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-krk-bundle",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Bundle"
]
},
"language" : "en",
"identifier" : {
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko",
"value" : "krk-example-bundle-2024-001"
},
"type" : "transaction",
"timestamp" : "2024-03-25T10:00:00+01:00",
"entry" : [
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-krk-bundle-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "mii-exa-onko-krk-bundle-patient",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Patient_mii-exa-onko-krk-bundle-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient mii-exa-onko-krk-bundle-patient</b></p><a name=\"mii-exa-onko-krk-bundle-patient\"> </a><a name=\"hcmii-exa-onko-krk-bundle-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Klaus KolorektalCa (no stated gender), DoB Unknown</p><hr/></div>"
},
"name" : [
{
"family" : "KolorektalCa",
"given" : [
"Klaus"
]
}
]
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-krk-diagnose",
"resource" : {
"resourceType" : "Condition",
"id" : "mii-exa-onko-krk-diagnose",
"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/><a name=\"Condition_mii-exa-onko-krk-diagnose\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition mii-exa-onko-krk-diagnose</b></p><a name=\"mii-exa-onko-krk-diagnose\"> </a><a name=\"hcmii-exa-onko-krk-diagnose\"> </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>: 2020-03-07</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://snomed.info/sct 55342001}\">Neoplastic disease</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm C18}\">Bösartige Neubildung des Kolons</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>recordedDate</b>: 2024-01-02</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime" : "2020-03-07"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "55342001",
"display" : "Neoplastic disease"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
"version" : "2024",
"code" : "C18",
"display" : "Bösartige Neubildung des Kolons"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"recordedDate" : "2024-01-02"
},
"request" : {
"method" : "POST",
"url" : "Condition"
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-krk-bundle-encounter",
"resource" : {
"resourceType" : "Encounter",
"id" : "mii-exa-onko-krk-bundle-encounter",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Encounter_mii-exa-onko-krk-bundle-encounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-onko-krk-bundle-encounter</b></p><a name=\"mii-exa-onko-krk-bundle-encounter\"> </a><a name=\"hcmii-exa-onko-krk-bundle-encounter\"> </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-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</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-krk-bundle-patient"
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-abstand-tumor-anokutanlinie",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-krk-abstand-tumor-anokutanlinie",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-abstand-anokutan"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-krk-abstand-tumor-anokutanlinie\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-krk-abstand-tumor-anokutanlinie</b></p><a name=\"mii-exa-onko-krk-abstand-tumor-anokutanlinie\"> </a><a name=\"hcmii-exa-onko-krk-abstand-tumor-anokutanlinie\"> </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-krk-abstand-anokutan.html\">MII PR Onkologie Abstand Anokutan</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 33748-5}\">Distance from anal verge</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-krk-diagnose.html\">Condition Bösartige Neubildung des Kolons</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-krk-bundle-encounter.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-10 14:30:00+0100</p><p><b>value</b>: 8.5 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecm = 'cm')</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "33748-5",
"display" : "Distance from anal verge"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-krk-diagnose"
}
],
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-krk-bundle-encounter"
},
"effectiveDateTime" : "2024-03-10T14:30:00+01:00",
"valueQuantity" : {
"value" : 8.5,
"unit" : "cm",
"system" : "http://unitsofmeasure.org",
"code" : "cm"
}
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-abstand-circumferelle-resektionsebene",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-krk-abstand-circumferelle-resektionsebene",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-abstand-circumferelle-resektionsebene"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-krk-abstand-circumferelle-resektionsebene\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-krk-abstand-circumferelle-resektionsebene</b></p><a name=\"mii-exa-onko-krk-abstand-circumferelle-resektionsebene\"> </a><a name=\"hcmii-exa-onko-krk-abstand-circumferelle-resektionsebene\"> </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-krk-abstand-circumferelle-resektionsebene.html\">MII PR Onkologie Abstand Circumferelle Resektionsebene</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81176-0}\">Distance of tumor from circumferential resection margin [Length] in Specimen by Macroscopy</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-krk-diagnose.html\">Condition Bösartige Neubildung des Kolons</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-krk-bundle-encounter.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-20 10:15:00+0100</p><p><b>value</b>: 2.5 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm = 'mm')</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81176-0",
"display" : "Distance of tumor from circumferential resection margin [Length] in Specimen by Macroscopy"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-krk-diagnose"
}
],
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-krk-bundle-encounter"
},
"effectiveDateTime" : "2024-03-20T10:15:00+01:00",
"valueQuantity" : {
"value" : 2.5,
"unit" : "mm",
"system" : "http://unitsofmeasure.org",
"code" : "mm"
}
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-abstand-resektionsrand-aboral",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-krk-abstand-resektionsrand-aboral",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-abstand-aboral"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-krk-abstand-resektionsrand-aboral\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-krk-abstand-resektionsrand-aboral</b></p><a name=\"mii-exa-onko-krk-abstand-resektionsrand-aboral\"> </a><a name=\"hcmii-exa-onko-krk-abstand-resektionsrand-aboral\"> </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-krk-abstand-aboral.html\">MII PR Onkologie Abstand Aboral</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81175-2}\">Distance of tumor from closest margin [Length] in Specimen by Macroscopy</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-krk-diagnose.html\">Condition Bösartige Neubildung des Kolons</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-krk-bundle-encounter.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-20 10:15:00+0100</p><p><b>value</b>: 15 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm = 'mm')</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81175-2",
"display" : "Distance of tumor from closest margin [Length] in Specimen by Macroscopy"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-krk-diagnose"
}
],
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-krk-bundle-encounter"
},
"effectiveDateTime" : "2024-03-20T10:15:00+01:00",
"valueQuantity" : {
"value" : 15,
"unit" : "mm",
"system" : "http://unitsofmeasure.org",
"code" : "mm"
}
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-abstand-mesorektale-fascie",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-krk-abstand-mesorektale-fascie",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-mrt-mesorektale-faszie"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-krk-abstand-mesorektale-fascie\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-krk-abstand-mesorektale-fascie</b></p><a name=\"mii-exa-onko-krk-abstand-mesorektale-fascie\"> </a><a name=\"hcmii-exa-onko-krk-abstand-mesorektale-fascie\"> </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-krk-mrt-mesorektale-faszie.html\">MII PR Onkologie KRK MRT/CT Abstand Mesorektale Faszie</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://radelement.org RDE96}\">Distance to MRF</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-krk-diagnose.html\">Condition Bösartige Neubildung des Kolons</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-krk-bundle-encounter.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-12 16:00:00+0100</p><p><b>value</b>: 3.2 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm = 'mm')</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://radelement.org",
"code" : "RDE96",
"display" : "Distance to MRF"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-krk-diagnose"
}
],
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-krk-bundle-encounter"
},
"effectiveDateTime" : "2024-03-12T16:00:00+01:00",
"valueQuantity" : {
"value" : 3.2,
"unit" : "mm",
"system" : "http://unitsofmeasure.org",
"code" : "mm"
}
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-krk-anastomoseninsuffizienz",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-onko-krk-anastomoseninsuffizienz",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-anastomoseninsuffizienz"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-krk-anastomoseninsuffizienz\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-krk-anastomoseninsuffizienz</b></p><a name=\"mii-exa-onko-krk-anastomoseninsuffizienz\"> </a><a name=\"hcmii-exa-onko-krk-anastomoseninsuffizienz\"> </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-krk-anastomoseninsuffizienz.html\">MII PR Onkologie KRK Anastomoseninsuffizienz</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 236091002}\">Large intestine anastomotic leak (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href=\"Procedure-mii-exa-onko-krk-operation.html\">Procedure Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion: Laparoskopisch mit Anastomose</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-krk-bundle-encounter.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>effective</b>: 2024-03-25 08:00:00+0100</p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-krk-anastomoseninsuffizienz B}\">Anastomoseninsuffizienz Grad B</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "236091002",
"display" : "Large intestine anastomotic leak (disorder)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"focus" : [
{
🔗 "reference" : "Procedure/mii-exa-onko-krk-operation"
}
],
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-krk-bundle-encounter"
},
"effectiveDateTime" : "2024-03-25T08:00:00+01:00",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-krk-anastomoseninsuffizienz",
"code" : "B",
"display" : "Anastomoseninsuffizienz Grad B"
}
]
}
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
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"resourceType" : "Observation",
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"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-asa-klassifikation"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-asa-klassifikation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-asa-klassifikation</b></p><a name=\"mii-exa-onko-asa-klassifikation\"> </a><a name=\"hcmii-exa-onko-asa-klassifikation\"> </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-asa-klassifikation.html\">MII PR Onkologie ASA-Klassifikation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 97816-3}\">American society of anesthesiologists morbidity state</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-krk-diagnose.html\">Condition Bösartige Neubildung des Kolons</a></p><p><b>effective</b>: 2024-03-15 08:30:00+0100</p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-asa-obds 2}\">ASA II</span></p></div>"
},
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"system" : "http://loinc.org",
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]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-krk-diagnose"
}
],
"effectiveDateTime" : "2024-03-15T08:30:00+01:00",
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},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-krk-stoma-markierung",
"resource" : {
"resourceType" : "Procedure",
"id" : "mii-exa-onko-krk-stoma-markierung",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Procedure_mii-exa-onko-krk-stoma-markierung\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-krk-stoma-markierung</b></p><a name=\"mii-exa-onko-krk-stoma-markierung\"> </a><a name=\"hcmii-exa-onko-krk-stoma-markierung\"> </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-krk-stoma-markierung.html\">MII PR Onkologie KRK Stoma-Markierung</a></p></div><p><b>status</b>: Completed</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 262008008}\">Not performed (qualifier value)</span></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://snomed.info/sct 225134005}\">Marking position of planned stoma site (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-krk-bundle-encounter.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-03-15 09:30:00+0100</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-krk-diagnose.html\">Condition Bösartige Neubildung des Kolons</a></p><p><b>note</b>: </p><blockquote><div><p>Präoperative Markierung der geplanten Stoma-Position im rechten Hemiabdomen nach Rücksprache mit dem Patienten</p>\n</div></blockquote></div>"
},
"status" : "completed",
"statusReason" : {
"coding" : [
{
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]
},
"category" : {
"coding" : [
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"code" : "387713003",
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]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "225134005",
"display" : "Marking position of planned stoma site (procedure)"
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]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-krk-bundle-encounter"
},
"performedDateTime" : "2024-03-15T09:30:00+01:00",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-krk-diagnose"
}
],
"note" : [
{
"text" : "Präoperative Markierung der geplanten Stoma-Position im rechten Hemiabdomen nach Rücksprache mit dem Patienten"
}
]
},
"request" : {
"method" : "POST",
"url" : "Procedure"
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},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-krk-operation",
"resource" : {
"resourceType" : "Procedure",
"id" : "mii-exa-onko-krk-operation",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-operation"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Procedure_mii-exa-onko-krk-operation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-krk-operation</b></p><a name=\"mii-exa-onko-krk-operation\"> </a><a name=\"hcmii-exa-onko-krk-operation\"> </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-krk-operation.html\">MII PR Onkologie Präoperative Drahtmarkierung Mamma</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 5-484.55}\">Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion: Laparoskopisch mit Anastomose</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-krk-bundle-encounter.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-03-22 08:00:00+0100</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-krk-diagnose.html\">Condition Bösartige Neubildung des Kolons</a></p><p><b>note</b>: </p><blockquote><div><p>Laparoskopische Resektion beim kolorektalen Karzinom</p>\n</div></blockquote></div>"
},
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"url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
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],
"status" : "completed",
"category" : {
"coding" : [
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"code" : "387713003",
"display" : "Surgical procedure"
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},
"code" : {
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"display" : "Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion: Laparoskopisch mit Anastomose"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/mii-exa-onko-krk-bundle-encounter"
},
"performedDateTime" : "2024-03-22T08:00:00+01:00",
"reasonReference" : [
{
🔗 "reference" : "Condition/mii-exa-onko-krk-diagnose"
}
],
"note" : [
{
"text" : "Laparoskopische Resektion beim kolorektalen Karzinom"
}
]
},
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},
{
"fullUrl" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Specimen/mii-exa-onko-krk-specimen",
"resource" : {
"resourceType" : "Specimen",
"id" : "mii-exa-onko-krk-specimen",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Specimen_mii-exa-onko-krk-specimen\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen mii-exa-onko-krk-specimen</b></p><a name=\"mii-exa-onko-krk-specimen\"> </a><a name=\"hcmii-exa-onko-krk-specimen\"> </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-krk-specimen.html\">MII PR Onkologie Specimen</a></p></div><p><b>accessionIdentifier</b>: KRK-2024-001234</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 122652004}\">Specimen from colon obtained by rectal/rectosigmoid (low anterior) resection (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-krk-bundle-patient.html\">Klaus KolorektalCa (no stated gender), DoB Unknown</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-03-22 08:30:00+0100</td></tr></table><p><b>condition</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-krk-tme-qualitaet 1}\">Grad 1 (gut)</span></p><p><b>note</b>: </p><blockquote><div><p>Sigmaresekat mit Primärtumor und regionären Lymphknoten</p>\n</div></blockquote></div>"
},
"accessionIdentifier" : {
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},
"status" : "available",
"type" : {
"coding" : [
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"system" : "http://snomed.info/sct",
"code" : "122652004",
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}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-krk-bundle-patient"
},
"collection" : {
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},
"condition" : [
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]
}
],
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"text" : "Sigmaresekat mit Primärtumor und regionären Lymphknoten"
}
]
},
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