FHIR IG analytics| Package | dguv.oper |
| Resource Type | Bundle |
| Id | DGUV_OPER_Bsp_Bundle_01.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "55d75b64f-a8a1-49b8-8d33-bd16423b3e6e",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Bundle/DGUV-OPER-PR-Bundle"
]
},
"identifier": {
"system": "http://fhir.dguv.de/OPER/NamingSystem/DGUV-OPER-NS-Nachrichtenkennung",
"value": "1255d75b64f-a8a1-49b8-8d33-bd16423b3e6e345"
},
"type": "document",
"timestamp": "2025-06-10T12:00:00+01:00",
"entry": [
{
"fullUrl": "http://fhir.dguv.de/OPER/Composition/c00f7826-5a3e-49aa-b499-3f8c6599bd2b",
"resource": {
"resourceType": "Composition",
"id": "c00f7826-5a3e-49aa-b499-3f8c6599bd2b",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Composition/DGUV-OPER-PR-Composition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h1>Hier finden Sie ein Beispiel der Composition für einen stationären\n\t\t\t\t\t\t\tDGUV-stationären-Operationsbericht.</h1></div>"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://fhir.dguv.de/Basis/CodeSystem/DGUV-Basis-CS-Formtexte",
"code": "OPER",
"display": "Operationsbericht"
}
]
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
},
"date": "2025-11-02T10:15:00+01:00",
"author": [
{
"reference": "http://fhir.dguv.de/OPER/Practitioner/53192032-6365-4659-8cc2-f9a7df67a466"
}
],
"title": "Stationärer Operationsbericht",
"section": [
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "UFER",
"display": "Unfallereignis"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Practitioner/Observation/08b39f82-9dbf-4315-92f5-5f0011d37a5c"
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "UVTR",
"display": "Unfallversicherungsträger"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Organization/180f219f-97a8-486d-99d9-ed631fe4fc60"
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "DGNS",
"display": "Diagnosen"
}
]
},
"section": [
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "DGFT",
"display": "Diagnose - Freitext"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Condition/84507618-4ff5-46d9-9e61-8ab15c9ce2a4"
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "DGST",
"display": "Diagnose - strukturiert"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Condition/9acff578-cca8-4f9c-9f58-49e5cb91bbab"
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "DGST",
"display": "Diagnose - strukturiert"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Condition/9acff578-cca8-4f9c-9f58-49e5cb91bbab-2"
}
]
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "OPDT",
"display": "OP-Daten"
}
]
},
"section": [
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "OPBV",
"display": "OP-Befund und -Verlauf"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Observation/ab3a0636-dd23-4e30-b950-698fb4b1cd9b"
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "OPPD",
"display": "OP Prozedur"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/Procedure/76310f12-f67c-4f49-8bda-7ffc98b17058"
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "HIMU",
"display": "Histo -/mikrobiologische Untersuchung"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Observation/591d73fb-8d4a-4c92-ac1a-afa009b1cfc2"
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "IMPT",
"display": "Implantat"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Device/6e6b2663-0339-46e5-9625-65537195ba5c"
}
]
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "POTE",
"display": "Postoperative Therapieempfehlung"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Observation/fce850fc-45cb-4c04-8cf2-69bbfe602fb9"
}
]
},
{
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
"code": "BNEN",
"display": "Behandelnde Einrichtung"
}
]
},
"entry": [
{
"reference": "http://fhir.dguv.de/OPER/Organisation/8c2b5a27-9d82-45a6-8167-9858707656e6"
}
]
}
]
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba",
"resource": {
"resourceType": "Patient",
"id": "482bb42d-a37b-45f7-8893-0abe669bd8ba",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Patient/DGUV-OPER-PR-VersichertePerson"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h1>Hier finden Sie ein Beispiel einer verunfallten Person entsprechend des\n\t\t\t\t\t\t\tVersichertePerson-Profils der DGUV</h1></div>"
},
"extension": [
{
"extension": [
{
"url": "code",
"valueCodeableConcept": {
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "DE",
"display": "Germany"
}
]
}
},
{
"url": "period",
"valuePeriod": {
"start": "2004-11-12",
"end": "2024-01-01"
}
}
],
"url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "KVZ10"
}
]
},
"system": "http://fhir.de/sid/gkv/kvid-10",
"value": "S123456789"
}
],
"name": [
{
"use": "official",
"family": "Mustermann",
"_family": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString": "Mustermann"
}
]
},
"given": [
"Lionel"
]
}
],
"telecom": [
{
"system": "phone",
"value": "0049177/00000000"
}
],
"gender": "male",
"birthDate": "2004-11-12",
"address": [
{
"type": "both",
"line": [
"Musterweg 1"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Musterweg"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "1"
}
]
}
],
"city": "Musterhausen",
"postalCode": "11111",
"country": "DE"
}
]
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Practitioner/53192032-6365-4659-8cc2-f9a7df67a466",
"resource": {
"resourceType": "Practitioner",
"id": "53192032-6365-4659-8cc2-f9a7df67a466",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Practitioner/DGUV-OPER-PR-Autor"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h1>Operateur</h1><p>Diese Ressource beschreibt den Autor bzw. Operateur, der formell für die\n\t\t\t\t\t\t\tDurchführung des operativen Eingriffs verantwortlich ist.</p></div>"
},
"name": [
{
"use": "official",
"family": "Musteraerztin14",
"_family": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString": "Musteraerztin14"
}
]
},
"given": [
"Maria"
],
"prefix": [
"Dr."
],
"_prefix": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode": "AC"
}
]
}
]
}
]
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Practitioner/Observation/08b39f82-9dbf-4315-92f5-5f0011d37a5c",
"resource": {
"resourceType": "Observation",
"id": "08b39f82-9dbf-4315-92f5-5f0011d37a5c",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Observation/DGUV-OPER-PR-Unfallereignis"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>\n\t\t\t\t\t\t\tUnfallereignis der versicherten Person am 12.12.2025\n\t\t\t\t\t\t\tmit medizinischer Relevanz für die nachfolgende Behandlung.\n\t\t\t\t\t\t</p></div>"
},
"identifier": [
{
"system": "http://fhir.dguv.de/Basis/NamingSystem/DGUV-Basis-NS-Aktenzeichen",
"value": "BGV-AZ-2025/365"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-Teilberichtsinhalt",
"code": "UFER",
"display": "Unfallereignis"
}
]
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
},
"effectiveDateTime": "2025-12-12T17:00:00+00:00"
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Organization/180f219f-97a8-486d-99d9-ed631fe4fc60",
"resource": {
"resourceType": "Organization",
"id": "180f219f-97a8-486d-99d9-ed631fe4fc60",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Organization/DGUV-OPER-PR-Unfallversicherungstraeger"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h1>Hier finden Sie ein Beispiel für den Unfallversicherungstraeger einer\n\t\t\t\t\t\t\tverunfallten Person</h1></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX",
"display": "Organization identifier"
}
]
},
"system": "http://fhir.de/sid/arge-ik/iknr",
"value": "120391742"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PRN",
"display": "Provider number"
}
]
},
"system": "https://gematik.de/fhir/sid/telematik-id",
"value": "8-01-0000000090"
}
],
"name": "Braunschweigischer GUVV",
"telecom": [
{
"system": "phone",
"value": "0531 27374-0"
},
{
"system": "email",
"value": "info@bs-guv.de"
}
],
"address": [
{
"type": "both",
"line": [
"Berliner Platz 1 C (Ring-Center)"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Berliner Platz"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "1 C"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
"valueString": "(Ring-Center)"
}
]
}
],
"city": "Braunschweig",
"postalCode": "38102",
"country": "DE"
}
]
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Condition/84507618-4ff5-46d9-9e61-8ab15c9ce2a4",
"resource": {
"resourceType": "Condition",
"id": "84507618-4ff5-46d9-9e61-8ab15c9ce2a4",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Condition/DGUV-OPER-PR-DiagnoseFreitext"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>\n\t\t\t\t\t\t\tDiagnose (Freitext): Geschlossene Fraktur des rechten Unterarms.\n\t\t\t\t\t\t\tEs liegt eine Fraktur vor, klassifiziert als AO A1.\n\t\t\t\t\t\t</p></div>"
},
"extension": [
{
"extension": [
{
"url": "Fraktur",
"valueBoolean": true
},
{
"url": "AO-Klassifikation",
"valueString": "A1"
}
],
"url": "http://fhir.dguv.de/Basis/Extension/DGUV-Basis-EX-Frakturklassifikation"
}
],
"code": {
"text": "Geschlossene Fraktur des rechten Unterarms."
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
}
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Condition/9acff578-cca8-4f9c-9f58-49e5cb91bbab",
"resource": {
"resourceType": "Condition",
"id": "9acff578-cca8-4f9c-9f58-49e5cb91bbab",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Condition/DGUV-OPER-PR-DiagnoseStrukturiert"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>\n\t\t\t\t\t\t\tStrukturierte Diagnose: Fraktur des Unterarms (ICD-10-GM: S52.50),\n\t\t\t\t\t\t\trechte Seite, gesicherte Diagnose.\n\t\t\t\t\t\t</p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"code": {
"coding": [
{
"extension": [
{
"url": "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen",
"valueCoding": {
"system": "http://fhir.de/CodeSystem/icd-10-gm-mehrfachcodierungs-kennzeichen",
"code": "*"
}
},
{
"url": "http://fhir.de/StructureDefinition/seitenlokalisation",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION",
"code": "R"
}
},
{
"url": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT",
"code": "G"
}
}
],
"system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
"version": "2017",
"code": "S52.50",
"display": "Fraktur des Unterarms"
}
]
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
}
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Condition/9acff578-cca8-4f9c-9f58-49e5cb91bbab-2",
"resource": {
"resourceType": "Condition",
"id": "9acff578-cca8-4f9c-9f58-49e5cb91bbab-2",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Condition/DGUV-OPER-PR-DiagnoseStrukturiert"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>\n\t\t\t\t\t\t\tStrukturierte Diagnose: Fraktur des distalen Radius (ICD-10-GM: S52.51),\n\t\t\t\t\t\t\tlinksseitig, gesicherte Diagnose.\n\t\t\t\t\t\t</p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"code": {
"coding": [
{
"extension": [
{
"url": "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen",
"valueCoding": {
"system": "http://fhir.de/CodeSystem/icd-10-gm-mehrfachcodierungs-kennzeichen",
"code": "*"
}
},
{
"url": "http://fhir.de/StructureDefinition/seitenlokalisation",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION",
"code": "L"
}
},
{
"url": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT",
"code": "G"
}
}
],
"system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
"version": "2017",
"code": "S52.51",
"display": "Fraktur des distalen Radius"
}
]
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
}
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Observation/ab3a0636-dd23-4e30-b950-698fb4b1cd9b",
"resource": {
"resourceType": "Observation",
"id": "ab3a0636-dd23-4e30-b950-698fb4b1cd9b",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Observation/DGUV-OPER-PR-OpBefundVerlauf"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>\n\t\t\t\t\t\t\tOP-Befund und -Verlauf: Intraoperativer Befund unauffällig,\n\t\t\t\t\t\t\tkeine Komplikationen. Der operative Verlauf war regelrecht.\n\t\t\t\t\t\t</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-Teilberichtsinhalt",
"code": "OPBV",
"display": "OPBefundVerlauf"
}
]
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
},
"valueString": "Intraoperativer Befund: Krank. Keine Komplikationen. Verlauf regelrecht."
}
},
{
"fullUrl": "http://fhir.dguv.de/Procedure/76310f12-f67c-4f49-8bda-7ffc98b17058",
"resource": {
"resourceType": "Procedure",
"id": "76310f12-f67c-4f49-8bda-7ffc98b17058",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Procedure/DGUV-OPER-PR-OPProzedur"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h1>Hier finden Sie ein Beispiel der OPProzedur einer verunfallten Person entsprechend des VersichertePerson-Profils der DGUV</h1></div>"
},
"extension": [
{
"url": "http://fhir.dguv.de/OPER/Extension/DGUV-OPER-EX-Narkose",
"valueCodeableConcept": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-Narkose",
"code": "AA",
"display": "Allgemeinanästhesie"
}
]
}
},
{
"url": "http://fhir.dguv.de/OPER/Extension/DGUV-OPER-EX-Schnittzeit",
"valueDateTime": "2024-03-12T08:15:00+01:00"
},
{
"url": "http://fhir.dguv.de/OPER/Extension/DGUV-OPER-EX-Nahtzeit",
"valueDateTime": "2024-03-12"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "80146002",
"display": "Appendectomy"
}
],
"text": "Appendektomie"
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
},
"encounter": {
"display": "Fallnummer 2026-000987"
},
"performedDateTime": "2024-03-12T08:00:00+01:00",
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "74400008",
"display": "Appendicitis"
}
],
"text": "Akute Appendizitis"
}
],
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "66754008",
"display": "Appendix structure"
}
],
"text": "Appendix"
}
]
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Observation/591d73fb-8d4a-4c92-ac1a-afa009b1cfc2",
"resource": {
"resourceType": "Observation",
"id": "591d73fb-8d4a-4c92-ac1a-afa009b1cfc2",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Observation/DGUV-OPER-PR-HistoMibiUntersuchung"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>\n\t\t\t\t\t\t\tHistologische und mikrobiologische Untersuchung wurde veranlasst.\n\t\t\t\t\t\t\tEntnommenes Gewebematerial wurde zur histologischen Beurteilung sowie\n\t\t\t\t\t\t\tmikrobiologischen Diagnostik eingesandt.\n\t\t\t\t\t\t</p></div>"
},
"extension": [
{
"url": "http://fhir.dguv.de/OPER/Extension/DGUV-OPER-EX-HistoMibiUntersuchungVeranlasst",
"valueBoolean": true
}
],
"partOf": [
{
"reference": "Procedure/OP-67890"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-Teilberichtsinhalt",
"code": "HMUN",
"display": "HistologischeMikrobiologischeUntersuchung"
}
]
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
},
"valueString": "Es wurde ein 1,2 cm großes Gewebefragment aus dem entzündlich veränderten Weichteilbereich der rechten Unterarmregion entnommen. Das Material wurde zur histologischen Beurteilung der Gewebearchitektur sowie zur mikrobiologischen Diagnostik (Bakterien-, Pilz- und Resistenzenachweis) eingesandt"
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Device/6e6b2663-0339-46e5-9625-65537195ba5c",
"resource": {
"resourceType": "Device",
"id": "6e6b2663-0339-46e5-9625-65537195ba5c",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Device/DGUV-OPER-PR-Implantat"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>\n\t\t\t\t\t\t\tImplantat: Titanplatte zur Osteosynthese des rechten Radius,\n\t\t\t\t\t\t\tsieben Loch, implantiert im Rahmen des operativen Eingriffs.\n\t\t\t\t\t\t</p></div>"
},
"extension": [
{
"url": "http://fhir.dguv.de/OPER/Extension/DGUV-OPER-EX-ImplantatFreitext",
"valueString": "Titanplatte zur Osteosynthese des rechten Radius, 7-Loch"
}
],
"deviceName": [
{
"name": "Radius-Titanplatte 7-Loch",
"type": "manufacturer-name"
}
],
"patient": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
}
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Observation/fce850fc-45cb-4c04-8cf2-69bbfe602fb9",
"resource": {
"resourceType": "Observation",
"id": "fce850fc-45cb-4c04-8cf2-69bbfe602fb9",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Observation/DGUV-OPER-PR-PostoperativeTherapieempfehlung"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Postoperative Therapieempfehlung: physiotherapeutische Nachbehandlung über 6 Wochen.</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-Teilberichtsinhalt",
"code": "POTE",
"display": "PostoperativeTherapieempfehlung"
}
]
},
"subject": {
"reference": "http://fhir.dguv.de/OPER/Patient/482bb42d-a37b-45f7-8893-0abe669bd8ba"
},
"valueString": "Empfohlen wird eine physiotherapeutische Nachbehandlung über 6 Wochen mit anschließender Verlaufskontrolle."
}
},
{
"fullUrl": "http://fhir.dguv.de/OPER/Organisation/8c2b5a27-9d82-45a6-8167-9858707656e6",
"resource": {
"resourceType": "Organization",
"id": "8c2b5a27-9d82-45a6-8167-9858707656e6",
"meta": {
"profile": [
"http://fhir.dguv.de/OPER/Organization/DGUV-OPER-PR-BehandelndeEinrichtung"
]
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX",
"display": "Organization identifier"
}
]
},
"system": "http://fhir.de/sid/arge-ik/iknr",
"value": "260123456"
}
],
"name": "BG Klinik Musterstadt",
"address": [
{
"type": "both",
"line": [
"Musterstraße 12A, Haus B"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Musterstraße"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "12A"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
"valueString": "Haus B"
}
]
}
],
"city": "Musterstadt",
"postalCode": "12345",
"country": "DE"
}
]
}
}
]
}