MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 - Germany

This page is part of the MII IG Kerndatensatz-Modul Onkologie (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Example surgical therapy

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{
  "resourceType" : "Procedure",
  "id" : "mii-exa-onko-operation-1",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation|2027.0.0-ballot.1"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-operation-1</b></p><a name=\"de-mii-exa-onko-operation-1\"> </a><a name=\"de-hcmii-exa-onko-operation-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-operation.html\">MII PR Onkologie Operation</a> version: 2027.0.0-ballot.1</p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">kurativ</span></p><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-01.html\">CarePlan: identifier = Tumorkonferenz_1; status = active; intent = plan; category = postoperative Tumorkonferenz (Planung der postoperativen Therapie, z. B. zur Frage adjuvante Therapie); created = 2024-01-11</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure (procedure)</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-870}\">Partielle (brusterhaltende) Exzision der Mamma und Destruktion von Mammagewebe</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Erika Beispiel  Female, DoB: 1965-04-12</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>performed</b>: 2021-12-04</p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus R1}\">Mikroskopischer Residualtumor</span></p><p><b>complication</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-komplikation HNK}\">Hautnekrose im Operationsbereich</span></p></div>"
  },
  "extension" : [
    {
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention",
            "code" : "K"
          }
        ]
      }
    }
  ],
  "basedOn" : [
    {
      🔗 "reference" : "CarePlan/mii-exa-onko-tumorkonferenz-01"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "387713003",
        "display" : "Surgical procedure (procedure)"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://fhir.de/CodeSystem/bfarm/ops",
        "version" : "2021",
        "code" : "5-870",
        "display" : "Partielle (brusterhaltende) Exzision der Mamma und Destruktion von Mammagewebe"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example"
  },
  "performedDateTime" : "2021-12-04",
  "outcome" : {
    "coding" : [
      {
        "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus",
        "code" : "R1",
        "display" : "Mikroskopischer Residualtumor"
      }
    ]
  },
  "complication" : [
    {
      "coding" : [
        {
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-komplikation",
          "code" : "HNK",
          "display" : "Hautnekrose im Operationsbereich"
        }
      ]
    }
  ]
}