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Narrative

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Source1

{
  "resourceType": "Procedure",
  "id": "cf40ede2-ca3b-4937-b761-871ab9786a53",
  "meta": {
    "profile": [
      "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Procedure"
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/bfarm/ops",
        "version": "2025",
        "code": "5-470",
        "display": "Appendektomie"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/11000274103/version/20250515",
        "code": "10002003",
        "display": "Resection of stomach fundus"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum",
      "valueDateTime": "2023"
    }
  ],
  "status": "completed",
  "statusReason": {
    "text": "Resection of stomach fundus completed."
  },
  "category": {
    "coding": [
      {
        "version": "http://snomed.info/sct/11000274103/version/20250515",
        "code": "387713003",
        "system": "http://snomed.info/sct",
        "display": "Surgical procedure"
      }
    ]
  },
  "subject": {
    "identifier": {
      "type": {
        "coding": [
          {
            "code": "kvk",
            "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type"
          }
        ]
      },
      "system": "http://fhir.de/NamingSystem/gkv/kvk-versichertennummer",
      "value": "F123456784"
    }
  },
  "performedPeriod": {
    "start": "2022",
    "end": "2023"
  },
  "recorder": {
    "reference": "Practitioner/20597e0e-cb2a-45b3-95f0-dc3dbdb617c3"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/20597e0e-cb2a-45b3-95f0-dc3dbdb617c3",
        "display": "Dr Adam Careful"
      }
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "code": "404684003",
          "system": "http://snomed.info/sct"
        }
      ]
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/79a2a22a-ed87-43eb-9d28-84b3bb8bbf80",
      "display": "pain"
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "code": "414003",
          "system": "http://snomed.info/sct",
          "display": "Gastric fundus structure"
        }
      ],
      "text": "stomach fundus"
    }
  ],
  "complication": [
    {
      "coding": [
        {
          "code": "160245001",
          "system": "http://snomed.info/sct",
          "display": "No current problems or disability"
        }
      ],
      "text": "No complication"
    }
  ],
  "followUp": [
    {
      "coding": [
        {
          "code": "18949003",
          "system": "http://snomed.info/sct",
          "display": "Change of dressing"
        }
      ]
    }
  ],
  "note": [
    {
      "authorString": "Mueller",
      "time": "2020-01-02",
      "text": "ausgedacht"
    }
  ]
}