{
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  "id" : "Fall2-Tumorboard-Initial",
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    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan Fall2-Tumorboard-Initial</b></p><a name=\"Fall2-Tumorboard-Initial\"> </a><a name=\"hcFall2-Tumorboard-Initial\"> </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-senologie-tumorboard-empfehlung.html\">BIH Senologie Tumorboard Empfehlung</a></p></div><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-therapie-typ praeth}\">prätherapeutisch</span></p><p><b>title</b>: Tumorboard-Empfehlung Lena Hoffmann — Erstvorstellung</p><p><b>description</b>: Empfehlung: Neoadjuvante Chemotherapie (Carboplatin/Paclitaxel) + Pembrolizumab (KEYNOTE-522), dann modifiziert radikale Mastektomie rechts + Axilladissektion, adjuvante Thoraxwandbestrahlung + supraklavikulär, Pembrolizumab Maintenance, MTB-Überweisung für Genompanel.</p><p><b>subject</b>: <a href=\"Patient-Fall2-Patient-Lena-Hoffmann.html\">Lena Hoffmann  Female, DoB: 1980-09-28 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-002)</a></p><p><b>period</b>: 2025-02-20 --&gt; (ongoing)</p><p><b>addresses</b>: <a href=\"Condition-Fall2-Diagnose-Mammakarzinom.html\">Condition Malignant neoplasm of breast</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td>MedicationRequest</td><td><span title=\"Codes:{http://snomed.info/sct 385786002}\">Neoadjuvant: Carboplatin/Paclitaxel wöchentlich x12, dann AC q3w x4</span></td><td>Scheduled</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td>MedicationRequest</td><td><span title=\"Codes:{http://snomed.info/sct 76334006}\">Pembrolizumab 200 mg q3w (KEYNOTE-522 Schema)</span></td><td>Scheduled</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><span title=\"Codes:{http://snomed.info/sct 387713003}\">Modifiziert radikale Mastektomie rechts + Axilladissektion Level I-III</span></td><td>Scheduled</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><span title=\"Codes:{http://snomed.info/sct 108290001}\">Adjuvante Bestrahlung Thoraxwand + supraklavikulär 50 Gy</span></td><td>Scheduled</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><span title=\"Codes:{http://snomed.info/sct 110465008}\">Einschluss KEYNOTE-522</span></td><td>Scheduled</td></tr></table></blockquote></div>"
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      "display" : "prätherapeutisch"
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  }],
  "title" : "Tumorboard-Empfehlung Lena Hoffmann — Erstvorstellung",
  "description" : "Empfehlung: Neoadjuvante Chemotherapie (Carboplatin/Paclitaxel) + Pembrolizumab (KEYNOTE-522), dann modifiziert radikale Mastektomie rechts + Axilladissektion, adjuvante Thoraxwandbestrahlung + supraklavikulär, Pembrolizumab Maintenance, MTB-Überweisung für Genompanel.",
  "subject" : {
    "reference" : "Patient/Fall2-Patient-Lena-Hoffmann"
  },
  "period" : {
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  },
  "addresses" : [{
    "reference" : "Condition/Fall2-Diagnose-Mammakarzinom"
  }],
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      "code" : {
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          "system" : "http://snomed.info/sct",
          "code" : "385786002",
          "display" : "Chemotherapy care (regime/therapy)"
        }],
        "text" : "Neoadjuvant: Carboplatin/Paclitaxel wöchentlich x12, dann AC q3w x4"
      },
      "status" : "scheduled"
    }
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        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "76334006",
          "display" : "Immunotherapy (procedure)"
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        "text" : "Pembrolizumab 200 mg q3w (KEYNOTE-522 Schema)"
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        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "387713003",
          "display" : "Surgical procedure (procedure)"
        }],
        "text" : "Modifiziert radikale Mastektomie rechts + Axilladissektion Level I-III"
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    "detail" : {
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      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "108290001",
          "display" : "Radiation oncology AND/OR radiotherapy (procedure)"
        }],
        "text" : "Adjuvante Bestrahlung Thoraxwand + supraklavikulär 50 Gy"
      },
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    }
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      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "110465008",
          "display" : "Clinical trial (procedure)"
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      },
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}