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FHIR IG analytics

Packagekbv.basis.ressources.only
Resource TypeProcedure
IdProcedure_33dcca63_58af_413e_bb4a_ec1f64c574fb.json
FHIR VersionR4

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Narrative

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

Dieses FHIR-Beispiel des Profils KBV_PR_Base_Procedure beschreibt eine abgeschlossene chirurgische Prozedur zur Resektion des Magenfundus (SNOMED CT: 10002003) bei einem Patienten mit der Versichertennummer F123456784. Die Operation wurde durchgeführt von Dr. Adam Careful und dokumentiert als 'Alt'. Die Prozedur wurde aufgrund von Schmerzen (SNOMED CT: 404684003) durchgeführt.

Source1

{
  "resourceType": "Procedure",
  "id": "33dcca63-58af-413e-bb4a-ec1f64c574fb",
  "meta": {
    "profile": [
      "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Procedure"
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/bfarm/ops",
        "version": "2020",
        "code": "5-470",
        "display": "Appendektomie"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/11000274103/version/20240515",
        "code": "10002003",
        "display": "Resection of stomach fundus (procedure)"
      }
    ]
  },
  "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/20240515",
        "code": "387713003",
        "system": "http://snomed.info/sct",
        "display": "Surgical procedure (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"
    }
  },
  "performedString": "Alt",
  "recorder": {
    "reference": "Patient/904e04d0-c9f2-4edd-b734-c3526f015000"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/20597e0e-cb2a-45b3-95f0-dc3dbdb617c3"
      }
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "code": "404684003",
          "system": "http://snomed.info/sct"
        }
      ],
      "text": "Clinical finding (finding)"
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/79a2a22a-ed87-43eb-9d28-84b3bb8bbf80",
      "display": "pain"
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "code": "414003",
          "system": "http://snomed.info/sct",
          "display": "Gastric fundus"
        }
      ],
      "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 (procedure)"
        }
      ]
    }
  ],
  "note": [
    {
      "authorReference": {
        "reference": "Practitioner/20597e0e-cb2a-45b3-95f0-dc3dbdb617c3"
      },
      "time": "2020-01-02",
      "text": "ausgedacht"
    }
  ]
}