Data Set APSR 2.0 - Concept Clinical Information

ID: 2.16.840.1.113883.2.6.60.6.1.1Version Label: Live VersionConcepts: 5 (Groups: 1 - Items: 4)

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Name ID[‑] Datatype[‑] Property[‑] Example[‑] Codes[‑] Description[‑] Source[‑] Rationale[‑] Operationalizations[‑] Comment[‑] Status[‑] Terminology[‑] Value Set[‑] Type[‑] Parent concept[‑] Inherit from[‑]
Clinical Information psr-dataelement-40 Clinical Information to a case.
    		draft
    Finding / observation / clinical history (navigational concept) (SNOMED Clinical Terms: 362976009)
      		 Group
      Clinical Problem psr-dataelement-43 Text Dignität? Clinical Problem for that a pathology investigation has been ordered
        		draft
        Problem list - Reported (Logical Observation Identifier Names and Codes: 11450-4)
          		 Item Clinical Information
          History of Present Illness psr-dataelement-42 Text Gewichtsverlust von 10 kg über 6 Monate History of present illness / complaints
            		draft
            Personal history finding (finding) (SNOMED Clinical Terms: 307294006)
              		 Item Clinical Information
              Reason for Referral psr-dataelement-41 Text bitte um histologische Abklärung des tumorverdächtigen Befundes Reason for Referral 
                		draft
                Reason for referral (narrative) (Logical Observation Identifier Names and Codes: 42349-1)
                  		 Item Clinical Information
                  Generic AP observation psr-dataelement-117 Code C50.9 V L Atomic unit of a Generic AP observation, coded or as measurement value. 
                  Each generic observation must have a textual part for human readibility.
                    		draft
                      AP Observation 2015-11-22T12:20:34 (dynamic / Extensible/CWE)
                      		 Item Clinical Information