IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build 150

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

: Observation: comorbidity - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-id-23"/>
  <meta>
    <profile
             value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-comorbidity-eu-i4rc"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4329847"/>
        <display value="Myocardial infarction"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="319835"/>
        <display value="Congestive heart failure"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="321052"/>
        <display value="Peripheral vascular disease"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="381316"/>
        <display value="Cerebrovascular accident"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4182210"/>
        <display value="Dementia"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="1620830"/>
        <display value="Chronic pulmonary disease"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4344165"/>
        <display value="Undifferentiated connective tissue disease"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4177703"/>
        <display value="Ulcer"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="1621281"/>
        <display value="Mild liver or renal disease"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc"/>
        <code value="1620421-liver"/>
        <display value="Moderate or severe liver disease"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc"/>
        <code value="1620421-renal"/>
        <display value="Moderate or severe renal disease"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="1620816"/>
        <display value="Diabetes without complications"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="1620753"/>
        <display value="Diabetes with end organ damage"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="374022"/>
        <display value="Hemiplegia"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="1621181"/>
        <display value="Metastatic solid tumor"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc"/>
        <code value="solid-tumor"/>
        <display value="Solid tumor (non metastatic)"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="317510"/>
        <display value="Leukemia"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="45881968"/>
        <display value="Lymphoma"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="437233"/>
        <display value="Multiple myeloma"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="45884125"/>
        <display value="AIDS"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4211787"/>
        <display value="No evidence of"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4145177"/>
        <display value="Enchondromatosis"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4187683"/>
        <display value="Maffucci syndrome"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4323645"/>
        <display value="Li-Fraumeni syndrome"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="37117262"/>
        <display value="McCune Albright syndrome"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="37396802"/>
        <display value="Multiple osteochondroma"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="377252"/>
        <display value="Neurofibromatosis type 1"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4286355"/>
        <display value="Rothmund-Thomson syndrome"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4197821"/>
        <display value="Werner syndrome"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="4158977"/>
        <display value="Retinoblastoma"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.ohdsi.org/CodeSystem/concepts"/>
        <code value="75910"/>
        <display value="Osteitis deformans"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="75618-9"/>
      <display value="Comorbid condition"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patient-id-17"/>
  </subject>
  <valueQuantity>
    <value value="2"/>
  </valueQuantity>
</Observation>