Kerndatensatz Senologie
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: Fall 9: Tumorboard-Empfehlung - JSON Representation

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{
  "resourceType" : "CarePlan",
  "id" : "Fall9-Tumorboard",
  "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 Fall9-Tumorboard</b></p><a name=\"Fall9-Tumorboard\"> </a><a name=\"hcFall9-Tumorboard\"> </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 Andrea Wolf</p><p><b>description</b>: Empfehlung: Adjuvante Chemotherapie (EC x4 → Paclitaxel wöchentlich x12) aufgrund N3a-Befall, BET links + Axilladissektion Level I-III, adjuvante Strahlentherapie inkl. Lymphabfluss, endokrine Therapie Tamoxifen (prämenopausal).</p><p><b>subject</b>: <a href=\"Patient-Fall9-Patient-Andrea-Wolf.html\">Andrea Wolf  Female, DoB: 1974-05-29 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-009)</a></p><p><b>period</b>: 2025-04-15 --&gt; (ongoing)</p><p><b>addresses</b>: <a href=\"Condition-Fall9-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}\">Adjuvant: EC q3w x4 → Paclitaxel wöchentlich x12</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 links + 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 Restbrust 50 Gy + Boost 10 Gy + Lymphabflusswege</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}\">Tamoxifen (prämenopausal), nach 2 J. Umstellung auf AI + GnRH</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 Andrea Wolf",
  "description" : "Empfehlung: Adjuvante Chemotherapie (EC x4 → Paclitaxel wöchentlich x12) aufgrund N3a-Befall, BET links + Axilladissektion Level I-III, adjuvante Strahlentherapie inkl. Lymphabfluss, endokrine Therapie Tamoxifen (prämenopausal).",
  "subject" : {
    🔗 "reference" : "Patient/Fall9-Patient-Andrea-Wolf"
  },
  "period" : {
    "start" : "2025-04-15"
  },
  "addresses" : [
    {
      🔗 "reference" : "Condition/Fall9-Diagnose-Mammakarzinom"
    }
  ],
  "activity" : [
    {
      "detail" : {
        "kind" : "MedicationRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "385786002",
              "display" : "Chemotherapy care (regime/therapy)"
            }
          ],
          "text" : "Adjuvant: EC q3w x4 → Paclitaxel wöchentlich x12"
        },
        "status" : "scheduled"
      }
    },
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "387713003",
              "display" : "Surgical procedure (procedure)"
            }
          ],
          "text" : "BET links + Axilladissektion Level I-III"
        },
        "status" : "scheduled"
      }
    },
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "108290001",
              "display" : "Radiation oncology AND/OR radiotherapy (procedure)"
            }
          ],
          "text" : "Adjuvante Bestrahlung Restbrust 50 Gy + Boost 10 Gy + Lymphabflusswege"
        },
        "status" : "scheduled"
      }
    },
    {
      "detail" : {
        "kind" : "MedicationRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "169413002",
              "display" : "Hormone therapy (procedure)"
            }
          ],
          "text" : "Tamoxifen (prämenopausal), nach 2 J. Umstellung auf AI + GnRH"
        },
        "status" : "scheduled"
      }
    }
  ]
}