MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 -
Germany
MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 -
Germany
This page is part of the MII IG Kerndatensatz-Modul Onkologie (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "mii-exa-onko-folfox-workflow-bundle",
"language" : "en",
"type" : "collection",
"timestamp" : "2024-03-15T10:00:00Z",
"entry" : [
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-folfox-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "mii-exa-onko-folfox-patient",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Patient mii-exa-onko-folfox-patient</b></p><a name=\"mii-exa-onko-folfox-patient\"> </a><a name=\"hcmii-exa-onko-folfox-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</p><hr/></div>"
},
"identifier" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/sid/patienten",
"value" : "FOLFOX-2024-001"
}
],
"name" : [
{
"family" : "Schmidt",
"given" : [
"Hans"
]
}
],
"gender" : "male",
"birthDate" : "1959-03-15"
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-folfox-encounter-diagnosis",
"resource" : {
"resourceType" : "Encounter",
"id" : "mii-exa-onko-folfox-encounter-diagnosis",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-onko-folfox-encounter-diagnosis</b></p><a name=\"mii-exa-onko-folfox-encounter-diagnosis\"> </a><a name=\"hcmii-exa-onko-folfox-encounter-diagnosis\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
}
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-folfox-encounter-surgery",
"resource" : {
"resourceType" : "Encounter",
"id" : "mii-exa-onko-folfox-encounter-surgery",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-onko-folfox-encounter-surgery</b></p><a name=\"mii-exa-onko-folfox-encounter-surgery\"> </a><a name=\"hcmii-exa-onko-folfox-encounter-surgery\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
}
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-folfox-encounter-chemo",
"resource" : {
"resourceType" : "Encounter",
"id" : "mii-exa-onko-folfox-encounter-chemo",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-onko-folfox-encounter-chemo</b></p><a name=\"mii-exa-onko-folfox-encounter-chemo\"> </a><a name=\"hcmii-exa-onko-folfox-encounter-chemo\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
}
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-colorectal-cancer-diagnosis",
"resource" : {
"resourceType" : "Condition",
"id" : "mii-exa-onko-colorectal-cancer-diagnosis",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Condition mii-exa-onko-colorectal-cancer-diagnosis</b></p><a name=\"mii-exa-onko-colorectal-cancer-diagnosis\"> </a><a name=\"hcmii-exa-onko-colorectal-cancer-diagnosis\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-diagnose-primaertumor.html\">MII PR Onkologie Diagnose Primärtumor</a></p></div><p><b>Condition Asserted Date</b>: 2024-01-15</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://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span>, <span title=\"Codes:{http://snomed.info/sct 55342001}\">Neoplastic disease</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm C18.7}\">Bösartige Neubildung: Colon sigmoideum</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-diagnosis.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>onset</b>: 2024-01-15</p><p><b>recordedDate</b>: 2024-01-15</p><p><b>note</b>: </p><blockquote><div><p>Adenokarzinom des Colon sigmoideum, Stadium III (T3N1M0)</p>\n</div></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime" : "2024-01-15"
}
],
"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://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
]
},
{
"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" : "C18.7",
"display" : "Bösartige Neubildung: Colon sigmoideum"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-folfox-encounter-diagnosis"
},
"onsetDateTime" : "2024-01-15",
"recordedDate" : "2024-01-15",
"note" : [
{
"text" : "Adenokarzinom des Colon sigmoideum, Stadium III (T3N1M0)"
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-t",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-colorectal-tnm-t",
"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/><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-colorectal-tnm-t</b></p><a name=\"mii-exa-onko-colorectal-tnm-t\"> </a><a name=\"hcmii-exa-onko-colorectal-tnm-t\"> </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-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2024-02-20</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm T3}\">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",
"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"
}
]
}
}
],
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "384625004",
"display" : "pT category (observable entity)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime" : "2024-02-20",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.uicc.org/resources/tnm",
"code" : "T3"
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"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
"code" : "8"
}
]
}
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-n",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-colorectal-tnm-n",
"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/><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-colorectal-tnm-n</b></p><a name=\"mii-exa-onko-colorectal-tnm-n\"> </a><a name=\"hcmii-exa-onko-colorectal-tnm-n\"> </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-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2024-02-20</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm N1}\">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" : [
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"system" : "https://www.uicc.org/resources/tnm",
"code" : "p"
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],
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "371494008",
"display" : "pN category (observable entity)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime" : "2024-02-20",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.uicc.org/resources/tnm",
"code" : "N1"
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},
"method" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
"code" : "8"
}
]
}
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-m",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-colorectal-tnm-m",
"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/><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-colorectal-tnm-m</b></p><a name=\"mii-exa-onko-colorectal-tnm-m\"> </a><a name=\"hcmii-exa-onko-colorectal-tnm-m\"> </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-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2024-02-20</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm M0}\">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"
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],
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "399387003",
"display" : "cM category (observable entity)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime" : "2024-02-20",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.uicc.org/resources/tnm",
"code" : "M0"
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"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
"code" : "8"
}
]
}
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-colorectal-tnm",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-colorectal-tnm</b></p><a name=\"mii-exa-onko-colorectal-tnm\"> </a><a name=\"hcmii-exa-onko-colorectal-tnm\"> </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></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-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2024-02-20</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-colorectal-tnm-t.html\">Observation pT category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-colorectal-tnm-n.html\">Observation pN category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-colorectal-tnm-m.html\">Observation cM 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-folfox-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime" : "2024-02-20",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.uicc.org/resources/tnm",
"code" : "IIIB"
}
]
},
"method" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
"code" : "8"
}
]
},
"hasMember" : [
{
🔗 "reference" : "Observation/mii-exa-onko-colorectal-tnm-t"
},
{
🔗 "reference" : "Observation/mii-exa-onko-colorectal-tnm-n"
},
{
🔗 "reference" : "Observation/mii-exa-onko-colorectal-tnm-m"
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-tumorkonferenz-folfox",
"resource" : {
"resourceType" : "CarePlan",
"id" : "mii-exa-onko-tumorkonferenz-folfox",
"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/><p class=\"res-header-id\"><b>Generated Narrative: CarePlan mii-exa-onko-tumorkonferenz-folfox</b></p><a name=\"mii-exa-onko-tumorkonferenz-folfox\"> </a><a name=\"hcmii-exa-onko-tumorkonferenz-folfox\"> </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>: Tumorkonferenz_FOLFOX_001</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 praeth}\">prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>created</b>: 2024-03-10</p><p><b>addresses</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Progress</b></td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><blockquote><div><p>Tumor board recommends FOLFOX chemotherapy protocol for stage III colon cancer, adjuvant setting</p>\n</div></blockquote></td><td><a href=\"RequestGroup-mii-exa-onko-folfox-requestgroup.html\">RequestGroup Chemotherapie</a></td></tr></table></div>"
},
"identifier" : [
{
"value" : "Tumorkonferenz_FOLFOX_001"
}
],
"status" : "active",
"intent" : "plan",
"category" : [
{
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ",
"code" : "praeth",
"display" : "prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie)"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"created" : "2024-03-10",
"addresses" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"activity" : [
{
"progress" : [
{
"text" : "Tumor board recommends FOLFOX chemotherapy protocol for stage III colon cancer, adjuvant setting"
}
],
"reference" : {
🔗 "reference" : "RequestGroup/mii-exa-onko-folfox-requestgroup"
}
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/RequestGroup/mii-exa-onko-folfox-requestgroup",
"resource" : {
"resourceType" : "RequestGroup",
"id" : "mii-exa-onko-folfox-requestgroup",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-kombinationstherapie|2027.0.0-ballot.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup mii-exa-onko-folfox-requestgroup</b></p><a name=\"mii-exa-onko-folfox-requestgroup\"> </a><a name=\"hcmii-exa-onko-folfox-requestgroup\"> </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-therapieempfehlung-kombinationstherapie.html\">MII PR Onkologie Therapieempfehlung Kombinationstherapie</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ CH}\">Chemotherapie</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>authoredOn</b>: 2024-03-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><blockquote><p><b>action</b></p><p><b>title</b>: FOLFOX4 Protocol</p><p><b>description</b>: FOLFOX4 chemotherapy protocol: Fluorouracil + Folinsäure + Oxaliplatin</p><p><b>code</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle FOLFOX4}\">FOLFOX4</span></p><h3>Actions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Title</b></td><td><b>Description</b></td><td><b>Resource</b></td></tr><tr><td style=\"display: none\">*</td><td>Fluorouracil (5-FU)</td><td>5-Fluorouracil - pyrimidine analog, antineoplastic</td><td><a href=\"MedicationRequest-mii-exa-onko-folfox-5fu-request.html\">MedicationRequest: status = active; intent = proposal; medication[x] = Fluorouracil; authoredOn = 2024-03-10</a></td></tr><tr><td style=\"display: none\">*</td><td>Folinsäure (Leucovorin)</td><td>Folinic acid - enhances 5-FU efficacy</td><td><a href=\"MedicationRequest-mii-exa-onko-folfox-leucovorin-request.html\">MedicationRequest: status = active; intent = proposal; medication[x] = Calciumfolinat; authoredOn = 2024-03-10</a></td></tr><tr><td style=\"display: none\">*</td><td>Oxaliplatin</td><td>Platinum-based chemotherapy agent</td><td><a href=\"MedicationRequest-mii-exa-onko-folfox-oxaliplatin-request.html\">MedicationRequest: status = active; intent = proposal; medication[x] = Oxaliplatin; authoredOn = 2024-03-10</a></td></tr></table></blockquote></div>"
},
"status" : "active",
"intent" : "proposal",
"code" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ",
"code" : "CH",
"display" : "Chemotherapie"
}
],
"text" : "Chemotherapie"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"authoredOn" : "2024-03-10",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"action" : [
{
"title" : "FOLFOX4 Protocol",
"description" : "FOLFOX4 chemotherapy protocol: Fluorouracil + Folinsäure + Oxaliplatin",
"code" : [
{
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle",
"code" : "FOLFOX4",
"display" : "FOLFOX4"
}
]
}
],
"action" : [
{
"title" : "Fluorouracil (5-FU)",
"description" : "5-Fluorouracil - pyrimidine analog, antineoplastic",
"resource" : {
🔗 "reference" : "MedicationRequest/mii-exa-onko-folfox-5fu-request"
}
},
{
"title" : "Folinsäure (Leucovorin)",
"description" : "Folinic acid - enhances 5-FU efficacy",
"resource" : {
🔗 "reference" : "MedicationRequest/mii-exa-onko-folfox-leucovorin-request"
}
},
{
"title" : "Oxaliplatin",
"description" : "Platinum-based chemotherapy agent",
"resource" : {
🔗 "reference" : "MedicationRequest/mii-exa-onko-folfox-oxaliplatin-request"
}
}
]
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-5fu-request",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "mii-exa-onko-folfox-5fu-request",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation|2027.0.0-ballot.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest mii-exa-onko-folfox-5fu-request</b></p><a name=\"mii-exa-onko-folfox-5fu-request\"> </a><a name=\"hcmii-exa-onko-folfox-5fu-request\"> </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-therapieempfehlung-medikation.html\">MII PR Onkologie Therapieempfehlung Medikation</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc L01BC02}\">5-Fluorouracil (5-FU)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>authoredOn</b>: 2024-03-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p></div>"
},
"status" : "active",
"intent" : "proposal",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/atc",
"code" : "L01BC02",
"display" : "Fluorouracil"
}
],
"text" : "5-Fluorouracil (5-FU)"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"authoredOn" : "2024-03-10",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-leucovorin-request",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "mii-exa-onko-folfox-leucovorin-request",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation|2027.0.0-ballot.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest mii-exa-onko-folfox-leucovorin-request</b></p><a name=\"mii-exa-onko-folfox-leucovorin-request\"> </a><a name=\"hcmii-exa-onko-folfox-leucovorin-request\"> </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-therapieempfehlung-medikation.html\">MII PR Onkologie Therapieempfehlung Medikation</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc V03AF03}\">Leucovorin (Folinsäure)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>authoredOn</b>: 2024-03-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p></div>"
},
"status" : "active",
"intent" : "proposal",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/atc",
"code" : "V03AF03",
"display" : "Calciumfolinat"
}
],
"text" : "Leucovorin (Folinsäure)"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"authoredOn" : "2024-03-10",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-oxaliplatin-request",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "mii-exa-onko-folfox-oxaliplatin-request",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation|2027.0.0-ballot.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest mii-exa-onko-folfox-oxaliplatin-request</b></p><a name=\"mii-exa-onko-folfox-oxaliplatin-request\"> </a><a name=\"hcmii-exa-onko-folfox-oxaliplatin-request\"> </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-therapieempfehlung-medikation.html\">MII PR Onkologie Therapieempfehlung Medikation</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc L01XA03}\">Oxaliplatin</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>authoredOn</b>: 2024-03-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p></div>"
},
"status" : "active",
"intent" : "proposal",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/atc",
"code" : "L01XA03",
"display" : "Oxaliplatin"
}
],
"text" : "Oxaliplatin"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"authoredOn" : "2024-03-10",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection",
"resource" : {
"resourceType" : "Procedure",
"id" : "mii-exa-onko-sigmoid-resection",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-sigmoid-resection</b></p><a name=\"mii-exa-onko-sigmoid-resection\"> </a><a name=\"hcmii-exa-onko-sigmoid-resection\"> </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-operation.html\">MII PR Onkologie Operation</a></p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-484.5}\">Laparoskopische Sigmaresektion mit TME und Lymphknotendissektion</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-surgery.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus R0}\">Kein Residualtumor</span></p><p><b>note</b>: </p><blockquote><div><p>Laparoscopic sigmoid resection with TME and lymphadenectomy. No intraoperative complications. Tumor completely resected with clear margins (R0). 18 lymph nodes removed, 3 positive. Surgery performed in 3 components: resection, anastomosis, and lymph node dissection.</p>\n</div></blockquote></div>"
},
"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",
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"display" : "Kurativ"
}
]
}
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
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]
},
"code" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/ops",
"version" : "2024",
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"display" : "Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion"
}
],
"text" : "Laparoskopische Sigmaresektion mit TME und Lymphknotendissektion"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-folfox-encounter-surgery"
},
"performedDateTime" : "2024-02-15",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
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"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus",
"code" : "R0",
"display" : "Kein Residualtumor"
}
]
},
"note" : [
{
"text" : "Laparoscopic sigmoid resection with TME and lymphadenectomy. No intraoperative complications. Tumor completely resected with clear margins (R0). 18 lymph nodes removed, 3 positive. Surgery performed in 3 components: resection, anastomosis, and lymph node dissection."
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection-part1",
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"resourceType" : "Procedure",
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🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
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},
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"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-sigmoid-resection-part1</b></p><a name=\"mii-exa-onko-sigmoid-resection-part1\"> </a><a name=\"hcmii-exa-onko-sigmoid-resection-part1\"> </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-operation.html\">MII PR Onkologie Operation</a></p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-sigmoid-resection.html\">Procedure Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-484.5}\">Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-surgery.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>note</b>: </p><blockquote><div><p>Sigmoid colon resected including tumor. End-to-end anastomosis created.</p>\n</div></blockquote></div>"
},
"extension" : [
{
"url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
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}
],
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{
🔗 "reference" : "Procedure/mii-exa-onko-sigmoid-resection"
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],
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"coding" : [
{
"system" : "http://snomed.info/sct",
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"code" : "5-484.5",
"display" : "Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-folfox-encounter-surgery"
},
"performedDateTime" : "2024-02-15",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"note" : [
{
"text" : "Sigmoid colon resected including tumor. End-to-end anastomosis created."
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection-part2",
"resource" : {
"resourceType" : "Procedure",
"id" : "mii-exa-onko-sigmoid-resection-part2",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
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},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-sigmoid-resection-part2</b></p><a name=\"mii-exa-onko-sigmoid-resection-part2\"> </a><a name=\"hcmii-exa-onko-sigmoid-resection-part2\"> </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-operation.html\">MII PR Onkologie Operation</a></p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-sigmoid-resection.html\">Procedure Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-407.0}\">Radikale (systematische) Lymphadenektomie im Rahmen einer anderen Operation: Axillär</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-surgery.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>note</b>: </p><blockquote><div><p>Regional lymph node dissection performed. 18 lymph nodes removed from mesenteric and para-aortic regions.</p>\n</div></blockquote></div>"
},
"extension" : [
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"url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
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],
"partOf" : [
{
🔗 "reference" : "Procedure/mii-exa-onko-sigmoid-resection"
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],
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{
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}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-folfox-encounter-surgery"
},
"performedDateTime" : "2024-02-15",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"note" : [
{
"text" : "Regional lymph node dissection performed. 18 lymph nodes removed from mesenteric and para-aortic regions."
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection-part3",
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"resourceType" : "Procedure",
"id" : "mii-exa-onko-sigmoid-resection-part3",
"meta" : {
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🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
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},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-sigmoid-resection-part3</b></p><a name=\"mii-exa-onko-sigmoid-resection-part3\"> </a><a name=\"hcmii-exa-onko-sigmoid-resection-part3\"> </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-operation.html\">MII PR Onkologie Operation</a></p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-sigmoid-resection.html\">Procedure Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-986.x}\">Minimalinvasive Technik: Sonstige</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-surgery.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>note</b>: </p><blockquote><div><p>Four laparoscopic ports placed for minimally invasive approach.</p>\n</div></blockquote></div>"
},
"extension" : [
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"url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
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🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
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🔗 "reference" : "Encounter/mii-exa-onko-folfox-encounter-surgery"
},
"performedDateTime" : "2024-02-15",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"note" : [
{
"text" : "Four laparoscopic ports placed for minimally invasive approach."
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-folfox-procedure",
"resource" : {
"resourceType" : "Procedure",
"id" : "mii-exa-onko-folfox-procedure",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-folfox-procedure</b></p><a name=\"mii-exa-onko-folfox-procedure\"> </a><a name=\"hcmii-exa-onko-folfox-procedure\"> </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-systemische-therapie.html\">MII PR Onkologie Systemische Therapie</a></p></div><p><b>MII EX Onko Systemische Therapie Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>MII EX Onko Systemische Therapie Stellung zur OP</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-stellungzurop A}\">Adjuvant</span></p><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-10</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 277132007}\">Therapeutic procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 8-542}, {https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-art CH}\">Nicht komplexe Chemotherapie</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-chemo.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>performed</b>: 2024-03-20 --> 2024-09-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund E}\">Reguläres Ende</span></p><p><b>note</b>: </p><blockquote><div><p>Patient received 12 cycles of adjuvant FOLFOX4 chemotherapy for stage III colon cancer. Treatment completed without major complications.</p>\n</div></blockquote><p><b>usedCode</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle FOLFOX4}\">FOLFOX4</span></p></div>"
},
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"url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention",
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🔗 "reference" : "CarePlan/mii-exa-onko-tumorkonferenz-folfox"
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"status" : "completed",
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"coding" : [
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"system" : "http://fhir.de/CodeSystem/bfarm/ops",
"version" : "2024",
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}
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},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-folfox-encounter-chemo"
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"performedPeriod" : {
"start" : "2024-03-20",
"end" : "2024-09-15"
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🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
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{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund",
"code" : "E",
"display" : "Reguläres Ende"
}
]
},
"note" : [
{
"text" : "Patient received 12 cycles of adjuvant FOLFOX4 chemotherapy for stage III colon cancer. Treatment completed without major complications."
}
],
"usedCode" : [
{
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle",
"code" : "FOLFOX4",
"display" : "FOLFOX4"
}
]
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationStatement/mii-exa-onko-folfox-5fu-statement",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "mii-exa-onko-folfox-5fu-statement",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement mii-exa-onko-folfox-5fu-statement</b></p><a name=\"mii-exa-onko-folfox-5fu-statement\"> </a><a name=\"hcmii-exa-onko-folfox-5fu-statement\"> </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-systemische-therapie-medikation.html\">MII PR Onkologie Systemische Therapie Medikation</a></p></div><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-10</a></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-folfox-procedure.html\">Procedure Nicht komplexe Chemotherapie</a></p><p><b>status</b>: Completed</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc L01BC02}\">5-Fluorouracil (5-FU)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>effective</b>: 2024-03-20 --> 2024-09-15</p><p><b>note</b>: </p><blockquote><div><p>FOLFOX4</p>\n</div></blockquote></div>"
},
"basedOn" : [
{
🔗 "reference" : "CarePlan/mii-exa-onko-tumorkonferenz-folfox"
}
],
"partOf" : [
{
🔗 "reference" : "Procedure/mii-exa-onko-folfox-procedure"
}
],
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/atc",
"code" : "L01BC02",
"display" : "Fluorouracil"
}
],
"text" : "5-Fluorouracil (5-FU)"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"effectivePeriod" : {
"start" : "2024-03-20",
"end" : "2024-09-15"
},
"note" : [
{
"text" : "FOLFOX4"
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationStatement/mii-exa-onko-folfox-leucovorin-statement",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "mii-exa-onko-folfox-leucovorin-statement",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement mii-exa-onko-folfox-leucovorin-statement</b></p><a name=\"mii-exa-onko-folfox-leucovorin-statement\"> </a><a name=\"hcmii-exa-onko-folfox-leucovorin-statement\"> </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-systemische-therapie-medikation.html\">MII PR Onkologie Systemische Therapie Medikation</a></p></div><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-10</a></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-folfox-procedure.html\">Procedure Nicht komplexe Chemotherapie</a></p><p><b>status</b>: Completed</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc V03AF03}\">Leucovorin (Folinsäure)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>effective</b>: 2024-03-20 --> 2024-09-15</p><p><b>note</b>: </p><blockquote><div><p>FOLFOX4</p>\n</div></blockquote></div>"
},
"basedOn" : [
{
🔗 "reference" : "CarePlan/mii-exa-onko-tumorkonferenz-folfox"
}
],
"partOf" : [
{
🔗 "reference" : "Procedure/mii-exa-onko-folfox-procedure"
}
],
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/atc",
"code" : "V03AF03",
"display" : "Calciumfolinat"
}
],
"text" : "Leucovorin (Folinsäure)"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"effectivePeriod" : {
"start" : "2024-03-20",
"end" : "2024-09-15"
},
"note" : [
{
"text" : "FOLFOX4"
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationStatement/mii-exa-onko-folfox-oxaliplatin-statement",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "mii-exa-onko-folfox-oxaliplatin-statement",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement mii-exa-onko-folfox-oxaliplatin-statement</b></p><a name=\"mii-exa-onko-folfox-oxaliplatin-statement\"> </a><a name=\"hcmii-exa-onko-folfox-oxaliplatin-statement\"> </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-systemische-therapie-medikation.html\">MII PR Onkologie Systemische Therapie Medikation</a></p></div><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-10</a></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-folfox-procedure.html\">Procedure Nicht komplexe Chemotherapie</a></p><p><b>status</b>: Completed</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc L01XA03}\">Oxaliplatin</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>effective</b>: 2024-03-20 --> 2024-09-15</p><p><b>note</b>: </p><blockquote><div><p>FOLFOX4</p>\n</div></blockquote></div>"
},
"basedOn" : [
{
🔗 "reference" : "CarePlan/mii-exa-onko-tumorkonferenz-folfox"
}
],
"partOf" : [
{
🔗 "reference" : "Procedure/mii-exa-onko-folfox-procedure"
}
],
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/atc",
"code" : "L01XA03",
"display" : "Oxaliplatin"
}
],
"text" : "Oxaliplatin"
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"effectivePeriod" : {
"start" : "2024-03-20",
"end" : "2024-09-15"
},
"note" : [
{
"text" : "FOLFOX4"
}
]
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-folfox-verlauf-6months",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-folfox-verlauf-6months",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-folfox-verlauf-6months</b></p><a name=\"mii-exa-onko-folfox-verlauf-6months\"> </a><a name=\"hcmii-exa-onko-folfox-verlauf-6months\"> </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-verlauf.html\">MII PR Onkologie Verlauf</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 396432002}\">Status of regression of tumor (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2025-03-15</p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung V}\">Vollremission (complete remission, CR)</span></p><p><b>note</b>: </p><blockquote><div><p>Patient completed 12 cycles of adjuvant FOLFOX4. CT scan and colonoscopy show no evidence of recurrence. CEA level normal (2.1 ng/mL). Patient is disease-free at 6-month follow-up. Plan: Continue surveillance with CEA and imaging every 3-6 months.</p>\n</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 445200009}\">Status of residual neoplasm (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor K}\">Kein Tumor nachweisbar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399656008}\">Presence of metastatic neoplasm in regional lymph node (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten K}\">kein Lymphknotenbefall nachweisbar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399608002}\">Status of distant metastasis (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen K}\">Keine Fernmetastasen nachweisbar</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "396432002",
"display" : "Status of regression of tumor (observable entity)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime" : "2025-03-15",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung",
"code" : "V",
"display" : "Vollremission (complete remission, CR)"
}
]
},
"note" : [
{
"text" : "Patient completed 12 cycles of adjuvant FOLFOX4. CT scan and colonoscopy show no evidence of recurrence. CEA level normal (2.1 ng/mL). Patient is disease-free at 6-month follow-up. Plan: Continue surveillance with CEA and imaging every 3-6 months."
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "445200009",
"display" : "Status of residual neoplasm (observable entity)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor",
"code" : "K",
"display" : "Kein Tumor nachweisbar"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "399656008",
"display" : "Presence of metastatic neoplasm in regional lymph node (observable entity)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten",
"code" : "K",
"display" : "kein Lymphknotenbefall nachweisbar"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "399608002",
"display" : "Status of distant metastasis (observable entity)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen",
"code" : "K",
"display" : "Keine Fernmetastasen nachweisbar"
}
]
}
}
]
}
}
]
}