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

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Source1

{
  "resourceType": "Bundle",
  "id": "mii-exa-onko-melanom-bundle",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/Bundle"
    ]
  },
  "identifier": {
    "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko",
    "value": "melanom-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-melanom-bundle-patient",
      "resource": {
        "resourceType": "Patient",
        "id": "mii-exa-onko-melanom-bundle-patient",
        "name": [
          {
            "family": "Melanom",
            "given": [
              "Maria"
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-melanom-diagnose",
      "resource": {
        "resourceType": "Condition",
        "id": "mii-exa-onko-melanom-diagnose",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor|2026.0.1"
          ]
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
            "valueDateTime": "2024-01-02"
          }
        ],
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
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            },
            {
              "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung",
              "code": "7.1",
              "display": "histologische Untersuchung eines Primärtumors"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
              "version": "2024",
              "code": "C43.9",
              "display": "Bösartiges Melanom der Haut, nicht näher bezeichnet"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-onko-melanom-bundle-patient"
        },
        "encounter": {
          "reference": "Encounter/mii-exa-onko-melanom-bundle-encounter"
        },
        "recordedDate": "2024-01-02"
      },
      "request": {
        "method": "POST",
        "url": "Condition"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-melanom-bundle-encounter",
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        "resourceType": "Encounter",
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        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter"
        },
        "subject": {
          "reference": "Patient/mii-exa-onko-melanom-bundle-patient"
        }
      },
      "request": {
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        "url": "Encounter"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-melanom-sicherheitsabstand",
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        "resourceType": "Observation",
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        "meta": {
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          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "396511007",
              "display": "Distance of in situ melanoma from closest lateral surgical margin in excised specimen of skin (observable entity)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-onko-melanom-bundle-patient"
        },
        "focus": [
          {
            "reference": "Condition/mii-exa-onko-melanom-diagnose"
          }
        ],
        "encounter": {
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        },
        "effectiveDateTime": "2024-03-25T10:00:00+01:00",
        "valueQuantity": {
          "value": 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-melanom-breslow-tiefe",
      "resource": {
        "resourceType": "Observation",
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        "meta": {
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          ]
        },
        "status": "final",
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              "code": "106243009",
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            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-onko-melanom-bundle-patient"
        },
        "focus": [
          {
            "reference": "Condition/mii-exa-onko-melanom-diagnose"
          }
        ],
        "encounter": {
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        },
        "effectiveDateTime": "2024-03-20T14:30:00+01:00",
        "valueQuantity": {
          "value": 2.1,
          "unit": "mm",
          "system": "http://unitsofmeasure.org",
          "code": "mm"
        },
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            {
              "system": "http://snomed.info/sct",
              "code": "117617002",
              "display": "Immunohistochemistry procedure"
            }
          ]
        }
      },
      "request": {
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        "url": "Observation"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-melanom-ulzeration",
      "resource": {
        "resourceType": "Observation",
        "id": "mii-exa-onko-melanom-ulzeration",
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          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
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              "code": "6270001000004106",
              "display": "Presence of ulcer in primary malignant melanoma of skin (observable entity)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-onko-melanom-bundle-patient"
        },
        "focus": [
          {
            "reference": "Condition/mii-exa-onko-melanom-diagnose"
          }
        ],
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        },
        "effectiveDateTime": "2024-03-20T14:30:00+01:00",
        "valueCodeableConcept": {
          "coding": [
            {
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              "code": "J",
              "display": "Ja"
            }
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        }
      },
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    },
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      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-melanom-ldh",
      "resource": {
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        "id": "mii-exa-onko-melanom-ldh",
        "meta": {
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                "display": "Laboratory"
              }
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        "code": {
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              "system": "http://loinc.org",
              "code": "14804-9",
              "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma by Lactate to pyruvate reaction"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-onko-melanom-bundle-patient"
        },
        "focus": [
          {
            "reference": "Condition/mii-exa-onko-melanom-diagnose"
          }
        ],
        "encounter": {
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        },
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                "display": "High"
              }
            ]
          }
        ],
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            "high": {
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              "unit": "U/L",
              "system": "http://unitsofmeasure.org",
              "code": "U/L"
            },
            "text": "135-250 U/L"
          }
        ]
      },
      "request": {
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        "url": "Observation"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-melanom-exzision-oberarm",
      "resource": {
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        "id": "mii-exa-onko-melanom-exzision-oberarm",
        "meta": {
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          ]
        },
        "extension": [
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            "valueCodeableConcept": {
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            },
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              "code": "177281002",
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            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-onko-melanom-bundle-patient"
        },
        "performedDateTime": "2024-03-20",
        "reasonReference": [
          {
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        ],
        "bodySite": [
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                "code": "368208006",
                "display": "Left upper arm structure"
              }
            ]
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        "outcome": {
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              "code": "R0",
              "display": "Kein Residualtumor"
            }
          ]
        }
      },
      "request": {
        "method": "POST",
        "url": "Procedure"
      }
    }
  ]
}