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

: Melanom Exzision Rücken Beispiel

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{
  "resourceType" : "Procedure",
  "id" : "mii-exa-onko-melanom-exzision-ruecken",
  "meta" : {
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      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-melanom-exzision|2027.0.0-ballot.1"
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  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-melanom-exzision-ruecken</b></p><a name=\"mii-exa-onko-melanom-exzision-ruecken\"> </a><a name=\"hcmii-exa-onko-melanom-exzision-ruecken\"> </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-melanom-exzision.html\">MII PR Onko Melanom Exzision</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 5-894.0a}, {http://snomed.info/sct 177281002}\">Lokale Exzision von erkranktem Gewebe an Haut und Unterhaut: Ohne primären Wundverschluss: Brustwand und Rücken</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-melanom-bundle-patient.html\">Maria Melanom  (no stated gender), DoB Unknown</a></p><p><b>performed</b>: 2024-04-05</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-melanom-diagnose.html\">Condition Bösartiges Melanom der Haut, nicht näher bezeichnet</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 304036007}\">Structure of posterior region of neck</span></p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus R0}\">Kein Residualtumor</span></p><p><b>note</b>: </p><blockquote><div><p>Nachexzision mit 2cm Sicherheitsabstand</p>\n</div></blockquote></div>"
  },
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  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "387713003",
        "display" : "Surgical procedure"
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    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://fhir.de/CodeSystem/bfarm/ops",
        "version" : "2024",
        "code" : "5-894.0a",
        "display" : "Lokale Exzision von erkranktem Gewebe an Haut und Unterhaut: Ohne primären Wundverschluss: Brustwand und Rücken"
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        "code" : "177281002",
        "display" : "Excision of melanoma (procedure)"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/mii-exa-onko-melanom-bundle-patient"
  },
  "performedDateTime" : "2024-04-05",
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/mii-exa-onko-melanom-diagnose"
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "304036007",
          "display" : "Structure of posterior region of neck"
        }
      ]
    }
  ],
  "outcome" : {
    "coding" : [
      {
        "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus",
        "code" : "R0",
        "display" : "Kein Residualtumor"
      }
    ]
  },
  "note" : [
    {
      "text" : "Nachexzision mit 2cm Sicherheitsabstand"
    }
  ]
}