Kerndatensatz Senologie
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: Fall 1: Gynäkologische Anamnese - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "Fall1-Gynaekologische-Anamnese",
  "meta" : {
    "profile" : [
      🔗 "https://www.senologie.org/fhir/StructureDefinition/senologie-gynaekologische-anamnese"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation Fall1-Gynaekologische-Anamnese</b></p><a name=\"Fall1-Gynaekologische-Anamnese\"> </a><a name=\"hcFall1-Gynaekologische-Anamnese\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-senologie-gynaekologische-anamnese.html\">BIH Senologie Gynäkologische Anamnese</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 89221-6}\">Gynecology History and physical note</span></p><p><b>subject</b>: <a href=\"Patient-Fall1-Patient-Erika-Neumann.html\">Erika Neumann  Female, DoB: 1966-03-12 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-001)</a></p><p><b>effective</b>: 2025-01-15</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 42798-9}\">Age at menarche</span></p><p><b>value</b>: 13 Jahre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 42802-9}\">Age at menopause</span></p><p><b>value</b>: 54 Jahre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11996-6}\">[#] Pregnancies</span></p><p><b>value</b>: 2 Schwangerschaften<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 266717002}\">Hormone replacement therapy</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 373067005}\">Keine HRT</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "89221-6",
        "display" : "Gynecology History and physical note"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Fall1-Patient-Erika-Neumann"
  },
  "effectiveDateTime" : "2025-01-15",
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "42798-9",
            "display" : "Age at menarche"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 13,
        "unit" : "Jahre",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "42802-9",
            "display" : "Age at menopause"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 54,
        "unit" : "Jahre",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "11996-6",
            "display" : "[#] Pregnancies"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 2,
        "unit" : "Schwangerschaften",
        "system" : "http://unitsofmeasure.org",
        "code" : "1"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "266717002",
            "display" : "Hormone replacement therapy"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "373067005",
            "display" : "No"
          }
        ],
        "text" : "Keine HRT"
      }
    }
  ]
}