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Concept: Erkrankungsphase zum Zeitpunkt der Diagnose
Idcovid19f-dataelement-2.1260Version2020-08-12
StatusDraftVersion Label
Description
Erkrankungsphase zum Zeitpunkt der COVID-19 Diagnose
Relations
Specialization Erkrankungsphase zum Zeitpunkt der Diagnose (1.0) - covid19f-dataelement-1.1260 as of 2020-04-08 (repository: covid19f-)
Comment
FHIR-Mapping: Condition.stage
Operationalization

Uncomplicated Phase 

  • asymtomatic

OR

  • symptoms of upper respiratory tract infection
  • nausea, emesis, diarrhea
  • fever

    Complicated Phase

    • need for new oxygen supplementation
    • clinically meaningful increase of prior oxygen home therapy
    • PaO2 at room air < 70 mmHg
    • SO2 at room air < 90 %
    • AST or ALT > 5x ULN
    • new cardiac arrhythmia
    • new pericardial effusion > 1 cm
    • new heart failure with pulmonary edema, congestive hepatopathy or peripheral edema
    Critical Phase

    • need for catecholamines
    • life-threatening cardiac arrhythmia
    • need for unplanned mechanical ventilation (invasive or non-invasive)
    • prolongation (>24h) of planned mechanical ventilation
    • Liver failure with Quick < 50 % or INR > 3.5
    • qSOFA >= 2
    • acute renal failure in need of dialysis
    Recovery Phase
    • improvement by one degree of severity according to this scheme or discharge from hospital
    AND
    • defervescence 
    AND 
    • no further progression or re-hospitalization
    Terminology Association
    CodeDisplay NameCodesystemEquivalence
    88859-4Disease stage score for risk calculationLogical Observation Identifier Names and Codes
    385349001Clinical stage (observable entity)SNOMED Clinical Terms
    Value
    TypeCode
    Value Set Association
    requiredTo be conformant, instances of this element SHALL include a code from the specified value set. Erkrankungsphase bei Diagnose (Dynamic)
    Concepts
    ConceptCodeDisplay NameCodesystemEquivalence
    Phase ohne Komplikationen
    255604002
    371923003
    Mild (qualifier value)
    Mild to moderate (qualifier value)
    SNOMED Clinical Terms
    SNOMED Clinical Terms
    inexact
    inexact
    Phase mit Komplikationen
    6736007
    371924009
    Moderate (severity modifier) (qualifier value)
    Moderate to severe (qualifier value)
    SNOMED Clinical Terms
    SNOMED Clinical Terms
    inexact
    inexact
    Kritische Phase
    24484000
    442452003
    Severe (severity modifier) (qualifier value)
    Life threatening severity (qualifier value)
    SNOMED Clinical Terms
    SNOMED Clinical Terms
    inexact
    inexact
    Genesungsphase
    277022003
    Remission phase (qualifier value)
    SNOMED Clinical Terms
    equivalent
    Tod
    399166001
    Fatal (qualifier value)
    SNOMED Clinical Terms
    equivalent
    Unbekannt
    261665006
    Unknown (qualifier value)
    SNOMED Clinical Terms
    equivalent
    -
    Templates
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