Kerndatensatz Senologie
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: Fall 2: Neoadjuvante Chemotherapie + Immuntherapie - JSON Representation

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{
  "resourceType" : "Procedure",
  "id" : "Fall2-Systemtherapie-Neoadjuvant",
  "meta" : {
    "profile" : [
      🔗 "https://www.senologie.org/fhir/StructureDefinition/senologie-systemtherapie-procedure"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Procedure Fall2-Systemtherapie-Neoadjuvant</b></p><a name=\"Fall2-Systemtherapie-Neoadjuvant\"> </a><a name=\"hcFall2-Systemtherapie-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-systemtherapie-procedure.html\">BIH Senologie Systemtherapie (übergeordnet)</a></p></div><p><b>MII EX Onko Systemische Therapie Intention</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention K}\">kurativ</span></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 18629005}\">Administration of medication</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/ops 8-54}\">Zytostatische Chemotherapie, Immuntherapie und antiretrovirale Therapie</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>performed</b>: 2025-03-01 --&gt; 2025-07-15</p><p><b>reasonReference</b>: <a href=\"Condition-Fall2-Diagnose-Mammakarzinom.html\">Condition Malignant neoplasm of breast</a></p><p><b>outcome</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund E}\">Therapie planmäßig abgeschlossen, klinisch gute Remission</span></p><p><b>usedCode</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle CarboTax}\">Carboplatin AUC5 + Paclitaxel 80 mg/m2 wöchentlich x12, dann AC (Doxorubicin/Cyclophosphamid) q3w x4, Pembrolizumab 200 mg q3w durchgehend</span></p></div>"
  },
  "extension" : [
    {
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention",
            "code" : "K",
            "display" : "kurativ"
          }
        ]
      }
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "18629005",
        "display" : "Administration of medication"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://fhir.de/CodeSystem/bfarm/ops",
        "version" : "2025",
        "code" : "8-54",
        "display" : "Zytostatische Chemotherapie, Immuntherapie und antiretrovirale Therapie"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Fall2-Patient-Lena-Hoffmann"
  },
  "performedPeriod" : {
    "start" : "2025-03-01",
    "end" : "2025-07-15"
  },
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/Fall2-Diagnose-Mammakarzinom"
    }
  ],
  "outcome" : {
    "coding" : [
      {
        "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund",
        "code" : "E",
        "display" : "reguläres Ende"
      }
    ],
    "text" : "Therapie planmäßig abgeschlossen, klinisch gute Remission"
  },
  "usedCode" : [
    {
      "coding" : [
        {
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-systemische-therapie-protokolle",
          "code" : "CarboTax",
          "display" : "CarboTax"
        }
      ],
      "text" : "Carboplatin AUC5 + Paclitaxel 80 mg/m2 wöchentlich x12, dann AC (Doxorubicin/Cyclophosphamid) q3w x4, Pembrolizumab 200 mg q3w durchgehend"
    }
  ]
}