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 TNM Bundle (synthesized stage at Tumorkonferenz)

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{
  "resourceType" : "Bundle",
  "id" : "mii-exa-onko-tnm-bundle-synthesized",
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      🔗 "http://hl7.org/fhir/StructureDefinition/Bundle"
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  "identifier" : {
    "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko",
    "value" : "tnm-bundle-synthesized-2024-001"
  },
  "type" : "transaction",
  "timestamp" : "2024-04-02T10:00:00+01:00",
  "entry" : [
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-tnm-synth-patient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "mii-exa-onko-tnm-synth-patient",
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Patient_mii-exa-onko-tnm-synth-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient mii-exa-onko-tnm-synth-patient</b></p><a name=\"mii-exa-onko-tnm-synth-patient\"> </a><a name=\"hcmii-exa-onko-tnm-synth-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Tobias TNMSynth  Male, DoB: 1962-04-18</p><hr/></div>"
        },
        "name" : [
          {
            "family" : "TNMSynth",
            "given" : [
              "Tobias"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1962-04-18"
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-tnm-synth-diagnose",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "mii-exa-onko-tnm-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" : "en",
        "text" : {
          "status" : "extensions",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Condition_mii-exa-onko-tnm-synth-diagnose\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition mii-exa-onko-tnm-synth-diagnose</b></p><a name=\"mii-exa-onko-tnm-synth-diagnose\"> </a><a name=\"hcmii-exa-onko-tnm-synth-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> version: 2027.0.0-ballot.1</p></div><p><b>Condition Asserted Date</b>: 2024-01-11</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 C20}\">Bösartige Neubildung des Rektums</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>recordedDate</b>: 2024-01-11</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
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        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
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          ]
        },
        "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"
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        ],
        "code" : {
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              "display" : "Bösartige Neubildung des Rektums"
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        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-tnm-synth-patient"
        },
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      },
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        "method" : "POST",
        "url" : "Condition"
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    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-tnm-synth-meldung1-t-cT3",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-tnm-synth-meldung1-t-cT3",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-t-kategorie|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-tnm-synth-meldung1-t-cT3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-tnm-synth-meldung1-t-cT3</b></p><a name=\"mii-exa-onko-tnm-synth-meldung1-t-cT3\"> </a><a name=\"hcmii-exa-onko-tnm-synth-meldung1-t-cT3\"> </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-tnm-t-kategorie.html\">MII PR Onkologie TNM T-Kategorie</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 399504009}\">cT category (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>effective</b>: 2024-01-11</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm T3}, {http://snomed.info/sct 1352966002}\">T3</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p></div>"
        },
        "status" : "final",
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          "extension" : [
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        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-tnm-synth-patient"
        },
        "effectiveDateTime" : "2024-01-11",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "T3",
              "display" : "T3"
            },
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              "system" : "http://snomed.info/sct",
              "code" : "1352966002",
              "display" : "Union for International Cancer Control cT3 (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-tnm-synth-meldung1-n-cN2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-tnm-synth-meldung1-n-cN2",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-tnm-synth-meldung1-n-cN2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-tnm-synth-meldung1-n-cN2</b></p><a name=\"mii-exa-onko-tnm-synth-meldung1-n-cN2\"> </a><a name=\"hcmii-exa-onko-tnm-synth-meldung1-n-cN2\"> </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-tnm-n-kategorie.html\">MII PR Onkologie TNM N-Kategorie</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 399534004}\">cN category (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>effective</b>: 2024-01-11</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm N2}, {http://snomed.info/sct 1353044001}\">N2</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p></div>"
        },
        "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-tnm-synth-patient"
        },
        "effectiveDateTime" : "2024-01-11",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "N2",
              "display" : "N2"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "1353044001",
              "display" : "Union for International Cancer Control cN2 (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-tnm-synth-meldung1-m-cM0",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-tnm-synth-meldung1-m-cM0",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-m-kategorie|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-tnm-synth-meldung1-m-cM0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-tnm-synth-meldung1-m-cM0</b></p><a name=\"mii-exa-onko-tnm-synth-meldung1-m-cM0\"> </a><a name=\"hcmii-exa-onko-tnm-synth-meldung1-m-cM0\"> </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-tnm-m-kategorie.html\">MII PR Onkologie TNM M-Kategorie</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 399387003}\">cM category (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>effective</b>: 2024-01-11</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm M0}, {http://snomed.info/sct 1352512001}\">M0</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p></div>"
        },
        "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-tnm-synth-patient"
        },
        "effectiveDateTime" : "2024-01-11",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "M0",
              "display" : "M0"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "1352512001",
              "display" : "Union for International Cancer Control cM0 (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-tnm-synth-meldung1-klassifikation",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-tnm-synth-meldung1-klassifikation",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-tnm-synth-meldung1-klassifikation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-tnm-synth-meldung1-klassifikation</b></p><a name=\"mii-exa-onko-tnm-synth-meldung1-klassifikation\"> </a><a name=\"hcmii-exa-onko-tnm-synth-meldung1-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-tnm-klassifikation.html\">MII PR Onkologie TNM-Klassifikation</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 399537006}\">Clinical TNM stage grouping</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-tnm-synth-diagnose.html\">Condition Bösartige Neubildung des Rektums</a></p><p><b>effective</b>: 2024-01-11</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm IIIB}\">Stadium IIIB</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung1-t-cT3.html\">Observation cT category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung1-n-cN2.html\">Observation cN category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung1-m-cM0.html\">Observation cM category (observable entity)</a></li></ul></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "399537006",
              "display" : "Clinical TNM stage grouping"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-tnm-synth-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-tnm-synth-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-01-11",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "IIIB",
              "display" : "Stadium IIIB"
            }
          ]
        },
        "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-tnm-synth-meldung1-t-cT3"
          },
          {
            🔗 "reference" : "Observation/mii-exa-onko-tnm-synth-meldung1-n-cN2"
          },
          {
            🔗 "reference" : "Observation/mii-exa-onko-tnm-synth-meldung1-m-cM0"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-tnm-synth-meldung2-t-pT2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-tnm-synth-meldung2-t-pT2",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-t-kategorie|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-tnm-synth-meldung2-t-pT2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-tnm-synth-meldung2-t-pT2</b></p><a name=\"mii-exa-onko-tnm-synth-meldung2-t-pT2\"> </a><a name=\"hcmii-exa-onko-tnm-synth-meldung2-t-pT2\"> </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-tnm-t-kategorie.html\">MII PR Onkologie TNM T-Kategorie</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 384625004}\">pT category (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>effective</b>: 2024-03-15</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm T2}, {http://snomed.info/sct 1352545001}\">T2</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p></div>"
        },
        "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-tnm-synth-patient"
        },
        "effectiveDateTime" : "2024-03-15",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "T2",
              "display" : "T2"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "1352545001",
              "display" : "Union for International Cancer Control pT2 (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-tnm-synth-meldung2-n-pN1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-tnm-synth-meldung2-n-pN1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-tnm-synth-meldung2-n-pN1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-tnm-synth-meldung2-n-pN1</b></p><a name=\"mii-exa-onko-tnm-synth-meldung2-n-pN1\"> </a><a name=\"hcmii-exa-onko-tnm-synth-meldung2-n-pN1\"> </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-tnm-n-kategorie.html\">MII PR Onkologie TNM N-Kategorie</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 371494008}\">pN category (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>effective</b>: 2024-03-15</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm N1}, {http://snomed.info/sct 1352614009}\">N1</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p></div>"
        },
        "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" : "371494008",
              "display" : "pN category (observable entity)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-tnm-synth-patient"
        },
        "effectiveDateTime" : "2024-03-15",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "N1",
              "display" : "N1"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "1352614009",
              "display" : "Union for International Cancer Control pN1 (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-tnm-synth-meldung2-klassifikation",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-tnm-synth-meldung2-klassifikation",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-tnm-synth-meldung2-klassifikation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-tnm-synth-meldung2-klassifikation</b></p><a name=\"mii-exa-onko-tnm-synth-meldung2-klassifikation\"> </a><a name=\"hcmii-exa-onko-tnm-synth-meldung2-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-tnm-klassifikation.html\">MII PR Onkologie TNM-Klassifikation</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 399588009}\">Pathologic TNM stage grouping</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-tnm-synth-diagnose.html\">Condition Bösartige Neubildung des Rektums</a></p><p><b>effective</b>: 2024-03-15</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm IIIA}\">Stadium IIIA</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung2-t-pT2.html\">Observation pT category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung2-n-pN1.html\">Observation pN category (observable entity)</a></li></ul></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "399588009",
              "display" : "Pathologic TNM stage grouping"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-tnm-synth-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-tnm-synth-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-03-15",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "IIIA",
              "display" : "Stadium IIIA"
            }
          ]
        },
        "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-tnm-synth-meldung2-t-pT2"
          },
          {
            🔗 "reference" : "Observation/mii-exa-onko-tnm-synth-meldung2-n-pN1"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-tnm-synth-klassifikation",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-tnm-synth-klassifikation",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation-synthetisiert|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-tnm-synth-klassifikation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-tnm-synth-klassifikation</b></p><a name=\"mii-exa-onko-tnm-synth-klassifikation\"> </a><a name=\"hcmii-exa-onko-tnm-synth-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-tnm-klassifikation-synthetisiert.html\">MII PR Onkologie TNM-Klassifikation (synthetisiert)</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 399703000}\">Integrated TNM category</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-tnm-synth-diagnose.html\">Condition Bösartige Neubildung des Rektums</a></p><p><b>effective</b>: 2024-04-02</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm IIIA}\">Stadium IIIA</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung2-t-pT2.html\">Observation pT category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung2-n-pN1.html\">Observation pN category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung1-m-cM0.html\">Observation cM category (observable entity)</a></li></ul><p><b>derivedFrom</b>: </p><ul><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung1-klassifikation.html\">Observation Clinical TNM stage grouping</a></li><li><a href=\"Observation-mii-exa-onko-tnm-synth-meldung2-klassifikation.html\">Observation Pathologic TNM stage grouping</a></li></ul><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-formel tnm-formel}\">TNM-Formel</span></td><td>pT2 pN1 cM0</td></tr></table></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "399703000",
              "display" : "Integrated TNM category"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-tnm-synth-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-tnm-synth-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-04-02",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.uicc.org/resources/tnm",
              "code" : "IIIA",
              "display" : "Stadium IIIA"
            }
          ]
        },
        "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-tnm-synth-meldung2-t-pT2"
          },
          {
            🔗 "reference" : "Observation/mii-exa-onko-tnm-synth-meldung2-n-pN1"
          },
          {
            🔗 "reference" : "Observation/mii-exa-onko-tnm-synth-meldung1-m-cM0"
          }
        ],
        "derivedFrom" : [
          {
            🔗 "reference" : "Observation/mii-exa-onko-tnm-synth-meldung1-klassifikation"
          },
          {
            🔗 "reference" : "Observation/mii-exa-onko-tnm-synth-meldung2-klassifikation"
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-formel",
                  "code" : "tnm-formel",
                  "display" : "TNM-Formel"
                }
              ]
            },
            "valueString" : "pT2 pN1 cM0"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-tnm-synth-tumorkonferenz",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "mii-exa-onko-tnm-synth-tumorkonferenz",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz|2027.0.0-ballot.1"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"CarePlan_mii-exa-onko-tnm-synth-tumorkonferenz\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan mii-exa-onko-tnm-synth-tumorkonferenz</b></p><a name=\"mii-exa-onko-tnm-synth-tumorkonferenz\"> </a><a name=\"hcmii-exa-onko-tnm-synth-tumorkonferenz\"> </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-tumorkonferenz.html\">MII PR Onkologie Tumorkonferenz</a> version: 2027.0.0-ballot.1</p></div><p><b>identifier</b>: TK_synth_2024-04-02</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ postop}\">postoperative Tumorkonferenz (Planung der postoperativen Therapie, z. B. zur Frage adjuvante Therapie)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-tnm-synth-patient.html\">Tobias TNMSynth  Male, DoB: 1962-04-18</a></p><p><b>created</b>: 2024-04-02</p><p><b>addresses</b>: <a href=\"Condition-mii-exa-onko-tnm-synth-diagnose.html\">Condition Bösartige Neubildung des Rektums</a></p><p><b>supportingInfo</b>: <a href=\"Observation-mii-exa-onko-tnm-synth-klassifikation.html\">Observation Integrated TNM category</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ CH}\">Chemotherapie</span></td><td>Scheduled</td></tr></table></blockquote></div>"
        },
        "identifier" : [
          {
            "value" : "TK_synth_2024-04-02"
          }
        ],
        "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-tnm-synth-patient"
        },
        "created" : "2024-04-02",
        "addresses" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-tnm-synth-diagnose"
          }
        ],
        "supportingInfo" : [
          {
            🔗 "reference" : "Observation/mii-exa-onko-tnm-synth-klassifikation"
          }
        ],
        "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"
      }
    }
  ]
}