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. For a full list of available versions, see the Directory of published versions

: Hemikolektomie rechts

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{
  "resourceType" : "Procedure",
  "id" : "mii-exa-onko-right-hemicolectomy",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
    ]
  },
  "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-right-hemicolectomy</b></p><a name=\"de-mii-exa-onko-right-hemicolectomy\"> </a><a name=\"de-hcmii-exa-onko-right-hemicolectomy\"> </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></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 5-455.75}\">Laparoskopische Hemikolektomie rechts mit Lymphknotendissektion</span></p><p><b>subject</b>: <a href=\"Patient-example-modification.html\">Martin Beispiel  Male, DoB: 1958-11-03</a></p><p><b>encounter</b>: <a href=\"Encounter-example-surgery-modification.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-20</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-ascending-colon-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon ascendens</a></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>Laparoscopic right hemicolectomy performed. Tumor completely resected with clear margins (R0). 22 lymph nodes removed, 4 positive.</p>\n</div></blockquote></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",
            "display" : "Kurativ"
          }
        ]
      }
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "387713003",
        "display" : "Surgical procedure"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://fhir.de/CodeSystem/bfarm/ops",
        "version" : "2024",
        "code" : "5-455.75",
        "display" : "Partielle Resektion des Dickdarmes: Sigmaresektion: Laparoskopisch mit Anastomose"
      }
    ],
    "text" : "Laparoskopische Hemikolektomie rechts mit Lymphknotendissektion"
  },
  "subject" : {
    🔗 "reference" : "Patient/example-modification"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example-surgery-modification"
  },
  "performedDateTime" : "2024-02-20",
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/mii-exa-onko-ascending-colon-cancer-diagnosis"
    }
  ],
  "outcome" : {
    "coding" : [
      {
        "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus",
        "code" : "R0",
        "display" : "Kein Residualtumor"
      }
    ]
  },
  "note" : [
    {
      "text" : "Laparoscopic right hemicolectomy performed. Tumor completely resected with clear margins (R0). 22 lymph nodes removed, 4 positive."
    }
  ]
}