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
FHIRsmith{
"resourceType": "Bundle",
"id": "mii-exa-onko-folfox-workflow-bundle",
"type": "collection",
"timestamp": "2024-03-15T10:00:00Z",
"entry": [
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Patient/mii-exa-onko-folfox-patient",
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Patient_mii-exa-onko-folfox-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient mii-exa-onko-folfox-patient</b></p><a name=\"mii-exa-onko-folfox-patient\"> </a><a name=\"hcmii-exa-onko-folfox-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</p><hr/></div></div>"
},
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"Hans"
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],
"gender": "male",
"birthDate": "1959-03-15"
}
},
{
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"resource": {
"resourceType": "Encounter",
"id": "mii-exa-onko-folfox-encounter-diagnosis",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Encounter_mii-exa-onko-folfox-encounter-diagnosis\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-onko-folfox-encounter-diagnosis</b></p><a name=\"mii-exa-onko-folfox-encounter-diagnosis\"> </a><a name=\"hcmii-exa-onko-folfox-encounter-diagnosis\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p></div></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
}
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-folfox-encounter-surgery",
"resource": {
"resourceType": "Encounter",
"id": "mii-exa-onko-folfox-encounter-surgery",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Encounter_mii-exa-onko-folfox-encounter-surgery\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-onko-folfox-encounter-surgery</b></p><a name=\"mii-exa-onko-folfox-encounter-surgery\"> </a><a name=\"hcmii-exa-onko-folfox-encounter-surgery\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p></div></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"display": "inpatient encounter"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
}
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Encounter/mii-exa-onko-folfox-encounter-chemo",
"resource": {
"resourceType": "Encounter",
"id": "mii-exa-onko-folfox-encounter-chemo",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Encounter_mii-exa-onko-folfox-encounter-chemo\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-onko-folfox-encounter-chemo</b></p><a name=\"mii-exa-onko-folfox-encounter-chemo\"> </a><a name=\"hcmii-exa-onko-folfox-encounter-chemo\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p></div></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
}
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Condition/mii-exa-onko-colorectal-cancer-diagnosis",
"resource": {
"resourceType": "Condition",
"id": "mii-exa-onko-colorectal-cancer-diagnosis",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Condition_mii-exa-onko-colorectal-cancer-diagnosis\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition mii-exa-onko-colorectal-cancer-diagnosis</b></p><a name=\"mii-exa-onko-colorectal-cancer-diagnosis\"> </a><a name=\"hcmii-exa-onko-colorectal-cancer-diagnosis\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-diagnose-primaertumor.html\">MII PR Onkologie Diagnose Primärtumor</a></p></div><p><b>Condition Asserted Date</b>: 2024-01-15</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span>, <span title=\"Codes:{http://snomed.info/sct 55342001}\">Neoplastic disease</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm C18.7}\">Bösartige Neubildung: Colon sigmoideum</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-diagnosis.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>onset</b>: 2024-01-15</p><p><b>recordedDate</b>: 2024-01-15</p><p><b>note</b>: </p><blockquote><div><p>Adenokarzinom des Colon sigmoideum, Stadium III (T3N1M0)</p>\n</div></blockquote></div></div>"
},
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"clinicalStatus": {
"coding": [
{
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"code": "active"
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"verificationStatus": {
"coding": [
{
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"code": "confirmed"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "55342001",
"display": "Neoplastic disease"
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}
],
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"coding": [
{
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"version": "2024",
"code": "C18.7",
"display": "Bösartige Neubildung: Colon sigmoideum"
}
]
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"encounter": {
"reference": "Encounter/mii-exa-onko-folfox-encounter-diagnosis"
},
"onsetDateTime": "2024-01-15",
"recordedDate": "2024-01-15",
"note": [
{
"text": "Adenokarzinom des Colon sigmoideum, Stadium III (T3N1M0)"
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-t",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-onko-colorectal-tnm-t",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-t-kategorie|2027.0.0-ballot.1"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-colorectal-tnm-t\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-colorectal-tnm-t</b></p><a name=\"mii-exa-onko-colorectal-tnm-t\"> </a><a name=\"hcmii-exa-onko-colorectal-tnm-t\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-tnm-t-kategorie.html\">MII PR Onkologie TNM T-Kategorie</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 384625004}\">pT category (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2024-02-20</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm T3}\">T3</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p></div></div>"
},
"status": "final",
"code": {
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
"valueCodeableConcept": {
"coding": [
{
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"code": "p"
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],
"coding": [
{
"system": "http://snomed.info/sct",
"code": "384625004",
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},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
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"focus": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime": "2024-02-20",
"valueCodeableConcept": {
"coding": [
{
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"code": "T3"
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"coding": [
{
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"code": "8"
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}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-n",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-onko-colorectal-tnm-n",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie|2027.0.0-ballot.1"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-colorectal-tnm-n\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-colorectal-tnm-n</b></p><a name=\"mii-exa-onko-colorectal-tnm-n\"> </a><a name=\"hcmii-exa-onko-colorectal-tnm-n\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-tnm-n-kategorie.html\">MII PR Onkologie TNM N-Kategorie</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 371494008}\">pN category (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2024-02-20</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm N1}\">N1</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p></div></div>"
},
"status": "final",
"code": {
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix",
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"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
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"focus": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime": "2024-02-20",
"valueCodeableConcept": {
"coding": [
{
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"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
"code": "8"
}
]
}
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm-m",
"resource": {
"resourceType": "Observation",
"id": "mii-exa-onko-colorectal-tnm-m",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-m-kategorie|2027.0.0-ballot.1"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-colorectal-tnm-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-colorectal-tnm-m</b></p><a name=\"mii-exa-onko-colorectal-tnm-m\"> </a><a name=\"hcmii-exa-onko-colorectal-tnm-m\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-tnm-m-kategorie.html\">MII PR Onkologie TNM M-Kategorie</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399387003}\">cM category (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2024-02-20</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm M0}\">M0</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p></div></div>"
},
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"code": {
"extension": [
{
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"valueCodeableConcept": {
"coding": [
{
"system": "https://www.uicc.org/resources/tnm",
"code": "c"
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],
"coding": [
{
"system": "http://snomed.info/sct",
"code": "399387003",
"display": "cM category (observable entity)"
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"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"focus": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime": "2024-02-20",
"valueCodeableConcept": {
"coding": [
{
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"coding": [
{
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},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Observation/mii-exa-onko-colorectal-tnm",
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-colorectal-tnm\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-colorectal-tnm</b></p><a name=\"mii-exa-onko-colorectal-tnm\"> </a><a name=\"hcmii-exa-onko-colorectal-tnm\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-tnm-klassifikation.html\">MII PR Onkologie TNM-Klassifikation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399588009}\">Pathologic TNM stage grouping</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2024-02-20</p><p><b>value</b>: <span title=\"Codes:{https://www.uicc.org/resources/tnm IIIB}\">Stadium IIIB</span></p><p><b>method</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version 8}\">8. Auflage</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-mii-exa-onko-colorectal-tnm-t.html\">Observation pT category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-colorectal-tnm-n.html\">Observation pN category (observable entity)</a></li><li><a href=\"Observation-mii-exa-onko-colorectal-tnm-m.html\">Observation cM category (observable entity)</a></li></ul></div></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "399588009",
"display": "Pathologic TNM stage grouping"
}
]
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"focus": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"effectiveDateTime": "2024-02-20",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.uicc.org/resources/tnm",
"code": "IIIB"
}
]
},
"method": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version",
"code": "8"
}
]
},
"hasMember": [
{
"reference": "Observation/mii-exa-onko-colorectal-tnm-t"
},
{
"reference": "Observation/mii-exa-onko-colorectal-tnm-n"
},
{
"reference": "Observation/mii-exa-onko-colorectal-tnm-m"
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CarePlan/mii-exa-onko-tumorkonferenz-folfox",
"resource": {
"resourceType": "CarePlan",
"id": "mii-exa-onko-tumorkonferenz-folfox",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz|2027.0.0-ballot.1"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"CarePlan_mii-exa-onko-tumorkonferenz-folfox\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan mii-exa-onko-tumorkonferenz-folfox</b></p><a name=\"mii-exa-onko-tumorkonferenz-folfox\"> </a><a name=\"hcmii-exa-onko-tumorkonferenz-folfox\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-tumorkonferenz.html\">MII PR Onkologie Tumorkonferenz</a> version: 2027.0.0-ballot.1</p></div><p><b>identifier</b>: Tumorkonferenz_FOLFOX_001</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ praeth}\">prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>created</b>: 2024-03-10</p><p><b>addresses</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Progress</b></td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><blockquote><div><p>Tumor board recommends FOLFOX chemotherapy protocol for stage III colon cancer, adjuvant setting</p>\n</div></blockquote></td><td><a href=\"RequestGroup-mii-exa-onko-folfox-requestgroup.html\">RequestGroup Chemotherapie</a></td></tr></table></div></div>"
},
"identifier": [
{
"value": "Tumorkonferenz_FOLFOX_001"
}
],
"status": "active",
"intent": "plan",
"category": [
{
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ",
"code": "praeth",
"display": "prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie)"
}
]
}
],
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"created": "2024-03-10",
"addresses": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"activity": [
{
"progress": [
{
"text": "Tumor board recommends FOLFOX chemotherapy protocol for stage III colon cancer, adjuvant setting"
}
],
"reference": {
"reference": "RequestGroup/mii-exa-onko-folfox-requestgroup"
}
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/RequestGroup/mii-exa-onko-folfox-requestgroup",
"resource": {
"resourceType": "RequestGroup",
"id": "mii-exa-onko-folfox-requestgroup",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-kombinationstherapie|2027.0.0-ballot.1"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"RequestGroup_mii-exa-onko-folfox-requestgroup\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup mii-exa-onko-folfox-requestgroup</b></p><a name=\"mii-exa-onko-folfox-requestgroup\"> </a><a name=\"hcmii-exa-onko-folfox-requestgroup\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-therapieempfehlung-kombinationstherapie.html\">MII PR Onkologie Therapieempfehlung Kombinationstherapie</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ CH}\">Chemotherapie</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>authoredOn</b>: 2024-03-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><blockquote><p><b>action</b></p><p><b>title</b>: FOLFOX4 Protocol</p><p><b>description</b>: FOLFOX4 chemotherapy protocol: Fluorouracil + Folinsäure + Oxaliplatin</p><p><b>code</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle FOLFOX4}\">FOLFOX4</span></p><h3>Actions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Title</b></td><td><b>Description</b></td><td><b>Resource</b></td></tr><tr><td style=\"display: none\">*</td><td>Fluorouracil (5-FU)</td><td>5-Fluorouracil - pyrimidine analog, antineoplastic</td><td><a href=\"MedicationRequest-mii-exa-onko-folfox-5fu-request.html\">MedicationRequest: status = active; intent = proposal; medication[x] = Fluorouracil; authoredOn = 2024-03-10</a></td></tr><tr><td style=\"display: none\">*</td><td>Folinsäure (Leucovorin)</td><td>Folinic acid - enhances 5-FU efficacy</td><td><a href=\"MedicationRequest-mii-exa-onko-folfox-leucovorin-request.html\">MedicationRequest: status = active; intent = proposal; medication[x] = Calciumfolinat; authoredOn = 2024-03-10</a></td></tr><tr><td style=\"display: none\">*</td><td>Oxaliplatin</td><td>Platinum-based chemotherapy agent</td><td><a href=\"MedicationRequest-mii-exa-onko-folfox-oxaliplatin-request.html\">MedicationRequest: status = active; intent = proposal; medication[x] = Oxaliplatin; authoredOn = 2024-03-10</a></td></tr></table></blockquote></div></div>"
},
"status": "active",
"intent": "proposal",
"code": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ",
"code": "CH",
"display": "Chemotherapie"
}
],
"text": "Chemotherapie"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"authoredOn": "2024-03-10",
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"action": [
{
"title": "FOLFOX4 Protocol",
"description": "FOLFOX4 chemotherapy protocol: Fluorouracil + Folinsäure + Oxaliplatin",
"code": [
{
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle",
"code": "FOLFOX4",
"display": "FOLFOX4"
}
]
}
],
"action": [
{
"title": "Fluorouracil (5-FU)",
"description": "5-Fluorouracil - pyrimidine analog, antineoplastic",
"resource": {
"reference": "MedicationRequest/mii-exa-onko-folfox-5fu-request"
}
},
{
"title": "Folinsäure (Leucovorin)",
"description": "Folinic acid - enhances 5-FU efficacy",
"resource": {
"reference": "MedicationRequest/mii-exa-onko-folfox-leucovorin-request"
}
},
{
"title": "Oxaliplatin",
"description": "Platinum-based chemotherapy agent",
"resource": {
"reference": "MedicationRequest/mii-exa-onko-folfox-oxaliplatin-request"
}
}
]
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-5fu-request",
"resource": {
"resourceType": "MedicationRequest",
"id": "mii-exa-onko-folfox-5fu-request",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation|2027.0.0-ballot.1"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"MedicationRequest_mii-exa-onko-folfox-5fu-request\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest mii-exa-onko-folfox-5fu-request</b></p><a name=\"mii-exa-onko-folfox-5fu-request\"> </a><a name=\"hcmii-exa-onko-folfox-5fu-request\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-therapieempfehlung-medikation.html\">MII PR Onkologie Therapieempfehlung Medikation</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc L01BC02}\">5-Fluorouracil (5-FU)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>authoredOn</b>: 2024-03-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p></div></div>"
},
"status": "active",
"intent": "proposal",
"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"
},
"authoredOn": "2024-03-10",
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-leucovorin-request",
"resource": {
"resourceType": "MedicationRequest",
"id": "mii-exa-onko-folfox-leucovorin-request",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation|2027.0.0-ballot.1"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"MedicationRequest_mii-exa-onko-folfox-leucovorin-request\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest mii-exa-onko-folfox-leucovorin-request</b></p><a name=\"mii-exa-onko-folfox-leucovorin-request\"> </a><a name=\"hcmii-exa-onko-folfox-leucovorin-request\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-therapieempfehlung-medikation.html\">MII PR Onkologie Therapieempfehlung Medikation</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc V03AF03}\">Leucovorin (Folinsäure)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>authoredOn</b>: 2024-03-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p></div></div>"
},
"status": "active",
"intent": "proposal",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"code": "V03AF03",
"display": "Calciumfolinat"
}
],
"text": "Leucovorin (Folinsäure)"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"authoredOn": "2024-03-10",
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/MedicationRequest/mii-exa-onko-folfox-oxaliplatin-request",
"resource": {
"resourceType": "MedicationRequest",
"id": "mii-exa-onko-folfox-oxaliplatin-request",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation|2027.0.0-ballot.1"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"MedicationRequest_mii-exa-onko-folfox-oxaliplatin-request\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest mii-exa-onko-folfox-oxaliplatin-request</b></p><a name=\"mii-exa-onko-folfox-oxaliplatin-request\"> </a><a name=\"hcmii-exa-onko-folfox-oxaliplatin-request\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-therapieempfehlung-medikation.html\">MII PR Onkologie Therapieempfehlung Medikation</a> version: 2027.0.0-ballot.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc L01XA03}\">Oxaliplatin</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>authoredOn</b>: 2024-03-10</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p></div></div>"
},
"status": "active",
"intent": "proposal",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"code": "L01XA03",
"display": "Oxaliplatin"
}
],
"text": "Oxaliplatin"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"authoredOn": "2024-03-10",
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection",
"resource": {
"resourceType": "Procedure",
"id": "mii-exa-onko-sigmoid-resection",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Procedure_mii-exa-onko-sigmoid-resection\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-sigmoid-resection</b></p><a name=\"mii-exa-onko-sigmoid-resection\"> </a><a name=\"hcmii-exa-onko-sigmoid-resection\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-operation.html\">MII PR Onkologie Operation</a></p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-484.5}\">Laparoskopische Sigmaresektion mit TME und Lymphknotendissektion</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-surgery.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus R0}\">Kein Residualtumor</span></p><p><b>note</b>: </p><blockquote><div><p>Laparoscopic sigmoid resection with TME and lymphadenectomy. No intraoperative complications. Tumor completely resected with clear margins (R0). 18 lymph nodes removed, 3 positive. Surgery performed in 3 components: resection, anastomosis, and lymph node dissection.</p>\n</div></blockquote></div></div>"
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
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{
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"display": "Kurativ"
}
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}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "387713003",
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},
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/bfarm/ops",
"version": "2024",
"code": "5-484.5",
"display": "Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion"
}
],
"text": "Laparoskopische Sigmaresektion mit TME und Lymphknotendissektion"
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"encounter": {
"reference": "Encounter/mii-exa-onko-folfox-encounter-surgery"
},
"performedDateTime": "2024-02-15",
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
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"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus",
"code": "R0",
"display": "Kein Residualtumor"
}
]
},
"note": [
{
"text": "Laparoscopic sigmoid resection with TME and lymphadenectomy. No intraoperative complications. Tumor completely resected with clear margins (R0). 18 lymph nodes removed, 3 positive. Surgery performed in 3 components: resection, anastomosis, and lymph node dissection."
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection-part1",
"resource": {
"resourceType": "Procedure",
"id": "mii-exa-onko-sigmoid-resection-part1",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Procedure_mii-exa-onko-sigmoid-resection-part1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-sigmoid-resection-part1</b></p><a name=\"mii-exa-onko-sigmoid-resection-part1\"> </a><a name=\"hcmii-exa-onko-sigmoid-resection-part1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-operation.html\">MII PR Onkologie Operation</a></p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-sigmoid-resection.html\">Procedure Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-484.5}\">Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-surgery.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>note</b>: </p><blockquote><div><p>Sigmoid colon resected including tumor. End-to-end anastomosis created.</p>\n</div></blockquote></div></div>"
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
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{
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{
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"coding": [
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}
]
},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
},
"encounter": {
"reference": "Encounter/mii-exa-onko-folfox-encounter-surgery"
},
"performedDateTime": "2024-02-15",
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"note": [
{
"text": "Sigmoid colon resected including tumor. End-to-end anastomosis created."
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection-part2",
"resource": {
"resourceType": "Procedure",
"id": "mii-exa-onko-sigmoid-resection-part2",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Procedure_mii-exa-onko-sigmoid-resection-part2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-sigmoid-resection-part2</b></p><a name=\"mii-exa-onko-sigmoid-resection-part2\"> </a><a name=\"hcmii-exa-onko-sigmoid-resection-part2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-operation.html\">MII PR Onkologie Operation</a></p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-sigmoid-resection.html\">Procedure Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-407.0}\">Radikale (systematische) Lymphadenektomie im Rahmen einer anderen Operation: Axillär</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-surgery.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>note</b>: </p><blockquote><div><p>Regional lymph node dissection performed. 18 lymph nodes removed from mesenteric and para-aortic regions.</p>\n</div></blockquote></div></div>"
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
"valueCodeableConcept": {
"coding": [
{
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{
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{
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"coding": [
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},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
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"reference": "Encounter/mii-exa-onko-folfox-encounter-surgery"
},
"performedDateTime": "2024-02-15",
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
}
],
"note": [
{
"text": "Regional lymph node dissection performed. 18 lymph nodes removed from mesenteric and para-aortic regions."
}
]
}
},
{
"fullUrl": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Procedure/mii-exa-onko-sigmoid-resection-part3",
"resource": {
"resourceType": "Procedure",
"id": "mii-exa-onko-sigmoid-resection-part3",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Procedure_mii-exa-onko-sigmoid-resection-part3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-sigmoid-resection-part3</b></p><a name=\"mii-exa-onko-sigmoid-resection-part3\"> </a><a name=\"hcmii-exa-onko-sigmoid-resection-part3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-operation.html\">MII PR Onkologie Operation</a></p></div><p><b>MII EX Onko Operation Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-sigmoid-resection.html\">Procedure Rektumresektion unter Sphinktererhaltung: Tiefe anteriore Resektion</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 5-986.x}\">Minimalinvasive Technik: Sonstige</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-surgery.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP)</a></p><p><b>performed</b>: 2024-02-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>note</b>: </p><blockquote><div><p>Four laparoscopic ports placed for minimally invasive approach.</p>\n</div></blockquote></div></div>"
},
"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",
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]
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"code": {
"coding": [
{
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},
"subject": {
"reference": "Patient/mii-exa-onko-folfox-patient"
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"reference": "Encounter/mii-exa-onko-folfox-encounter-surgery"
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"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"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Procedure_mii-exa-onko-folfox-procedure\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure mii-exa-onko-folfox-procedure</b></p><a name=\"mii-exa-onko-folfox-procedure\"> </a><a name=\"hcmii-exa-onko-folfox-procedure\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-systemische-therapie.html\">MII PR Onkologie Systemische Therapie</a></p></div><p><b>MII EX Onko Systemische Therapie Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">Kurativ</span></p><p><b>MII EX Onko Systemische Therapie Stellung zur OP</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-stellungzurop A}\">Adjuvant</span></p><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-10</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 277132007}\">Therapeutic procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 8-542}, {https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-art CH}\">Nicht komplexe Chemotherapie</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-onko-folfox-encounter-chemo.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>performed</b>: 2024-03-20 --> 2024-09-15</p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund E}\">Reguläres Ende</span></p><p><b>note</b>: </p><blockquote><div><p>Patient received 12 cycles of adjuvant FOLFOX4 chemotherapy for stage III colon cancer. Treatment completed without major complications.</p>\n</div></blockquote><p><b>usedCode</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle FOLFOX4}\">FOLFOX4</span></p></div></div>"
},
"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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"display": "Kurativ"
}
]
}
},
{
"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"
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]
},
"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/mii-exa-onko-folfox-encounter-chemo"
},
"performedPeriod": {
"start": "2024-03-20",
"end": "2024-09-15"
},
"reasonReference": [
{
"reference": "Condition/mii-exa-onko-colorectal-cancer-diagnosis"
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],
"outcome": {
"coding": [
{
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"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": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"MedicationStatement_mii-exa-onko-folfox-5fu-statement\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement mii-exa-onko-folfox-5fu-statement</b></p><a name=\"mii-exa-onko-folfox-5fu-statement\"> </a><a name=\"hcmii-exa-onko-folfox-5fu-statement\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-systemische-therapie-medikation.html\">MII PR Onkologie Systemische Therapie Medikation</a></p></div><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-10</a></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-folfox-procedure.html\">Procedure Nicht komplexe Chemotherapie</a></p><p><b>status</b>: Completed</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc L01BC02}\">5-Fluorouracil (5-FU)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>effective</b>: 2024-03-20 --> 2024-09-15</p><p><b>note</b>: </p><blockquote><div><p>FOLFOX4</p>\n</div></blockquote></div></div>"
},
"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": "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": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"MedicationStatement_mii-exa-onko-folfox-leucovorin-statement\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement mii-exa-onko-folfox-leucovorin-statement</b></p><a name=\"mii-exa-onko-folfox-leucovorin-statement\"> </a><a name=\"hcmii-exa-onko-folfox-leucovorin-statement\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-systemische-therapie-medikation.html\">MII PR Onkologie Systemische Therapie Medikation</a></p></div><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-10</a></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-folfox-procedure.html\">Procedure Nicht komplexe Chemotherapie</a></p><p><b>status</b>: Completed</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc V03AF03}\">Leucovorin (Folinsäure)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>effective</b>: 2024-03-20 --> 2024-09-15</p><p><b>note</b>: </p><blockquote><div><p>FOLFOX4</p>\n</div></blockquote></div></div>"
},
"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",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"MedicationStatement_mii-exa-onko-folfox-oxaliplatin-statement\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement mii-exa-onko-folfox-oxaliplatin-statement</b></p><a name=\"mii-exa-onko-folfox-oxaliplatin-statement\"> </a><a name=\"hcmii-exa-onko-folfox-oxaliplatin-statement\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-systemische-therapie-medikation.html\">MII PR Onkologie Systemische Therapie Medikation</a></p></div><p><b>basedOn</b>: <a href=\"CarePlan-mii-exa-onko-tumorkonferenz-folfox.html\">CarePlan: identifier = Tumorkonferenz_FOLFOX_001; status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2024-03-10</a></p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-onko-folfox-procedure.html\">Procedure Nicht komplexe Chemotherapie</a></p><p><b>status</b>: Completed</p><p><b>medication</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/atc L01XA03}\">Oxaliplatin</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>effective</b>: 2024-03-20 --> 2024-09-15</p><p><b>note</b>: </p><blockquote><div><p>FOLFOX4</p>\n</div></blockquote></div></div>"
},
"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": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-onko-folfox-verlauf-6months\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-onko-folfox-verlauf-6months</b></p><a name=\"mii-exa-onko-folfox-verlauf-6months\"> </a><a name=\"hcmii-exa-onko-folfox-verlauf-6months\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-onko-verlauf.html\">MII PR Onkologie Verlauf</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 396432002}\">Status of regression of tumor (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-onko-folfox-patient.html\">Hans Schmidt Male, DoB: 1959-03-15 ( https://www.medizininformatik-initiative.de/fhir/sid/patienten#FOLFOX-2024-001)</a></p><p><b>focus</b>: <a href=\"Condition-mii-exa-onko-colorectal-cancer-diagnosis.html\">Condition Bösartige Neubildung: Colon sigmoideum</a></p><p><b>effective</b>: 2025-03-15</p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung V}\">Vollremission (complete remission, CR)</span></p><p><b>note</b>: </p><blockquote><div><p>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.</p>\n</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 445200009}\">Status of residual neoplasm (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor K}\">Kein Tumor nachweisbar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399656008}\">Presence of metastatic neoplasm in regional lymph node (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten K}\">kein Lymphknotenbefall nachweisbar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399608002}\">Status of distant metastasis (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen K}\">Keine Fernmetastasen nachweisbar</span></p></blockquote></div></div>"
},
"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": [
{
"system": "http://snomed.info/sct",
"code": "445200009",
"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": [
{
"system": "http://snomed.info/sct",
"code": "399656008",
"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": [
{
"system": "http://snomed.info/sct",
"code": "399608002",
"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"
}
]
}
}
]
}
}
]
}