MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 -
Germany
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
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<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Patient_mii-exa-onko-prostata-bundle-patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient mii-exa-onko-prostata-bundle-patient</b></p><a name="mii-exa-onko-prostata-bundle-patient"> </a><a name="hcmii-exa-onko-prostata-bundle-patient"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Peter ProstataCa (no stated gender), DoB Unknown</p><hr/></div>
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<Condition>
<id value="mii-exa-onko-prostata-diagnose"/>
<meta>
<profile
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<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Condition_mii-exa-onko-prostata-diagnose"> </a><p class="res-header-id"><b>Generated Narrative: Condition mii-exa-onko-prostata-diagnose</b></p><a name="mii-exa-onko-prostata-diagnose"> </a><a name="hcmii-exa-onko-prostata-diagnose"> </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-diagnose-primaertumor.html">MII PR Onkologie Diagnose Primärtumor</a> version: 2027.0.0-ballot.1</p></div><p><b>Condition Asserted Date</b>: 2020-03-07</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 55342001}">Neoplastic disease</span></p><p><b>code</b>: <span title="Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm C61}">Bösartige Neubildung der Prostata</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>recordedDate</b>: 2024-01-02</p></div>
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<version value="2024"/>
<code value="C61"/>
<display value="Bösartige Neubildung der Prostata"/>
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<subject>🔗
<reference value="Patient/mii-exa-onko-prostata-bundle-patient"/>
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<recordedDate value="2024-01-02"/>
</Condition>
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<request>
<method value="POST"/>
<url value="Condition"/>
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<entry>
<fullUrl
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<Encounter>
<id value="mii-exa-onko-prostata-bundle-encounter"/>
<language value="en"/>
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<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Encounter_mii-exa-onko-prostata-bundle-encounter"> </a><p class="res-header-id"><b>Generated Narrative: Encounter mii-exa-onko-prostata-bundle-encounter</b></p><a name="mii-exa-onko-prostata-bundle-encounter"> </a><a name="hcmii-exa-onko-prostata-bundle-encounter"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode: IMP</a> (inpatient encounter)</p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p></div>
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<subject>🔗
<reference value="Patient/mii-exa-onko-prostata-bundle-patient"/>
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<entry>
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<resource>
<Observation>
<id value="mii-exa-onko-prostata-psa-diagnose-1"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-psa|2027.0.0-ballot.1"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-prostata-psa-diagnose-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-prostata-psa-diagnose-1</b></p><a name="mii-exa-onko-prostata-psa-diagnose-1"> </a><a name="hcmii-exa-onko-prostata-psa-diagnose-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-prostate-psa.html">MII PR Onkologie PSA-Wert</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 2857-1}">Prostate specific Ag [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></p><p><b>effective</b>: 2024-01-02</p><p><b>value</b>: 12 ng/ml</p></div>
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<subject>🔗
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<effectiveDateTime value="2024-01-02"/>
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<Observation>
<id value="mii-exa-onko-prostata-anzahl-stanzen-1"/>
<meta>
<profile
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</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-prostata-anzahl-stanzen-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-prostata-anzahl-stanzen-1</b></p><a name="mii-exa-onko-prostata-anzahl-stanzen-1"> </a><a name="hcmii-exa-onko-prostata-anzahl-stanzen-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-prostate-anzahl-stanzen.html">MII PR Onkologie Prostata Anzahl Stanzen</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 44652-6}">Total number of cores in Tissue core</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></p><p><b>effective</b>: 2024-01-02</p><p><b>value</b>: 12</p></div>
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<system value="http://loinc.org"/>
<code value="44652-6"/>
<display value="Total number of cores in Tissue core"/>
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<subject>🔗
<reference value="Patient/mii-exa-onko-prostata-bundle-patient"/>
</subject>
<focus>🔗
<reference value="Condition/mii-exa-onko-prostata-diagnose"/>
</focus>
<effectiveDateTime value="2024-01-02"/>
<valueInteger value="12"/>
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<entry>
<fullUrl
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<Observation>
<id value="mii-exa-onko-prostata-anzahl-positiver-stanzen-1"/>
<meta>
<profile
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</meta>
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<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-prostata-anzahl-positiver-stanzen-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-prostata-anzahl-positiver-stanzen-1</b></p><a name="mii-exa-onko-prostata-anzahl-positiver-stanzen-1"> </a><a name="hcmii-exa-onko-prostata-anzahl-positiver-stanzen-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-prostate-anzahl-positive-stanzen.html">MII PR Onkologie Prostata Anzahl positiver Stanzen</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 44651-8}">Tissue cores.positive.carcinoma in Tissue core</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></p><p><b>effective</b>: 2024-01-02</p><p><b>value</b>: 8</p></div>
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<code value="44651-8"/>
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<subject>🔗
<reference value="Patient/mii-exa-onko-prostata-bundle-patient"/>
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<focus>🔗
<reference value="Condition/mii-exa-onko-prostata-diagnose"/>
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<effectiveDateTime value="2024-01-02"/>
<valueInteger value="8"/>
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<method value="POST"/>
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<Observation>
<id value="mii-exa-onko-prostata-ca-befall-stanze-1"/>
<meta>
<profile
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<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-prostata-ca-befall-stanze-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-prostata-ca-befall-stanze-1</b></p><a name="mii-exa-onko-prostata-ca-befall-stanze-1"> </a><a name="hcmii-exa-onko-prostata-ca-befall-stanze-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-prostate-ca-befall-stanze.html">MII PR Onkologie Ca-Befall Stanze</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 44654-2}">Tissue involved by tumor in Prostate tumor</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></p><p><b>effective</b>: 2024-01-02</p><p><b>value</b>: 80 %</p><p><b>specimen</b>: <a href="Specimen-mii-exa-onko-prostata-specimen-stanze.html">Specimen: accessionIdentifier = P-2024-000812</a></p></div>
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<subject>🔗
<reference value="Patient/mii-exa-onko-prostata-bundle-patient"/>
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<focus>🔗
<reference value="Condition/mii-exa-onko-prostata-diagnose"/>
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<effectiveDateTime value="2024-01-02"/>
<valueQuantity>
<value value="80"/>
<unit value="%"/>
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<specimen>🔗
<reference value="Specimen/mii-exa-onko-prostata-specimen-stanze"/>
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</Observation>
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<method value="POST"/>
<url value="Observation"/>
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<Observation>
<id value="mii-exa-onko-prostata-gleason-pattern-grade-group-1"/>
<meta>
<profile
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<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-prostata-gleason-pattern-grade-group-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-prostata-gleason-pattern-grade-group-1</b></p><a name="mii-exa-onko-prostata-gleason-pattern-grade-group-1"> </a><a name="hcmii-exa-onko-prostata-gleason-pattern-grade-group-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-prostate-gleason-grade-group.html">MII PR Onkologie Prostata Gleason Grade Group</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1812491000004107}, {http://loinc.org 94734-1}">Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></p><p><b>effective</b>: 2024-01-02</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1279714001}">International Society of Urological Pathology grade group 2 (Gleason score 3 + 4 = 7) (qualifier value)</span></p><p><b>derivedFrom</b>: </p><ul><li><a href="Observation-mii-exa-onko-prostata-gleason-pattern-primary-1.html">Observation Primary Gleason pattern (observable entity)</a></li><li><a href="Observation-mii-exa-onko-prostata-gleason-pattern-secondary-1.html">Observation Secondary Gleason pattern (observable entity)</a></li></ul></div>
</text>
<status value="final"/>
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<system value="http://snomed.info/sct"/>
<code value="1812491000004107"/>
<display
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</coding>
<coding>
<system value="http://loinc.org"/>
<code value="94734-1"/>
<display
value="Prostate cancer grade group [Score] in Prostate tumor Qualitative"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-prostata-bundle-patient"/>
</subject>
<focus>🔗
<reference value="Condition/mii-exa-onko-prostata-diagnose"/>
</focus>
<effectiveDateTime value="2024-01-02"/>
<valueCodeableConcept>
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<system value="http://snomed.info/sct"/>
<code value="1279714001"/>
<display
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</coding>
</valueCodeableConcept>
<derivedFrom>🔗
<reference
value="Observation/mii-exa-onko-prostata-gleason-pattern-primary-1"/>
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<derivedFrom>🔗
<reference
value="Observation/mii-exa-onko-prostata-gleason-pattern-secondary-1"/>
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<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-prostata-gleason-pattern-primary-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-prostata-gleason-pattern-primary-1</b></p><a name="mii-exa-onko-prostata-gleason-pattern-primary-1"> </a><a name="hcmii-exa-onko-prostata-gleason-pattern-primary-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-prostate-gleason-patterns.html">MII PR Onkologie Prostata Gleason Pattern</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 384994009}, {http://loinc.org 44641-9}">Primary Gleason pattern (observable entity)</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></p><p><b>effective</b>: 2024-01-02</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 369772003}">Gleason Pattern 3</span></p></div>
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<subject>🔗
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<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-prostata-gleason-pattern-secondary-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-prostata-gleason-pattern-secondary-1</b></p><a name="mii-exa-onko-prostata-gleason-pattern-secondary-1"> </a><a name="hcmii-exa-onko-prostata-gleason-pattern-secondary-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-prostate-gleason-patterns.html">MII PR Onkologie Prostata Gleason Pattern</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 384995005}, {http://loinc.org 44642-7}">Secondary Gleason pattern (observable entity)</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></p><p><b>effective</b>: 2024-01-02</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 369773008}">Gleason Pattern 4</span></p></div>
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<subject>🔗
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<focus>🔗
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<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-prostata-surgical-complication-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-prostata-surgical-complication-1</b></p><a name="mii-exa-onko-prostata-surgical-complication-1"> </a><a name="hcmii-exa-onko-prostata-surgical-complication-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-prostate-clavien-dindo.html">MII PR Onkologie Clavien Dindo</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 789279006}">Clavien-Dindo classification grade (observable entity)</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: </p><ul><li><a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></li><li><a href="Procedure-mii-exa-onko-prostata-surgery-1.html">Procedure Radikale Prostatovesikulektomie</a></li></ul><p><b>effective</b>: 2024-06-24</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1367522003}, {https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-prostata-postsurgical-complications J}">Clavien-Dindo classification grade IIIa (finding)</span></p></div>
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<subject>🔗
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</subject>
<focus>🔗
<reference value="Condition/mii-exa-onko-prostata-diagnose"/>
</focus>
<focus>🔗
<reference value="Procedure/mii-exa-onko-prostata-surgery-1"/>
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<meta>
<profile
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<text>
<status value="extensions"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Procedure_mii-exa-onko-prostata-surgery-1"> </a><p class="res-header-id"><b>Generated Narrative: Procedure mii-exa-onko-prostata-surgery-1</b></p><a name="mii-exa-onko-prostata-surgery-1"> </a><a name="hcmii-exa-onko-prostata-surgery-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>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 387713003}">Surgical procedure</span></p><p><b>code</b>: <span title="Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-604}">Radikale Prostatovesikulektomie</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-prostata-bundle-patient.html">Peter ProstataCa (no stated gender), DoB Unknown</a></p><p><b>performed</b>: 2024-06-24</p><p><b>reasonReference</b>: <a href="Condition-mii-exa-onko-prostata-diagnose.html">Condition Bösartige Neubildung der Prostata</a></p></div>
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<subject>🔗
<reference value="Patient/mii-exa-onko-prostata-bundle-patient"/>
</subject>
<performedDateTime value="2024-06-24"/>
<reasonReference>🔗
<reference value="Condition/mii-exa-onko-prostata-diagnose"/>
</reasonReference>
</Procedure>
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<method value="POST"/>
<url value="Procedure"/>
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