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Packagede.medizininformatikinitiative.kerndatensatz.onkologie
Resource TypeBundle
IdBundle-mii-exa-onko-krk-bundle.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "mii-exa-onko-krk-bundle",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/Bundle"
    ]
  },
  "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",
        "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"
          ]
        },
        "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": {
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              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
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            }
          ]
        },
        "code": {
          "coding": [
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              "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
              "version": "2024",
              "code": "C18",
              "display": "Bösartige Neubildung des Kolons"
            }
          ]
        },
        "subject": {
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        },
        "recordedDate": "2024-01-02"
      },
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        "url": "Condition"
      }
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        "id": "mii-exa-onko-krk-bundle-encounter",
        "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": {
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          ]
        },
        "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": [
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          ]
        },
        "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": {
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        },
        "effectiveDateTime": "2024-03-20T10:15:00+01:00",
        "valueQuantity": {
          "value": 2.5,
          "unit": "mm",
          "system": "http://unitsofmeasure.org",
          "code": "mm"
        }
      },
      "request": {
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      }
    },
    {
      "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": {
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          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
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              "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"
          }
        ],
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        },
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        "valueQuantity": {
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          "unit": "mm",
          "system": "http://unitsofmeasure.org",
          "code": "mm"
        }
      },
      "request": {
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      }
    },
    {
      "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": {
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          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://radlex.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": {
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        },
        "effectiveDateTime": "2024-03-12T16:00:00+01:00",
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          "code": "mm"
        }
      },
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    },
    {
      "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": [
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          ]
        },
        "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"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-asa-klassifikation",
      "resource": {
        "resourceType": "Observation",
        "id": "mii-exa-onko-asa-klassifikation",
        "meta": {
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          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "97816-3",
              "display": "American society of anesthesiologists morbidity state"
            }
          ]
        },
        "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",
        "valueCodeableConcept": {
          "coding": [
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              "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-asa-obds",
              "code": "2",
              "display": "ASA II"
            }
          ]
        }
      },
      "request": {
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        "url": "Observation"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-krk-stoma-markierung",
      "resource": {
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        "id": "mii-exa-onko-krk-stoma-markierung",
        "meta": {
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          ]
        },
        "status": "completed",
        "statusReason": {
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              "system": "http://snomed.info/sct",
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        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "225134005",
              "display": "Marking position of planned stoma site (procedure)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-onko-krk-bundle-patient"
        },
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          "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"
      }
    },
    {
      "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"
          ]
        },
        "extension": [
          {
            "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention",
                  "code": "K",
                  "display": "kurativ"
                }
              ]
            }
          }
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        "status": "completed",
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              "system": "http://snomed.info/sct",
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        },
        "code": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/bfarm/ops",
              "version": "2024",
              "code": "5-484.55",
              "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"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Procedure"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Specimen/mii-exa-onko-krk-specimen",
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        "id": "mii-exa-onko-krk-specimen",
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          ]
        },
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        },
        "status": "available",
        "type": {
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            {
              "system": "http://snomed.info/sct",
              "code": "122652004",
              "display": "Specimen from colon obtained by rectal/rectosigmoid (low anterior) resection (specimen)"
            }
          ]
        },
        "subject": {
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        },
        "collection": {
          "collectedDateTime": "2024-03-22T08:30:00+01:00"
        },
        "condition": [
          {
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              {
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                "code": "1",
                "display": "Grad 1 (gut)"
              }
            ]
          }
        ],
        "note": [
          {
            "text": "Sigmaresekat mit Primärtumor und regionären Lymphknoten"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Specimen"
      }
    }
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}