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Packagede.medizininformatikinitiative.kerndatensatz.onkologie
Resource TypeObservation
IdObservation-mii-exa-onko-verlauf-journey-post-chemo.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source


English


Generated Narrative: Observation mii-exa-onko-verlauf-journey-post-chemo

status: Final

code: Status of regression of tumor (observable entity)

subject: Erika Beispiel Female, DoB: 1965-04-12

focus: Condition Bösartige Neubildung: Brustdrüse, nicht näher bezeichnet

effective: 2024-05-20

value: Teilremission (partial remission, PR)

component

code: Status of residual neoplasm (observable entity)

value: Tumorreste (Residualtumor)

component

code: Presence of metastatic neoplasm in regional lymph node (observable entity)

value: kein Lymphknotenbefall nachweisbar

component

code: Status of distant metastasis (observable entity)

value: keine Fernmetastasen nachweisbar


German


Generated Narrative: Observation mii-exa-onko-verlauf-journey-post-chemo

status: Final

code: Status of regression of tumor (observable entity)

subject: Erika Beispiel Female, DoB: 1965-04-12

focus: Condition Bösartige Neubildung: Brustdrüse, nicht näher bezeichnet

effective: 2024-05-20

value: Teilremission (partial remission, PR)

component

code: Status of residual neoplasm (observable entity)

value: Tumorreste (Residualtumor)

component

code: Presence of metastatic neoplasm in regional lymph node (observable entity)

value: kein Lymphknotenbefall nachweisbar

component

code: Status of distant metastasis (observable entity)

value: keine Fernmetastasen nachweisbar


Source1

{
  "resourceType": "Observation",
  "id": "mii-exa-onko-verlauf-journey-post-chemo",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "396432002",
        "display": "Status of regression of tumor (observable entity)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "focus": [
    {
      "reference": "Condition/primaertumor-example"
    }
  ],
  "effectiveDateTime": "2024-05-20",
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung",
        "code": "T",
        "display": "Teilremission (partial remission, PR)"
      }
    ]
  },
  "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": "T",
            "display": "Tumorreste (Residualtumor)"
          }
        ]
      }
    },
    {
      "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"
          }
        ]
      }
    }
  ]
}