Dokumentationsteil für die Hüftsonographie entsprechend der Methode nach Graf

Terminologie Assoziation:

CodeBEZEICHNUNG IM CODESYSTEMCodesystem
30711-6US Hip developmental joint assessmentLogical Observation Identifier Names and Codes
241503003Ultrasound scan of neonatal hip (procedure)SNOMED Clinical Terms

FHIR®-Mapping: KBV_PR_MIO_CMR_Diagnostic_Report_U3_U4_Hip_Screening

VORHANDENSEIN HÜFTBEFUND 

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.value[x]

Wert: Code

KONZEPT & WIEDERGABENAME

CODE

BEZEICHNUNG IM CODESYSTEM

CODESYSTEM

Hüftsonographischer Vorbefund: ja129125009 : { 363589002 = 241503003 , 408730004 = 398166005 , 408731000 = 410588008 }Procedure with explicit context (situation) : { Associated procedure (attribute) = Ultrasound scan of neonatal hip (procedure) , Procedure context (situation) = Performed (qualifier value) , Temporal context (situation) = Past - time unspecified (qualifier value) }SNOMED Clinical Terms

Hüftsonographischer Vorbefund: nein

129125009 : { 363589002 = 241503003 , 408730004 = 385660001 , 408731000 = 410588008 }Procedure with explicit context (situation) : { Associated procedure (attribute) = Ultrasound scan of neonatal hip (procedure) , Procedure context (situation) = Not done (qualifier value) , Temporal context (situation) = Past - time unspecified (qualifier value) }SNOMED Clinical Terms
Hüftsonographischer Vorbefund: unbekannt129125009 : { 363589002 = 241503003 , 408730004 = 410537005 , 408731000 = 410588008 }Procedure with explicit context (situation) : { Associated procedure (attribute) = Ultrasound scan of neonatal hip (procedure) , Procedure context (situation) = Action status unknown (qualifier value) , Temporal context (situation) = Past - time unspecified (qualifier value) }SNOMED Clinical Terms
Hüftsonographischer Befund in der 4.-5. Lebenswoche129125009 : { 363589002 = 241503003 , 408730004 = 398166005 , 408731000 = 410584005 }Procedure with explicit context (situation) : { Associated procedure (attribute) = Ultrasound scan of neonatal hip (procedure) , Procedure context (situation) =  Performed (qualifier value) , Temporal context (situation) = Current - time specified (qualifier value) }SNOMED Clinical Terms

HÜFTLATERALITÄT

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.bodySite

Wert: Code

KONZEPT & WIEDERGABENAME

CODE

BEZEICHNUNG IM CODESYSTEM

CODESYSTEM

rechte Hüfte

362906008

Entire right hip joint (body structure)

SNOMED Clinical Terms

linke Hüfte

362905007

Entire left hip joint (body structure)

SNOMED Clinical Terms

A.  Vorbefund Hüfttyp Freitext

Angaben der Ergebnisse aus einem hüftsonographischen Vorbefund.

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.value[x]:valueString

Wert: String

B. Befund Hüfttyp (nach Graf) 4.-5. Lebenswoche

Angaben der Befunde aus der durchgeführten Hüftsonographie.

Operationalisierungshinweis: Automatisierte Erstellung des Hüfttyps basierend auf Angaben für Alpha und Beta Winkel sind möglich.

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.value[x]:valueCodeableConcept 

Wert: Code

KONZEPT & WIEDERGABENAME

CODE

BEZEICHNUNG IM CODESYSTEM

CODESYSTEM

Ia/Ib

1ab

Graf Ia/Ib

Uheft-valueset-88

IIa

2a

Graf IIa

Uheft-valueset-88

IIc/D

2cd

Graf IIc/D

Uheft-valueset-88

IIIa

3a

Graf IIIa

Uheft-valueset-88

IIIb

3b

Graf IIIb

Uheft-valueset-88

IV

4

Graf IV

Uheft-valueset-88

ALPHA-WINKEL (GRAD)

Terminologie Assoziation:

CODE

BEZEICHNUNG IM CODESYSTEM

CODESYSTEM

364501006 : { 704321009 = 241503003 , 246501002 = 278395004 , 246514001 = 259046004 , 718497002 = 58823008 }Hip joint feature (observable entity) : { Characterizes (attribute) = Ultrasound scan of neonatal hip (procedure) , Technique (attribute) = Imaging technique (qualifier value) , Units (attribute) = degrees of arc (qualifier value) , Inherent location (attribute) = Structure of acetabular fossa (body structure) }SNOMED Clinical Terms

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.component:alphaWinkel

Wert: Quantität (Einheit: Grad)

BETA-WINKEL (GRAD)

Terminologie Assoziation:

CODE

BEZEICHNUNG IM CODESYSTEM

CODESYSTEM

364501006 : { 704321009 = 241503003 , 246501002 = 278395004 , 246514001 = 259046004 , 718497002 = 91685003 }Hip joint feature (observable entity) : { Characterizes (attribute) = Ultrasound scan of neonatal hip (procedure) , Technique (attribute) = Imaging technique (qualifier value) , Units (attribute) = degrees of arc (qualifier value) , Inherent location (attribute) = Fibrocartilage (body structure) }SNOMED Clinical Terms

FHIR®-Mapping: KBV_PR_MIO_CMR_Observation_U3_U4_Hip_Screening_Result.component:betaWinkel

Wert: Quantität (Einheit: Grad)