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

: FOLFOX4 Therapie - Phase 1 (Zyklen 1-6)

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{
  "resourceType" : "Procedure",
  "id" : "mii-exa-onko-folfox-phase1",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-folfox-phase1</b></p><a name=\"de-mii-exa-onko-folfox-phase1\"> </a><a name=\"de-hcmii-exa-onko-folfox-phase1\"> </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-systemische-therapie.html\">MII PR Onkologie Systemische Therapie</a></p></div><p><b>MII EX Onko Systemische Therapie Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>MII EX Onko Systemische Therapie Stellung zur OP</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-stellungzurop A}\">Adjuvant</span></p><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox-modification.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_Modification_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-05</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 18629005}\">Administration of medication</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 8-542}, {https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-art CH}\">Nicht komplexe Chemotherapie</span></p><p><b>subject</b>: <a href=\"Patient-example-modification.html\">Martin Beispiel  Male, DoB: 1958-11-03</a></p><p><b>encounter</b>: <a href=\"Encounter-example-chemo-phase1.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>performed</b>: 2024-03-15 --&gt; 2024-06-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-ascending-colon-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon ascendens</a></p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund A}\">Abbruch wegen Nebenwirkungen</span></p><p><b>note</b>: </p><blockquote><div><p>Patient received 6 cycles of FOLFOX4. Treatment modified after cycle 6 due to severe peripheral neuropathy. Continued with 5-FU/Leucovorin only.</p>\n</div></blockquote><p><b>usedCode</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle FOLFOX4}\">FOLFOX4</span></p></div>"
  },
  "extension" : [
    {
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention",
            "code" : "K",
            "display" : "Kurativ"
          }
        ]
      }
    },
    {
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-stellungzurop",
            "code" : "A",
            "display" : "Adjuvant"
          }
        ]
      }
    }
  ],
  "basedOn" : [
    {
      🔗 "reference" : "CarePlan/mii-exa-onko-tumorkonferenz-folfox-modification"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "18629005"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://fhir.de/CodeSystem/bfarm/ops",
        "version" : "2024",
        "code" : "8-542",
        "display" : "Nicht komplexe Chemotherapie"
      },
      {
        "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-art",
        "code" : "CH",
        "display" : "Chemotherapie"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-modification"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example-chemo-phase1"
  },
  "performedPeriod" : {
    "start" : "2024-03-15",
    "end" : "2024-06-10"
  },
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/mii-exa-onko-ascending-colon-cancer-diagnosis"
    }
  ],
  "outcome" : {
    "coding" : [
      {
        "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund",
        "code" : "A",
        "display" : "Abbruch wegen Nebenwirkungen"
      }
    ]
  },
  "note" : [
    {
      "text" : "Patient received 6 cycles of FOLFOX4. Treatment modified after cycle 6 due to severe peripheral neuropathy. Continued with 5-FU/Leucovorin only."
    }
  ],
  "usedCode" : [
    {
      "coding" : [
        {
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle",
          "code" : "FOLFOX4",
          "display" : "FOLFOX4"
        }
      ]
    }
  ]
}