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| @startuml amts_resourcediagram | ||
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| ' verhindere Probleme mit gewinkelten Krähenfüßen | ||
| 'skinparam linetype ortho | ||
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| ' package Dummy{ | ||
| ' Entität01 }|..|| Entität02 | ||
| ' Entität03 }o..o| Entität04 | ||
| ' Entität05 ||--o{ Entität06 | ||
| ' Entität07 |o--|| Entität08 | ||
| ' } | ||
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| ' TODO: | ||
| ' Vervollständigen im Sinne von: https://github.com/gematik/spec-ISiK-Medikation/blob/rc/main-stufe-4/Material/docs/Medikation%20Abgleich%20bestehende%20Spezifikationen.xlsx | ||
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| namespace ISiK_VitalparameterUndKoerpermasze { | ||
| class ModulVitalparameterUndKoerpermasze_Stufe_3 <<(M,#FFDC36)>>{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-vitalparameter-und-koerpermasze-v3/~introduction ISiK VitalparameterUndKoerpermasze Stufe 3]] | ||
| } | ||
| class ISiKKoerpergewicht <Observation><<(P,#8DA5C4)>>{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-vitalparameter-und-koerpermasze-v3/isikkoerpergewicht ISiK Körpergewicht]] | ||
| --- | ||
| subject : Reference (**Patient** | Group) | ||
| encounter : Reference (**Encounter**) | ||
| <back:LightGreen>value[x]</back> | ||
| |_ valueQuantity | ||
| |_ <back:LightGreen>value</back> | ||
| |_ unit | ||
| |_ system | ||
| |_ code | ||
| } | ||
| } | ||
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| namespace ISiK_Basis { | ||
| class Basismodul_Stufe_3 <<(M,#FFDC36)>>{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-basis-v3/~introduction ISiK Basis Stufe 3]] | ||
| } | ||
| class ISiKPatient <Patient><<(P,#8DA5C4)>>{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-basis-v3/isikpatient ISiK Patient]] | ||
| --- | ||
| id | ||
| <back:LightGreen>birthDate</back> \n\t// relevant fürs Alter | ||
| <back:LightGreen>gender</back> \n\t// relevant für Kontraindikation, Schwangerschaft | ||
| } | ||
| class ISiKKontaktGesundheitseinrichtung <Encounter><<(P,#8DA5C4)>>{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-basis-v3/isikkontaktgesundheitseinrichtung ISiK Kontakt Gesundheitseinrichtung]] | ||
| } | ||
| class ISiKKDiagnose <Condition><<(P,#8DA5C4)>>{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-basis-v3/isikdiagnose ISiK Diagnose]] | ||
| --- | ||
| id | ||
| <back:LightGreen>clinicalStatus</back> \n\t// relevant für chronische Erkrakungen | ||
| <back:LightGreen>code</back> \n\t// allgemeine relevante Erkrakungen aber auch für \n\t// Kontraindikation, Indikation (Schwangerschaft) | ||
| } | ||
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| class ISiKAllergieUnvertraeglichkeit <AllergyIntolerance><<(P,#8DA5C4)>>{ | ||
| clinicalStatus : **AllergyIntoleranceClinicalStatusCodes** | ||
| |_ coding | ||
| |_ system | ||
| |_ code | ||
| verificationStatus : **AllergyIntoleranceVerificationStatusCodes** | ||
| |_ coding | ||
| |_ system | ||
| |_ code | ||
| type : **AllergyIntoleranceType** | ||
| category : **AllergyIntoleranceCategory** | ||
| criticality : **AllergyIntoleranceCriticality** | ||
| code | ||
| |_ coding | ||
| |_ snomed-ct | ||
| |_ system : http://snomed.info/sct | ||
| |_ code | ||
| |_ display | ||
| |_ ask : http://fhir.de/StructureDefinition/**CodingASK** | ||
| |_ system | ||
| |_ code | ||
| |_ display | ||
| |_ atc : http://fhir.de/StructureDefinition/**CodingATC** | ||
| |_ system | ||
| |_ version | ||
| |_ code | ||
| |_ display | ||
| |_ text | ||
| patient : Reference (**Patient**) | ||
| encounter : Reference (**Encounter**) | ||
| onset[x] | ||
| |_ onsetDateTime | ||
| |_ onsetAge | ||
| |_ onsetString | ||
| recordedDate : dateTime | ||
| recorder : Reference (**Practitioner** | PractitionerRole | \n**Patient** | RelatedPerson) | ||
| |_ reference | ||
| |_ display | ||
| asserter : Reference (**Patient** | **RelatedPerson** | \n**Practitioner** | PractitionerRole) | ||
| |_ reference | ||
| |_ display | ||
| note : Annotation | ||
| |_ author[x] | ||
| |_ reference | ||
| |_ display | ||
| |_ time | ||
| |_ text | ||
| reaction | ||
| |_ manifestation | ||
| |_ coding | ||
| |_ snomed-ct | ||
| |_ system : http://snomed.info/sct | ||
| |_ code | ||
| |_ text | ||
| |_ severity | ||
| |_ exposureRoute | ||
| |_ coding | ||
| |_ snomed-ct | ||
| |_ system : http://snomed.info/sct | ||
| |_ code | ||
| |_ text | ||
| } | ||
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| 'class ISiKChronischeNierenerkrankung <Condotion><<(P,#8DA5C4)>>{ | ||
| ' Beispielhafte Profilierung der US-Core Condition im Rahmen der \n Multiple Chronic Conditions (MCC) eCare Plan, veröffentlicht mit HL7 | ||
| ' [[https://trifolia-fhir.lantanagroup.com/igs/lantana_hapi_r4/MCC-IG/StructureDefinition-ChronicKidneyDisease.html Chronic Kidney Disease Condition]] | ||
| ' [[https://trifolia-fhir.lantanagroup.com/igs/lantana_hapi_r4/MCC-IG/Condition-f202.html Chronic Kidney Disease Beispiel]] | ||
| ' --- | ||
| '} | ||
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| } | ||
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| namespace ISiK_Medikation { | ||
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| class ISiKMedikationsRisiko <RiskAssessment><<(P,#8DA5C4)>>{ | ||
| <back:Salmon>Dokumentation auf HL7 Org | ||
| <back:Salmon>[[https://hl7.org/fhir/R4/riskassessment.html RiskAssessment]] | ||
| --- | ||
| identifier: Identifier | ||
| basedOn : Reference (**Any**) | ||
| parent : Reference (**Any**) | ||
| status : **ObservationStatus** | ||
| method | ||
| code | ||
| subject : Reference (**Patient**) | ||
| encounter : Reference (**Encounter**) | ||
| occurence[x] // When was is made? | ||
| |_ occurrenceDateTime | ||
| condition : Reference (**Condition**) // Condition assessed | ||
| performer : Reference (**Practitioner** | PractitionerRole | Device) | ||
| reasonCode | ||
| basis : Reference (**Any**) \n\t // Referenziert auf die Medicationstatement und/oder MedicationRequest | ||
| prediction | ||
| |_ outcome | ||
| |_ probability[x] // (decimal|Range) | ||
| |_ qualitativeRisk | ||
| |_ relativeRisk | ||
| |_ when[x] // (Period|Range) | ||
| |_ rationale \n\t // Explanation of prediction (Kontraindikation, Wechselwirkung etc.) | ||
| mitigation \n\t // How to reduce risk (Substitution, Abgabeform etc) | ||
| note Annotation | ||
| } | ||
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| class ISiKMedikament <Medication><<(P,#8DA5C4)>>{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-medikation-v3/isikmedikament ISiK Medikament]] | ||
| -- | ||
| id | ||
| code | ||
| |_ <back:LightGreen>coding</back> | ||
| |_ PZN : **Pattern** | ||
| |_ ATC-DE : **Pattern** | ||
| |_ WG14 : **Pattern** | ||
| |_ text | ||
| <back:LightGreen>ingredient</back> | ||
| |_ extension | ||
| |_ Wirkstofftyp : **Extension** | ||
| |_ item[x] | ||
| |_ itemCodeableConcept | ||
| |_ coding | ||
| |_ ASK : **Pattern** | ||
| |_ PZN : **Pattern** | ||
| |_ ATC-DE : **Pattern** | ||
| |_ WG14 : **Pattern** | ||
| |_ text | ||
| |_ <back:LightGreen> itemReference : Reference (**Substance** | **Medication**)</back> | ||
| |_ reference | ||
| } | ||
| 'ISiKMedikation::itemReference --> ISiKMedikation | ||
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| class ISiKMedikationsInformation <MedicationStatement><<(P,#8DA5C4)>>{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-medikation-v3/isikmedikationsinformation ISiK Medikationsinformation]] | ||
| -- | ||
| id | ||
| medication[x] | ||
| |_ medicationReference : Reference (**Medication**) | ||
| |_ reference | ||
| |_ <back:LightGreen>route</back> | ||
| |_ coding | ||
| |_ EDQM : **Pattern** | ||
| |_ SNOMED-CT : **Pattern** | ||
| |_ text | ||
| } | ||
| 'ISiKMedikationsInformation::medicationReference ---> ISiKMedikation | ||
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| class SctRouteOfAdministration <ValueSet><<(V,#8DA5C4)>> #LightGreen{ | ||
| Dokumentation auf Simplifier | ||
| [[https://simplifier.net/isik-medikation-v3/sctrouteofadministration SNOMED CT Route Of Administration]] | ||
| Beeinhaltet Codes aus SNOMED CT bei denen das \nConcept 284009009 (Route Of Administration) ist | ||
| [[https://simplifier.net/packages/hl7.fhir.r4.core/4.0.1/files/80147 SNOMED_CT 284009009]] | ||
| -- | ||
| codes : **$CS-SCT** is-a **284009009** | ||
| } | ||
| } | ||
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| package "ISiK-Labor (MVP)" #Salmon{ | ||
| class ModulLabor_MVP <<(M,#FFDC36)>>{ | ||
| Dokumentation auf Simplifier Projekt TBD | ||
| [[https://simplifier.net/isik-labor-v3/~introduction ISiK Labor MVP]] | ||
| } | ||
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| class ISiK_LaborBeobachtung <Observation><<(P,#8DA5C4)>>{ | ||
| Dokumentation auf Simplifier Projekt TBD | ||
| ' <back:LightGreen>Grün ist fürs Mapping schon vorhanden</back> | ||
| ' <back:Salmon>Lachs ist fürs Mapping noch zu erstellen</back> | ||
| ' **Bold Face** ist für im ISiK Kosmos bereits profiliert / genutzt, inkl. Stufe-4 | ||
| --- | ||
| identifier | ||
| status : **ObservationStatus** | ||
| category : **Observation Category Codes** \n\t \\\ Category Code "Laboratory" | ||
| code : ** \n\t \\\ (Binding: auf VS mit: GFR, Serumkreatinin, HB, Thrombozyten, TSH) | ||
| subject : Reference (**Patient**) | ||
| encounter : Reference (**Encounter**) | ||
| effectiveDateTime: | ||
| issued | ||
| value | ||
| |_ valueQuantity | ||
| dataAbsentReason | ||
| interpretation | ||
| note : Annotation | ||
| method : **Obersation Methods** | ||
| referenceRange | ||
| } | ||
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| class ISiK_LaborWerteCodes <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[hhttps://hl7.org/fhir/R4/valueset-observation-codes.html Observation Codes]] | ||
| Beeinhaltet die AMTS abgestimmten Codes aus [[https://loinc.org/ LOINC]] \n für GFR, Serumkreatinin, HB, Thrombozyten, TSH. | ||
| -- | ||
| codes : [[http://hl7.org/fhir/ValueSet/substance-code Contained in Substance-Code]] | ||
| codes : **$CS-LOINC** is-a **98979-8** (Creatinine-based formula (CKD-EPI 2021)) | ||
| codes : **$CS-LOINC** is-a **98980-6** (Creatinine and Cystatin C-based formula (CKD-EPI 2)) | ||
| codes : **$CS-LOINC** is-a **35591-7** (Creatinine renal clearance predicted by Cockcroft-Gault formula) | ||
| codes : **$CS-LOINC** is-a **35592-5** (Creatinine renal clearance/1.73 sq M.predicted by Cockcroft-Gault formula, BSA formula) | ||
| codes : **$CS-LOINC** is-a **2160-0** (Creatinine [Mass/volume] in Serum or Plasma) | ||
| codes : **$CS-LOINC** is-a **14682-9** (Creatinine [Moles/volume] in Serum or Plasma) | ||
| codes : **$CS-LOINC** is-a **77140-2** (Creatinine [Moles/volume] in Serum, Plasma or Blood) | ||
| codes : **$CS-LOINC** is-a **718-7** (Hemoglobin [Mass/volume] in Blood) | ||
| codes : **$CS-LOINC** is-a **30313-1** (Hemoglobin [Mass/volume] in Arterial blood) | ||
| codes : **$CS-LOINC** is-a **30350-3** (Hemoglobin [Mass/volume] in Venous blood) | ||
| codes : **$CS-LOINC** is-a **20509-6** (Hemoglobin [Mass/volume] in Blood by calculation) | ||
| codes : **$CS-LOINC** is-a **26515-7** (Platelets [#/volume] in Blood) | ||
| codes : **$CS-LOINC** is-a **49497-1** (Platelets [#/volume] in Blood by Estimate) | ||
| codes : **$CS-LOINC** is-a **32623-1** (Platelet mean volume [Entitic volume] in Blood by Automated count) | ||
| codes : **$CS-LOINC** is-a **51631-0** (Platelet distribution width [Ratio] in Blood) | ||
| codes : **$CS-LOINC** is-a **3016-3** (Thyrotropin [Units/volume] in Serum or Plasma) | ||
| codes : **$CS-LOINC** is-a **3015-5** (Thyrotropin [Units/volume] in Blood) | ||
| codes : **$CS-LOINC** is-a **20452-9** (Thyrotropin [Presence] in Blood) | ||
| codes : **$CS-LOINC** is-a **11579-0** (Thyrotropin [Units/volume] in Serum or Plasma by Detection limit <= 0.05 mIU/L) | ||
| codes : **$CS-LOINC** is-a **11580-8** (Thyrotropin [Units/volume] in Serum or Plasma by Detection limit <= 0.005 mIU/L) | ||
| } | ||
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| 'class ISiKLaborBefund <DiagnosticReport><<(P,#8DA5C4)>>{ | ||
| ' Dokumentation auf HL7 Org | ||
| ' [[http://hl7.org/fhir/R4/diagnosticreport.html Diagnostic Report]] | ||
| ' -- | ||
| ' id | ||
| ' identifier \n\t // Business identifier for report | ||
| ' basedOn : Reference (CarePlan | ImmunizationRecommendation | **MedicationRequest** | NutritionOrder | **ServiceRequest**) \n\t // What was requested | ||
| ' status : **DiagnosticReportStatus** \n\t // z.B. amended | unknow | registered | final + | ||
| ' category \n\t // vernachlässigbar | ||
| ' code : **FixedValue** \n\t // SNOMED Report Name Labor Befunde | ||
| ' |_ coding | ||
| ' |_ system : **$CS-SCT** | ||
| ' |_ version | ||
| ' |_ code : **4241000179101** | ||
| ' |_ display : **Laboratory report (record artifact)** | ||
| ' subject : Reference (**Patient** | Group | Device | Location) \n\t // The subject of the report - usually, the patient | ||
| ' encounter : Reference (**Encounter**) \n\t // Health care event when test ordered | ||
| ' effective[x] \n\t // Clinically relevant time/time-period for report | ||
| ' |_ effectiveDateTime | ||
| ' |_ effectivePeriod | ||
| ' issued : \n\t // vernachlässigbar | ||
| ' performer : Reference (**Practitioner** | PractitionerRole | Organization | CareTeam) \n\t // Responsible Diagnostic Service | ||
| ' resultsInterpreter : Reference (**Practitioner** | PractitionerRole | Organization | CareTeam) \n\t // vernachlässigbar | ||
| ' specimen : Reference (Specimen) \n\t // vernachlässigbar | ||
| ' <back:Salmon>result : Reference (Observation) </back> \n\t // Observations | ||
| ' <s>imagingStudy : Reference (ImagingStudy)</s> \n\t // vernachlässigbar | ||
| ' <s> media : BackboneElement</s> \n\t // vernachlässigbar | ||
| ' conclusion \n\t // Clinical conclusion (interpretation) of test results | ||
| ' conclusionCode : **SNOMED CT Clinical Findings** \n\t // Codes for the clinical conclusion of test results z.B. **AllergyIntolerance.reaction.manifestation** | ||
| ' presentedForm : **Attachment** \n\t // Entire report as issued (PDF) | ||
| '} | ||
| } | ||
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| namespace HL7_FHIR_R4_Core #Salmon { | ||
| class Foundation_Modul <<(M,#FFAAAA)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://hl7.org/fhir/R4/ HL7 FHIR R4 Core Foundation]] | ||
| } | ||
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| class AllergyIntoleranceType <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://hl7.org/fhir/R4/valueset-allergy-intolerance-type.html Allergy Intolerance Type]] | ||
| Das entsprechende Standard-ValueSet beeinhatet das komplette \nCode System des zugehörigen [[https://hl7.org/fhir/R4/codesystem-allergy-intolerance-type.html Code System of Type]] | ||
| } | ||
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| class AllergyIntoleranceCategory <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://hl7.org/fhir/R4/valueset-allergy-intolerance-category.html Allergy Intolerance Category]] | ||
| Das entsprechende Standard-ValueSet beeinhatet das komplette \nCode System des zugehörigen [[https://hl7.org/fhir/R4/codesystem-allergy-intolerance-category.html Code System of Category]] | ||
| } | ||
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| class AllergyIntoleranceSubstance <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://www.hl7.org/fhir/R4/valueset-allergyintolerance-code.html AllergyIntolerance Substance, Product Condition and Negation Codes]] | ||
| Beeinhaltet alle [[https://www.hl7.org/fhir/R4/valueset-substance-code.html Substance Codes]] sowie weitere Codes aus [[http://www.snomed.org/ SNOMED CT]] \nbei denen Allergien und Unvertraeglichkeiten auftreten. | ||
| -- | ||
| codes : [[http://hl7.org/fhir/ValueSet/substance-code Contained in Substance-Code]] | ||
| codes : **$CS-SCT** is-a **18038007** (Propensity to adverse reactions to substance) | ||
| codes : **$CS-SCT** is-a **267425008** (Lactose intolerance) | ||
| codes : **$CS-SCT** is-a **29736007** (Syndrome of carbohydrate intolerance) | ||
| codes : **$CS-SCT** is-a **340519003** (Lysine intolerance) | ||
| codes : **$CS-SCT** is-a **190753003** (Sucrose intolerance) | ||
| codes : **$CS-SCT** is-a **413427002** (Acquired fructose intolerance) | ||
| codes : **$CS-SCT** is-a **716186003** (No known allergy) | ||
| } | ||
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| class AllergyIntoleranceCriticality <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://hl7.org/fhir/R4/valueset-allergy-intolerance-criticality.html Allergy Intolerance Criticality]] | ||
| Das entsprechende Standard-ValueSet beeinhatet das komplette \nCode System des zugehörigen [[https://hl7.org/fhir/R4/codesystem-allergy-intolerance-criticality.html Code System of Criticality]] | ||
| } | ||
| class AllergyIntoleranceVerificationStatus <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://www.hl7.org/fhir/R4/valueset-allergyintolerance-verification.html Allergy Intolerance Verification Status]] | ||
| Das entsprechende Standard-ValueSet beeinhatet das komplette \nCode System des zugehörigen [[https://www.hl7.org/fhir/R4/codesystem-allergyintolerance-verification.html Code System of Verification Status]] | ||
| } | ||
| class AllergyIntoleranceClinicalStatus <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://www.hl7.org/fhir/R4/valueset-allergyintolerance-clinical.html Allergy Intolerance Clinical Status]] | ||
| Das entsprechende Standard-ValueSet beeinhatet das komplette \nCode System des zugehörigen [[https://www.hl7.org/fhir/R4/codesystem-allergyintolerance-clinical.html Code System of Clinical Status]] | ||
| } | ||
| class ReactionEventSeverity <ValueSet><<(V,#8DA5C4)>> { | ||
| Dokumentation auf HL7 Org | ||
| [[https://hl7.org/fhir/R4/valueset-reaction-event-severity.html Reaction Eventu Severity]] | ||
| Das entsprechende Standard-ValueSet beeinhatet das komplette \nCode System des zugehörigen [[https://hl7.org/fhir/R4/codesystem-reaction-event-severity.html Code System of Severity]] | ||
| } | ||
| class ObservationCategory <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://hl7.org/fhir/R4/valueset-observation-category.html Observation Category]] | ||
| Das entsprechende Standard-ValueSet beeinhatet das komplette \nCode System des zugehörigen [[https://hl7.org/fhir/R4/codesystem-observation-category.html Code System of Observation Category]] | ||
| } | ||
| class SctObservationMethods <ValueSet><<(V,#8DA5C4)>>{ | ||
| Dokumentation auf HL7 Org | ||
| [[https://hl7.org/fhir/R4/valueset-observation-methods.html SNONMED CT Observation Methods]] | ||
| Beeinhaltet Codes aus SNOMED CT bei denen das \nConcept Technique (272394005), Action oder Patient evaluation procedure ist. [[http://snomed.info/id/272394005 SNOMED_CT 272394005]] | ||
| -- | ||
| codes : **$CS-SCT** is-a **272394005** (Technique) | ||
| codes : **$CS-SCT** is-a **129264002** (Action) | ||
| codes : **$CS-SCT** is-a **386053000** (Patient evaluation procedure) | ||
| } | ||
| } | ||
|
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| @enduml |