| TEMPLATE ID | CAEHR_C_Magnetresonanztomografie |
|---|---|
| Concept | CAEHR_C_Magnetresonanztomografie |
| Description | Not Specified |
| Purpose | Not Specified |
| References | |
| Authors | date: 2023-02-17 |
| Other Details Language | date: 2023-02-17 |
| Other Details (Language Independent) |
|
| Language used | en |
| Citeable Identifier | 1246.169.3524 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| CAEHR_C_Magnetresonanztomografie | CAEHR_C_Magnetresonanztomografie: Document to communicate information to others, commonly in response to a request from another party. |
| Other Context | |
| Case identification | Case identification: To record case identification details for public health purposes. |
| Case identifier | Case identifier: The identifier of this case. |
| Care journey metadata | Care journey metadata: Tp capture Care plan metadata |
| Care plan name | Care 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 identifier | Care 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 identifier | Patient journey identifier: A patient-journey specific identifier i.e unique to a patient's journey along a specific care pathway. |
| Imaging examination result | Imaging examination result: The result of an imaging examination performed on an individual, using radiological techniques. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Study name | Study name: The name of the imaging examination performed. For example: 'CT abdomen'; 'Doppler ultrasound of renal artery' or 'Plain chest xray'. Coding with a terminology is strongly recommended, preferably a term specifying both modality and anatomical location, where possible. Examples of candidate terminologies are the LOINC Imaging Document Codes, RadLex Playbook or SNOMED-CT. Equivalent to DiagnosticReport.code in FHIR. Terminology: http://snomed.info/sct
|
| Imaging examination of a body structure | Imaging examination of a body structure: Findings on radiological examination of a specified body structure or region. |
| Body structure | Body structure: Identification of the body structure or region examined. For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant. Terminology: http://snomed.info/sct
|
| Cine-4-Kammerblick | Cine-4-Kammerblick: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://loinc.org
Default value: Right ventricular outflow tract proximal Diameter by US.2D.PSAX |
| DV_QUANTITY | DV_QUANTITY: * 0..200 mm |
| Cine multi-slice Kurzachse | Cine multi-slice Kurzachse: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://loinc.org
Default value: Thickness [Length] of Interventricular septum |
| DV_QUANTITY | DV_QUANTITY: * 0..100 mm |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_QUANTITY | DV_QUANTITY: * 0..100 mm |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
|
| DV_QUANTITY | DV_QUANTITY: * 0..200 mm |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
Default value: Left ventricular systolic area (observable entity) |
| DV_QUANTITY | DV_QUANTITY: * 0..200 mm |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
Default value: Left ventricular ejection fraction (observable entity) |
| DV_QUANTITY | DV_QUANTITY: * 0..100 % |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://loinc.org
Default value: Left ventricular End-diastolic volume (by US.2D+Calculated by biplane method of disks)/Body surface area |
| DV_QUANTITY | DV_QUANTITY: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://loinc.org
Default value: Left ventricular End-systolic volume (by US.2D+Calculated by biplane method of disks)/Body surface area |
| DV_QUANTITY | DV_QUANTITY: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://loinc.org
Default value: Left ventricular Stroke volume index |
| DV_QUANTITY | DV_QUANTITY: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://loinc.org
Default value: Left ventricular Myocardial mass/Body surface area [Mass/Area] by US 2D |
| DV_QUANTITY | DV_QUANTITY: * Units: g/m² |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
Default value: Right ventricular ejection fraction (observable entity) |
| DV_QUANTITY | DV_QUANTITY: * 0..100 % |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
Default value: Right ventricular end-diastolic cavity size (observable entity) |
| DV_QUANTITY | DV_QUANTITY: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
Default value: Right ventricular end-systolic cavity size (observable entity) |
| DV_QUANTITY | DV_QUANTITY: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
Default value: Right ventricular mass (finding) |
| DV_QUANTITY | DV_QUANTITY: * |
| Herzzeitvolumen | Herzzeitvolumen: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_QUANTITY | DV_QUANTITY: * Units: l/min |
| Herzzeitvolumen | Herzzeitvolumen: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
Default value: Cardiac index (observable entity) |
| DV_QUANTITY | DV_QUANTITY: * |
| DV_TEXT | DV_TEXT: *
|
| Herzzeitvolumen | Herzzeitvolumen: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
Default value: Left ventricular end-diastolic wall thickness (observable entity) |
| DV_QUANTITY | DV_QUANTITY: * 0..100 mm |
| Herzzeitvolumen | Herzzeitvolumen: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: * |
| Herzzeitvolumen | Herzzeitvolumen: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_QUANTITY | DV_QUANTITY: * Units: ms |
| Herzzeitvolumen | Herzzeitvolumen: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_QUANTITY | DV_QUANTITY: * Units: ms |
| Herzzeitvolumen | Herzzeitvolumen: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_QUANTITY | DV_QUANTITY: * Units: ms |
| Herzzeitvolumen | Herzzeitvolumen: * |
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: *
|
| Diameter des rechten Ventrikels | Diameter des rechten Ventrikels: * |
| DV_CODED_TEXT | DV_CODED_TEXT: *
|
| DV_CODED_TEXT | DV_CODED_TEXT: * Terminology: http://snomed.info/sct
|
| Ausschluss MRT | Ausschluss MRT: 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 statement | Exclusion 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
|
| Eingriff | Eingriff: The Procedure to which the 'Exclusion statement' applies. For example: 'Heart surgery' or 'Appendectomy' or 'Hip replacement'. Terminology: http://snomed.info/sct
|
| Nicht erhobene Werte | Nicht erhobene Werte: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Diameter des rechten Ventrikels nicht erhoben | Diameter des rechten Ventrikels 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 statement | Absence 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://loinc.org
|
| Reason for absence | Reason 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
Default value: Not recorded (qualifier value) |
| Basales Septum nicht erhoben | Basales Septum 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 statement | Absence 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://loinc.org
|
| Reason for absence | Reason 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
Default value: Not recorded (qualifier value) |
| Basale Lateralwand nicht erhoben | Basale Lateralwand 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 statement | Absence 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".
|
| Reason for absence | Reason 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
|
| Linksventrikulärer enddiastolischer Diameter (LVEDD) nicht erhoben | Linksventrikulärer enddiastolischer 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| Linksventrikulärer endsystolischer Diameter (LVESD) nicht erhoben | Linksventrikulärer endsystolischer Diameter (LVESD) 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| Linksventrikuläre Ejektionsfraktion (LV-EF) nicht erhoben | Linksventrikuläre Ejektionsfraktion (LV-EF) 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| Linksventrikulärer enddiastolischer Volumenindex (LV-EDVI) nicht erhoben | Linksventrikulärer enddiastolischer Volumenindex (LV-EDVI) 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 statement | Absence 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://loinc.org
|
| Reason for absence | Reason 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
|
| Linksventrikulärer endsystolischer Volumenindex (LV-ESVI) nicht erhoben | Linksventrikulärer endsystolischer Volumenindex (LV-ESVI) 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 statement | Absence 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://loinc.org
|
| Reason for absence | Reason 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
|
| Linksventrikulärer Schlagvolumenindex (LV-SVI) nicht erhoben | Linksventrikulärer Schlagvolumenindex (LV-SVI) 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 statement | Absence 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://loinc.org
|
| Reason for absence | Reason 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
|
| Indexierte linksventrikuläre Masse (LV-Masse/Körperoberfläche) nicht erhoben | Indexierte linksventrikuläre Masse (LV-Masse/Körperoberfläche) 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 statement | Absence 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://loinc.org
|
| Reason for absence | Reason 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
|
| Rechtsventrikuläre Ejektionsfraktion (RV-EF) nicht erhoben | Rechtsventrikuläre Ejektionsfraktion (RV-EF) 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| Rechtsventrikulärer enddiastolischer Volumenindex (RV-EDVI) nicht erhoben | Rechtsventrikulärer enddiastolischer Volumenindex (RV-EDVI) 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| Rechtsventrikulärer endsystolischer Volumenindex (RV-ESVI) nicht erhoben | Rechtsventrikulärer endsystolischer Volumenindex (RV-ESVI) 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| Rechtsventrikulärer Schlagvolumenindex (RV-SVI) nicht erhoben | Rechtsventrikulärer Schlagvolumenindex (RV-SVI) 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| LGE in AHA 17 Segmentmodell Infarkttypisch nicht erhoben | LGE in AHA 17 Segmentmodell Infarkttypisch 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 statement | Absence 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".
|
| Reason for absence | Reason 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
|
| LGE Mustercharakterisierung nicht erhoben | LGE Mustercharakterisierung 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 statement | Absence 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".
|
| Reason for absence | Reason 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
|
| Herzzeitvolumen nicht erhoben | Herzzeitvolumen 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 statement | Absence 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".
|
| Reason for absence | Reason 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
|
| Cardiac Index nicht erhoben | Cardiac Index 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| Maximale ventrikuläre Wanddicke nicht erhoben | Maximale ventrikuläre Wanddicke 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 statement | Absence 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
|
| Reason for absence | Reason 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
|
| Myokardiales Ödem im AHA 17 Segmentmodell (Ödem in Segment 1-17) nicht erhoben | Myokardiales Ödem im AHA 17 Segmentmodell (Ödem in Segment 1-17) 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 statement | Absence 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".
|
| Reason for absence | Reason 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
|
| Quantitative T1 Zeit im AHA 17 Segmentmodell vor Gabe des Kontrastmittels zur Beurteilung des Fibrosegrades nicht erhoben | Quantitative T1 Zeit im AHA 17 Segmentmodell vor Gabe des Kontrastmittels zur Beurteilung des Fibrosegrades 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 statement | Absence 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".
|
| Reason for absence | Reason 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
|
| Quantitative T1 Zeit im AHA 17 Segmentmodell nach Gabe des Kontrastmittels zur Beurteilung des Fibrosegrades nicht erhoben | Quantitative T1 Zeit im AHA 17 Segmentmodell nach Gabe des Kontrastmittels zur Beurteilung des Fibrosegrades 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 statement | Absence 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".
|
| Reason for absence | Reason 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
|
| Quantitative T2 Zeit im AHA 17 Segmentmodell nicht erhoben | Quantitative T2 Zeit im AHA 17 Segmentmodell 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 statement | Absence 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".
|
| Reason for absence | Reason 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
|