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
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<id value="mii-exa-onko-folfox-workflow-bundle"/>
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<type value="collection"/>
<timestamp value="2024-03-15T10:00:00Z"/>
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<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-folfox-patient"/>
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<id value="mii-exa-onko-folfox-patient"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
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<name>
<family value="Schmidt"/>
<given value="Hans"/>
</name>
<gender value="male"/>
<birthDate value="1959-03-15"/>
</Patient>
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</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-folfox-encounter-diagnosis"/>
<resource>
<Encounter>
<id value="mii-exa-onko-folfox-encounter-diagnosis"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-folfox-encounter-surgery"/>
<resource>
<Encounter>
<id value="mii-exa-onko-folfox-encounter-surgery"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-folfox-encounter-chemo"/>
<resource>
<Encounter>
<id value="mii-exa-onko-folfox-encounter-chemo"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
<resource>
<Condition>
<id value="mii-exa-onko-colorectal-cancer-diagnosis"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<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>
</div></blockquote></div>
</text>
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<code value="active"/>
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<system
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<code value="confirmed"/>
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</verificationStatus>
<category>
<coding>
<system
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<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="55342001"/>
<display value="Neoplastic disease"/>
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</category>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
<version value="2024"/>
<code value="C18.7"/>
<display value="Bösartige Neubildung: Colon sigmoideum"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<encounter>🔗
<reference
value="Encounter/mii-exa-onko-folfox-encounter-diagnosis"/>
</encounter>
<onsetDateTime value="2024-01-15"/>
<recordedDate value="2024-01-15"/>
<note>
<text
value="Adenokarzinom des Colon sigmoideum, Stadium III (T3N1M0)"/>
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-t"/>
<resource>
<Observation>
<id value="mii-exa-onko-colorectal-tnm-t"/>
<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="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
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<coding>
<system value="https://www.uicc.org/resources/tnm"/>
<code value="p"/>
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</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-folfox-patient"/>
</subject>
<focus>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</focus>
<effectiveDateTime value="2024-02-20"/>
<valueCodeableConcept>
<coding>
<system value="https://www.uicc.org/resources/tnm"/>
<code value="T3"/>
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<method>
<coding>
<system
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<code value="8"/>
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</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-n"/>
<resource>
<Observation>
<id value="mii-exa-onko-colorectal-tnm-n"/>
<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="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
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<coding>
<system value="https://www.uicc.org/resources/tnm"/>
<code value="p"/>
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<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-folfox-patient"/>
</subject>
<focus>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</focus>
<effectiveDateTime value="2024-02-20"/>
<valueCodeableConcept>
<coding>
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<code value="N1"/>
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<method>
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<system
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<code value="8"/>
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</method>
</Observation>
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</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-m"/>
<resource>
<Observation>
<id value="mii-exa-onko-colorectal-tnm-m"/>
<meta>
<profile
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</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
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<system value="https://www.uicc.org/resources/tnm"/>
<code value="c"/>
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<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-folfox-patient"/>
</subject>
<focus>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</focus>
<effectiveDateTime value="2024-02-20"/>
<valueCodeableConcept>
<coding>
<system value="https://www.uicc.org/resources/tnm"/>
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<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm"/>
<resource>
<Observation>
<id value="mii-exa-onko-colorectal-tnm"/>
<meta>
<profile
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<language value="en"/>
<text>
<status value="generated"/>
<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>
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<status value="final"/>
<code>
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<system value="http://snomed.info/sct"/>
<code value="399588009"/>
<display value="Pathologic TNM stage grouping"/>
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<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<focus>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</focus>
<effectiveDateTime value="2024-02-20"/>
<valueCodeableConcept>
<coding>
<system value="https://www.uicc.org/resources/tnm"/>
<code value="IIIB"/>
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</valueCodeableConcept>
<method>
<coding>
<system
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<code value="8"/>
</coding>
</method>
<hasMember>🔗
<reference value="Observation/mii-exa-onko-colorectal-tnm-t"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/mii-exa-onko-colorectal-tnm-n"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/mii-exa-onko-colorectal-tnm-m"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-tumorkonferenz-folfox"/>
<resource>
<CarePlan>
<id value="mii-exa-onko-tumorkonferenz-folfox"/>
<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="en"/>
<text>
<status value="generated"/>
<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>
</div></blockquote></td><td><a href="RequestGroup-mii-exa-onko-folfox-requestgroup.html">RequestGroup Chemotherapie</a></td></tr></table></div>
</text>
<identifier>
<value value="Tumorkonferenz_FOLFOX_001"/>
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<status value="active"/>
<intent value="plan"/>
<category>
<coding>
<system
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<code value="praeth"/>
<display
value="prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie)"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<created value="2024-03-10"/>
<addresses>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</addresses>
<activity>
<progress>
<text
value="Tumor board recommends FOLFOX chemotherapy protocol for stage III colon cancer, adjuvant setting"/>
</progress>
<reference>🔗
<reference value="RequestGroup/mii-exa-onko-folfox-requestgroup"/>
</reference>
</activity>
</CarePlan>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/RequestGroup/mii-exa-onko-folfox-requestgroup"/>
<resource>
<RequestGroup>
<id value="mii-exa-onko-folfox-requestgroup"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-kombinationstherapie|2027.0.0-ballot.1"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<intent value="proposal"/>
<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>
<text value="Chemotherapie"/>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<authoredOn value="2024-03-10"/>
<reasonReference>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</reasonReference>
<action>
<title value="FOLFOX4 Protocol"/>
<description
value="FOLFOX4 chemotherapy protocol: Fluorouracil + Folinsäure + Oxaliplatin"/>
<code>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle"/>
<code value="FOLFOX4"/>
<display value="FOLFOX4"/>
</coding>
</code>
<action>
<title value="Fluorouracil (5-FU)"/>
<description
value="5-Fluorouracil - pyrimidine analog, antineoplastic"/>
<resource>🔗
<reference
value="MedicationRequest/mii-exa-onko-folfox-5fu-request"/>
</resource>
</action>
<action>
<title value="Folinsäure (Leucovorin)"/>
<description value="Folinic acid - enhances 5-FU efficacy"/>
<resource>🔗
<reference
value="MedicationRequest/mii-exa-onko-folfox-leucovorin-request"/>
</resource>
</action>
<action>
<title value="Oxaliplatin"/>
<description value="Platinum-based chemotherapy agent"/>
<resource>🔗
<reference
value="MedicationRequest/mii-exa-onko-folfox-oxaliplatin-request"/>
</resource>
</action>
</action>
</RequestGroup>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-5fu-request"/>
<resource>
<MedicationRequest>
<id value="mii-exa-onko-folfox-5fu-request"/>
<meta>
<profile
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</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<intent value="proposal"/>
<medicationCodeableConcept>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/atc"/>
<code value="L01BC02"/>
<display value="Fluorouracil"/>
</coding>
<text value="5-Fluorouracil (5-FU)"/>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<authoredOn value="2024-03-10"/>
<reasonReference>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</reasonReference>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-leucovorin-request"/>
<resource>
<MedicationRequest>
<id value="mii-exa-onko-folfox-leucovorin-request"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation|2027.0.0-ballot.1"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<intent value="proposal"/>
<medicationCodeableConcept>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/atc"/>
<code value="V03AF03"/>
<display value="Calciumfolinat"/>
</coding>
<text value="Leucovorin (Folinsäure)"/>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<authoredOn value="2024-03-10"/>
<reasonReference>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</reasonReference>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-oxaliplatin-request"/>
<resource>
<MedicationRequest>
<id value="mii-exa-onko-folfox-oxaliplatin-request"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation|2027.0.0-ballot.1"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<intent value="proposal"/>
<medicationCodeableConcept>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/atc"/>
<code value="L01XA03"/>
<display value="Oxaliplatin"/>
</coding>
<text value="Oxaliplatin"/>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<authoredOn value="2024-03-10"/>
<reasonReference>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</reasonReference>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection"/>
<resource>
<Procedure>
<id value="mii-exa-onko-sigmoid-resection"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<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>
</div></blockquote></div>
</text>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="K"/>
<display value="Kurativ"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387713003"/>
<display value="Surgical procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/ops"/>
<version value="2024"/>
<code value="5-484.5"/>
<display
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</coding>
<text
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</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-folfox-encounter-surgery"/>
</encounter>
<performedDateTime value="2024-02-15"/>
<reasonReference>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</reasonReference>
<outcome>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus"/>
<code value="R0"/>
<display value="Kein Residualtumor"/>
</coding>
</outcome>
<note>
<text
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</note>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
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<resource>
<Procedure>
<id value="mii-exa-onko-sigmoid-resection-part1"/>
<meta>
<profile
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</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<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>
</div></blockquote></div>
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<partOf>🔗
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<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
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<encounter>🔗
<reference value="Encounter/mii-exa-onko-folfox-encounter-surgery"/>
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<performedDateTime value="2024-02-15"/>
<reasonReference>🔗
<reference
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</reasonReference>
<note>
<text
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</note>
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<entry>
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<status value="extensions"/>
<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>
</div></blockquote></div>
</text>
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<system
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</valueCodeableConcept>
</extension>
<partOf>🔗
<reference value="Procedure/mii-exa-onko-sigmoid-resection"/>
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<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
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<code>
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</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-folfox-encounter-surgery"/>
</encounter>
<performedDateTime value="2024-02-15"/>
<reasonReference>🔗
<reference
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</reasonReference>
<note>
<text
value="Regional lymph node dissection performed. 18 lymph nodes removed from mesenteric and para-aortic regions."/>
</note>
</Procedure>
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</entry>
<entry>
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<language value="en"/>
<text>
<status value="extensions"/>
<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>
</div></blockquote></div>
</text>
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<system
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</extension>
<partOf>🔗
<reference value="Procedure/mii-exa-onko-sigmoid-resection"/>
</partOf>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387713003"/>
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<code>
<coding>
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<version value="2024"/>
<code value="5-986.x"/>
<display value="Minimalinvasive Technik: Sonstige"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-folfox-encounter-surgery"/>
</encounter>
<performedDateTime value="2024-02-15"/>
<reasonReference>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</reasonReference>
<note>
<text
value="Four laparoscopic ports placed for minimally invasive approach."/>
</note>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-folfox-procedure"/>
<resource>
<Procedure>
<id value="mii-exa-onko-folfox-procedure"/>
<meta>
<profile
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<language value="en"/>
<text>
<status value="extensions"/>
<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>
</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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<system
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<extension
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<display value="Adjuvant"/>
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</valueCodeableConcept>
</extension>
<basedOn>🔗
<reference value="CarePlan/mii-exa-onko-tumorkonferenz-folfox"/>
</basedOn>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="277132007"/>
<display value="Therapeutic procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/ops"/>
<version value="2024"/>
<code value="8-542"/>
<display value="Nicht komplexe Chemotherapie"/>
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<coding>
<system
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<code value="CH"/>
<display value="Chemotherapie"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<encounter>🔗
<reference value="Encounter/mii-exa-onko-folfox-encounter-chemo"/>
</encounter>
<performedPeriod>
<start value="2024-03-20"/>
<end value="2024-09-15"/>
</performedPeriod>
<reasonReference>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</reasonReference>
<outcome>
<coding>
<system
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<code value="E"/>
<display value="Reguläres Ende"/>
</coding>
</outcome>
<note>
<text
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</note>
<usedCode>
<coding>
<system
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<code value="FOLFOX4"/>
<display value="FOLFOX4"/>
</coding>
</usedCode>
</Procedure>
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</entry>
<entry>
<fullUrl
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<resource>
<MedicationStatement>
<id value="mii-exa-onko-folfox-5fu-statement"/>
<meta>
<profile
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<language value="en"/>
<text>
<status value="generated"/>
<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>
</div></blockquote></div>
</text>
<basedOn>🔗
<reference value="CarePlan/mii-exa-onko-tumorkonferenz-folfox"/>
</basedOn>
<partOf>🔗
<reference value="Procedure/mii-exa-onko-folfox-procedure"/>
</partOf>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/atc"/>
<code value="L01BC02"/>
<display value="Fluorouracil"/>
</coding>
<text value="5-Fluorouracil (5-FU)"/>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<effectivePeriod>
<start value="2024-03-20"/>
<end value="2024-09-15"/>
</effectivePeriod>
<note>
<text value="FOLFOX4"/>
</note>
</MedicationStatement>
</resource>
</entry>
<entry>
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<resource>
<MedicationStatement>
<id value="mii-exa-onko-folfox-leucovorin-statement"/>
<meta>
<profile
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</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</div></blockquote></div>
</text>
<basedOn>🔗
<reference value="CarePlan/mii-exa-onko-tumorkonferenz-folfox"/>
</basedOn>
<partOf>🔗
<reference value="Procedure/mii-exa-onko-folfox-procedure"/>
</partOf>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/atc"/>
<code value="V03AF03"/>
<display value="Calciumfolinat"/>
</coding>
<text value="Leucovorin (Folinsäure)"/>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<effectivePeriod>
<start value="2024-03-20"/>
<end value="2024-09-15"/>
</effectivePeriod>
<note>
<text value="FOLFOX4"/>
</note>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationStatement/mii-exa-onko-folfox-oxaliplatin-statement"/>
<resource>
<MedicationStatement>
<id value="mii-exa-onko-folfox-oxaliplatin-statement"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</div></blockquote></div>
</text>
<basedOn>🔗
<reference value="CarePlan/mii-exa-onko-tumorkonferenz-folfox"/>
</basedOn>
<partOf>🔗
<reference value="Procedure/mii-exa-onko-folfox-procedure"/>
</partOf>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/atc"/>
<code value="L01XA03"/>
<display value="Oxaliplatin"/>
</coding>
<text value="Oxaliplatin"/>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<effectivePeriod>
<start value="2024-03-20"/>
<end value="2024-09-15"/>
</effectivePeriod>
<note>
<text value="FOLFOX4"/>
</note>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-folfox-verlauf-6months"/>
<resource>
<Observation>
<id value="mii-exa-onko-folfox-verlauf-6months"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="396432002"/>
<display
value="Status of regression of tumor (observable entity)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/mii-exa-onko-folfox-patient"/>
</subject>
<focus>🔗
<reference
value="Condition/mii-exa-onko-colorectal-cancer-diagnosis"/>
</focus>
<effectiveDateTime value="2025-03-15"/>
<valueCodeableConcept>
<coding>
<system
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<code value="V"/>
<display value="Vollremission (complete remission, CR)"/>
</coding>
</valueCodeableConcept>
<note>
<text
value="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."/>
</note>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="445200009"/>
<display
value="Status of residual neoplasm (observable entity)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor"/>
<code value="K"/>
<display value="Kein Tumor nachweisbar"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399656008"/>
<display
value="Presence of metastatic neoplasm in regional lymph node (observable entity)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten"/>
<code value="K"/>
<display value="kein Lymphknotenbefall nachweisbar"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399608002"/>
<display
value="Status of distant metastasis (observable entity)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen"/>
<code value="K"/>
<display value="Keine Fernmetastasen nachweisbar"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
</Bundle>