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" : "Procedure",
"id" : "Fall10-Operation-SLNB",
"meta" : {
"profile" : [
🔗 "https://www.senologie.org/fhir/StructureDefinition/senologie-operation"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Procedure Fall10-Operation-SLNB</b></p><a name=\"Fall10-Operation-SLNB\"> </a><a name=\"hcFall10-Operation-SLNB\"> </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-operation.html\">BIH LM Senologie Brustwand-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>partOf</b>: <a href=\"Procedure-Fall10-Operation-Mastektomie-Rechts.html\">Procedure (Modifizierte radikale) Mastektomie</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 234262008}\">Excision of axillary lymph node</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-401.11}\">Sentinel-Lymphknoten-Biopsie rechts</span></p><p><b>subject</b>: <a href=\"Patient-Fall10-Patient-Christina-Becker.html\">Christina Becker Female, DoB: 1982-12-14 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-010)</a></p><p><b>performed</b>: 2025-06-18</p><p><b>reasonReference</b>: <a href=\"Condition-Fall10-Diagnose-Mammakarzinom.html\">Condition Malignant neoplasm of breast</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 73056007}\">Right breast structure</span></p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus R0}\">Sentinel-LK negativ pN0(sn)(0/2)</span></p></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"
}
]
}
}
],
"partOf" : [
{
🔗 "reference" : "Procedure/Fall10-Operation-Mastektomie-Rechts"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "234262008",
"display" : "Excision of axillary lymph node"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/ops",
"version" : "2025",
"code" : "5-401.11",
"display" : "Exzision einzelner Lymphknoten und Lymphgefäße: Axillär: Mit Radionuklidmarkierung (Sentinel-Lymphonodektomie)"
}
],
"text" : "Sentinel-Lymphknoten-Biopsie rechts"
},
"subject" : {
🔗 "reference" : "Patient/Fall10-Patient-Christina-Becker"
},
"performedDateTime" : "2025-06-18",
"reasonReference" : [
{
🔗 "reference" : "Condition/Fall10-Diagnose-Mammakarzinom"
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "73056007",
"display" : "Right breast structure"
}
]
}
],
"outcome" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus",
"code" : "R0",
"display" : "Kein Residualtumor"
}
],
"text" : "Sentinel-LK negativ pN0(sn)(0/2)"
}
}