FHIR IG analytics

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

No narrative content found in resource

Source1

{
  "resourceType": "Observation",
  "id": "mii-exa-onko-modification-verlauf-6months",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf"
    ]
  },
  "code": {
    "coding": [
      {
        "code": "396432002",
        "system": "http://snomed.info/sct",
        "display": "Status of regression of tumor (observable entity)"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "445200009",
            "system": "http://snomed.info/sct",
            "display": "Status of residual neoplasm (observable entity)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor",
            "code": "K",
            "display": "Kein Tumor nachweisbar"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "code": "399656008",
            "system": "http://snomed.info/sct",
            "display": "Presence of metastatic neoplasm in regional lymph node (observable entity)"
          }
        ]
      },
      "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": {
        "coding": [
          {
            "code": "399608002",
            "system": "http://snomed.info/sct",
            "display": "Status of distant metastasis (observable entity)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen",
            "code": "K",
            "display": "Keine Fernmetastasen nachweisbar"
          }
        ]
      }
    }
  ],
  "status": "final",
  "subject": {
    "reference": "Patient/example-modification"
  },
  "focus": [
    {
      "reference": "Condition/mii-exa-onko-ascending-colon-cancer-diagnosis"
    }
  ],
  "effectiveDateTime": "2025-03-10",
  "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 modified chemotherapy protocol (6 cycles FOLFOX4 + 6 cycles LV5FU2). Despite early discontinuation of oxaliplatin due to neuropathy, patient achieved complete response. CT scan and colonoscopy show no evidence of recurrence. CEA normal (1.8 ng/mL). Peripheral neuropathy has improved to grade 1 but persists. Patient is disease-free at 6-month follow-up."
    }
  ]
}