FHIR IG analytics| Package | de.medizininformatikinitiative.kerndatensatz.onkologie |
| Resource Type | Bundle |
| Id | Bundle-mii-exa-onko-folfox-workflow-bundle.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
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"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention",
"code": "K",
"display": "Kurativ"
}
]
}
}
],
"partOf": [
{
"reference": "Procedure/mii-exa-onko-sigmoid-resection"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "387713003",
"display": "Surgical procedure"
}
]
},
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/ops",
"version": "2024",
"code": "5-986.x",
"display": "Minimalinvasive Technik: Sonstige"
}
]
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"encounter": {
"reference": "Encounter/example-surgery"
},
"performedDateTime": "2024-02-15",
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"note": [
{
"text": "Four laparoscopic ports placed for minimally invasive approach."
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-folfox-procedure",
"resource": {
"resourceType": "Procedure",
"id": "mii-exa-onko-folfox-procedure",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie"
]
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention",
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]
}
},
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop",
"valueCodeableConcept": {
"coding": [
{
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"code": "A",
"display": "Adjuvant"
}
]
}
}
],
"basedOn": [
{
"reference": "CarePlan/mii-exa-onko-tumorkonferenz-folfox"
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],
"status": "completed",
"category": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "277132007",
"display": "Therapeutic procedure"
}
]
},
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/ops",
"version": "2024",
"code": "8-542",
"display": "Nicht komplexe Chemotherapie"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-art",
"code": "CH",
"display": "Chemotherapie"
}
]
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"encounter": {
"reference": "Encounter/example"
},
"performedPeriod": {
"start": "2024-03-20",
"end": "2024-09-15"
},
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"outcome": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund",
"code": "E",
"display": "Reguläres Ende"
}
]
},
"note": [
{
"text": "Patient received 12 cycles of adjuvant FOLFOX4 chemotherapy for stage III colon cancer. Treatment completed without major complications."
}
],
"usedCode": [
{
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle",
"code": "FOLFOX4",
"display": "FOLFOX4"
}
]
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationStatement/mii-exa-onko-folfox-5fu-statement",
"resource": {
"resourceType": "MedicationStatement",
"id": "mii-exa-onko-folfox-5fu-statement",
"meta": {
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"basedOn": [
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],
"partOf": [
{
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],
"status": "completed",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"code": "L01BC02",
"display": "Fluorouracil"
}
],
"text": "5-Fluorouracil (5-FU)"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"effectivePeriod": {
"start": "2024-03-20",
"end": "2024-09-15"
},
"note": [
{
"text": "FOLFOX4"
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationStatement/mii-exa-onko-folfox-leucovorin-statement",
"resource": {
"resourceType": "MedicationStatement",
"id": "mii-exa-onko-folfox-leucovorin-statement",
"meta": {
"profile": [
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]
},
"basedOn": [
{
"reference": "CarePlan/mii-exa-onko-tumorkonferenz-folfox"
}
],
"partOf": [
{
"reference": "Procedure/mii-exa-onko-folfox-procedure"
}
],
"status": "completed",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"code": "V03AF03",
"display": "Calciumfolinat"
}
],
"text": "Leucovorin (Folinsäure)"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"effectivePeriod": {
"start": "2024-03-20",
"end": "2024-09-15"
},
"note": [
{
"text": "FOLFOX4"
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationStatement/mii-exa-onko-folfox-oxaliplatin-statement",
"resource": {
"resourceType": "MedicationStatement",
"id": "mii-exa-onko-folfox-oxaliplatin-statement",
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]
},
"basedOn": [
{
"reference": "CarePlan/mii-exa-onko-tumorkonferenz-folfox"
}
],
"partOf": [
{
"reference": "Procedure/mii-exa-onko-folfox-procedure"
}
],
"status": "completed",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"code": "L01XA03",
"display": "Oxaliplatin"
}
],
"text": "Oxaliplatin"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"effectivePeriod": {
"start": "2024-03-20",
"end": "2024-09-15"
},
"note": [
{
"text": "FOLFOX4"
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-folfox-verlauf-6months",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-onko-folfox-verlauf-6months",
"meta": {
"profile": [
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]
},
"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": [
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"code": "445200009",
"display": "Status of residual neoplasm (observable entity)"
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]
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"valueCodeableConcept": {
"coding": [
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]
}
},
{
"code": {
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"code": "399656008",
"display": "Presence of metastatic neoplasm in regional lymph node (observable entity)"
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]
},
"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": {
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"code": "399608002",
"display": "Status of distant metastasis (observable entity)"
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]
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen",
"code": "K",
"display": "Keine Fernmetastasen nachweisbar"
}
]
}
}
]
}
}
]
}