{
  "resourceType" : "CarePlan",
  "id" : "Fall5-Tumorboard-Neoadjuvant",
  "meta" : {
    "profile" : ["https://www.senologie.org/fhir/StructureDefinition/senologie-tumorboard-empfehlung"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan Fall5-Tumorboard-Neoadjuvant</b></p><a name=\"Fall5-Tumorboard-Neoadjuvant\"> </a><a name=\"hcFall5-Tumorboard-Neoadjuvant\"> </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 Monika Braun — Erstvorstellung</p><p><b>description</b>: Empfehlung: Neoadjuvante Chemotherapie EC x4, dann Docetaxel + Trastuzumab x4. Anschließend BET rechts + SLNB. Adjuvant: Trastuzumab Erhaltung 1 Jahr, Ganzbrustbestrahlung, Letrozol.</p><p><b>subject</b>: <a href=\"Patient-Fall5-Patient-Monika-Braun.html\">Monika Braun  Female, DoB: 1970-04-03 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-005)</a></p><p><b>period</b>: 2025-01-30 --&gt; (ongoing)</p><p><b>addresses</b>: <a href=\"Condition-Fall5-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: EC x4, dann Docetaxel + Trastuzumab 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>ServiceRequest</td><td><span title=\"Codes:{http://snomed.info/sct 387713003}\">BET rechts + Sentinel-LK-Biopsie</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 416608005}\">Trastuzumab Erhaltung 1 Jahr</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 Ganzbrustbestrahlung</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 169413002}\">Letrozol für 5 Jahre</span></td><td>Scheduled</td></tr></table></blockquote></div>"
  },
  "status" : "active",
  "intent" : "plan",
  "category" : [{
    "coding" : [{
      "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ",
      "code" : "praeth",
      "display" : "prätherapeutisch"
    }]
  }],
  "title" : "Tumorboard-Empfehlung Monika Braun — Erstvorstellung",
  "description" : "Empfehlung: Neoadjuvante Chemotherapie EC x4, dann Docetaxel + Trastuzumab x4. Anschließend BET rechts + SLNB. Adjuvant: Trastuzumab Erhaltung 1 Jahr, Ganzbrustbestrahlung, Letrozol.",
  "subject" : {
    "reference" : "Patient/Fall5-Patient-Monika-Braun"
  },
  "period" : {
    "start" : "2025-01-30"
  },
  "addresses" : [{
    "reference" : "Condition/Fall5-Diagnose-Mammakarzinom"
  }],
  "activity" : [{
    "detail" : {
      "kind" : "MedicationRequest",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "385786002",
          "display" : "Chemotherapy care (regime/therapy)"
        }],
        "text" : "Neoadjuvant: EC x4, dann Docetaxel + Trastuzumab x4"
      },
      "status" : "scheduled"
    }
  },
  {
    "detail" : {
      "kind" : "ServiceRequest",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "387713003",
          "display" : "Surgical procedure (procedure)"
        }],
        "text" : "BET rechts + Sentinel-LK-Biopsie"
      },
      "status" : "scheduled"
    }
  },
  {
    "detail" : {
      "kind" : "MedicationRequest",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "416608005",
          "display" : "Drug therapy"
        }],
        "text" : "Trastuzumab Erhaltung 1 Jahr"
      },
      "status" : "scheduled"
    }
  },
  {
    "detail" : {
      "kind" : "ServiceRequest",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "108290001",
          "display" : "Radiation oncology AND/OR radiotherapy (procedure)"
        }],
        "text" : "Adjuvante Ganzbrustbestrahlung"
      },
      "status" : "scheduled"
    }
  },
  {
    "detail" : {
      "kind" : "MedicationRequest",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "169413002",
          "display" : "Hormone therapy (procedure)"
        }],
        "text" : "Letrozol für 5 Jahre"
      },
      "status" : "scheduled"
    }
  }]
}