Kerndatensatz Senologie
0.9.0 - ci-build
Kerndatensatz Senologie - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Observation",
"id" : "Fall2-Komplikation-Serom",
"meta" : {
"profile" : [
🔗 "https://www.senologie.org/fhir/StructureDefinition/senologie-operative-komplikation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation Fall2-Komplikation-Serom</b></p><a name=\"Fall2-Komplikation-Serom\"> </a><a name=\"hcFall2-Komplikation-Serom\"> </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-senologie-operative-komplikation.html\">BIH Senologie Operative Komplikation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 789279006}\">Clavien-Dindo classification grade</span></p><p><b>subject</b>: <a href=\"Patient-Fall2-Patient-Lena-Hoffmann.html\">Lena Hoffmann Female, DoB: 1980-09-28 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-002)</a></p><p><b>focus</b>: <a href=\"Procedure-Fall2-Operation-Mastektomie.html\">Procedure (Modifizierte radikale) Mastektomie</a></p><p><b>effective</b>: 2025-08-10</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1367519000}\">Clavien-Dindo Grad I</span></p><p><b>note</b>: </p><blockquote><div><p>Serom axillär rechts, konservative Behandlung mit Punktion, kein operativer Eingriff erforderlich</p>\n</div></blockquote><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 416800000}\">postoperativ, stationär</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 116224001}\">Complication of procedure</span></td><td><span title=\"Codes:{http://snomed.info/sct 285345009}\">Serom</span></td></tr></table></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "789279006",
"display" : "Clavien-Dindo classification grade"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Fall2-Patient-Lena-Hoffmann"
},
"focus" : [
{
🔗 "reference" : "Procedure/Fall2-Operation-Mastektomie"
}
],
"effectiveDateTime" : "2025-08-10",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1367519000",
"display" : "Clavien-Dindo classification grade I"
}
],
"text" : "Clavien-Dindo Grad I"
},
"note" : [
{
"text" : "Serom axillär rechts, konservative Behandlung mit Punktion, kein operativer Eingriff erforderlich"
}
],
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "416800000",
"display" : "Inpatient"
}
],
"text" : "postoperativ, stationär"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "116224001",
"display" : "Complication of procedure"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "285345009",
"display" : "Seroma"
}
],
"text" : "Serom"
}
}
]
}