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.

QuelleAnlage 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 & WIEDERGABENAMECODEBEZEICHNUNG IM CODESYSTEMCODESYSTEM
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 = 705057003Observable 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), Nachweis6357-8Chlamydia trachomatis DNA [Presence] in Urine by NAA with probe detectionLogical Observation Identifier Names and Codes
363787002 : 246093002 = 121181000 , 370134009 = 123029007 , 704327008 = 122575003 , 246501002 = 702675006 , 370132008 = 117363000 ,  704318007 = 705057003 , 704319004 = 78014005Observable 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 = 30766002Observable 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.