TEMPLATE CAEHR_C_Echokardiographie (CAEHR_C_Echokardiographie)

TEMPLATE IDCAEHR_C_Echokardiographie
ConceptCAEHR_C_Echokardiographie
DescriptionDas Template Echokardiographie dient der Dokumentation von Echokardiographie Daten von Patienten mit Herzinsuffizienz. Dieses Template wird im Rahmen des Projektes HiGHmed genutzt.
PurposeDas Template Echokardiographie dient der Dokumentation von Echokardiographie Daten von Patienten mit Herzinsuffizienz. Dieses Template wird im Rahmen des Projektes HiGHmed genutzt.
References
Other Details (Language Independent)
  • MetaDataSet:Sample Set: Template metadata sample set
  • MD5-CAM-1.0.1: cac2ed682177580f71ff73c502d354cf
  • PARENT:MD5-CAM-1.0.1: 005501C1FA493A4838F5F1121F2870EC
  • Sem Ver: 143.0.0
  • Build Uid: 697694f4-5e77-42ce-a501-cb4dc2ec06e8
  • Original Language: ISO_639-1::de
Language useden
Citeable Identifier1246.169.3514
Root archetype idopenEHR-EHR-COMPOSITION.report.v1
ReportReport: Document to communicate information to others, commonly in response to a request from another party.
Other Context
Case identificationCase identification: To record case identification details for public health purposes.
Case identifierCase identifier: The identifier of this case.
Care journey metadataCare journey metadata: Tp capture Care plan metadata
Care plan nameCare plan name: The name , preferably coded of the Care plan with which this journey is associated, and against which the composition was updated.
Care plan identifierCare plan identifier: The identifier , preferably coded, of the Care plan with which this journey is associated, and against which the composition was updated.
Patient journey identifierPatient journey identifier: A patient-journey specific identifier i.e unique to a patient's journey along a specific care pathway.
Rhythmus und FrequenzRhythmus und Frequenz: A generic section header which should be renamed in a template to suit a specific clinical context.
Rhythmus und Frequenz nicht erhobenRhythmus und Frequenz nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Finding of heart rhythm (finding) 
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Rhythmus und FrequenzRhythmus und Frequenz: The rate and associated attributes for a pulse or heart beat.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
RateRate: The rate of the pulse or heart beat, measured in beats per minute.
0..1000 /min
SchrittmacherSchrittmacher: Description of the character of the pulse or heart beat.
Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded.
  • Schrittmacher
  • kein Schrittmacher
RhythmusRhythmus: Specific conclusion about the rhythm of the pulse or heartbeat, drawn from a combination of the heart rate, pattern and other characteristics observed on examination.
Terminology: http://snomed.info/sct
  • Normal sinus rhythm (finding) 
  • Atrial fibrillation (disorder) 
  • Rhythm from artificial pacing (finding) 
  • Other (qualifier value) 
nicht erhobene Parameternicht erhobene Parameter: A generic section header which should be renamed in a template to suit a specific clinical context.
Durchmesser Aortenwurzel nicht erhobenDurchmesser Aortenwurzel nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • Diameter Aortenwurzel
Default value: Diameter Aortenwurzel
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Linker Vorhof (endsystolisch) (LA-Diameter) nicht erhobenLinker Vorhof (endsystolisch) (LA-Diameter) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • LA-Diameter
Default value: LA-Diameter
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Vena cava Durchmesser nicht erhobenVena cava Durchmesser nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • Diameter Vena Cava
Default value: Diameter Vena Cava
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Vena cava Atemvariabilität (>50 % Abnahme durch Inspiration) nicht erhobenVena cava Atemvariabilität (>50 % Abnahme durch Inspiration) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • Atemvariabilität Vena Cava
Default value: Atemvariabilität Vena Cava
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Pulmonalvenöse diastolische Geschwindigkeit (PVdVel) nicht erhobenPulmonalvenöse diastolische Geschwindigkeit (PVdVel) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • PVdVel
Default value: PVdVel
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Linksventrikuläre Auswurffraktion (LV-EF) + Methode nicht erhobenLinksventrikuläre Auswurffraktion (LV-EF) + Methode nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Left ventricular ejection fraction (observable entity) 

Default value: Left ventricular ejection fraction (observable entity)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Linksventrikulärer enddiastolischer Diameter (LVED) nicht erhobenLinksventrikulärer enddiastolischer Diameter (LVED) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • LVED
Default value: LVED
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Linksventrikulärer endsystolischer Diameter (LVEDD) nicht erhobenLinksventrikulärer endsystolischer Diameter (LVEDD) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • LVEDD
Default value: LVEDD
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Linksventrikuläres enddiastolisches Volumen (LVEDV) nicht erhobenLinksventrikuläres enddiastolisches Volumen (LVEDV) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Cardiac end-diastolic volume (observable entity) 

Default value: Cardiac end-diastolic volume (observable entity)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
A-Welle nicht erhobenA-Welle nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • A-Welle
Default value: A-Welle
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
A´-Welle (lateral) nicht erhobenA´-Welle (lateral) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • A'-Welle (lateral)
Default value: A'-Welle (lateral)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
A´-Welle (medial) nicht erhobenA´-Welle (medial) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • A'-Welle (medial)
Default value: A'-Welle (medial)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
E-Welle nicht erhobenE-Welle nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • E-Welle
Default value: E-Welle
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
E´-Welle (lateral) nicht erhobenE´-Welle (lateral) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • E'-Welle (lateral)
Default value: E'-Welle (lateral)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
E´-Welle (medial) nicht erhobenE´-Welle (medial) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • E'-Welle (medial)
Default value: E'-Welle (medial)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
S´-Welle (lateral) nicht erhobenS´-Welle (lateral) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • S'-Welle (lateral)
Default value: S'-Welle (lateral)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
S´(medial) nicht erhobenS´(medial) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • S'-Welle (medial)
Default value: S'-Welle (medial)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Pulmonalvenöse systolische Geschwindigkeit (PVsVel) nicht erhobenPulmonalvenöse systolische Geschwindigkeit (PVsVel) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • PVsVel
Default value: PVsVel
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Perikarderguss nicht erhobenPerikarderguss nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • Perikarderguss
Default value: Perikarderguss
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
TAPSE nicht erhobenTAPSE nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • TAPSE
Default value: TAPSE
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
MAPSE nicht erhobenMAPSE nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • MAPSE
Default value: MAPSE
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
RV-Dilatation (Mid-ventrikulär) (Erweiterung rechter Ventrikel) nicht erhobenRV-Dilatation (Mid-ventrikulär) (Erweiterung rechter Ventrikel) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • RV-Dilatation
Default value: RV-Dilatation
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Linksatriale Fläche 4-Kammer-Blick (endsystolisch) (LA-Fläche 4CH) nicht erhobenLinksatriale Fläche 4-Kammer-Blick (endsystolisch) (LA-Fläche 4CH) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • 4-Kammer-Blick
Default value: 4-Kammer-Blick
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Intraventrikuläres Septum (enddiastolisch) (IVS) nicht erhobenIntraventrikuläres Septum (enddiastolisch) (IVS) nicht erhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
  • IVS
Default value: IVS
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Linksventrikuläre posteriore Wand (LVPW) nicht errhobenLinksventrikuläre posteriore Wand (LVPW) nicht errhoben: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Cardiac end-diastolic volume (observable entity) 

Default value: Cardiac end-diastolic volume (observable entity)
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
ErgebnisErgebnis: A generic section header which should be renamed in a template to suit a specific clinical context.
quantitative Parameterquantitative Parameter: This archetype contains a collection of standard cardiovascular parameters.
Data
Any eventAny event: *
Data
Kardiologische MesswerteKardiologische Messwerte: Kardiologische Standardmesswerte
Dimensionen (parasternal lange Achse)Dimensionen (parasternal lange Achse): *
AortenwurzelAortenwurzel: *
Diameter AortenwurzelDiameter Aortenwurzel: *
0..99 mm
Linker VorhofLinker Vorhof: *
Diameter Linker Vorhof (endsystolisch)Diameter Linker Vorhof (endsystolisch): *
0..300 mm
Linksventrikulärer enddiastolischer Diameter (LVED)Linksventrikulärer enddiastolischer Diameter (LVED): *
Linksventrikulärer enddiastolischer Diameter (LVED)Linksventrikulärer enddiastolischer Diameter (LVED): *
0..300 mm
Linksventrikulärer endsystolischer Diameter (LVEDD)Linksventrikulärer endsystolischer Diameter (LVEDD): *
Linksventrikulärer endsystolischer Diameter (LVEDD)Linksventrikulärer endsystolischer Diameter (LVEDD): *
0..300 mm
Linksventrikuläre posteriore Wand (LVPW)Linksventrikuläre posteriore Wand (LVPW): *
Linksventrikuläre posteriore Wand (LVPW)Linksventrikuläre posteriore Wand (LVPW): *
0..300 mm
Intraventrikuläres Septum (enddiastolisch) (IVS)Intraventrikuläres Septum (enddiastolisch) (IVS): *
Intraventrikuläres Septum (enddiastolisch) (IVS)Intraventrikuläres Septum (enddiastolisch) (IVS): *
Units: mm
Mitralklappen-Doppler (PW)Mitralklappen-Doppler (PW): *
E-WelleE-Welle: *
E-WelleE-Welle: *
Units: m/s
A-WelleA-Welle: *
A-WelleA-Welle: *
Units: m/s
Gewebe-Doppler (TDI)Gewebe-Doppler (TDI): *
E'-Welle (lateral)E'-Welle (lateral): *
E´-Welle (lateral)E´-Welle (lateral): *
Units: m/s
A'-Welle (lateral)A'-Welle (lateral): *
A'-Welle (lateral)A'-Welle (lateral): *
Units: m/s
S'-Welle (lateral)S'-Welle (lateral): *
S´-Welle (lateral)S´-Welle (lateral): *
Units: m/s
A'-Welle (medial)A'-Welle (medial): *
A´-Welle (medial)A´-Welle (medial): *
Units: m/s
S'-Welle (medial)S'-Welle (medial): *
S´-Welle (medial)S´-Welle (medial): *
Units: m/s
E'-Welle (medial)E'-Welle (medial): *
E´-Welle (medial)E´-Welle (medial): *
Units: m/s
2D-Messungen2D-Messungen: *
Linksventrikuläre Auswurffraktion (LV-EF)Linksventrikuläre Auswurffraktion (LV-EF): *
Linksventrikuläre Auswurffraktion (LV-EF)Linksventrikuläre Auswurffraktion (LV-EF): *
Units: %
Linksventrikuläres enddiastolisches Volumen (LVEDV)Linksventrikuläres enddiastolisches Volumen (LVEDV): *
Linksventrikuläres enddiastolisches Volumen (LVEDV)Linksventrikuläres enddiastolisches Volumen (LVEDV): *
Units: mm³
Linksatriale enddiastolische Fläche 4-Kammer-BlickLinksatriale enddiastolische Fläche 4-Kammer-Blick: *
Linksatriale enddiastolische Fläche 4-Kammer-BlickLinksatriale enddiastolische Fläche 4-Kammer-Blick: *
Units: mm²
Mitral Annular Plane Systolic Excursion (MAPSE)Mitral Annular Plane Systolic Excursion (MAPSE): *
Mitral Annular Plane Systolic Excursion (MAPSE)Mitral Annular Plane Systolic Excursion (MAPSE): *
Units: mmHg
Tricuspid Annular Plane Systolic Excursion (TAPSE)Tricuspid Annular Plane Systolic Excursion (TAPSE): *
Tricuspid Annular Plane Systolic Excursion (TAPSE)Tricuspid Annular Plane Systolic Excursion (TAPSE): *
Units: mmHg
Mittelventrikuläre RV-DilatationMittelventrikuläre RV-Dilatation: *
Mittelventrikuläre RV-DilatationMittelventrikuläre RV-Dilatation: *
Units: mm
PerikardergussPerikarderguss: *
Perikarderguss / PerikardseparationPerikarderguss / Perikardseparation: *
Units: mm
Vena CavaVena Cava: *
Durchmesser Vena CavaDurchmesser Vena Cava: *
Units: mm
Atemvariabilität Vena CavaAtemvariabilität Vena Cava: *
Units: %
Pulmonalvenöser FlussPulmonalvenöser Fluss: *
Pulmonalvenöse systolische Geschwindigkeit (PVsVel)Pulmonalvenöse systolische Geschwindigkeit (PVsVel): *
Pulmonalvenöse systolische Geschwindigkeit (PVsVel)Pulmonalvenöse systolische Geschwindigkeit (PVsVel): *
Units: cm/s
Pulmonalvenöse diastolische Geschwindigkeit (PVdVel)Pulmonalvenöse diastolische Geschwindigkeit (PVdVel): *
Pulmonalvenöse diastolische Geschwindigkeit (PVdVel)Pulmonalvenöse diastolische Geschwindigkeit (PVdVel): *
Units: cm/s
Diagnostik Insuffizienzen und StenosenDiagnostik Insuffizienzen und Stenosen: A generic section header which should be renamed in a template to suit a specific clinical context.
AusschlussAusschluss: A generic section header which should be renamed in a template to suit a specific clinical context.
Ausschluss Mitralklappeninsuffizienz (MI)Ausschluss Mitralklappeninsuffizienz (MI): A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past.
Data
Exclusion statementExclusion statement: A qualifying statement about the exclusion of a Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item.
This statement is to be used in conjunction with the 'Excluded concept' data element. For example: this data element can support recording general statements such as "No known history of ..." where the 'Excluded concept' identifies the specific problem, diagnosis, substance, procedure or medication. If the 'Excluded concept' data element is used to record a precoordinated term such as 'No family history of diabetes', this element is redundant.
Terminology: http://snomed.info/sct
  • Definitely NOT present (qualifier value) 
Problem/DiagnoseProblem/Diagnose: The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'.
Terminology: http://snomed.info/sct
  • Mitral valve regurgitation (disorder) 
Ausschluss Aortenklappenstenose (AS)Ausschluss Aortenklappenstenose (AS): A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past.
Data
Exclusion statementExclusion statement: A qualifying statement about the exclusion of a Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item.
This statement is to be used in conjunction with the 'Excluded concept' data element. For example: this data element can support recording general statements such as "No known history of ..." where the 'Excluded concept' identifies the specific problem, diagnosis, substance, procedure or medication. If the 'Excluded concept' data element is used to record a precoordinated term such as 'No family history of diabetes', this element is redundant.
Terminology: http://snomed.info/sct
  • Definitely NOT present (qualifier value) 
Problem/DiagnoseProblem/Diagnose: The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'.
Terminology: http://snomed.info/sct
  • Aortic valve stenosis (disorder) 
Ausschluss Pulmonalklappeninsuffizienz (PI)Ausschluss Pulmonalklappeninsuffizienz (PI): A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past.
Data
Exclusion statementExclusion statement: A qualifying statement about the exclusion of a Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item.
This statement is to be used in conjunction with the 'Excluded concept' data element. For example: this data element can support recording general statements such as "No known history of ..." where the 'Excluded concept' identifies the specific problem, diagnosis, substance, procedure or medication. If the 'Excluded concept' data element is used to record a precoordinated term such as 'No family history of diabetes', this element is redundant.
Terminology: http://snomed.info/sct
  • Definitely NOT present (qualifier value) 
Problem/DiagnoseProblem/Diagnose: The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'.
Terminology: http://snomed.info/sct
  • Pulmonic valve regurgitation (disorder) 
Ausschluss Trikuspidalklappeninsuffizienz (TI)Ausschluss Trikuspidalklappeninsuffizienz (TI): A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past.
Data
Exclusion statementExclusion statement: A qualifying statement about the exclusion of a Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item.
This statement is to be used in conjunction with the 'Excluded concept' data element. For example: this data element can support recording general statements such as "No known history of ..." where the 'Excluded concept' identifies the specific problem, diagnosis, substance, procedure or medication. If the 'Excluded concept' data element is used to record a precoordinated term such as 'No family history of diabetes', this element is redundant.
Terminology: http://snomed.info/sct
  • Definitely NOT present (qualifier value) 
Problem/DiagnoseProblem/Diagnose: The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'.
Terminology: http://snomed.info/sct
  • Tricuspid valve regurgitation (disorder) 
Ausschluss Aortenklappeninsuffizienz (AI)Ausschluss Aortenklappeninsuffizienz (AI): A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past.
Data
Exclusion statementExclusion statement: A qualifying statement about the exclusion of a Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item.
This statement is to be used in conjunction with the 'Excluded concept' data element. For example: this data element can support recording general statements such as "No known history of ..." where the 'Excluded concept' identifies the specific problem, diagnosis, substance, procedure or medication. If the 'Excluded concept' data element is used to record a precoordinated term such as 'No family history of diabetes', this element is redundant.
Terminology: http://snomed.info/sct
  • Definitely NOT present (qualifier value) 
Problem/DiagnoseProblem/Diagnose: The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'.
Terminology: http://snomed.info/sct
  • Aortic valve regurgitation (disorder) 
Ausschluss Mitralklappenstenose (MS)Ausschluss Mitralklappenstenose (MS): A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past.
Data
Exclusion statementExclusion statement: A qualifying statement about the exclusion of a Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item.
This statement is to be used in conjunction with the 'Excluded concept' data element. For example: this data element can support recording general statements such as "No known history of ..." where the 'Excluded concept' identifies the specific problem, diagnosis, substance, procedure or medication. If the 'Excluded concept' data element is used to record a precoordinated term such as 'No family history of diabetes', this element is redundant.
Terminology: http://snomed.info/sct
  • Definitely NOT present (qualifier value) 
Problem/DiagnoseProblem/Diagnose: The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'.
Terminology: http://snomed.info/sct
  • Mitral valve stenosis (disorder) 
Nicht erhobene ParameterNicht erhobene Parameter: A generic section header which should be renamed in a template to suit a specific clinical context.
Mitralklappeninsuffizienz (MI) nicht erfasstMitralklappeninsuffizienz (MI) nicht erfasst: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Mitral valve regurgitation (disorder) 
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Pulmonalklappeninsuffizienz (PI) nicht erfasstPulmonalklappeninsuffizienz (PI) nicht erfasst: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Pulmonic valve regurgitation (disorder) 
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Trikuspidalklappeninsuffizienz (TI) nicht erfasstTrikuspidalklappeninsuffizienz (TI) nicht erfasst: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Tricuspid valve regurgitation (disorder) 
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Aortenklappenstenose (AS) nicht erfasstAortenklappenstenose (AS) nicht erfasst: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Aortic valve stenosis (disorder) 
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Aortenklappeninsuffizienz (AI) nicht erfasstAortenklappeninsuffizienz (AI) nicht erfasst: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Aortic valve regurgitation (disorder) 
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Mitralklappenstenose (MS) nicht erfasstMitralklappenstenose (MS) nicht erfasst: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.
Data
Absence statementAbsence statement: Positive statement that no information is available.
For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used".
Terminology: http://snomed.info/sct
  • Mitral valve stenosis (disorder) 
Reason for absenceReason for absence: Description of the reason why there is no information available.
For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible.
Terminology: http://snomed.info/sct
  • Not recorded (qualifier value) 
Mitralklappeninsuffizienz (MI)Mitralklappeninsuffizienz (MI): A generic section header which should be renamed in a template to suit a specific clinical context.
Grad der Mitralklappeninsuffizienz (MI)Grad der Mitralklappeninsuffizienz (MI): Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Problem/Diagnosis nameProblem/Diagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
Terminology: http://snomed.info/sct
  • Mitral valve regurgitation (disorder) 
Body siteBody site: Identification of a simple body site for the location of the problem or diagnosis.
Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
Terminology: http://snomed.info/sct
  • Mitral valve structure (body structure) 

Default value: Mitral valve structure (body structure)
SeveritySeverity: An assessment of the overall severity of the problem or diagnosis.
If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
Terminology: http://snomed.info/sct
  •  
  •  
  •  
  • Mild 
  • Moderate 
  • Severe 
Pulmonalklappeninsuffizienz (PI)Pulmonalklappeninsuffizienz (PI): A generic section header which should be renamed in a template to suit a specific clinical context.
Grad der Pulmonalklappeninsuffizienz (PI)Grad der Pulmonalklappeninsuffizienz (PI): Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Problem/Diagnosis nameProblem/Diagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
Terminology: http://snomed.info/sct
  • Pulmonic valve regurgitation (disorder) 
Body siteBody site: Identification of a simple body site for the location of the problem or diagnosis.
Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
Terminology: http://snomed.info/sct
  • Pulmonary valve structure (body structure) 

Default value: Pulmonary valve structure (body structure)
SeveritySeverity: An assessment of the overall severity of the problem or diagnosis.
If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
Terminology: http://snomed.info/sct
  •  
  •  
  •  
  • Mild 
  • Moderate 
  • Severe 
Trikuspidalklappeninsuffizienz (TI)Trikuspidalklappeninsuffizienz (TI): A generic section header which should be renamed in a template to suit a specific clinical context.
Grad der Trikuspidalklappeninsuffizienz (TI)Grad der Trikuspidalklappeninsuffizienz (TI): Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Problem/Diagnosis nameProblem/Diagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
Terminology: http://snomed.info/sct
  • Tricuspid valve regurgitation (disorder) 
Body siteBody site: Identification of a simple body site for the location of the problem or diagnosis.
Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
Terminology: http://snomed.info/sct
  • Tricuspid valve structure (body structure) 

Default value: Tricuspid valve structure (body structure)
SeveritySeverity: An assessment of the overall severity of the problem or diagnosis.
If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
Terminology: http://snomed.info/sct
  •  
  •  
  •  
  • Mild 
  • Moderate 
  • Severe 
Aortenklappenstenose (AS)Aortenklappenstenose (AS): A generic section header which should be renamed in a template to suit a specific clinical context.
Grad der Aortenklappenstenose (AS)Grad der Aortenklappenstenose (AS): Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Problem/Diagnosis nameProblem/Diagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
Terminology: http://snomed.info/sct
  • Aortic valve stenosis (disorder) 
Body siteBody site: Identification of a simple body site for the location of the problem or diagnosis.
Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
Terminology: http://snomed.info/sct
  • Aortic valve structure (body structure) 

Default value: Aortic valve structure (body structure)
SeveritySeverity: An assessment of the overall severity of the problem or diagnosis.
If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
Terminology: http://snomed.info/sct
  •  
  •  
  •  
  • Mild 
  • Moderate 
  • Severe 
Aortenklappeninsuffizienz (AI)Aortenklappeninsuffizienz (AI): A generic section header which should be renamed in a template to suit a specific clinical context.
Grad der Aortenklappeninsuffizienz (AI)Grad der Aortenklappeninsuffizienz (AI): Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Problem/Diagnosis nameProblem/Diagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
Terminology: http://snomed.info/sct
  • Aortic valve regurgitation (disorder) 
Body siteBody site: Identification of a simple body site for the location of the problem or diagnosis.
Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
Terminology: http://snomed.info/sct
  • Aortic valve structure (body structure) 

Default value: Aortic valve structure (body structure)
SeveritySeverity: An assessment of the overall severity of the problem or diagnosis.
If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
Terminology: http://snomed.info/sct
  •  
  •  
  •  
  • Mild 
  • Moderate 
  • Severe 
Mitralklappenstenose (MS)Mitralklappenstenose (MS): A generic section header which should be renamed in a template to suit a specific clinical context.
Grad der Mitralklappenstenose (MS)Grad der Mitralklappenstenose (MS): Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Problem/Diagnosis nameProblem/Diagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
Terminology: http://snomed.info/sct
  • Mitral valve stenosis (disorder) 
Body siteBody site: Identification of a simple body site for the location of the problem or diagnosis.
Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
Terminology: http://snomed.info/sct
  • Mitral valve structure (body structure) 

Default value: Mitral valve structure (body structure)
SeveritySeverity: An assessment of the overall severity of the problem or diagnosis.
If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
Terminology: http://snomed.info/sct
  •  
  •  
  •  
  • Mild 
  • Moderate 
  • Severe