MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 -
Germany
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
<Bundle xmlns="http://hl7.org/fhir">
<id value="mii-exa-onko-krk-bundle"/>
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<language value="en"/>
<identifier>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko"/>
<value value="krk-example-bundle-2024-001"/>
</identifier>
<type value="transaction"/>
<timestamp value="2024-03-25T10:00:00+01:00"/>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-krk-bundle-patient"/>
<resource>
<Patient>
<id value="mii-exa-onko-krk-bundle-patient"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Patient_mii-exa-onko-krk-bundle-patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient mii-exa-onko-krk-bundle-patient</b></p><a name="mii-exa-onko-krk-bundle-patient"> </a><a name="hcmii-exa-onko-krk-bundle-patient"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Klaus KolorektalCa (no stated gender), DoB Unknown</p><hr/></div>
</text>
<name>
<family value="KolorektalCa"/>
<given value="Klaus"/>
</name>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-krk-diagnose"/>
<resource>
<Condition>
<id value="mii-exa-onko-krk-diagnose"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Condition_mii-exa-onko-krk-diagnose"> </a><p class="res-header-id"><b>Generated Narrative: Condition mii-exa-onko-krk-diagnose</b></p><a name="mii-exa-onko-krk-diagnose"> </a><a name="hcmii-exa-onko-krk-diagnose"> </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-diagnose-primaertumor.html">MII PR Onkologie Diagnose Primärtumor</a></p></div><p><b>Condition Asserted Date</b>: 2020-03-07</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 55342001}">Neoplastic disease</span></p><p><b>code</b>: <span title="Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm C18}">Bösartige Neubildung des Kolons</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>recordedDate</b>: 2024-01-02</p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
<valueDateTime value="2020-03-07"/>
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<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="55342001"/>
<display value="Neoplastic disease"/>
</coding>
</category>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
<version value="2024"/>
<code value="C18"/>
<display value="Bösartige Neubildung des Kolons"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<recordedDate value="2024-01-02"/>
</Condition>
</resource>
<request>
<method value="POST"/>
<url value="Condition"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-krk-bundle-encounter"/>
<resource>
<Encounter>
<id value="mii-exa-onko-krk-bundle-encounter"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Encounter_mii-exa-onko-krk-bundle-encounter"> </a><p class="res-header-id"><b>Generated Narrative: Encounter mii-exa-onko-krk-bundle-encounter</b></p><a name="mii-exa-onko-krk-bundle-encounter"> </a><a name="hcmii-exa-onko-krk-bundle-encounter"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode: IMP</a> (inpatient encounter)</p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
</Encounter>
</resource>
<request>
<method value="POST"/>
<url value="Encounter"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-abstand-tumor-anokutanlinie"/>
<resource>
<Observation>
<id value="mii-exa-onko-krk-abstand-tumor-anokutanlinie"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-abstand-anokutan"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-krk-abstand-tumor-anokutanlinie"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-krk-abstand-tumor-anokutanlinie</b></p><a name="mii-exa-onko-krk-abstand-tumor-anokutanlinie"> </a><a name="hcmii-exa-onko-krk-abstand-tumor-anokutanlinie"> </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-krk-abstand-anokutan.html">MII PR Onkologie Abstand Anokutan</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 33748-5}">Distance from anal verge</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-krk-diagnose.html">Condition Bösartige Neubildung des Kolons</a></p><p><b>encounter</b>: <a href="Encounter-mii-exa-onko-krk-bundle-encounter.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-10 14:30:00+0100</p><p><b>value</b>: 8.5 cm<span style="background: LightGoldenRodYellow"> (Details: UCUM codecm = 'cm')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="33748-5"/>
<display value="Distance from anal verge"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<focus>🔗
<reference value="Condition/mii-exa-onko-krk-diagnose"/>
</focus>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-krk-bundle-encounter"/>
</encounter>
<effectiveDateTime value="2024-03-10T14:30:00+01:00"/>
<valueQuantity>
<value value="8.5"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-abstand-circumferelle-resektionsebene"/>
<resource>
<Observation>
<id value="mii-exa-onko-krk-abstand-circumferelle-resektionsebene"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-abstand-circumferelle-resektionsebene"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-krk-abstand-circumferelle-resektionsebene"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-krk-abstand-circumferelle-resektionsebene</b></p><a name="mii-exa-onko-krk-abstand-circumferelle-resektionsebene"> </a><a name="hcmii-exa-onko-krk-abstand-circumferelle-resektionsebene"> </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-krk-abstand-circumferelle-resektionsebene.html">MII PR Onkologie Abstand Circumferelle Resektionsebene</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 81176-0}">Distance of tumor from circumferential resection margin [Length] in Specimen by Macroscopy</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-krk-diagnose.html">Condition Bösartige Neubildung des Kolons</a></p><p><b>encounter</b>: <a href="Encounter-mii-exa-onko-krk-bundle-encounter.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-20 10:15:00+0100</p><p><b>value</b>: 2.5 mm<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm = 'mm')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81176-0"/>
<display
value="Distance of tumor from circumferential resection margin [Length] in Specimen by Macroscopy"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<focus>🔗
<reference value="Condition/mii-exa-onko-krk-diagnose"/>
</focus>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-krk-bundle-encounter"/>
</encounter>
<effectiveDateTime value="2024-03-20T10:15:00+01:00"/>
<valueQuantity>
<value value="2.5"/>
<unit value="mm"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-abstand-resektionsrand-aboral"/>
<resource>
<Observation>
<id value="mii-exa-onko-krk-abstand-resektionsrand-aboral"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-abstand-aboral"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-krk-abstand-resektionsrand-aboral"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-krk-abstand-resektionsrand-aboral</b></p><a name="mii-exa-onko-krk-abstand-resektionsrand-aboral"> </a><a name="hcmii-exa-onko-krk-abstand-resektionsrand-aboral"> </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-krk-abstand-aboral.html">MII PR Onkologie Abstand Aboral</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 81175-2}">Distance of tumor from closest margin [Length] in Specimen by Macroscopy</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-krk-diagnose.html">Condition Bösartige Neubildung des Kolons</a></p><p><b>encounter</b>: <a href="Encounter-mii-exa-onko-krk-bundle-encounter.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-20 10:15:00+0100</p><p><b>value</b>: 15 mm<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm = 'mm')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81175-2"/>
<display
value="Distance of tumor from closest margin [Length] in Specimen by Macroscopy"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<focus>🔗
<reference value="Condition/mii-exa-onko-krk-diagnose"/>
</focus>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-krk-bundle-encounter"/>
</encounter>
<effectiveDateTime value="2024-03-20T10:15:00+01:00"/>
<valueQuantity>
<value value="15"/>
<unit value="mm"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-abstand-mesorektale-fascie"/>
<resource>
<Observation>
<id value="mii-exa-onko-krk-abstand-mesorektale-fascie"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-mrt-mesorektale-faszie"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-krk-abstand-mesorektale-fascie"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-krk-abstand-mesorektale-fascie</b></p><a name="mii-exa-onko-krk-abstand-mesorektale-fascie"> </a><a name="hcmii-exa-onko-krk-abstand-mesorektale-fascie"> </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-krk-mrt-mesorektale-faszie.html">MII PR Onkologie KRK MRT/CT Abstand Mesorektale Faszie</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://radelement.org RDE96}">Distance to MRF</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-krk-diagnose.html">Condition Bösartige Neubildung des Kolons</a></p><p><b>encounter</b>: <a href="Encounter-mii-exa-onko-krk-bundle-encounter.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-12 16:00:00+0100</p><p><b>value</b>: 3.2 mm<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm = 'mm')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="https://radelement.org"/>
<code value="RDE96"/>
<display value="Distance to MRF"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<focus>🔗
<reference value="Condition/mii-exa-onko-krk-diagnose"/>
</focus>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-krk-bundle-encounter"/>
</encounter>
<effectiveDateTime value="2024-03-12T16:00:00+01:00"/>
<valueQuantity>
<value value="3.2"/>
<unit value="mm"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-anastomoseninsuffizienz"/>
<resource>
<Observation>
<id value="mii-exa-onko-krk-anastomoseninsuffizienz"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-anastomoseninsuffizienz"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-krk-anastomoseninsuffizienz"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-krk-anastomoseninsuffizienz</b></p><a name="mii-exa-onko-krk-anastomoseninsuffizienz"> </a><a name="hcmii-exa-onko-krk-anastomoseninsuffizienz"> </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-krk-anastomoseninsuffizienz.html">MII PR Onkologie KRK Anastomoseninsuffizienz</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 236091002}">Large intestine anastomotic leak (disorder)</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Procedure-mii-exa-onko-krk-operation.html">Procedure Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion: Laparoskopisch mit Anastomose</a></p><p><b>encounter</b>: <a href="Encounter-mii-exa-onko-krk-bundle-encounter.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-25 08:00:00+0100</p><p><b>value</b>: <span title="Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-krk-anastomoseninsuffizienz B}">Anastomoseninsuffizienz Grad B</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="236091002"/>
<display value="Large intestine anastomotic leak (disorder)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<focus>🔗
<reference value="Procedure/mii-exa-onko-krk-operation"/>
</focus>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-krk-bundle-encounter"/>
</encounter>
<effectiveDateTime value="2024-03-25T08:00:00+01:00"/>
<valueCodeableConcept>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-krk-anastomoseninsuffizienz"/>
<code value="B"/>
<display value="Anastomoseninsuffizienz Grad B"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-asa-klassifikation"/>
<resource>
<Observation>
<id value="mii-exa-onko-asa-klassifikation"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-asa-klassifikation"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-onko-asa-klassifikation"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-onko-asa-klassifikation</b></p><a name="mii-exa-onko-asa-klassifikation"> </a><a name="hcmii-exa-onko-asa-klassifikation"> </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-asa-klassifikation.html">MII PR Onkologie ASA-Klassifikation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 97816-3}">American society of anesthesiologists morbidity state</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href="Condition-mii-exa-onko-krk-diagnose.html">Condition Bösartige Neubildung des Kolons</a></p><p><b>effective</b>: 2024-03-15 08:30:00+0100</p><p><b>value</b>: <span title="Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-asa-obds 2}">ASA II</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="97816-3"/>
<display
value="American society of anesthesiologists morbidity state"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<focus>🔗
<reference value="Condition/mii-exa-onko-krk-diagnose"/>
</focus>
<effectiveDateTime value="2024-03-15T08:30:00+01:00"/>
<valueCodeableConcept>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-asa-obds"/>
<code value="2"/>
<display value="ASA II"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-krk-stoma-markierung"/>
<resource>
<Procedure>
<id value="mii-exa-onko-krk-stoma-markierung"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Procedure_mii-exa-onko-krk-stoma-markierung"> </a><p class="res-header-id"><b>Generated Narrative: Procedure mii-exa-onko-krk-stoma-markierung</b></p><a name="mii-exa-onko-krk-stoma-markierung"> </a><a name="hcmii-exa-onko-krk-stoma-markierung"> </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-krk-stoma-markierung.html">MII PR Onkologie KRK Stoma-Markierung</a></p></div><p><b>status</b>: Completed</p><p><b>statusReason</b>: <span title="Codes:{http://snomed.info/sct 262008008}">Not performed (qualifier value)</span></p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 387713003}">Surgical procedure</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 225134005}">Marking position of planned stoma site (procedure)</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>encounter</b>: <a href="Encounter-mii-exa-onko-krk-bundle-encounter.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-03-15 09:30:00+0100</p><p><b>reasonReference</b>: <a href="Condition-mii-exa-onko-krk-diagnose.html">Condition Bösartige Neubildung des Kolons</a></p><p><b>note</b>: </p><blockquote><div><p>Präoperative Markierung der geplanten Stoma-Position im rechten Hemiabdomen nach Rücksprache mit dem Patienten</p>
</div></blockquote></div>
</text>
<status value="completed"/>
<statusReason>
<coding>
<system value="http://snomed.info/sct"/>
<code value="262008008"/>
<display value="Not performed (qualifier value)"/>
</coding>
</statusReason>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387713003"/>
<display value="Surgical procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="225134005"/>
<display
value="Marking position of planned stoma site (procedure)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-krk-bundle-encounter"/>
</encounter>
<performedDateTime value="2024-03-15T09:30:00+01:00"/>
<reasonReference>🔗
<reference value="Condition/mii-exa-onko-krk-diagnose"/>
</reasonReference>
<note>
<text
value="Präoperative Markierung der geplanten Stoma-Position im rechten Hemiabdomen nach Rücksprache mit dem Patienten"/>
</note>
</Procedure>
</resource>
<request>
<method value="POST"/>
<url value="Procedure"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-krk-operation"/>
<resource>
<Procedure>
<id value="mii-exa-onko-krk-operation"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-operation"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Procedure_mii-exa-onko-krk-operation"> </a><p class="res-header-id"><b>Generated Narrative: Procedure mii-exa-onko-krk-operation</b></p><a name="mii-exa-onko-krk-operation"> </a><a name="hcmii-exa-onko-krk-operation"> </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-krk-operation.html">MII PR Onkologie Präoperative Drahtmarkierung Mamma</a></p></div><p><b>MII EX Onko Operation 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>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 387713003}">Surgical procedure</span></p><p><b>code</b>: <span title="Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-484.55}">Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion: Laparoskopisch mit Anastomose</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>encounter</b>: <a href="Encounter-mii-exa-onko-krk-bundle-encounter.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-03-22 08:00:00+0100</p><p><b>reasonReference</b>: <a href="Condition-mii-exa-onko-krk-diagnose.html">Condition Bösartige Neubildung des Kolons</a></p><p><b>note</b>: </p><blockquote><div><p>Laparoskopische Resektion beim kolorektalen Karzinom</p>
</div></blockquote></div>
</text>
<extension
url="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention">
<valueCodeableConcept>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention"/>
<code value="K"/>
<display value="kurativ"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387713003"/>
<display value="Surgical procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/ops"/>
<version value="2024"/>
<code value="5-484.55"/>
<display
value="Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion: Laparoskopisch mit Anastomose"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-krk-bundle-encounter"/>
</encounter>
<performedDateTime value="2024-03-22T08:00:00+01:00"/>
<reasonReference>🔗
<reference value="Condition/mii-exa-onko-krk-diagnose"/>
</reasonReference>
<note>
<text value="Laparoskopische Resektion beim kolorektalen Karzinom"/>
</note>
</Procedure>
</resource>
<request>
<method value="POST"/>
<url value="Procedure"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Specimen/mii-exa-onko-krk-specimen"/>
<resource>
<Specimen>
<id value="mii-exa-onko-krk-specimen"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Specimen_mii-exa-onko-krk-specimen"> </a><p class="res-header-id"><b>Generated Narrative: Specimen mii-exa-onko-krk-specimen</b></p><a name="mii-exa-onko-krk-specimen"> </a><a name="hcmii-exa-onko-krk-specimen"> </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-krk-specimen.html">MII PR Onkologie Specimen</a></p></div><p><b>accessionIdentifier</b>: KRK-2024-001234</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 122652004}">Specimen from colon obtained by rectal/rectosigmoid (low anterior) resection (specimen)</span></p><p><b>subject</b>: <a href="Patient-mii-exa-onko-krk-bundle-patient.html">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2024-03-22 08:30:00+0100</td></tr></table><p><b>condition</b>: <span title="Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-krk-tme-qualitaet 1}">Grad 1 (gut)</span></p><p><b>note</b>: </p><blockquote><div><p>Sigmaresekat mit Primärtumor und regionären Lymphknoten</p>
</div></blockquote></div>
</text>
<accessionIdentifier>
<value value="KRK-2024-001234"/>
</accessionIdentifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="122652004"/>
<display
value="Specimen from colon obtained by rectal/rectosigmoid (low anterior) resection (specimen)"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/mii-exa-onko-krk-bundle-patient"/>
</subject>
<collection>
<collectedDateTime value="2024-03-22T08:30:00+01:00"/>
</collection>
<condition>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-krk-tme-qualitaet"/>
<code value="1"/>
<display value="Grad 1 (gut)"/>
</coding>
</condition>
<note>
<text
value="Sigmaresekat mit Primärtumor und regionären Lymphknoten"/>
</note>
</Specimen>
</resource>
<request>
<method value="POST"/>
<url value="Specimen"/>
</request>
</entry>
</Bundle>