KjConditionCriticalMedicalCondition profile
The KjConditionCriticalMedicalCondition profile is used for medical condition alert about a patient.
Profile elements
https://simplifier.net/kjernejournalr4/kjconditioncriticalmedicalcondition
| Element | Description | Comment |
|---|---|---|
| id | Record id | id + meta.versionId is the unique identifier |
| meta.versionId | Record version id | |
| clinicalStatus | active | inactive | |
| verificationStatus | confirmed | refuted | entered-in-error | |
| category | Type of critical information | |
| category.coding | Category coding for critical medical condition | |
| code | Identification of the condition, problem or diagnosis | |
| code.coding | Coding for critical medical condition | Additional coding may be used for extra information. I.e. related information, if any, from Absoluttliste for ICD-10 code (not userSelected). |
| code.coding.userSelected | If this coding was chosen directly by the user | If more than one coding, userSelected shall indicate the main coding. See code example below. |
| code.coding.extension | Extensions for extra information for this type of critical medical condition "http://nhn.no/kj/fhir/StructureDefinition/CodeInfoText" - Code description text "http://nhn.no/kj/fhir/StructureDefinition/UrlMoreInformation - URL to information |
These extensions is linked to the code, and will will only be returned in read, and will not be stored in write operations. See code example below. |
| code.text | Text if no proper code is found | |
| subject | Who has the condition | |
| onset | Estimated or actual date, date-time, or age | |
| recordedDate | Date record was first recorded | |
| recorder | Who recorded this condition first. Must always reference the original recorder of the resource. | Use contained reference. The recorder reference id must not be named 'updaterRef'. |
| evidence.code | Critical medical condition reason | |
| note | Note | |
| extension.sourceOfInformation | Source of information | |
| extension.updater | Who changed this version of the resource | Use contained reference |
| extension.updatedDateTime | When this version of the resource was changed |
Example
Critical medical condition, coding ICD-10
{
"resourceType": "Condition",
"id": "1480f4a0-0e23-41f5-9c9f-5dd2e2580dc8",
"meta": {
"versionId": "2",
"lastUpdated": "2021-04-26T11:15:17.955+02:00",
"profile": [ "http://nhn.no/kj/fhir/StructureDefinition/KjConditionCriticalMedicalCondition" ]
},
"contained": [ {
"resourceType": "PractitionerRole",
"id": "updaterRef",
"practitioner": {
"identifier": {
"system": "urn:oid:2.16.578.1.12.4.1.4.4",
"value": "222200068"
},
"display": "Skansen, Karl"
},
"organization": {
"identifier": {
"system": "urn:oid:2.16.578.1.12.4.1.4.101",
"value": "983544622"
},
"display": "HELSEDIREKTORATET"
},
"code": [ {
"coding": [ {
"system": "http://nhn.no/kj/fhir/CodeSystem/CategoriesOfHealthProfessionals",
"code": "LE",
"display": "Lege"
} ]
} ]
}, {
"resourceType": "PractitionerRole",
"id": "recorderRef",
"practitioner": {
"identifier": {
"system": "urn:oid:2.16.578.1.12.4.1.4.4",
"value": "222200063"
},
"display": "Tandberg, Gard"
},
"organization": {
"identifier": {
"system": "urn:oid:2.16.578.1.12.4.1.4.101",
"value": "998570328"
},
"display": "Munkholmen Legesenter"
},
"code": [ {
"coding": [ {
"system": "http://nhn.no/kj/fhir/CodeSystem/CategoriesOfHealthProfessionals",
"code": "LE",
"display": "Lege"
} ]
} ]
} ],
"extension": [ {
"url": "http://nhn.no/kj/fhir/StructureDefinition/KjUpdater",
"valueReference": {
"reference": "#updaterRef"
}
}, {
"url": "http://nhn.no/kj/fhir/StructureDefinition/KjUpdatedDateTime",
"valueDateTime": "2021-04-26T11:15:17+02:00"
}, {
"url": "http://nhn.no/kj/fhir/StructureDefinition/KjSourceOfInformation",
"valueCoding": {
"system": "http://nhn.no/kj/fhir/CodeSystem/SourceOfInformation",
"code": "7",
"display": "Opplyst av ansvarlig behandler"
}
} ],
"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": "5",
"display": "Kritisk medisinsk tilstand"
} ]
} ],
"code": {
"coding": [
{
"system": "http://nhn.no/kj/fhir/CodeSystem/ICD-10",
"code": "Q874",
"display": "Marfans syndrom",
"userSelected": true
},
{
"extension": [
{
"url": "http://nhn.no/kj/fhir/StructureDefinition/CodeInfoText",
"valueReference": {
"reference": "Medfødt bindevevssykdom med svekkelse av kollagen. Kan bl.a medføre forandringer i hjerte-karsystemet. Økt risiko for utvidelse av og ruptur av hovedpulsåren og løse øyelinser."
}
},
{
"url": "http://nhn.no/kj/fhir/StructureDefinition/UrlMoreInformation",
"valueReference": {
"reference": "http://www.helsebiblioteket.no/sok?q=Marfans+syndrom"
}
}
],
"system": "http://nhn.no/kj/fhir/CodeSystem/CriticalMedicalConditionAbsoluteList",
"code": "4",
"display": "Marfans syndrom",
"userSelected": false
}
]
},
"subject": {
"reference": "Patient/01035500126"
},
"onsetDateTime": "2021-04-15T00:00:00+02:00",
"recordedDate": "2021-04-06T15:56:35+02:00",
"recorder": {
"reference": "#recorderRef"
},
"evidence": [ {
"code": [ {
"text": "Akutt bakteriell rhinosinusitt (ABRS) "
} ]
} ],
"note": [ {
"text": "Operert x 5 på Rikshospitalet"
} ]
}
Critical medical condition, coding CriticalMedicalConditionAbsoluteList
{
"resourceType": "Condition",
"id": "9c4cb870-98ec-485b-af65-885a4e157e0a",
"meta": {
"versionId": "1",
"lastUpdated": "2021-03-14T12:12:54.364+01:00",
"profile": [ "http://nhn.no/kj/fhir/StructureDefinition/KjConditionCriticalMedicalCondition" ]
},
"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": "5",
"display": "Kritisk medisinsk tilstand"
} ]
} ],
"code": {
"coding": [ {
"system": "http://nhn.no/kj/fhir/CodeSystem/CriticalMedicalConditionAbsoluteList",
"code": "78",
"display": "Påvist genetisk avvik i CYP-metabolismen: CYP2D6 *3/*3"
} ]
},
"subject": {
"reference": "Patient/13116900216"
},
"onsetDateTime": "2017-03-14T00:00:00+01:00",
"recordedDate": "2021-03-14T12:12:54+01:00",
"recorder": {
"reference": "#recorderRef"
},
"evidence": [ {
"code": [ {
"coding": [ {
"system": "http://nhn.no/kj/fhir/CodeSystem/CriticalMedicalConditionReason",
"code": "8",
"display": "Diagnosen omfattes av definisjonen av kritisk tilstand"
} ]
} ]
} ],
"note": [ {
"text": "Pasienten har påvist ingen metabolisme og lavere dosebehov av legemidler som brytes ned av dette enzymet. For f.eks. tamoksifen, kodein og tramadol gir denne genotypen redusert effekt.\nPrøven er analysert ved Senter for Psykofarmakologi, Diakonhjemmet."
} ]
}
Coding extension for additional information
"code": {
"coding": [ {
"extension": [ {
"url": "http://nhn.no/kj/fhir/StructureDefinition/UrlMoreInformation",
"valueReference": {
"reference": "http://www.helsebiblioteket.no/sok?q=Marfans+syndrom"
}
}, {
"url": "http://nhn.no/kj/fhir/StructureDefinition/CodeInfoText",
"valueReference": {
"reference": "Medfødt bindevevssykdom med svekkelse av kollagen. Kan bl.a medføre forandringer i hjerte-karsystemet. Økt risiko for utvidelse av og ruptur av hovedpulsåren og løse øyelinser."
}
} ],
"system": "http://nhn.no/kj/fhir/CodeSystem/CriticalMedicalConditionAbsoluteList",
"code": "4",
"display": "Marfans syndrom"
} ]