Kerndatensatz Senologie
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: Fall 2: Progression — hepatische Metastasen - JSON Representation

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{
  "resourceType" : "Condition",
  "id" : "Fall2-Diagnose-Progression",
  "meta" : {
    "profile" : [
      🔗 "https://www.senologie.org/fhir/StructureDefinition/senologie-diagnose-maligne"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition Fall2-Diagnose-Progression</b></p><a name=\"Fall2-Diagnose-Progression\"> </a><a name=\"hcFall2-Diagnose-Progression\"> </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-diagnose-maligne.html\">BIH PR Seno Diagnose Maligne</a></p></div><p><b>Condition Asserted Date</b>: 2026-08-10</p><p><b>Condition Occurred Following</b>: <a href=\"Condition-Fall2-Diagnose-Mammakarzinom.html\">Condition Malignant neoplasm of breast</a></p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical recurrence}\">Recurrence</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}, {https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung 7}\">histologische Untersuchung eines Primärtumors</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 254837009}, {http://fhir.de/CodeSystem/bfarm/icd-10-gm C50.1}\">Progression: hepatische Metastasierung bei triple-negativem Mammakarzinom</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 73056007}\">Right breast structure</span></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>recordedDate</b>: 2026-08-10</p><h3>Stages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Summary</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">M1 (HEP) — hepatische Metastasen</span></td><td><span title=\"Codes:{http://snomed.info/sct 385349001}\">Clinical stage (observable entity)</span></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
      "valueDateTime" : "2026-08-10"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing",
      "valueReference" : {
        🔗 "reference" : "Condition/Fall2-Diagnose-Mammakarzinom"
      }
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "recurrence"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed"
      },
      {
        "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung",
        "code" : "7",
        "display" : "histologische Untersuchung eines Primärtumors"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "254837009",
        "display" : "Malignant neoplasm of breast"
      },
      {
        "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
        "version" : "2025",
        "code" : "C50.1",
        "display" : "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse"
      }
    ],
    "text" : "Progression: hepatische Metastasierung bei triple-negativem Mammakarzinom"
  },
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "73056007",
          "display" : "Right breast structure"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/Fall2-Patient-Lena-Hoffmann"
  },
  "recordedDate" : "2026-08-10",
  "stage" : [
    {
      "summary" : {
        "text" : "M1 (HEP) — hepatische Metastasen"
      },
      "type" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385349001",
            "display" : "Clinical stage (observable entity)"
          }
        ]
      }
    }
  ]
}