IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Observation",
"id" : "observation-id-23",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-comorbidity-eu-i4rc"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-id-23</b></p><a name=\"observation-id-23\"> </a><a name=\"hcobservation-id-23\"> </a><a name=\"observation-id-23-en-US\"> </a><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4329847}\">Myocardial infarction</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 319835}\">Congestive heart failure</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 381316}\">Cerebrovascular accident</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1620830}\">Chronic pulmonary disease</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4344165}\">Undifferentiated connective tissue disease</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1621281}\">Mild liver or renal disease</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc 1620421-renal}\">Moderate or severe renal disease</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1620816}\">Diabetes without complications</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1620753}\">Diabetes with end organ damage</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 374022}\">Hemiplegia</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1621181}\">Metastatic solid tumor</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc solid-tumor}\">Solid tumor (non metastatic)</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 317510}\">Leukemia</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 45881968}\">Lymphoma</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 437233}\">Multiple myeloma</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 45884125}\">AIDS</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4211787}\">No evidence of</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4145177}\">Enchondromatosis</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4323645}\">Li-Fraumeni syndrome</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 37117262}\">McCune Albright syndrome</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 37396802}\">Multiple osteochondroma</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 377252}\">Neurofibromatosis type 1</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4286355}\">Rothmund-Thomson syndrome</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4197821}\">Werner syndrome</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4158977}\">Retinoblastoma</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 75910}\">Osteitis deformans</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 321052}\">Peripheral vascular disease</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4182210}\">Dementia</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4177703}\">Ulcer</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc 1620421-liver}\">Moderate or severe liver disease</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4187683}\">Maffucci syndrome</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 75618-9}\">Comorbid condition</span></p><p><b>subject</b>: <a href=\"Patient-patient-id-17.html\">Anonymous Patient Male, DoB: 1968-01-01</a></p><p><b>value</b>: 2</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4329847",
"display" : "Myocardial infarction"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "319835",
"display" : "Congestive heart failure"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "321052",
"display" : "Peripheral vascular disease"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "381316",
"display" : "Cerebrovascular accident"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4182210",
"display" : "Dementia"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "1620830",
"display" : "Chronic pulmonary disease"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4344165",
"display" : "Undifferentiated connective tissue disease"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4177703",
"display" : "Ulcer"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "1621281",
"display" : "Mild liver or renal disease"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc",
"code" : "1620421-liver",
"display" : "Moderate or severe liver disease"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc",
"code" : "1620421-renal",
"display" : "Moderate or severe renal disease"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "1620816",
"display" : "Diabetes without complications"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "1620753",
"display" : "Diabetes with end organ damage"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "374022",
"display" : "Hemiplegia"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "1621181",
"display" : "Metastatic solid tumor"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc",
"code" : "solid-tumor",
"display" : "Solid tumor (non metastatic)"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "317510",
"display" : "Leukemia"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "45881968",
"display" : "Lymphoma"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "437233",
"display" : "Multiple myeloma"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "45884125",
"display" : "AIDS"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4211787",
"display" : "No evidence of"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4145177",
"display" : "Enchondromatosis"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4187683",
"display" : "Maffucci syndrome"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4323645",
"display" : "Li-Fraumeni syndrome"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "37117262",
"display" : "McCune Albright syndrome"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "37396802",
"display" : "Multiple osteochondroma"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "377252",
"display" : "Neurofibromatosis type 1"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4286355",
"display" : "Rothmund-Thomson syndrome"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4197821",
"display" : "Werner syndrome"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "4158977",
"display" : "Retinoblastoma"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ohdsi.org/CodeSystem/concepts",
"code" : "75910",
"display" : "Osteitis deformans"
}
]
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75618-9",
"display" : "Comorbid condition"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-id-17"
},
"valueQuantity" : {
"value" : 2
}
}