In Anlage 3 zu den Mutterschafts-Richtlinien sind spezifische, zu dokumentierende Laboruntersuchungen vorgegeben. Diese können aus der Liste der aufgeführten Codes ausgewählt werden. Sollte darüber hinaus die Dokumentation einer weiteren Laboruntersuchung erforderlich sein, kann der Code für eine nicht weiter spezifizierte Laboruntersuchung verwendet werden und entsprechend ergänzende Angaben dokumentiert werden.
Quelle: Anlage 3 (Mutterpass) zu den Mutterschafts-Richtlinien (Stand: Februar 2020), S.2,3,7,8,15,16
https://www.g-ba.de/downloads/83-691-594/2020-02-20_G-BA_Mutterpass_web.pdf
FHIR®-Mapping: KBV_PR_MIO_MR_Observation_Examination.code
Wert: Code
KONZEPT & WIEDERGABENAME | CODE | BEZEICHNUNG IM CODESYSTEM | CODESYSTEM |
---|---|---|---|
Laboruntersuchung (unspezifisch) | 30954-2 | Relevant diagnostic tests/laboratory data Narrative | Logical Observation Identifier Names and Codes |
15220000 | Laboratory test (procedure) | SNOMED Clinical Terms | |
Blutgruppen Antikörper-Suchtest im Serum/Plasma, Nachweis | 890-4 | Blood group antibody screen [Presence] in Serum or Plasma | Logical Observation Identifier Names and Codes |
363787002 : 370134009 = 123029007 , 704327008 = 122592007 , 246093002 = 19830006 , 370132008 = 117363000 , 704319004 = 50863008 , 704318007 = 705057003 | Observable entity (observable entity) : Time aspect (attribute) = Single point in time (qualifier value) , Direct site (attribute) = Acellular blood (serum or plasma) specimen (specimen) , Component (attribute) = Blood group antibody (substance) , Scale type (attribute) = Ordinal value (qualifier value) , Inheres in (attribute) = Plasma (substance) , Property type (attribute) = Presence (property) (qualifier value) | SNOMED Clinical Terms | |
Blutgruppen Antikörper-Suchtest im Serum/Plasma, Titer | 15343-7 | Blood group antibody screen [Titer] in Serum or Plasma | Logical Observation Identifier Names and Codes |
363787002 : 704318007 = 118590008 , 370134009 = 123029007 , 704327008 = 122592007 , 370132008 = 30766002 , 246093002 = 19830006 , 704319004 = 50863008 | Observable entity (observable entity) : Property type (attribute) = Dilution factor expressed as titer (property) (qualifier value) , Time aspect (attribute) = Single point in time (qualifier value) , Direct site (attribute) = Acellular blood (serum or plasma) specimen (specimen) , Scale type (attribute) = Quantitative (qualifier value) , Component (attribute) = Blood group antibody (substance) , Inheres in (attribute) = Blood group antibody (substance) | SNOMED Clinical Terms | |
Röteln Virus Antikörper im Serum, Nachweis | 22496-4 | Rubella virus Ab [Presence] in Serum | Logical Observation Identifier Names and Codes |
363787002 : 246093002 = 120737006 , 370134009 = 123029007 , 370132008 = 117363000 , 704319004 = 50863008 , 704318007 = 705057003 , 704327008 = 119364003 | Observable entity (observable entity) : Component (attribute) = Rubella virus antibody (substance) , Time aspect (attribute) = Single point in time (qualifier value) , Scale type (attribute) = Ordinal value (qualifier value) , Inheres in (attribute) = Blood group antibody (substance) , Property type (attribute) = Presence (property) (qualifier value) , Direct site (attribute) = Serum specimen (specimen) | SNOMED Clinical Terms | |
Röteln Virus Antikörper im Serum, Konzentration IE pro Volumen | 8013-5 | Rubella virus Ab [Units/volume] in Serum | Logical Observation Identifier Names and Codes |
363787002 : 246093002 = 120737006 , 370134009 = 123029007 , 370132008 = 30766002 , 704318007 = 118569000 , 704319004 = 50863008 , 704327008 = 119364003 | Observable entity (observable entity) : Component (attribute) = Rubella virus antibody (substance) , Time aspect (attribute) = Single point in time (qualifier value) , Scale type (attribute) = Quantitative (qualifier value) , Property type (attribute) = Arbitrary concentration (property) (qualifier value) , Inheres in (attribute) = Blood group antibody (substance) , Direct site (attribute) = Serum specimen (specimen) | SNOMED Clinical Terms | |
Röteln Virus Antikörper im Serum, Titer | 22497-2 | Rubella virus Ab [Titer] in Serum | Logical Observation Identifier Names and Codes |
363787002 : 246093002 = 120737006 , 704318007 = 118590008 , 370134009 = 123029007 , 370132008 = 30766002 , 704319004 = 50863008 , 704327008 = 119364003 | Observable entity (observable entity) : Component (attribute) = Rubella virus antibody (substance) , Property type (attribute) = Dilution factor expressed as titer (property) (qualifier value) , Time aspect (attribute) = Single point in time (qualifier value) , Scale type (attribute) = Quantitative (qualifier value) , Inheres in (attribute) = Blood group antibody (substance) , Direct site (attribute) = Serum specimen (specimen) | SNOMED Clinical Terms | |
Chlamydia trachomatis DNA aus einer Urinprobe mittels Nukleinsäure-amplifizierendem Test (NAT), Nachweis | 6357-8 | Chlamydia trachomatis DNA [Presence] in Urine by NAA with probe detection | Logical Observation Identifier Names and Codes |
363787002 : 246093002 = 121181000 , 370134009 = 123029007 , 704327008 = 122575003 , 246501002 = 702675006 , 370132008 = 117363000 , 704318007 = 705057003 , 704319004 = 78014005 | Observable entity (observable entity) : Component (attribute) = Deoxyribonucleic acid of Chlamydia trachomatis (substance) , Time aspect (attribute) = Single point in time (qualifier value) , Direct site (attribute) = Urine specimen (specimen) , Technique (attribute) = Probe with target amplification technique (qualifier value) , Scale type (attribute) = Ordinal value (qualifier value) , Property type (attribute) = Presence (property) (qualifier value) , Inheres in (attribute) = Urine (substance) | ||
HBs-Antigen im Serum, Nachweis | 5195-3 | Hepatitis B virus surface Ag [Presence] in Serum | Logical Observation Identifier Names and Codes |
363787002 : 370134009 = 123029007 , 370132008 = 117363000 , 704319004 = 50863008 , 246093002 = 22290004 , 704318007 = 705057003 , 704327008 = 119364003 | Observable entity (observable entity) : Time aspect (attribute) = Single point in time (qualifier value) , Scale type (attribute) = Ordinal value (qualifier value) , Inheres in (attribute) = Blood group antibody (substance) , Component (attribute) = Antigen of Hepatitis B virus surface protein (substance) , Property type (attribute) = Presence (property) (qualifier value) , Direct site (attribute) = Serum specimen (specimen) | SNOMED Clinical Terms | |
Hämoglobin im Blut, Masse pro Volumen | 718-7 | Hemoglobin [Mass/volume] in Blood | Logical Observation Identifier Names and Codes |
363787002 : 704319004 = 87612001 , 704318007 = 118539007 , 704327008 = 119297000 , 370134009 = 123029007 , 246093002 = 38082009 , 370132008 = 30766002 | Observable entity (observable entity) : Inheres in (attribute) = Blood (substance) , Property type (attribute) = Mass concentration (property) (qualifier value) , Direct site (attribute) = Blood specimen (specimen) , Time aspect (attribute) = Single point in time (qualifier value) , Component (attribute) = Hemoglobin (substance) , Scale type (attribute) = Quantitative (qualifier value) | SNOMED Clinical Terms | |
Hämoglobin im Blut, Mol pro Volumen | 59260-0 | Hemoglobin [Moles/volume] in Blood | Logical Observation Identifier Names and Codes |
363787002 : 704319004 = 87612001 , 704327008 = 119297000 , 370134009 = 123029007 , 246093002 = 38082009 , 704318007 = 118556004 , 370132008 = 30766002 | Observable entity (observable entity) : Inheres in (attribute) = Blood (substance) , Direct site (attribute) = Blood specimen (specimen) , Time aspect (attribute) = Single point in time (qualifier value) , Component (attribute) = Hemoglobin (substance) , Property type (attribute) = Substance concentration (property) (qualifier value) , Scale type (attribute) = Quantitative (qualifier value) | SNOMED Clinical Terms | |
Erythrozyten im Blut, Anzahl pro Volumen | 26453-1 | Erythrocytes [#/volume] in Blood | Logical Observation Identifier Names and Codes |
363787002 : 704319004 = 87612001 , 704327008 = 119297000 , 370134009 = 123029007 , 246093002 = 703062004 , 370132008 = 30766002 , 704318007 = 118550005 | Observable entity (observable entity) : Inheres in (attribute) = Blood (substance) , Direct site (attribute) = Blood specimen (specimen) , Time aspect (attribute) = Single point in time (qualifier value) , Component (attribute) = Population of all erythrocytes in portion of fluid (body structure) , Scale type (attribute) = Quantitative (qualifier value) , Property type (attribute) = Number concentration (property) (qualifier value) | SNOMED Clinical Terms |
Die verwendeten Code-Systeme finden sie hier Verwendete Codesysteme, Phase II.