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" : "Observation",
"id" : "mii-exa-onko-folfox-verlauf-6months",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-folfox-verlauf-6months</b></p><a name=\"mii-exa-onko-folfox-verlauf-6months\"> </a><a name=\"hcmii-exa-onko-folfox-verlauf-6months\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-verlauf.html\">MII PR Onkologie Verlauf</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 396432002}\">Status of regression of tumor (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2025-03-15</p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung V}\">Vollremission (complete remission, CR)</span></p><p><b>note</b>: </p><blockquote><div><p>Patient completed 12 cycles of adjuvant FOLFOX4. CT scan and colonoscopy show no evidence of recurrence. CEA level normal (2.1 ng/mL). Patient is disease-free at 6-month follow-up. Plan: Continue surveillance with CEA and imaging every 3-6 months.</p>\n</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 445200009}\">Status of residual neoplasm (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor K}\">Kein Tumor nachweisbar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399656008}\">Presence of metastatic neoplasm in regional lymph node (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten K}\">kein Lymphknotenbefall nachweisbar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399608002}\">Status of distant metastasis (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen K}\">Keine Fernmetastasen nachweisbar</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "396432002",
"display" : "Status of regression of tumor (observable entity)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-onko-folfox-patient"
},
"focus" : [
{
🔗 "reference" : "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime" : "2025-03-15",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung",
"code" : "V",
"display" : "Vollremission (complete remission, CR)"
}
]
},
"note" : [
{
"text" : "Patient completed 12 cycles of adjuvant FOLFOX4. CT scan and colonoscopy show no evidence of recurrence. CEA level normal (2.1 ng/mL). Patient is disease-free at 6-month follow-up. Plan: Continue surveillance with CEA and imaging every 3-6 months."
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "445200009",
"display" : "Status of residual neoplasm (observable entity)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor",
"code" : "K",
"display" : "Kein Tumor nachweisbar"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "399656008",
"display" : "Presence of metastatic neoplasm in regional lymph node (observable entity)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten",
"code" : "K",
"display" : "kein Lymphknotenbefall nachweisbar"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "399608002",
"display" : "Status of distant metastasis (observable entity)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen",
"code" : "K",
"display" : "Keine Fernmetastasen nachweisbar"
}
]
}
}
]
}