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. For a full list of available versions, see the Directory of published versions

: MII EXA Onko Prostata Bundle

Raw json | Download

{
  "resourceType" : "Bundle",
  "id" : "mii-exa-onko-prostata-example-bundle-1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/StructureDefinition/Bundle"
    ]
  },
  "language" : "de",
  "identifier" : {
    "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko",
    "value" : "prostata-example-bundle-2024-001"
  },
  "type" : "transaction",
  "timestamp" : "2024-03-25T10:00:00+01:00",
  "entry" : [
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-prostata-bundle-patient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "mii-exa-onko-prostata-bundle-patient",
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "name" : [
          {
            "family" : "ProstataCa",
            "given" : [
              "Peter"
            ]
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-prostata-diagnose",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "mii-exa-onko-prostata-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" : "2020-03-07"
          }
        ],
        "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"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "55342001",
                "display" : "Neoplastic disease"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
              "version" : "2024",
              "code" : "C61",
              "display" : "Bösartige Neubildung der Prostata"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "recordedDate" : "2024-01-02"
      },
      "request" : {
        "method" : "POST",
        "url" : "Condition"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-prostata-bundle-encounter",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "mii-exa-onko-prostata-bundle-encounter",
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Encounter"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-prostata-psa-diagnose-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-prostata-psa-diagnose-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-psa|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "2857-1",
              "display" : "Prostate specific Ag [Mass/volume] in Serum or Plasma"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-01-02",
        "valueQuantity" : {
          "value" : 12,
          "unit" : "ng/ml"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-prostata-anzahl-stanzen-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-prostata-anzahl-stanzen-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-anzahl-stanzen|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "44652-6",
              "display" : "Total number of cores in Tissue core"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-01-02",
        "valueInteger" : 12
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-prostata-anzahl-positiver-stanzen-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-prostata-anzahl-positiver-stanzen-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-anzahl-positive-stanzen|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "44651-8",
              "display" : "Tissue cores.positive.carcinoma in Tissue core"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-01-02",
        "valueInteger" : 8
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-prostata-ca-befall-stanze-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-prostata-ca-befall-stanze-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-ca-befall-stanze|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "44654-2",
              "display" : "Tissue involved by tumor in Prostate tumor"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-01-02",
        "valueQuantity" : {
          "value" : 80,
          "unit" : "%"
        },
        "specimen" : {
          🔗 "reference" : "Specimen/mii-exa-onko-prostata-specimen-stanze"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-prostata-gleason-pattern-grade-group-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-prostata-gleason-pattern-grade-group-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-gleason-grade-group|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1812491000004107",
              "display" : "Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)"
            },
            {
              "system" : "http://loinc.org",
              "code" : "94734-1",
              "display" : "Prostate cancer grade group [Score] in Prostate tumor Qualitative"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-01-02",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1279714001",
              "display" : "International Society of Urological Pathology grade group 2 (Gleason score 3 + 4 = 7) (qualifier value)"
            }
          ]
        },
        "derivedFrom" : [
          {
            🔗 "reference" : "Observation/mii-exa-onko-prostata-gleason-pattern-primary-1"
          },
          {
            🔗 "reference" : "Observation/mii-exa-onko-prostata-gleason-pattern-secondary-1"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-prostata-gleason-pattern-primary-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-prostata-gleason-pattern-primary-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-gleason-patterns|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "384994009",
              "display" : "Primary Gleason pattern (observable entity)"
            },
            {
              "system" : "http://loinc.org",
              "code" : "44641-9",
              "display" : "Gleason pattern.primary in Prostate tumor"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-01-02",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "369772003",
              "display" : "Gleason Pattern 3"
            }
          ]
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-prostata-gleason-pattern-secondary-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-prostata-gleason-pattern-secondary-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-gleason-patterns|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "384995005",
              "display" : "Secondary Gleason pattern (observable entity)"
            },
            {
              "system" : "http://loinc.org",
              "code" : "44642-7",
              "display" : "Gleason pattern.secondary in Prostate tumor"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          }
        ],
        "effectiveDateTime" : "2024-01-02",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "369773008",
              "display" : "Gleason Pattern 4"
            }
          ]
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-prostata-surgical-complication-1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "mii-exa-onko-prostata-surgical-complication-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-prostate-clavien-dindo|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "generated"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "789279006",
              "display" : "Clavien-Dindo classification grade (observable entity)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "focus" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          },
          {
            🔗 "reference" : "Procedure/mii-exa-onko-prostata-surgery-1"
          }
        ],
        "effectiveDateTime" : "2024-06-24",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1367522003",
              "display" : "Clavien-Dindo classification grade IIIa (finding)"
            },
            {
              "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-prostata-postsurgical-complications",
              "code" : "J",
              "display" : "Ja"
            }
          ]
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-prostata-surgery-1",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "mii-exa-onko-prostata-surgery-1",
        "meta" : {
          "profile" : [
            🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation|2027.0.0-ballot.1"
          ]
        },
        "language" : "de",
        "text" : {
          "status" : "extensions"
        },
        "extension" : [
          {
            "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention",
                  "code" : "K",
                  "display" : "Kurativ"
                }
              ]
            }
          }
        ],
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "387713003",
              "display" : "Surgical procedure"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://fhir.de/CodeSystem/bfarm/ops",
              "version" : "2024",
              "code" : "5-604",
              "display" : "Radikale Prostatovesikulektomie"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/mii-exa-onko-prostata-bundle-patient"
        },
        "performedDateTime" : "2024-06-24",
        "reasonReference" : [
          {
            🔗 "reference" : "Condition/mii-exa-onko-prostata-diagnose"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Procedure"
      }
    }
  ]
}