-clinical-impression-nachsorge\"> </a><a name=\"hcmii-exa-seltene-clinical-impression-nachsorge\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-seltene-clinical-impression.html\">MII Profile SE Clinical Impression</a> version: 2027.0.0-ballot</p></div><p><b>status</b>: Completed</p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-seltene-encounter-nachsorge-001.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Follow-up encounter; period = 2024-08-12 --> 2024-08-12</a></p><p><b>effective</b>: 2024-08-12</p><p><b>date</b>: 2024-08-12</p><p><b>previous</b>: <a href=\"ClinicalImpression-mii-exa-seltene-clinical-impression-erstvorstellung.html\">ClinicalImpression: status = completed; effective[x] = 2024-07-22; date = 2024-07-22; summary = Neugeborenes mit V.a. SMA aus Neugeborenenscreening. Familienanamnese zeigt unklare Muskelerkrankung der Urgroßmutter. Troponin T bereits erhöht (92 ng/l).; prognosisCodeableConcept = Guarded prognosis; note = Klinische Untersuchung gemäß SMA-Diagnoseprotokoll. Blutentnahme für Genetik veranlasst.,Klinisches Bild vereinbar mit SMA Typ 1. Molekulargenetische Bestätigung ausstehend. Eltern über Therapieoptionen informiert.</a></p><p><b>problem</b>: </p><ul><li><a href=\"Condition-mii-exa-seltene-condition-sma-clinical.html\">Condition Infantile spinale Muskelatrophie, Typ I [Typ Werdnig-Hoffmann]</a></li><li><a href=\"Condition-mii-exa-seltene-condition-sma-genetic.html\">Condition Spinal muscular atrophy, type I</a></li></ul><p><b>summary</b>: Erste Nachsorge 14 Tage nach Gentherapie. Klinisch stabil. Troponin T weiter erhöht (106 ng/l), war jedoch bereits prätherapeutisch erhöht.</p><blockquote><p><b>finding</b></p><p><b>itemCodeableConcept</b>: <span title=\"Codes:{http://snomed.info/sct 1363512008}\">Troponin above reference range</span></p><p><b>itemReference</b>: <a href=\"Observation-mii-exa-seltene-observation-troponin-004.html\">Observation Troponin T.cardiac [Mass/volume] in Serum or Plasma</a></p><p><b>basis</b>: Troponin-Verlauf: 22.07: 92 ng/l, 28.07: 58 ng/l, 01.08: 57 ng/l, 12.08: 106 ng/l</p></blockquote><blockquote><p><b>finding</b></p><p><b>itemCodeableConcept</b>: <span title=\"Codes:{http://snomed.info/sct 166645004}\">Alanine aminotransferase level within reference range</span></p><p><b>basis</b>: ALT normwertig</p></blockquote><blockquote><p><b>finding</b></p><p><b>itemCodeableConcept</b>: <span title=\"Codes:{http://snomed.info/sct 166667003}\">Aspartate aminotransferase/serum glutamic oxaloacetic transaminase level within reference range</span></p><p><b>basis</b>: AST normwertig</p></blockquote><blockquote><p><b>finding</b></p><p><b>itemCodeableConcept</b>: <span title=\"Codes:{http://snomed.info/sct 165555003}\">Platelet count normal</span></p><p><b>basis</b>: Thrombozytenzahl normwertig</p></blockquote><p><b>prognosisCodeableConcept</b>: <span title=\"Codes:{http://snomed.info/sct 67334001}\">Guarded prognosis</span></p><p><b>note</b>: , </p><blockquote><div><p>Standardisierte Nachsorgeuntersuchung nach Gentherapie gemäß Zentrumsprotokoll</p>\n</div></blockquote><blockquote><div><p>Troponin-Erhöhung präexistent, nicht therapieassoziiert. Gentherapie gut vertragen. Weiterführung der Prednisolon-Therapie. Nächste Kontrolle in 4 Wochen.</p>\n</div></blockquote></div></div>"
},
"status": "completed",
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"encounter": {
"reference": "Encounter/mii-exa-seltene-encounter-nachsorge-001"
},
"effectiveDateTime": "2024-08-12",
"date": "2024-08-12",
"previous": {
"reference": "ClinicalImpression/mii-exa-seltene-clinical-impression-erstvorstellung"
},
"problem": [
{
"reference": "Condition/mii-exa-seltene-condition-sma-clinical"
},
{
"reference": "Condition/mii-exa-seltene-condition-sma-genetic"
}
],
"summary": "Erste Nachsorge 14 Tage nach Gentherapie. Klinisch stabil. Troponin T weiter erhöht (106 ng/l), war jedoch bereits prätherapeutisch erhöht.",
"finding": [
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363512008",
"display": "Troponin above reference range"
}
]
},
"itemReference": {
"reference": "Observation/mii-exa-seltene-observation-troponin-004"
},
"basis": "Troponin-Verlauf: 22.07: 92 ng/l, 28.07: 58 ng/l, 01.08: 57 ng/l, 12.08: 106 ng/l"
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "166645004",
"display": "Alanine aminotransferase level within reference range"
}
]
},
"basis": "ALT normwertig"
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "166667003",
"display": "Aspartate aminotransferase/serum glutamic oxaloacetic transaminase level within reference range"
}
]
},
"basis": "AST normwertig"
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "165555003",
"display": "Platelet count normal"
}
]
},
"basis": "Thrombozytenzahl normwertig"
}
],
"prognosisCodeableConcept": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "67334001",
"display": "Guarded prognosis"
}
]
}
],
"note": [
{
"text": "Standardisierte Nachsorgeuntersuchung nach Gentherapie gemäß Zentrumsprotokoll"
},
{
"text": "Troponin-Erhöhung präexistent, nicht therapieassoziiert. Gentherapie gut vertragen. Weiterführung der Prednisolon-Therapie. Nächste Kontrolle in 4 Wochen."
}
]
},
"request": {
"method": "POST",
"url": "ClinicalImpression"
}
},
{
"fullUrl": "urn:uuid:8320638f-eca2-4586-b173-bd0c49d9ae9d",
"resource": {
"resourceType": "Encounter",
"id": "mii-exa-seltene-encounter-screening-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Encounter_mii-exa-seltene-encounter-screening-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-seltene-encounter-screening-001</b></p><a name=\"mii-exa-seltene-encounter-screening-001\"> </a><a name=\"hcmii-exa-seltene-encounter-screening-001\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 60151004}\">Neonatal screening (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>period</b>: 2024-07-18 --> 2024-07-18</p><p><b>reasonCode</b>: <span title=\"Codes:\">Neugeborenenscreening</span></p></div></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "60151004",
"display": "Neonatal screening (procedure)"
}
]
}
],
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"period": {
"start": "2024-07-18",
"end": "2024-07-18"
},
"reasonCode": [
{
"text": "Neugeborenenscreening"
}
]
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:98afd481-d1d6-4c2e-9d1c-51c651964e5f",
"resource": {
"resourceType": "Encounter",
"id": "mii-exa-seltene-encounter-ambulant-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Encounter_mii-exa-seltene-encounter-ambulant-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-seltene-encounter-ambulant-001</b></p><a name=\"mii-exa-seltene-encounter-ambulant-001\"> </a><a name=\"hcmii-exa-seltene-encounter-ambulant-001\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 390906007}\">Follow-up encounter</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>period</b>: 2024-07-22 --> 2024-07-22</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-mii-exa-seltene-condition-sma-clinical.html\">Condition Infantile spinale Muskelatrophie, Typ I [Typ Werdnig-Hoffmann]</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></td></tr></table></div></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter"
}
]
}
],
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"period": {
"start": "2024-07-22",
"end": "2024-07-22"
},
"diagnosis": [
{
"condition": {
"reference": "Condition/mii-exa-seltene-condition-sma-clinical"
},
"use": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code": "AD",
"display": "Admission diagnosis"
}
]
}
}
]
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:bdb5bd40-064b-4b79-aab6-8d9cc9db4873",
"resource": {
"resourceType": "Encounter",
"id": "mii-exa-seltene-encounter-stationaer-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Encounter_mii-exa-seltene-encounter-stationaer-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-seltene-encounter-stationaer-001</b></p><a name=\"mii-exa-seltene-encounter-stationaer-001\"> </a><a name=\"hcmii-exa-seltene-encounter-stationaer-001\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 32485007}\">Hospital admission</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>period</b>: 2024-07-29 --> 2024-07-30</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-mii-exa-seltene-condition-sma-genetic.html\">Condition Spinal muscular atrophy, type I</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}\">Chief complaint</span></td></tr></table></div></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"display": "inpatient encounter"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "32485007",
"display": "Hospital admission"
}
]
}
],
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"period": {
"start": "2024-07-29",
"end": "2024-07-30"
},
"diagnosis": [
{
"condition": {
"reference": "Condition/mii-exa-seltene-condition-sma-genetic"
},
"use": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code": "CC",
"display": "Chief complaint"
}
]
}
}
]
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:f8e29cb1-a8a9-4d56-ac0e-65fca096f860",
"resource": {
"resourceType": "Encounter",
"id": "mii-exa-seltene-encounter-nachsorge-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Encounter_mii-exa-seltene-encounter-nachsorge-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-seltene-encounter-nachsorge-001</b></p><a name=\"mii-exa-seltene-encounter-nachsorge-001\"> </a><a name=\"hcmii-exa-seltene-encounter-nachsorge-001\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 390906007}\">Follow-up encounter</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-seltene-patient-sma-001.html\">Anonymous Patient Female, DoB: 2024-07-01 ( https://www.medizininformatik-initiative.de/fhir/sid/patient-id#SMA-2024-001)</a></p><p><b>period</b>: 2024-08-12 --> 2024-08-12</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-mii-exa-seltene-condition-sma-genetic.html\">Condition Spinal muscular atrophy, type I</a></td></tr></table></div></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter"
}
]
}
],
"subject": {
"reference": "Patient/mii-exa-seltene-patient-sma-001"
},
"period": {
"start": "2024-08-12",
"end": "2024-08-12"
},
"diagnosis": [
{
"condition": {
"reference": "Condition/mii-exa-seltene-condition-sma-genetic"
}
}
]
},
"request": {
"method": "POST",
"url": "Encounter"
}
}
]
}