Implementierungsleitfaden Therapieziele Onkologie
1.0.0-ballot - Ballot
Germany
Implementierungsleitfaden Therapieziele Onkologie - Local Development build (v1.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Language: de
Bundle BundleCRCPalliativ of type transaction
Entry 1 - fullUrl = http://example.org/fhir/Patient/PatientinCRC
Resso}:
Language: de
Erika Musterfrau Female, DoB: 1961-09-12
Request:
POST Patient
Entry 2 - fullUrl = http://example.org/fhir/Practitioner/OnkologinCRC
Resso}:
Language: de
name: Petra Musterarzt
Request:
POST Practitioner
Entry 3 - fullUrl = http://example.org/fhir/Organization/TumorzentrumCRC
Resso}:
Language: de
name: Onkologisches Zentrum Musterklinik
Request:
POST Organization
Entry 4 - fullUrl = http://example.org/fhir/CareTeam/TumorboardCRC
Resso}:
Language: de
status: Active
name: Interdisziplinäres Tumorboard Kolorektales Karzinom
subject: Erika Musterfrau Female, DoB: 1961-09-12
Participants
Member Practitioner Petra Musterarzt managingOrganization: Organization Onkologisches Zentrum Musterklinik
Request:
POST CareTeam
Entry 5 - fullUrl = http://example.org/fhir/Condition/ConditionCRC
Resso}:
Language: de
Profile: Onkologische Diagnose (Condition)
Condition Asserted Date: 2026-01-20
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Metastasiertes Kolonkarzinom (mCRC) mit Lebermetastasen
subject: Erika Musterfrau Female, DoB: 1961-09-12
onset: 2026-01-20
recordedDate: 2026-01-20
Request:
POST Condition
Entry 6 - fullUrl = http://example.org/fhir/CarePlan/DiagnostikCarePlanCRC
Resso}:
Language: de
Profile: Diagnostischer CarePlan
CarePlan Custodian (Extension): Organization Onkologisches Zentrum Musterklinik
status: Completed
intent: Plan
category: Tumordiagnostik
subject: Erika Musterfrau Female, DoB: 1961-09-12
period: 2026-01-05 --> 2026-01-20
careTeam: CareTeam Interdisziplinäres Tumorboard Kolorektales Karzinom
addresses: No display for CarePlan.addresses (reference: ->Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet)
activity
Request:
POST CarePlan
Entry 7 - fullUrl = http://example.org/fhir/ServiceRequest/ServiceRequestKoloskopieCRC
Resso}:
Language: de
status: Completed
intent: Order
code: No display for ServiceRequest.code (concept: Colonoscopy)
Request:
POST ServiceRequest
Entry 8 - fullUrl = http://example.org/fhir/DiagnosticReport/DiagnosticReportHistologieCRC
Resso}:
Language: de
Histopathologie Kolonbiopsie
Subject Erika Musterfrau Female, DoB: 1961-09-12 Relevant Time 2026-01-18 Report Details
Adenokarzinom des Kolons (C18.9), ICD-O-3 M8140/3.
Request:
POST DiagnosticReport
Entry 9 - fullUrl = http://example.org/fhir/EpisodeOfCare/TherapielinieCRCErstlinie
Resso}:
Language: de
Profile: Onkologische Therapielinie
Onkologische Therapieintention (Extension)
- hauptintention: Palliative intent
- phase: Induction chemotherapy
EnLiST-LoT-Designation (Extension)
- setting: aLoT — fortgeschrittenes Setting
- line: 1
- modification: 0
- notation: aLoT 1.0
EnLiST-Zählstatus (Extension): Zählt in der LoT-Zählung
status: Active
type: Ambulatory chemotherapy
Diagnoses
Condition No display for EpisodeOfCare.diagnosis.condition (reference: ->Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet) patient: Erika Musterfrau Female, DoB: 1961-09-12
managingOrganization: Organization Onkologisches Zentrum Musterklinik
period: 2026-02-10 --> (ongoing)
careManager: Practitioner Petra Musterarzt
Request:
POST EpisodeOfCare
Entry 10 - fullUrl = http://example.org/fhir/Goal/TherapiezielCRCLebensverlaengerung
Resso}:
Language: de
Profile: Onkologisches Therapieziel
Onkologische Therapieintention (Extension)
- hauptintention: Palliative intent
- phase: Induction chemotherapy
Goal acceptance
- individual: Erika Musterfrau Female, DoB: 1961-09-12
- status: agree
- priority: High Priority
Goal: Related Goal
- type: Replacement
- target: Goal: extension = ,; lifecycleStatus = rejected; category = Heilung; description =
Goal: Related Goal
lifecycleStatus: Active
achievementStatus: In Progress
category: Lebensverlängerung, Symptomkontrolle / Palliation
priority: High Priority
description: Verlängerung des Gesamtüberlebens und Kontrolle tumorbedingter Symptome unter palliativer Systemtherapie.
subject: Erika Musterfrau Female, DoB: 1961-09-12
start: 2026-02-10
Targets
Measure Due[x] Stage group.clinical Cancer 2026-08-10 addresses: Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet
Request:
POST Goal
Entry 11 - fullUrl = http://example.org/fhir/Goal/TherapiezielCRCKurativAbgelehnt
Resso}:
Language: de
Profile: Onkologisches Therapieziel
Onkologische Therapieintention (Extension)
- hauptintention: Curative - procedure intent
Goal Reason Rejected: Nicht resektable Fernmetastasierung — kuratives Ziel nicht erreichbar.
lifecycleStatus: Rejected
category: Heilung
description: Kurative Resektion des Primärtumors mit kurativer Absicht.
subject: Erika Musterfrau Female, DoB: 1961-09-12
addresses: Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet
Request:
POST Goal
Entry 12 - fullUrl = http://example.org/fhir/Goal/TherapiezielCRCErhaltung
Resso}:
Language: de
Profile: Onkologisches Therapieziel
Onkologische Therapieintention (Extension)
- hauptintention: Palliative intent
- phase: Maintenance antineoplastic therapy
Goal: Related Goal
lifecycleStatus: Proposed
category: Lebensverlängerung, Lebensqualität
description: Erhalt des Therapieansprechens bei reduzierter Toxizität (Erhaltungstherapie) nach erfolgreicher Induktion.
subject: Erika Musterfrau Female, DoB: 1961-09-12
addresses: Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet
Request:
POST Goal
Entry 13 - fullUrl = http://example.org/fhir/MedicationRequest/MedicationRequestFOLFOX
Resso}:
Language: de
Profile: Tumorboard MedicationRequest
status: Active
intent: Plan
category: Tumor board Consult note
subject: Erika Musterfrau Female, DoB: 1961-09-12
requester: Practitioner Petra Musterarzt
Request:
POST MedicationRequest
Entry 14 - fullUrl = http://example.org/fhir/ServiceRequest/ServiceRequestPortCRC
Resso}:
Language: de
Profile: Tumorboard ServiceRequest
status: Active
intent: Plan
category: Tumor board Consult note
code: No display for ServiceRequest.code (concept: Implantable venous access port injection)
subject: Erika Musterfrau Female, DoB: 1961-09-12
requester: Practitioner Petra Musterarzt
Request:
POST ServiceRequest
Entry 15 - fullUrl = http://example.org/fhir/Observation/ObservationDiseaseStatusCRC
Resso}:
Language: de
status: Final
code: Cancer disease progression
subject: Erika Musterfrau Female, DoB: 1961-09-12
effective: 2026-05-15
value: Not detected
Request:
POST Observation
Entry 16 - fullUrl = http://example.org/fhir/CarePlan/CarePlanCRCPalliativ
Resso}:
Language: de
Profile: Onkologischer CarePlan
Onkologische Therapieintention (Extension)
- hauptintention: Palliative intent
CarePlan Custodian (Extension): Organization Onkologisches Zentrum Musterklinik
status: Active
intent: Plan
category: Cancer care plan
subject: Erika Musterfrau Female, DoB: 1961-09-12
period: 2026-02-10 --> (ongoing)
careTeam: CareTeam Interdisziplinäres Tumorboard Kolorektales Karzinom
addresses: No display for CarePlan.addresses (reference: ->Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet)
activity
activity
Request:
POST CarePlan