KjConditionCriticalMedicalCondition profile

1 Profile elements
2 Example

The KjConditionCriticalMedicalCondition profile is used for medical condition alert about a patient.

Profile elements

https://simplifier.net/kjernejournalr4/kjconditioncriticalmedicalcondition

Element	Description	Comment

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
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.sourceOfInformtion	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": "H050",
      "display": "Akutt betennelse i øyehule"
    } ]
  },
  "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 behandlende lege"
    }
  } ],
  "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"
    } ]