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 TNM Bundle (synthesized stage at Tumorkonferenz)

Raw xml | Download


<Bundle xmlns="http://hl7.org/fhir">
  <id value="mii-exa-onko-tnm-bundle-synthesized"/>
  <meta>
    <profile value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
  </meta>
  <language value="de"/>
  <identifier>
    <system
            value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko"/>
    <value value="tnm-bundle-synthesized-2024-001"/>
  </identifier>
  <type value="transaction"/>
  <timestamp value="2024-04-02T10:00:00+01:00"/>
  <entry>
    <fullUrl
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-tnm-synth-patient"/>
    <resource>
      <Patient>
        <id value="mii-exa-onko-tnm-synth-patient"/>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <name>
          <family value="TNMSynth"/>
          <given value="Tobias"/>
        </name>
        <gender value="male"/>
        <birthDate value="1962-04-18"/>
      </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-tnm-synth-diagnose"/>
    <resource>
      <Condition>
        <id value="mii-exa-onko-tnm-synth-diagnose"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
          <valueDateTime value="2024-01-11"/>
        </extension>
        <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="C20"/>
            <display value="Bösartige Neubildung des Rektums"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <recordedDate value="2024-01-11"/>
      </Condition>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Condition"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-tnm-synth-meldung1-t-cT3"/>
    <resource>
      <Observation>
        <id value="mii-exa-onko-tnm-synth-meldung1-t-cT3"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-t-kategorie|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <extension
                     url="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix">
            <valueCodeableConcept>
              <coding>
                <system value="https://www.uicc.org/resources/tnm"/>
                <code value="c"/>
                <display value="c"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="399504009"/>
            <display value="cT category (observable entity)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <effectiveDateTime value="2024-01-11"/>
        <valueCodeableConcept>
          <coding>
            <system value="https://www.uicc.org/resources/tnm"/>
            <code value="T3"/>
            <display value="T3"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1352966002"/>
            <display
                     value="Union for International Cancer Control cT3 (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version"/>
            <code value="8"/>
            <display value="8. Auflage"/>
          </coding>
        </method>
      </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-tnm-synth-meldung1-n-cN2"/>
    <resource>
      <Observation>
        <id value="mii-exa-onko-tnm-synth-meldung1-n-cN2"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <extension
                     url="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix">
            <valueCodeableConcept>
              <coding>
                <system value="https://www.uicc.org/resources/tnm"/>
                <code value="c"/>
                <display value="c"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="399534004"/>
            <display value="cN category (observable entity)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <effectiveDateTime value="2024-01-11"/>
        <valueCodeableConcept>
          <coding>
            <system value="https://www.uicc.org/resources/tnm"/>
            <code value="N2"/>
            <display value="N2"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1353044001"/>
            <display
                     value="Union for International Cancer Control cN2 (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version"/>
            <code value="8"/>
            <display value="8. Auflage"/>
          </coding>
        </method>
      </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-tnm-synth-meldung1-m-cM0"/>
    <resource>
      <Observation>
        <id value="mii-exa-onko-tnm-synth-meldung1-m-cM0"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-m-kategorie|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <extension
                     url="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix">
            <valueCodeableConcept>
              <coding>
                <system value="https://www.uicc.org/resources/tnm"/>
                <code value="c"/>
                <display value="c"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="399387003"/>
            <display value="cM category (observable entity)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <effectiveDateTime value="2024-01-11"/>
        <valueCodeableConcept>
          <coding>
            <system value="https://www.uicc.org/resources/tnm"/>
            <code value="M0"/>
            <display value="M0"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1352512001"/>
            <display
                     value="Union for International Cancer Control cM0 (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version"/>
            <code value="8"/>
            <display value="8. Auflage"/>
          </coding>
        </method>
      </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-tnm-synth-meldung1-klassifikation"/>
    <resource>
      <Observation>
        <id value="mii-exa-onko-tnm-synth-meldung1-klassifikation"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="399537006"/>
            <display value="Clinical TNM stage grouping"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <focus>🔗 
          <reference value="Condition/mii-exa-onko-tnm-synth-diagnose"/>
        </focus>
        <effectiveDateTime value="2024-01-11"/>
        <valueCodeableConcept>
          <coding>
            <system value="https://www.uicc.org/resources/tnm"/>
            <code value="IIIB"/>
            <display value="Stadium IIIB"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version"/>
            <code value="8"/>
            <display value="8. Auflage"/>
          </coding>
        </method>
        <hasMember>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung1-t-cT3"/>
        </hasMember>
        <hasMember>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung1-n-cN2"/>
        </hasMember>
        <hasMember>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung1-m-cM0"/>
        </hasMember>
      </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-tnm-synth-meldung2-t-pT2"/>
    <resource>
      <Observation>
        <id value="mii-exa-onko-tnm-synth-meldung2-t-pT2"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-t-kategorie|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <extension
                     url="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix">
            <valueCodeableConcept>
              <coding>
                <system value="https://www.uicc.org/resources/tnm"/>
                <code value="p"/>
                <display value="p"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="384625004"/>
            <display value="pT category (observable entity)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <effectiveDateTime value="2024-03-15"/>
        <valueCodeableConcept>
          <coding>
            <system value="https://www.uicc.org/resources/tnm"/>
            <code value="T2"/>
            <display value="T2"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1352545001"/>
            <display
                     value="Union for International Cancer Control pT2 (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version"/>
            <code value="8"/>
            <display value="8. Auflage"/>
          </coding>
        </method>
      </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-tnm-synth-meldung2-n-pN1"/>
    <resource>
      <Observation>
        <id value="mii-exa-onko-tnm-synth-meldung2-n-pN1"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <extension
                     url="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix">
            <valueCodeableConcept>
              <coding>
                <system value="https://www.uicc.org/resources/tnm"/>
                <code value="p"/>
                <display value="p"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="371494008"/>
            <display value="pN category (observable entity)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <effectiveDateTime value="2024-03-15"/>
        <valueCodeableConcept>
          <coding>
            <system value="https://www.uicc.org/resources/tnm"/>
            <code value="N1"/>
            <display value="N1"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1352614009"/>
            <display
                     value="Union for International Cancer Control pN1 (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version"/>
            <code value="8"/>
            <display value="8. Auflage"/>
          </coding>
        </method>
      </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-tnm-synth-meldung2-klassifikation"/>
    <resource>
      <Observation>
        <id value="mii-exa-onko-tnm-synth-meldung2-klassifikation"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="399588009"/>
            <display value="Pathologic TNM stage grouping"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <focus>🔗 
          <reference value="Condition/mii-exa-onko-tnm-synth-diagnose"/>
        </focus>
        <effectiveDateTime value="2024-03-15"/>
        <valueCodeableConcept>
          <coding>
            <system value="https://www.uicc.org/resources/tnm"/>
            <code value="IIIA"/>
            <display value="Stadium IIIA"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version"/>
            <code value="8"/>
            <display value="8. Auflage"/>
          </coding>
        </method>
        <hasMember>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung2-t-pT2"/>
        </hasMember>
        <hasMember>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung2-n-pN1"/>
        </hasMember>
      </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-tnm-synth-klassifikation"/>
    <resource>
      <Observation>
        <id value="mii-exa-onko-tnm-synth-klassifikation"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation-synthetisiert|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="399703000"/>
            <display value="Integrated TNM category"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <focus>🔗 
          <reference value="Condition/mii-exa-onko-tnm-synth-diagnose"/>
        </focus>
        <effectiveDateTime value="2024-04-02"/>
        <valueCodeableConcept>
          <coding>
            <system value="https://www.uicc.org/resources/tnm"/>
            <code value="IIIA"/>
            <display value="Stadium IIIA"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version"/>
            <code value="8"/>
            <display value="8. Auflage"/>
          </coding>
        </method>
        <hasMember>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung2-t-pT2"/>
        </hasMember>
        <hasMember>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung2-n-pN1"/>
        </hasMember>
        <hasMember>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung1-m-cM0"/>
        </hasMember>
        <derivedFrom>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung1-klassifikation"/>
        </derivedFrom>
        <derivedFrom>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-meldung2-klassifikation"/>
        </derivedFrom>
        <component>
          <code>
            <coding>
              <system
                      value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-formel"/>
              <code value="tnm-formel"/>
              <display value="TNM-Formel"/>
            </coding>
          </code>
          <valueString value="pT2 pN1 cM0"/>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-tnm-synth-tumorkonferenz"/>
    <resource>
      <CarePlan>
        <id value="mii-exa-onko-tnm-synth-tumorkonferenz"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz|2027.0.0-ballot.1"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
        </text>
        <identifier>
          <value value="TK_synth_2024-04-02"/>
        </identifier>
        <status value="active"/>
        <intent value="plan"/>
        <category>
          <coding>
            <system
                    value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ"/>
            <code value="postop"/>
          </coding>
        </category>
        <subject>🔗 
          <reference value="Patient/mii-exa-onko-tnm-synth-patient"/>
        </subject>
        <created value="2024-04-02"/>
        <addresses>🔗 
          <reference value="Condition/mii-exa-onko-tnm-synth-diagnose"/>
        </addresses>
        <supportingInfo>🔗 
          <reference
                     value="Observation/mii-exa-onko-tnm-synth-klassifikation"/>
        </supportingInfo>
        <activity>
          <detail>
            <code>
              <coding>
                <system
                        value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ"/>
                <code value="CH"/>
                <display value="Chemotherapie"/>
              </coding>
            </code>
            <status value="scheduled"/>
          </detail>
        </activity>
      </CarePlan>
    </resource>
    <request>
      <method value="POST"/>
      <url value="CarePlan"/>
    </request>
  </entry>
</Bundle>