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Packagedguv.oper
Resource TypeComposition
IdDGUV_OPER_Bsp_Composition_01.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Hier finden Sie ein Beispiel der Composition für einen stationären DGUV-stationären-Operationsbericht.


Source1

{
  "resourceType": "Composition",
  "id": "c00f7826-5a3e-49aa-b499-3f8c6599bd2b",
  "meta": {
    "profile": [
      "http://fhir.dguv.de/OPER/Composition/DGUV-OPER-PR-Composition"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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": "urn:uuid:08b39f82-9dbf-4315-92f5-5f0011d37a5c"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://fhir.dguv.de/OPER/CodeSystem/DGUV-OPER-CS-CompositionSections",
            "code": "UVTR",
            "display": "Unfallversicherungsträger"
          }
        ]
      },
      "entry": [
        {
          "reference": "urn:uuid: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": "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/OPER/Device/6e6b2663-0339-46e5-9625-65537195ba5c"
            }
          ]
        },
        {
          "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"
        }
      ]
    }
  ]
}