Kerndatensatz Senologie
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: Fall 9: Postoperative Komplikation — Lymphödem Arm links, Clavien-Dindo II - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "Fall9-Komplikation-Lymphoedem",
  "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 Fall9-Komplikation-Lymphoedem</b></p><a name=\"Fall9-Komplikation-Lymphoedem\"> </a><a name=\"hcFall9-Komplikation-Lymphoedem\"> </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-Fall9-Patient-Andrea-Wolf.html\">Andrea Wolf  Female, DoB: 1974-05-29 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-009)</a></p><p><b>focus</b>: <a href=\"Procedure-Fall9-Operation-BET.html\">Procedure Partielle (brusterhaltende) Exzision der Mamma und Destruktion von Mammagewebe: Partielle Resektion: Defektdeckung durch Mobilisation und Adaptation von bis zu 25 % des Brustgewebes (bis zu 1 Quadranten)</a></p><p><b>effective</b>: 2025-10-20</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1367520006}\">Clavien-Dindo Grad II</span></p><p><b>note</b>: </p><blockquote><div><p>Lymphödem Arm links nach Axilladissektion Level I-III (12/18 LK befallen). Konservative Therapie mit Kompressionswickelung und Lymphdrainage.</p>\n</div></blockquote><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 373864002}\">postoperativ, ambulant</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 449620005}\">Lymphödem Arm links</span></td></tr></table></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "789279006",
        "display" : "Clavien-Dindo classification grade"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Fall9-Patient-Andrea-Wolf"
  },
  "focus" : [
    {
      🔗 "reference" : "Procedure/Fall9-Operation-BET"
    }
  ],
  "effectiveDateTime" : "2025-10-20",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "1367520006",
        "display" : "Clavien-Dindo classification grade II"
      }
    ],
    "text" : "Clavien-Dindo Grad II"
  },
  "note" : [
    {
      "text" : "Lymphödem Arm links nach Axilladissektion Level I-III (12/18 LK befallen). Konservative Therapie mit Kompressionswickelung und Lymphdrainage."
    }
  ],
  "method" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "373864002",
        "display" : "Outpatient"
      }
    ],
    "text" : "postoperativ, ambulant"
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "116224001",
            "display" : "Complication of procedure"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "449620005",
            "display" : "Lymphedema of upper limb"
          }
        ],
        "text" : "Lymphödem Arm links"
      }
    }
  ]
}