{
  "resourceType" : "Bundle",
  "id" : "mii-exa-onko-kim-musterperson-synthesized",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/StructureDefinition/Bundle"]
  },
  "language" : "de",
  "identifier" : {
    "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko",
    "value" : "kim-musterperson-synthesized-2026-001"
  },
  "type" : "transaction",
  "timestamp" : "2026-05-06T14:00:00+02:00",
  "entry" : [{
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-kim-synth-patient",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "mii-exa-onko-kim-synth-patient",
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "name" : [{
        "family" : "Musterperson",
        "given" : ["Kim"]
      }],
      "gender" : "female",
      "birthDate" : "1956-03-14"
    },
    "request" : {
      "method" : "POST",
      "url" : "Patient"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-kim-synth-diagnose",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "mii-exa-onko-kim-synth-diagnose",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "extensions"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
        "valueDateTime" : "2021-06-22"
      }],
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code" : "confirmed"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "55342001",
          "display" : "Neoplastic disease"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
          "version" : "2024",
          "code" : "C48.2",
          "display" : "Bösartige Neubildung: Peritoneum, nicht näher bezeichnet"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "recordedDate" : "2021-06-22"
    },
    "request" : {
      "method" : "POST",
      "url" : "Condition"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass1-cT3c",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass1-cT3c",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-t-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "extension" : [{
          "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "c",
              "display" : "c"
            }]
          }
        }],
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399504009",
          "display" : "cT category (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-06-22",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "T3c",
          "display" : "T3c"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1352976004",
          "display" : "Union for International Cancer Control cT3c (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass1-cN1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass1-cN1",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "extension" : [{
          "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "c",
              "display" : "c"
            }]
          }
        }],
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399534004",
          "display" : "cN category (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-06-22",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "N1",
          "display" : "N1"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1353043007",
          "display" : "Union for International Cancer Control cN1 (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass1-cM1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass1-cM1",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-m-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "extension" : [{
          "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "c",
              "display" : "c"
            }]
          }
        }],
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399387003",
          "display" : "cM category (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-06-22",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "M1",
          "display" : "M1"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1352513006",
          "display" : "Union for International Cancer Control cM1 (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass1",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399537006",
          "display" : "Clinical TNM stage grouping"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "effectiveDateTime" : "2021-06-22",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "IV",
          "display" : "Stadium IV"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      },
      "hasMember" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass1-cT3c"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass1-cN1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass1-cM1"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass2-ycT3c",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass2-ycT3c",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-t-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "extensions"
      },
      "modifierExtension" : [{
        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://www.uicc.org/resources/tnm",
            "code" : "y",
            "display" : "y"
          }]
        }
      }],
      "status" : "final",
      "code" : {
        "extension" : [{
          "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "c",
              "display" : "c"
            }]
          }
        }],
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399504009",
          "display" : "cT category (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-09-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "T3c",
          "display" : "T3c"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1352976004",
          "display" : "Union for International Cancer Control cT3c (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass2-ycN1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass2-ycN1",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "extensions"
      },
      "modifierExtension" : [{
        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://www.uicc.org/resources/tnm",
            "code" : "y",
            "display" : "y"
          }]
        }
      }],
      "status" : "final",
      "code" : {
        "extension" : [{
          "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "c",
              "display" : "c"
            }]
          }
        }],
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399534004",
          "display" : "cN category (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-09-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "N1",
          "display" : "N1"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1353043007",
          "display" : "Union for International Cancer Control cN1 (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass2-ycM1b",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass2-ycM1b",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-m-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "extensions"
      },
      "modifierExtension" : [{
        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://www.uicc.org/resources/tnm",
            "code" : "y",
            "display" : "y"
          }]
        }
      }],
      "status" : "final",
      "code" : {
        "extension" : [{
          "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "c",
              "display" : "c"
            }]
          }
        }],
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399387003",
          "display" : "cM category (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-09-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "M1b",
          "display" : "M1b"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1352514000",
          "display" : "Union for International Cancer Control cM1b (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass2-ysym",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass2-ysym",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-y-symbol|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "101658-3"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-09-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "421755005",
          "display" : "Tumor staging descriptor y (tumor staging)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass2",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass2",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399537006",
          "display" : "Clinical TNM stage grouping"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "effectiveDateTime" : "2021-09-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "IV",
          "display" : "Stadium IV"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      },
      "hasMember" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass2-ycT3c"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass2-ycN1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass2-ycM1b"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass2-ysym"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass3-ypT3c",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass3-ypT3c",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-t-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "extensions"
      },
      "modifierExtension" : [{
        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://www.uicc.org/resources/tnm",
            "code" : "y",
            "display" : "y"
          }]
        }
      }],
      "status" : "final",
      "code" : {
        "extension" : [{
          "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "p",
              "display" : "p"
            }]
          }
        }],
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "384625004",
          "display" : "pT category (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-10-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "T3c",
          "display" : "T3c"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1352556001",
          "display" : "Union for International Cancer Control pT3c (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass3-ypM1b",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass3-ypM1b",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-m-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "extensions"
      },
      "modifierExtension" : [{
        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://www.uicc.org/resources/tnm",
            "code" : "y",
            "display" : "y"
          }]
        }
      }],
      "status" : "final",
      "code" : {
        "extension" : [{
          "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "p",
              "display" : "p"
            }]
          }
        }],
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "371497001",
          "display" : "pM category (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-10-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "M1b",
          "display" : "M1b"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1352578008",
          "display" : "Union for International Cancer Control pM1b (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass3-L1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass3-L1",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-l-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "395715009",
          "display" : "Status of lymphatic (small vessel) invasion by tumor (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-10-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "L1",
          "display" : "L1"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass3-V0",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass3-V0",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-v-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "371493002",
          "display" : "Status of venous (large vessel) invasion by tumor (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-10-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "V0",
          "display" : "V0"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass3-Pn0",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass3-Pn0",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-pn-kategorie|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "371513001",
          "display" : "Presence of direct invasion by primary malignant neoplasm to nerve (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-10-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "Pn0",
          "display" : "Pn0"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass3-ysym",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass3-ysym",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-y-symbol|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "101658-3"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "effectiveDateTime" : "2021-10-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "421755005",
          "display" : "Tumor staging descriptor y (tumor staging)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-klass3",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-klass3",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399588009",
          "display" : "Pathologic TNM stage grouping"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "effectiveDateTime" : "2021-10-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "IV",
          "display" : "Stadium IV"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      },
      "hasMember" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass3-ypT3c"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-ypM1b"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-L1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-V0"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-Pn0"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-ysym"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-synth1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-synth1",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation-synthetisiert|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399703000",
          "display" : "Integrated TNM category"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "effectiveDateTime" : "2021-06-25",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "IV",
          "display" : "Stadium IV"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      },
      "device" : {
        "reference" : "Device/mii-exa-onko-kim-synthesis-device"
      },
      "hasMember" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass1-cT3c"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass1-cN1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass1-cM1"
      }],
      "derivedFrom" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass1"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-synth2",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-synth2",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation-synthetisiert|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399703000",
          "display" : "Integrated TNM category"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "effectiveDateTime" : "2021-09-16",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "IV",
          "display" : "Stadium IV"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      },
      "device" : {
        "reference" : "Device/mii-exa-onko-kim-synthesis-device"
      },
      "hasMember" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass2-ycT3c"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass2-ycN1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass2-ycM1b"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass2-ysym"
      }],
      "derivedFrom" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass2"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-synth3",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-synth3",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation-synthetisiert|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399703000",
          "display" : "Integrated TNM category"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "effectiveDateTime" : "2021-10-25",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "IV",
          "display" : "Stadium IV"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      },
      "device" : {
        "reference" : "Device/mii-exa-onko-kim-synthesis-device"
      },
      "hasMember" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass3-ypT3c"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass2-ycN1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-ypM1b"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-L1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-V0"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-Pn0"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-ysym"
      }],
      "derivedFrom" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass2"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-kim-synth4",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-kim-synth4",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation-synthetisiert|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399703000",
          "display" : "Integrated TNM category"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "effectiveDateTime" : "2022-01-15",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "IV",
          "display" : "Stadium IV"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
          "code" : "8",
          "display" : "8. Auflage"
        }]
      },
      "device" : {
        "reference" : "Device/mii-exa-onko-kim-synthesis-device"
      },
      "hasMember" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass3-ypT3c"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass2-ycN1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-ypM1b"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-L1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-V0"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-Pn0"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3-ysym"
      }],
      "derivedFrom" : [{
        "reference" : "Observation/mii-exa-onko-kim-klass2"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-klass3"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-kim-tk1",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "mii-exa-onko-kim-tk1",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "value" : "kim-tk-2021-06-25"
      }],
      "status" : "completed",
      "intent" : "plan",
      "category" : [{
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ",
          "code" : "praeth"
        }]
      }],
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "created" : "2021-06-25",
      "addresses" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "supportingInfo" : [{
        "reference" : "Observation/mii-exa-onko-kim-synth1"
      }],
      "activity" : [{
        "detail" : {
          "code" : {
            "coding" : [{
              "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ",
              "code" : "CH",
              "display" : "Chemotherapie"
            }]
          },
          "status" : "completed"
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "CarePlan"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-kim-tk2",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "mii-exa-onko-kim-tk2",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "value" : "kim-tk-2021-09-16"
      }],
      "status" : "completed",
      "intent" : "plan",
      "category" : [{
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ",
          "code" : "praeth"
        }]
      }],
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "created" : "2021-09-16",
      "addresses" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "supportingInfo" : [{
        "reference" : "Observation/mii-exa-onko-kim-synth2"
      }],
      "activity" : [{
        "detail" : {
          "code" : {
            "coding" : [{
              "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ",
              "code" : "OP"
            }]
          },
          "status" : "completed"
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "CarePlan"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-kim-tk3",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "mii-exa-onko-kim-tk3",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "value" : "kim-tk-2021-10-25"
      }],
      "status" : "completed",
      "intent" : "plan",
      "category" : [{
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ",
          "code" : "postop"
        }]
      }],
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "created" : "2021-10-25",
      "addresses" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "supportingInfo" : [{
        "reference" : "Observation/mii-exa-onko-kim-synth3"
      }],
      "activity" : [{
        "detail" : {
          "code" : {
            "coding" : [{
              "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ",
              "code" : "CH",
              "display" : "Chemotherapie"
            }]
          },
          "status" : "scheduled"
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "CarePlan"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-kim-tk4",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "mii-exa-onko-kim-tk4",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "value" : "kim-tk-2022-01-15"
      }],
      "replaces" : [{
        "reference" : "CarePlan/mii-exa-onko-kim-tk3"
      }],
      "status" : "active",
      "intent" : "plan",
      "category" : [{
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ",
          "code" : "postop"
        }]
      }],
      "subject" : {
        "reference" : "Patient/mii-exa-onko-kim-synth-patient"
      },
      "created" : "2022-01-15",
      "addresses" : [{
        "reference" : "Condition/mii-exa-onko-kim-synth-diagnose"
      }],
      "supportingInfo" : [{
        "reference" : "Observation/mii-exa-onko-kim-synth4"
      }],
      "activity" : [{
        "detail" : {
          "code" : {
            "coding" : [{
              "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ",
              "code" : "CH",
              "display" : "Chemotherapie"
            }]
          },
          "status" : "in-progress"
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "CarePlan"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Device/mii-exa-onko-kim-synthesis-device",
    "resource" : {
      "resourceType" : "Device",
      "id" : "mii-exa-onko-kim-synthesis-device",
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "active",
      "deviceName" : [{
        "name" : "mii-lib-onko-synthesize-tnm",
        "type" : "model-name"
      }],
      "version" : [{
        "value" : "1.0.0"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Device"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Provenance/mii-exa-onko-kim-synthesis-provenance",
    "resource" : {
      "resourceType" : "Provenance",
      "id" : "mii-exa-onko-kim-synthesis-provenance",
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "target" : [{
        "reference" : "Observation/mii-exa-onko-kim-synth1"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-synth2"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-synth3"
      },
      {
        "reference" : "Observation/mii-exa-onko-kim-synth4"
      }],
      "occurredPeriod" : {
        "start" : "2021-06-25",
        "end" : "2022-01-15"
      },
      "recorded" : "2026-05-06T14:00:00+02:00",
      "activity" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/w3c-provenance-activity-type",
          "code" : "Derivation",
          "display" : "wasDerivedFrom"
        }]
      },
      "agent" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code" : "performer"
          }]
        },
        "who" : {
          "reference" : "Device/mii-exa-onko-kim-synthesis-device",
          "display" : "ETL-Pipeline (synthesize_tnm v1.0.0)"
        }
      }],
      "entity" : [{
        "role" : "source",
        "what" : {
          "reference" : "Library/mii-lib-onko-synthesize-tnm",
          "identifier" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Library/mii-lib-onko-synthesize-tnm",
            "value" : "1.0.0"
          },
          "display" : "synthesize_tnm v1.0.0"
        }
      },
      {
        "role" : "source",
        "what" : {
          "reference" : "Observation/mii-exa-onko-kim-klass1"
        }
      },
      {
        "role" : "source",
        "what" : {
          "reference" : "Observation/mii-exa-onko-kim-klass2"
        }
      },
      {
        "role" : "source",
        "what" : {
          "reference" : "Observation/mii-exa-onko-kim-klass3"
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Provenance"
    }
  }]
}