{
  "resourceType" : "Bundle",
  "id" : "mii-exa-onko-cup-bundle",
  "language" : "de",
  "type" : "transaction",
  "entry" : [{
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-cup-patient",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "mii-exa-onko-cup-patient",
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "name" : [{
        "family" : "Musterfall",
        "given" : ["CUP"]
      }],
      "gender" : "male",
      "birthDate" : "1958-11-02"
    },
    "request" : {
      "method" : "POST",
      "url" : "Patient"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-cup-diagnose",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "mii-exa-onko-cup-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" : "2026-02-11"
      },
      {
        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
            "version" : "2019",
            "code" : "8140/3",
            "display" : "Adenokarzinom o.n.A."
          }]
        }
      }],
      "identifier" : [{
        "system" : "https://dizmusterstadt.example.org/fhir/sid/tumor-id",
        "value" : "TUMOR-CUP-0815"
      }],
      "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"
        },
        {
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung",
          "code" : "7",
          "display" : "histologische Untersuchung eines Primärtumors"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "55342001",
          "display" : "Neoplastic disease"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
          "version" : "2026",
          "code" : "C80.0",
          "display" : "Bösartige Neubildung, primäre Lokalisation unbekannt, so bezeichnet"
        }]
      },
      "bodySite" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
          "code" : "C80.9",
          "display" : "Unbekannte Primärlokalisation"
        }]
      }],
      "subject" : {
        "reference" : "Patient/mii-exa-onko-cup-patient"
      },
      "recordedDate" : "2026-02-11"
    },
    "request" : {
      "method" : "POST",
      "url" : "Condition"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-cup-tnm-t-cTX",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-cup-tnm-t-cTX",
      "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-cup-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-cup-diagnose"
      }],
      "effectiveDateTime" : "2026-02-11",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "TX",
          "display" : "TX"
        }]
      },
      "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-cup-tnm-n-cNX",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-cup-tnm-n-cNX",
      "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-cup-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-cup-diagnose"
      }],
      "effectiveDateTime" : "2026-02-11",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.uicc.org/resources/tnm",
          "code" : "NX",
          "display" : "Nx"
        }]
      },
      "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-cup-tnm-m-cM1",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-cup-tnm-m-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-cup-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-cup-diagnose"
      }],
      "effectiveDateTime" : "2026-02-11",
      "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-cup-tnm-klassifikation",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-cup-tnm-klassifikation",
      "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-cup-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-cup-diagnose"
      }],
      "effectiveDateTime" : "2026-02-11",
      "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-cup-tnm-t-cTX"
      },
      {
        "reference" : "Observation/mii-exa-onko-cup-tnm-n-cNX"
      },
      {
        "reference" : "Observation/mii-exa-onko-cup-tnm-m-cM1"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-cup-fernmetastase-hep",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-cup-fernmetastase-hep",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fernmetastasen|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "385421009"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-cup-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-cup-diagnose"
      }],
      "effectiveDateTime" : "2026-02-11",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-fernmetastasen",
          "code" : "HEP",
          "display" : "Leber"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-cup-fernmetastase-pul",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-onko-cup-fernmetastase-pul",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fernmetastasen|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "385421009"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-onko-cup-patient"
      },
      "focus" : [{
        "reference" : "Condition/mii-exa-onko-cup-diagnose"
      }],
      "effectiveDateTime" : "2026-02-11",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-fernmetastasen",
          "code" : "PUL",
          "display" : "Lunge"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  }]
}