MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 - Germany

This page is part of the MII IG Kerndatensatz-Modul Onkologie (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: mii-exa-onko-verlauf-tumor

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<Observation xmlns="http://hl7.org/fhir">
  <id value="mii-exa-onko-verlauf-tumor"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf|2027.0.0-ballot.1"/>
  </meta>
  <language value="de"/>
  <text>
    <status value="generated"/>
    <div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-verlauf-tumor</b></p><a name="de-mii-exa-onko-verlauf-tumor"> </a><a name="de-hcmii-exa-onko-verlauf-tumor"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mii-pr-onko-verlauf.html">MII PR Onkologie Verlauf</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 396432002}">Status of regression of tumor (observable entity)</span></p><p><b>subject</b>: <a href="Patient-example.html">Erika Beispiel  Female, DoB: 1965-04-12</a></p><p><b>focus</b>: <a href="Condition-primaertumor-example.html">Condition Bösartige Neubildung: Brustdrüse, nicht näher bezeichnet</a></p><p><b>effective</b>: 2024-02-08</p><p><b>value</b>: <span title="Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung B}">klinische Besserung des Zustandes, Teilremissionkriterien jedoch nicht erfüllt (minimal response, MR)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 445200009}">Status of residual neoplasm (observable entity)</span></p><p><b>value</b>: <span title="Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor T}">Tumorreste (Residualtumor)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 399656008}">Presence of metastatic neoplasm in regional lymph node (observable entity)</span></p><p><b>value</b>: <span title="Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten P}">bekannter Lymphknotenbefall Progress</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 399608002}">Status of distant metastasis (observable entity)</span></p><p><b>value</b>: <span title="Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen K}">keine Fernmetastasen nachweisbar</span></p></blockquote></div>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="396432002"/>
      <display value="Status of regression of tumor (observable entity)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <focus>🔗 
    <reference value="Condition/primaertumor-example"/>
  </focus>
  <effectiveDateTime value="2024-02-08"/>
  <valueCodeableConcept>
    <coding>
      <system
              value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung"/>
      <code value="B"/>
      <display
               value="klinische Besserung des Zustandes, Teilremissionkriterien jedoch nicht erfüllt (minimal response, MR)"/>
    </coding>
  </valueCodeableConcept>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="445200009"/>
        <display value="Status of residual neoplasm (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor"/>
        <code value="T"/>
        <display value="Tumorreste (Residualtumor)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="399656008"/>
        <display
                 value="Presence of metastatic neoplasm in regional lymph node (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten"/>
        <code value="P"/>
        <display value="bekannter Lymphknotenbefall Progress"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="399608002"/>
        <display value="Status of distant metastasis (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen"/>
        <code value="K"/>
        <display value="keine Fernmetastasen nachweisbar"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>