Guidance

This profile encodes the findings of an echocardiography.

The findings are encoded using the following SNOMED CT codes (see also the corresponding ValueSet. For ICD-10 GM codes, see the corresponding ValueSet.

The response options are encoded using a combination of Condition.verificationStatus for the presence/absence of the condition, the diseaseCourse extension and the GECCO uncertaintyOfPresence modifier extension as follows:

​This profile of a FHIR Condition is derived from the gecco-base-condition profile of the German Corona Consensus Dataset (GECCO).

To represent the presence, absence or uncertainty of findings, use Condition.verificationStatus with codes from ConditionVerificationStatus ValueSet and/or SNOMED CT codes from ConditionVerificationStatusSNOMED ValueSet or uncertaintyOfPresence on Condition.extension.

Note the additional constraint on Condition that checks if either verificationStatus or the uncertaintyOfPresence extension is present:
unk-1: If verificationStatus is present, uncertaintyOfPresence-Extension SHALL NOT be present. verificationStatus.exists() != Condition.modifierExtension.where(url = ‘https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/uncertainty-of-presence’).exists()

• Snapshot Table
• Snapshot Table (Must Support)
• Differential Table
• Text Summary

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	GeccoBaseCondition	Detailed information about conditions, problems or diagnoses
id	SΣ	0..1	string	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
condition-related	S	0..1	Reference(Condition)	Conditions associated with this condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
condition-diseaseCourse	S	0..1	CodeableConcept	The clinical course of the disease URL: https://www.napkon.de/fhir/StructureDefinition/condition-diseaseCourse Binding: Condition Course Codes (required): Codes that describe the clinical course of the disease.
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
modifierExtension:uncertaintyOfPresence	?!S	0..1	​?pkp-2?	Uncertainty of presence
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣI	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣI	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:conditionVerificationStatus	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed	Σ	1..1	Coding	Code defined by a terminology system Binding: ConditionVerificationStatusSNOMED (required): Confirmed present | Definitely NOT present Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:sct	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 394579002
display		1..1	string	Representation defined by the system Fixed Value: Cardiology (qualifier value)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:icd10-gm	SΣ	0..1	​?pkp-2?	A reference to a code defined by a terminology system Binding: Echocardiography Findings ICD10 GM (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
icd-10-gm-mehrfachcodierungs-kennzeichen	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: MehrfachkodierungsKennzeichen (required)
seitenlokalisation	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
icd-10-gm-diagnosesicherheit	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣI	1..1	code	Der ICD-10-Code Example Einfacher ICD-Code: F17.4
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:alpha-id	SΣ	0..1	​?pkp-2?	A reference to a code defined by a terminology system Binding: Alpha-id (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version	Σ	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣ	1..1	code	Der Alpha-ID-Code
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	0..1	Coding	Code defined by a terminology system Binding: Echocardiography Findings (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:orphanet	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣI	1..1	Reference(Patient | Group)	A reference from one resource to another
encounter	SΣI	0..1	Reference(Encounter)	A reference from one resource to another
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetPeriod			Period
onset[x]:onsetPeriod	SΣ	0..1	Period	Estimated or actual date, date-time, or age
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣI	0..1	dateTime	Starting time with inclusive boundary
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
lebensphase	S	0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
value		0..1	dateTime	Primitive value for dateTime
end	SΣI	0..1	dateTime	End time with inclusive boundary, if not ongoing
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
lebensphase	S	0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
value		0..1	dateTime	Primitive value for dateTime
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	I	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	SΣ	1..1	dateTime	Date record was first recorded
recorder	ΣI	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	ΣI	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	I	0..*	BackboneElement	Stage/grade, usually assessed formally
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	I	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	I	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	I	0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣI	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣI	0..*	Reference(Resource)	Supporting information found elsewhere
note	S	0..*	Annotation	Additional information about the Condition
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	GeccoBaseCondition	Detailed information about conditions, problems or diagnoses
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
condition-related		0..1	Reference(Condition)	Conditions associated with this condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
condition-diseaseCourse		0..1	CodeableConcept	The clinical course of the disease URL: https://www.napkon.de/fhir/StructureDefinition/condition-diseaseCourse Binding: Condition Course Codes (required): Codes that describe the clinical course of the disease.
modifierExtension:uncertaintyOfPresence	?!	0..1	​?pkp-2?	Uncertainty of presence
clinicalStatus	?!ΣI	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣI	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:icd10-gm	Σ	0..1	​?pkp-2?	A reference to a code defined by a terminology system Binding: Echocardiography Findings ICD10 GM (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
icd-10-gm-mehrfachcodierungs-kennzeichen		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: MehrfachkodierungsKennzeichen (required)
seitenlokalisation		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
icd-10-gm-diagnosesicherheit		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	Σ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	Σ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	ΣI	1..1	code	Der ICD-10-Code
coding:alpha-id	Σ	0..1	​?pkp-2?	A reference to a code defined by a terminology system Binding: Alpha-id (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
system	Σ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
code	Σ	1..1	code	Der Alpha-ID-Code
coding:sct	Σ	0..1	Coding	Code defined by a terminology system Binding: Echocardiography Findings (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:orphanet	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject	ΣI	1..1	Reference(Patient | Group)	A reference from one resource to another
encounter	ΣI	0..1	Reference(Encounter)	A reference from one resource to another
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetPeriod			Period
onset[x]:onsetPeriod	Σ	0..1	Period	Estimated or actual date, date-time, or age
start	ΣI	0..1	dateTime	Starting time with inclusive boundary
lebensphase		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
end	ΣI	0..1	dateTime	End time with inclusive boundary, if not ongoing
lebensphase		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
onset[x]:onsetDateTime	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
recordedDate	Σ	1..1	dateTime	Date record was first recorded
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

​This structure is derived from GeccoBaseCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	GeccoBaseCondition	Detailed information about conditions, problems or diagnoses
condition-diseaseCourse	S	0..1	CodeableConcept	The clinical course of the disease URL: https://www.napkon.de/fhir/StructureDefinition/condition-diseaseCourse Binding: Condition Course Codes (required): Codes that describe the clinical course of the disease.
category
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:sct		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 394579002
display		1..1	string	Representation defined by the system Fixed Value: Cardiology (qualifier value)
code
coding:icd10-gm		0..1	​?pkp-2?	A reference to a code defined by a terminology system Binding: Echocardiography Findings ICD10 GM (required)
coding:sct		0..1	Coding	Code defined by a terminology system Binding: Echocardiography Findings (required)
Documentation for this format