KjConditionComplicationsOfAnesthesia profile

The KjConditionComplicationsOfAnesthesia profile is used for registration of either intubation problems (Intubasjonsproblem) or other anesthetic problems (Annet problem ved anestesi) which the patient has.

The two types of Condition are separated on 'category':

  • IntubationProblem (Intubasjonsproblem), category=3
  • OtherProblemWithAnesthesia (Annet problem ved anestesi), category=4

To only get one of the Condition types, for e.g. privacy reasons, you can use the query parameter 'criticalInfoType' to filter between them as described in the documentation for endpoints.

Profile elements

Note that for all FHIR elements which has coding, e.g. code.coding and category.coding, we prefer coding.display to always be set for completeness sake as well as coding.code and coding.system.

https://simplifier.net/kjernejournalr4/kjconditioncomplicationsofanesthesia

Element Norwegian Text Description Comment
id Record id. Id + meta.versionId is the unique identifier.
meta.versionId Record version id.
clinicalStatus See below Used for Status, see below. Values can be active | inactive
verificationStatus See below Used for Status, see below. Values can be confirmed | refuted | entered-in-error
category.coding.code Intubasjonsproblem/Annet problem ved anestesi 3=Intubasjonsproblem and 4=Annet problem ved anestesi Type of critical information.
code.coding Intubasjonsproblem/Annet problem ved anestesi Code is the same as category.
code.text Spesifisering Text if no proper code is found.
subject Pasient Who has the condition.
onset Tidspunkt for hendelse Estimated or actual date, date-time, or age.
recordedDate Tidspunkt for første registrering Date record was first recorded.
recorder Hvem som gjorde første registrering Who recorded this condition first. Must always reference the original recorder of the resource. Use PractitionerRole contained reference.
evidence Gradering av anatomisk tilgjengelighet ved intubasjon /
Kan pasienten ventileres på maske		 Intubation problem supporting evidence / manifestations that are the basis of the Condition's verification status For evidence, specify both coding systems:
- GradingOfLaryngoscopicView
- GradingOfMaskVentilation
note Kommentar Additional text not captured in other fields.
extension.sourceOfInformation Kilde Source of information.
extension.updater Hvem som gjorde endring Who changed this version of the resource. Use PractitionerRole contained reference.
extension.updatedDateTime Tidspunkt endring When this version of the resource was changed.

Status

The status which the critical information record is in.

Status Norwegian Text Element Values Comment
Active Aktiv clinicalStatus=active and verificationStatus=confirmed Use when the registration is active.
Refuted Avkreftet clinicalStatus=inactive and verificationStatus=refuted Use when the registration is refuted.
Deleted Slettet clinicalStatus=null and verificationStatus=entered-in-error When an erroneous registration. Use the REST delete endpoint.
Inactive Inaktiv clinicalStatus=inactive and verificationStatus=confirmed Use to remove a duplicate registration.

Example

Condition complications of anesthesia

{
  "resourceType": "Condition",
  "id": "028507ed-105b-49ba-979f-7d5433790a0a",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2021-03-14T12:07:44.218+01:00",
    "profile": [ "http://nhn.no/kj/fhir/StructureDefinition/KjConditionComplicationsOfAnesthesia" ]
  },
  "contained": [ {
    "resourceType": "PractitionerRole",
    "id": "recorderRef",
    "practitioner": {
      "identifier": {
        "system": "urn:oid:2.16.578.1.12.4.1.4.4",
        "value": "222200063"
      },
      "display": "Fos Perez, Jack"
    },
    "organization": {
      "identifier": {
        "system": "urn:oid:2.16.578.1.12.4.1.4.101",
        "value": "100100223"
      },
      "display": "Andeby Legevakt"
    },
    "code": [ {
      "coding": [ {
        "system": "http://nhn.no/kj/fhir/CodeSystem/CategoriesOfHealthProfessionals",
        "code": "LE",
        "display": "Lege"
      } ]
    } ]
  } ],
  "extension": [ {
    "url": "http://nhn.no/kj/fhir/StructureDefinition/KjSourceOfInformation",
    "valueCoding": {
      "system": "http://nhn.no/kj/fhir/CodeSystem/SourceOfInformation",
      "code": "2",
      "display": "Observert av registrerende helsepersonell"
    }
  } ],
  "clinicalStatus": {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
      "code": "active",
      "display": "Active"
    } ]
  },
  "verificationStatus": {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
      "code": "confirmed",
      "display": "Confirmed"
    } ]
  },
  "category": [ {
    "coding": [ {
      "system": "http://nhn.no/kj/fhir/CodeSystem/SubcategoriesOfCriticalInformation",
      "code": "3",
      "display": "Intubasjonsproblem"
    } ]
  } ],
  "code": {
    "coding": [ {
      "system": "http://nhn.no/kj/fhir/CodeSystem/SubcategoriesOfCriticalInformation",
      "code": "3",
      "display": "Intubasjonsproblem"
    } ]
  },
  "subject": {
    "reference": "Patient/13116900216"
  },
  "recordedDate": "2021-03-14T12:07:44+01:00",
  "recorder": {
    "reference": "#recorderRef"
  },
  "evidence": [ {
    "code": [ {
      "coding": [ {
        "system": "http://nhn.no/kj/fhir/CodeSystem/GradingOfMaskVentilation",
        "code": "1",
        "display": "Ja, lett"
      } ]
    } ]
  }, {
    "code": [ {
      "coding": [ {
        "system": "http://nhn.no/kj/fhir/CodeSystem/GradingOfLaryngoscopicView",
        "code": "1",
        "display": "Grad 1: Stemmebånd synlig/ hele larynx synlig"
      } ]
    } ]
  } ]
}