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 Use contained reference
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:2.16.578.1.12.4.1.2.101",
        "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:2.16.578.1.12.4.1.2.101",
        "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:2.16.578.1.12.4.1.2.101",
        "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"
    } ]