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Source1

{
  "resourceType": "Procedure",
  "id": "mii-exa-onko-sigmoid-resection",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
    ]
  },
  "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"
          }
        ]
      }
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/bfarm/ops",
        "version": "2024",
        "code": "5-484.5",
        "display": "Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion"
      }
    ],
    "text": "Laparoskopische Sigmaresektion mit TME und Lymphknotendissektion"
  },
  "outcome": {
    "coding": [
      {
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus",
        "code": "R0",
        "display": "Kein Residualtumor"
      }
    ]
  },
  "status": "completed",
  "category": {
    "coding": [
      {
        "code": "387713003",
        "system": "http://snomed.info/sct",
        "display": "Surgical procedure"
      }
    ]
  },
  "subject": {
    "reference": "Patient/mii-exa-onko-folfox-patient"
  },
  "encounter": {
    "reference": "Encounter/example-surgery"
  },
  "performedDateTime": "2024-02-15",
  "reasonReference": [
    {
      "reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
    }
  ],
  "note": [
    {
      "text": "Laparoscopic sigmoid resection with TME and lymphadenectomy. No intraoperative complications. Tumor completely resected with clear margins (R0). 18 lymph nodes removed, 3 positive. Surgery performed in 3 components: resection, anastomosis, and lymph node dissection."
    }
  ]
}