EKG

Deutsches Profil zur Abbildung eines Elektrokardiogramms. Dieses Profil erfasst die gängigsten EKG Ableitungen in den Komponenten der Observation und definiert ein entsprechendes, auf LOINC basierendes, ValueSet.

Profil

Name: EkgDE (Simplifier Projekt Link)

Canonical: http://fhir.de/StructureDefinition/observation-de-ekg

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBinding
id0..1string
extensionI0..*Extension
codingΣ0..*CodingPattern
textΣ0..1string
id0..1string
extensionI0..*Extension
loincΣ1..*CodingPattern
snomedΣ0..*CodingPattern
textΣ0..1string
subjectΣ I1..1Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
codingΣ1..*Coding
textΣ0..1string
id0..1string
extensionI0..*Extension
originΣ I1..1SimpleQuantity
periodΣ1..1decimal
factorΣ0..1decimal
lowerLimitΣ0..1decimal
upperLimitΣ0..1decimal
dimensionsΣ1..1positiveInt
data1..1string
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Beispiel:

{
    "resourceType": "Observation",
    "id": "Example-observation-ekg",
    "meta": {
        "profile":  [
            "http://fhir.de/StructureDefinition/observation-de-ekg"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "11524-6",
                "system": "http://loinc.org",
                "display": "EKG study"
            },
            {
                "code": "106073009",
                "system": "http://snomed.info/sct",
                "display": "EKG wave, interval AND/OR segment"
            }
        ]
    },
    "subject": {
        "reference": "Patient/example"
    },
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "code": "procedure",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "device": {
        "reference": "Device/example"
    },
    "effectiveDateTime": "2019-07-02",
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "code": "LP7386-8",
                        "system": "http://loinc.org",
                        "display": "Lead I"
                    }
                ]
            },
            "valueSampledData": {
                "origin": {
                    "value": 2048
                },
                "period": 10,
                "dimensions": 1,
                "data": "2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "code": "LP7386-6",
                        "system": "http://loinc.org",
                        "display": "Lead II"
                    }
                ]
            },
            "valueSampledData": {
                "origin": {
                    "value": 2048
                },
                "period": 10,
                "dimensions": 1,
                "data": "2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "code": "LP7386-4",
                        "system": "http://loinc.org",
                        "display": "Lead III"
                    }
                ]
            },
            "valueSampledData": {
                "origin": {
                    "value": 2048
                },
                "period": 10,
                "dimensions": 1,
                "data": "2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"
            }
        }
    ]
}