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Packagede.dktk.oncology
Resource TypeBundle
IdBundle-Bundle-example-1.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "Bundle-Bundle-example-1",
  "meta": {
    "lastUpdated": "2019-11-27T11:33:30+00:00"
  },
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "http://example.com/ClinicalImpression/ClinicalImpression-Verlauf-example-1",
      "resource": {
        "resourceType": "ClinicalImpression",
        "id": "ClinicalImpression-Verlauf-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ClinicalImpression-Verlauf"
          ]
        },
        "status": "completed",
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "problem": [
          {
            "reference": "Condition/Condition-Primaerdiagnose-example-1"
          }
        ],
        "finding": [
          {
            "itemReference": {
              "reference": "Observation/Observation-Vitalstatus-example-1"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/Observation-TumorstatusLymphknoten-example-1"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/Observation-LokalerTumorstatus-example-1"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/Observation-TumorstatusFernmetastasen-example-1"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/Observation-GesamtbeurteilungTumorstatus-example-1"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/Observation-Fernmetastasen-example-1"
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "ClinicalImpression/ClinicalImpression-Verlauf-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Condition/Condition-Primaerdiagnose-example-1",
      "resource": {
        "resourceType": "Condition",
        "id": "Condition-Primaerdiagnose-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose"
          ]
        },
        "extension": [
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Specimen",
            "valueReference": {
              "reference": "Specimen/Specimen-Specimen-example-1"
            }
          },
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen",
            "valueReference": {
              "reference": "Observation/Observation-Fernmetastasen-example-1"
            }
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
              "version": "2019",
              "code": "C61"
            }
          ]
        },
        "bodySite": [
          {
            "coding": [
              {
                "system": "urn:oid:2.16.840.1.113883.6.43.1",
                "version": "31",
                "code": "C61.9"
              },
              {
                "system": "urn:oid:2.16.840.1.113883.2.6.60.7.1.1",
                "code": "L"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "onsetDateTime": "2016-02-01",
        "stage": [
          {
            "assessment": [
              {
                "reference": "Observation/Observation-TNMc-example-1"
              }
            ]
          }
        ],
        "evidence": [
          {
            "detail": [
              {
                "reference": "Observation/Observation-Histologie-example-1"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Condition/Condition-Primaerdiagnose-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Encounter/Encounter-Fall-example-1",
      "resource": {
        "resourceType": "Encounter",
        "id": "Encounter-Fall-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall"
          ]
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "VR",
          "display": "virtual"
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "diagnosis": [
          {
            "condition": {
              "reference": "Condition/Condition-Primaerdiagnose-example-1"
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Encounter/Encounter-Fall-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/MedicationStatement/MedicationStatement-Systemtherapie-example-1",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "MedicationStatement-Systemtherapie-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-MedicationStatement-Systemtherapie"
          ]
        },
        "extension": [
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-StellungZurOp",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTStellungOPCS",
                  "code": "A",
                  "display": "adjuvant"
                }
              ]
            }
          },
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SYSTIntention",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTIntentionCS",
                  "code": "P",
                  "display": "palliativ"
                }
              ]
            }
          },
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-LokaleResidualstatus",
            "valueReference": {
              "reference": "Observation/Observation-LokaleBeurteilungResidualstatus-example-1"
            }
          },
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-GesamtbeurteilungResidualstatus",
            "valueReference": {
              "reference": "Observation/Observation-GesamtbeurteilungResidualstatus-example-1"
            }
          }
        ],
        "status": "active",
        "category": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS",
              "code": "CH",
              "display": "Chemotherapie"
            }
          ]
        },
        "medicationCodeableConcept": {
          "coding": [
            {
              "code": "Ja"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "context": {
          "reference": "Encounter/Encounter-Fall-example-1"
        }
      },
      "request": {
        "method": "PUT",
        "url": "MedicationStatement/MedicationStatement-Systemtherapie-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-Fernmetastasen-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-Fernmetastasen-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "21907-1"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS",
              "code": "J"
            }
          ]
        },
        "bodySite": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS",
              "code": "PUL",
              "display": "Lunge"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-Fernmetastasen-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-GesamtbeurteilungResidualstatus-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-GesamtbeurteilungResidualstatus-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GesamtbeurteilungResidualstatus"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "81169-5"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GesamtbeurteilungResidualstatusCS",
              "code": "RX",
              "display": "Vorhandensein von Residualtumor kann nicht beurteilt werden"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-GesamtbeurteilungResidualstatus-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-GesamtbeurteilungTumorstatus-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-GesamtbeurteilungTumorstatus-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GesamtbeurteilungTumorstatus"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "21976-6"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GesamtbeurteilungTumorstatusCS",
              "code": "V",
              "display": "Vollremission (complete remission, CR)"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-GesamtbeurteilungTumorstatus-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-Grading-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-Grading-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Grading"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "59542-1"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GradingCS",
              "code": "0",
              "display": "malignes Melanom der Konjunktiva"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/Specimen-Specimen-example-1"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-Grading-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-Histologie-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-Histologie-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "59847-4"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "urn:oid:2.16.840.1.113883.6.43.1",
              "version": "32",
              "code": "8140/3"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/Specimen-Specimen-example-1"
        },
        "hasMember": [
          {
            "reference": "Observation/Observation-Grading-example-1"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-Histologie-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-LokaleBeurteilungResidualstatus-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-LokaleBeurteilungResidualstatus-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-LokaleBeurteilungResidualstatus"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "84892-9"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/LokaleBeurteilungResidualstatusCS",
              "code": "RX",
              "display": "Vorhandensein von Residualtumor kann nicht beurteilt werden"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-LokaleBeurteilungResidualstatus-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-LokalerTumorstatus-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-LokalerTumorstatus-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-LokalerTumorstatus"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA4583-6"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/VerlaufLokalerTumorstatusCS",
              "code": "T",
              "display": "Tumorreste (Residualtumor)"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-LokalerTumorstatus-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-TumorstatusFernmetastasen-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-TumorstatusFernmetastasen-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusFernmetastasen"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA4226-2"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/VerlaufTumorstatusFernmetastasenCS",
              "code": "M",
              "display": "Verbliebene Fernmetastase(n)"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-TumorstatusFernmetastasen-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-TumorstatusLymphknoten-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-TumorstatusLymphknoten-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusLymphknoten"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA4370-8"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/VerlaufTumorstatusLymphknotenCS",
              "code": "R",
              "display": "Neu aufgetretenes Lymphknotenrezidiv"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-TumorstatusLymphknoten-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-TNMc-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-TNMc-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "21908-9"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/UiccstadiumCS",
              "version": "8",
              "code": "IIIA"
            }
          ]
        },
        "component": [
          {
            "extension": [
              {
                "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "c"
                    }
                  ]
                }
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "21905-5"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMTCS",
                  "code": "1b2"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "c"
                    }
                  ]
                }
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "201906-3"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMNCS",
                  "code": "0(i+)"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "c"
                    }
                  ]
                }
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "21907-1"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMMCS",
                  "code": "1b"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "59479-6"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMySymbolCS",
                  "code": "y"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
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                  "system": "http://loinc.org",
                  "code": "21983-2"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMrSymbolCS",
                  "code": "r"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "42030-7"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "m"
                }
              ]
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-TNMc-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/Observation-Vitalstatus-example-1",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-Vitalstatus-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Vitalstatus"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "75186-7"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "effectiveDateTime": "2018-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/VitalstatusCS",
              "code": "lebend"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/Observation-Vitalstatus-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Organization/Organization-Organisation-example-1",
      "resource": {
        "resourceType": "Organization",
        "id": "Organization-Organisation-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Organization-Organisation"
          ]
        },
        "name": "Musterkrankenhaus"
      },
      "request": {
        "method": "PUT",
        "url": "Organization/Organization-Organisation-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Patient/Patient-Patient-example-1",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-Patient-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient"
          ]
        },
        "name": [
          {
            "family": "Mustername",
            "given": [
              "Mustervorname"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "2000-01-01",
        "deceasedDateTime": "2020-10-10",
        "address": [
          {
            "city": "Musterstadt",
            "postalCode": "37073"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Patient/Patient-Patient-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Patient/Patient-Pseudonym-example-1",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-Pseudonym-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/PseudonymArtCS",
                  "code": "Global"
                }
              ]
            },
            "value": "pseudonym1",
            "assigner": {
              "reference": "Organization/Organization-Organisation-example-1"
            }
          }
        ],
        "gender": "female",
        "birthDate": "2000-01-01",
        "deceasedDateTime": "2020-10-10",
        "managingOrganization": {
          "reference": "Organization/Organization-Organisation-example-1"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Patient/Patient-Pseudonym-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Procedure/Procedure-Operation-example-1",
      "resource": {
        "resourceType": "Procedure",
        "id": "Procedure-Operation-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Operation"
          ]
        },
        "extension": [
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-OPIntention",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/OPIntentionCS",
                  "code": "P",
                  "display": "palliativ"
                }
              ]
            }
          }
        ],
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS",
              "code": "OP",
              "display": "Operation"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/dimdi/ops",
              "version": "2019",
              "code": "5-604.41"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "outcome": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/LokaleBeurteilungResidualstatusCS",
              "code": "R0"
            },
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GesamtbeurteilungResidualstatusCS",
              "code": "R0"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Procedure/Procedure-Operation-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Procedure/Procedure-Strahlentherapie-example-1",
      "resource": {
        "resourceType": "Procedure",
        "id": "Procedure-Strahlentherapie-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie"
          ]
        },
        "extension": [
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-StellungZurOp",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTStellungOPCS",
                  "code": "A",
                  "display": "adjuvant"
                }
              ]
            }
          },
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SYSTIntention",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTIntentionCS",
                  "code": "P",
                  "display": "palliativ"
                }
              ]
            }
          }
        ],
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS",
              "code": "ST",
              "display": "Strahlentherapie"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "outcome": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/LokaleBeurteilungResidualstatusCS",
              "code": "R0"
            },
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GesamtbeurteilungResidualstatusCS",
              "code": "R0"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Procedure/Procedure-Strahlentherapie-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/ServiceRequest/ServiceRequest-ServiceRequest-example-1",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ServiceRequest-ServiceRequest-example-1",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ServiceRequest-ServiceRequest-ServiceRequest"
          ]
        },
        "status": "completed",
        "intent": "plan",
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "encounter": {
          "reference": "Encounter/Encounter-Fall-example-1"
        },
        "specimen": [
          {
            "reference": "Specimen/Specimen-Specimen-example-1"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "ServiceRequest/ServiceRequest-ServiceRequest-example-1"
      }
    },
    {
      "fullUrl": "http://example.com/Specimen/Specimen-Specimen-example-1",
      "resource": {
        "resourceType": "Specimen",
        "id": "Specimen-Specimen-example-1",
        "meta": {
          "profile": [
            "https://fhir.bbmri.de/StructureDefinition/Specimen"
          ]
        },
        "extension": [
          {
            "url": "https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.bbmri.de/CodeSystem/OtherSampleDiagnosis",
                  "code": "unknown"
                }
              ]
            }
          }
        ],
        "type": {
          "coding": [
            {
              "system": "https://fhir.bbmri.de/CodeSystem/SampleMaterialType",
              "code": "whole-blood"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Patient-example-1"
        },
        "collection": {
          "collectedDateTime": "2005-06-17",
          "bodySite": {
            "coding": [
              {
                "system": "urn:oid:1.3.6.1.4.1.19376.1.3.11.36",
                "code": "C26.8"
              }
            ]
          }
        }
      },
      "request": {
        "method": "PUT",
        "url": "Specimen/Specimen-Specimen-example-1"
      }
    }
  ]
}