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Packagede.dktk.oncology
Resource TypeBundle
IdFHIR_oBDS_Expected-File-5.json
FHIR VersionR4

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Source1

{
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  "id": "1302b6d11c5b628d",
  "type": "transaction",
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              "system": "http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system",
              "code": "5"
            }
          ]
        },
        "suspectEntity": [
          {
            "instance": {
              "reference": "Procedure/sttestpatient-oBDS-101200120400001"
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          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "AdverseEvent/58c2f8c5cf651e50"
      }
    },
    {
      "fullUrl": "http://example.com/AdverseEvent/4b3588639f2db72d",
      "resource": {
        "resourceType": "AdverseEvent",
        "id": "4b3588639f2db72d",
        "actuality": "actual",
        "event": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/CTCAECS",
              "code": "CTC"
            }
          ]
        },
        "subject": {
          "reference": "Patient/1302b6d11c5b628d"
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        "severity": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system",
              "code": "1"
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          ]
        },
        "suspectEntity": [
          {
            "instance": {
              "reference": "Procedure/sttestpatient-oBDS-101200120400001"
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          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "AdverseEvent/4b3588639f2db72d"
      }
    },
    {
      "fullUrl": "http://example.com/Procedure/stsf6a2876a834ef8ef",
      "resource": {
        "resourceType": "Procedure",
        "id": "stsf6a2876a834ef8ef",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie"
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        },
        "extension": [
          {
            "extension": [
              {
                "url": "Applikationsart",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ApplikationsartCS",
                      "code": "PRCJ"
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                  ]
                }
              },
              {
                "url": "Zielgebiet",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ZielgebietCS",
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                  ]
                }
              },
              {
                "url": "SeiteZielgebiet",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS",
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                    }
                  ]
                }
              },
              {
                "url": "Gesamtdosis",
                "valueQuantity": {
                  "value": 30,
                  "unit": "Gy",
                  "system": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS"
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              {
                "url": "Einzeldosis",
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                  "value": 2,
                  "unit": "Gy",
                  "system": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS"
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              },
              {
                "url": "Boost",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "N"
                    }
                  ]
                }
              }
            ],
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Bestrahlung"
          }
        ],
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          {
            "reference": "Procedure/sttestpatient-oBDS-101200120400001"
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            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS",
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            {
              "system": "http://fhir.de/CodeSystem/dimdi/ops",
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      "request": {
        "method": "PUT",
        "url": "Procedure/stsf6a2876a834ef8ef"
      }
    },
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      "fullUrl": "http://example.com/Procedure/stsbba30c9ae7efb98b",
      "resource": {
        "resourceType": "Procedure",
        "id": "stsbba30c9ae7efb98b",
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          {
            "extension": [
              {
                "url": "Applikationsart",
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                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ApplikationsartCS",
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                "url": "Zielgebiet",
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                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ZielgebietCS",
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                  ]
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              },
              {
                "url": "SeiteZielgebiet",
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                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS",
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              {
                "url": "Gesamtdosis",
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                  "value": 13,
                  "unit": "Gy",
                  "system": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS"
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              {
                "url": "Einzeldosis",
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                  "value": 2,
                  "unit": "Gy",
                  "system": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS"
                }
              }
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            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Bestrahlung"
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        ],
        "partOf": [
          {
            "reference": "Procedure/sttestpatient-oBDS-101200120400001"
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            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS",
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          ]
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        "code": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/dimdi/ops",
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          {
            "reference": "Condition/dig1f2f2da54770c86f"
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      },
      "request": {
        "method": "PUT",
        "url": "Procedure/stsbba30c9ae7efb98b"
      }
    },
    {
      "fullUrl": "http://example.com/Procedure/sts761cf0f948585dac",
      "resource": {
        "resourceType": "Procedure",
        "id": "sts761cf0f948585dac",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie"
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        },
        "extension": [
          {
            "extension": [
              {
                "url": "Applikationsart",
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                  "coding": [
                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ApplikationsartCS",
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                  ]
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              },
              {
                "url": "Zielgebiet",
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                  "coding": [
                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ZielgebietCS",
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              },
              {
                "url": "SeiteZielgebiet",
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                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS",
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              },
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                "url": "Gesamtdosis",
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                  "value": 200,
                  "unit": "GBq",
                  "system": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS"
                }
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              {
                "url": "Einzeldosis",
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                  "value": 3150,
                  "unit": "kBq",
                  "system": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS"
                }
              }
            ],
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Bestrahlung"
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        ],
        "partOf": [
          {
            "reference": "Procedure/sttestpatient-oBDS-101200120400001"
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            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS",
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              "display": "Strahlentherapie"
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          ]
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        "code": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/dimdi/ops",
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          ]
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        "subject": {
          "reference": "Patient/1302b6d11c5b628d"
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        "performedPeriod": {
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            "reference": "Condition/dig1f2f2da54770c86f"
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        ]
      },
      "request": {
        "method": "PUT",
        "url": "Procedure/sts761cf0f948585dac"
      }
    },
    {
      "fullUrl": "http://example.com/Procedure/sts7bcf079244521d82",
      "resource": {
        "resourceType": "Procedure",
        "id": "sts7bcf079244521d82",
        "meta": {
          "profile": [
            "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie"
          ]
        },
        "extension": [
          {
            "extension": [
              {
                "url": "Applikationsart",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ApplikationsartCS",
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                    }
                  ]
                }
              },
              {
                "url": "Zielgebiet",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ZielgebietCS",
                      "code": "8.9."
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                  ]
                }
              },
              {
                "url": "SeiteZielgebiet",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS",
                      "code": "U"
                    }
                  ]
                }
              },
              {
                "url": "Gesamtdosis",
                "valueQuantity": {
                  "value": 3,
                  "unit": "Gy",
                  "system": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS"
                }
              },
              {
                "url": "Einzeldosis",
                "valueQuantity": {
                  "value": 0.1,
                  "unit": "Gy",
                  "system": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS"
                }
              }
            ],
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Bestrahlung"
          }
        ],
        "partOf": [
          {
            "reference": "Procedure/sttestpatient-oBDS-101200120400001"
          }
        ],
        "status": "stopped",
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            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS",
              "code": "ST",
              "display": "Strahlentherapie"
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          ]
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        "code": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/dimdi/ops",
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              "display": "Strahlentherapie"
            }
          ]
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        "subject": {
          "reference": "Patient/1302b6d11c5b628d"
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        "performedPeriod": {
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        ]
      },
      "request": {
        "method": "PUT",
        "url": "Procedure/sts7bcf079244521d82"
      }
    },
    {
      "fullUrl": "http://example.com/MedicationStatement/systdea82a2a8b34ae93",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "systdea82a2a8b34ae93",
        "meta": {
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        "extension": [
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-StellungZurOp",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTStellungOPCS",
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          },
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SYSTIntention",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTIntentionCS",
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              ]
            }
          },
          {
            "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SystemischeTherapieProtokoll",
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        "status": "completed",
        "category": {
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            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS",
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          ]
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        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTSubstanzCS",
              "code": "Bevacizumab"
            },
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTSubstanzCS",
              "code": "Ipilimumab"
            },
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTSubstanzATCCS",
              "version": "2004",
              "code": "A00AA00"
            }
          ],
          "text": "Bevacizumab;Ipilimumab"
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        "subject": {
          "reference": "Patient/1302b6d11c5b628d"
        },
        "effectivePeriod": {
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          "end": "2023-09-15"
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        "reasonReference": [
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            "reference": "Condition/dig1f2f2da54770c86f"
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      "request": {
        "method": "PUT",
        "url": "MedicationStatement/systdea82a2a8b34ae93"
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    },
    {
      "fullUrl": "http://example.com/AdverseEvent/259c6b9afd4deb02",
      "resource": {
        "resourceType": "AdverseEvent",
        "id": "259c6b9afd4deb02",
        "actuality": "actual",
        "event": {
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              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/MedDRA_CodeCS",
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          ]
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        "subject": {
          "reference": "Patient/1302b6d11c5b628d"
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              "system": "http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system",
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        "suspectEntity": [
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            "instance": {
              "reference": "MedicationStatement/systdea82a2a8b34ae93"
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      "request": {
        "method": "PUT",
        "url": "AdverseEvent/259c6b9afd4deb02"
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    {
      "fullUrl": "http://example.com/AdverseEvent/c17c29aa959e4c9e",
      "resource": {
        "resourceType": "AdverseEvent",
        "id": "c17c29aa959e4c9e",
        "actuality": "actual",
        "event": {
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            {
              "system": "urn:Bezeichnung17",
              "version": "4",
              "code": "Bezeichnung17"
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          ]
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        "subject": {
          "reference": "Patient/1302b6d11c5b628d"
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              "system": "http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system",
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        "suspectEntity": [
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            "instance": {
              "reference": "MedicationStatement/systdea82a2a8b34ae93"
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      "request": {
        "method": "PUT",
        "url": "AdverseEvent/c17c29aa959e4c9e"
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    },
    {
      "fullUrl": "http://example.com/AdverseEvent/5e34588728c9d31b",
      "resource": {
        "resourceType": "AdverseEvent",
        "id": "5e34588728c9d31b",
        "actuality": "actual",
        "event": {
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              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/CTCAECS",
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          ]
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        "subject": {
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        "severity": {
          "coding": [
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              "system": "http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system",
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        "suspectEntity": [
          {
            "instance": {
              "reference": "MedicationStatement/systdea82a2a8b34ae93"
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      "request": {
        "method": "PUT",
        "url": "AdverseEvent/5e34588728c9d31b"
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    },
    {
      "fullUrl": "http://example.com/ClinicalImpression/vrla162a1b405cb9895",
      "resource": {
        "resourceType": "ClinicalImpression",
        "id": "vrla162a1b405cb9895",
        "meta": {
          "profile": [
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        "status": "completed",
        "subject": {
          "reference": "Patient/1302b6d11c5b628d"
        },
        "effectiveDateTime": "2023-07-19",
        "problem": [
          {
            "reference": "Condition/dig1f2f2da54770c86f"
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        ],
        "finding": [
          {
            "itemReference": {
              "reference": "Observation/tnm63396c400de4b9d0"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/hist35818c93f2c6dfa8"
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          },
          {
            "itemReference": {
              "reference": "Observation/fm4f8d0efd5c22c8e0"
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            "itemReference": {
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            "itemReference": {
              "reference": "Observation/genb41fc3d37cb665fb"
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          {
            "itemReference": {
              "reference": "Observation/a15450f20d081544"
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            "itemReference": {
              "reference": "Observation/0caf212356ac14b8"
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          {
            "itemReference": {
              "reference": "Observation/09b16fce09c21227"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/181d07b47999d4f5"
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          },
          {
            "itemReference": {
              "reference": "Observation/vrla162a1b405cb9895krz"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/vrla162a1b405cb9895tsl"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/vrla162a1b405cb9895fmn"
            }
          },
          {
            "itemReference": {
              "reference": "Observation/vrla162a1b405cb9895asp"
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "ClinicalImpression/vrla162a1b405cb9895"
      }
    },
    {
      "fullUrl": "http://example.com/Observation/vrla162a1b405cb9895krz",
      "resource": {
        "resourceType": "Observation",
        "id": "vrla162a1b405cb9895krz",
        "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/1302b6d11c5b628d"
        },
        "focus": [
          {
            "reference": "Condition/dig1f2f2da54770c86f"
          }
        ],
        "effectiveDateTime": "2023-07-19",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/VerlaufLokalerTumorstatusCS",
              "code": "K"
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/vrla162a1b405cb9895krz"
      }
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