{
  "resourceType" : "Observation",
  "id" : "Fall4-Verlauf-PostTherapie",
  "meta" : {
    "profile" : ["https://www.senologie.org/fhir/StructureDefinition/senologie-follow-up"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation Fall4-Verlauf-PostTherapie</b></p><a name=\"Fall4-Verlauf-PostTherapie\"> </a><a name=\"hcFall4-Verlauf-PostTherapie\"> </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-follow-up.html\">BIH Senologie Follow-Up (Verlaufsmeldung)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 396432002}\">Status of regression of tumor (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-Fall4-Patient-Julia-Fischer.html\">Julia Fischer  Female, DoB: 1987-11-22 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-004)</a></p><p><b>focus</b>: <a href=\"Condition-Fall4-Diagnose-Mammakarzinom.html\">Condition Malignant neoplasm of breast</a></p><p><b>effective</b>: 2025-06-10</p><p><b>performer</b>: <a href=\"Organization-Brustzentrum-Charite.html\">Organization Brustzentrum Charité — Universitätsmedizin Berlin</a></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung T}\">Teilremission (partial remission, PR)</span></p><p><b>method</b>: <span title=\"Codes:{https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up aktiv}\">Aktive Nachsorge</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 445200009}\">Status of residual neoplasm (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor T}\">Tumorreste (Residualtumor)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399656008}\">Presence of metastatic neoplasm in regional lymph node (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten K}\">kein Lymphknotenbefall nachweisbar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399608002}\">Status of distant metastasis (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen K}\">keine Fernmetastasen nachweisbar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up zweittumor}\">Zweittumor</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 373067005}\">No (qualifier value)</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "396432002",
      "display" : "Status of regression of tumor (observable entity)"
    }]
  },
  "subject" : {
    "reference" : "Patient/Fall4-Patient-Julia-Fischer"
  },
  "focus" : [{
    "reference" : "Condition/Fall4-Diagnose-Mammakarzinom"
  }],
  "effectiveDateTime" : "2025-06-10",
  "performer" : [{
    "reference" : "Organization/Brustzentrum-Charite"
  }],
  "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)"
    }]
  },
  "method" : {
    "coding" : [{
      "system" : "https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up",
      "code" : "aktiv",
      "display" : "Aktive Nachsorge"
    }]
  },
  "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"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up",
        "code" : "zweittumor",
        "display" : "Zweittumor"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "373067005",
        "display" : "No (qualifier value)"
      }]
    }
  }]
}