{ "resourceType" : "Bundle", "id" : "BundleCRCPalliativ", "language" : "de", "type" : "transaction", "entry" : [{ "fullUrl" : "http://example.org/fhir/Patient/PatientinCRC", "resource" : { "resourceType" : "Patient", "id" : "PatientinCRC", "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: Patient PatientinCRC

Erika Musterfrau Female, DoB: 1961-09-12

" }, "name" : [{ "family" : "Musterfrau", "given" : ["Erika"] }], "gender" : "female", "birthDate" : "1961-09-12" }, "request" : { "method" : "POST", "url" : "Patient" } }, { "fullUrl" : "http://example.org/fhir/Practitioner/OnkologinCRC", "resource" : { "resourceType" : "Practitioner", "id" : "OnkologinCRC", "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: Practitioner OnkologinCRC

name: Petra Musterarzt

" }, "name" : [{ "family" : "Musterarzt", "given" : ["Petra"] }] }, "request" : { "method" : "POST", "url" : "Practitioner" } }, { "fullUrl" : "http://example.org/fhir/Organization/TumorzentrumCRC", "resource" : { "resourceType" : "Organization", "id" : "TumorzentrumCRC", "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: Organization TumorzentrumCRC

name: Onkologisches Zentrum Musterklinik

" }, "name" : "Onkologisches Zentrum Musterklinik" }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "http://example.org/fhir/CareTeam/TumorboardCRC", "resource" : { "resourceType" : "CareTeam", "id" : "TumorboardCRC", "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: CareTeam TumorboardCRC

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

" }, "status" : "active", "name" : "Interdisziplinäres Tumorboard Kolorektales Karzinom", "subject" : { "reference" : "Patient/PatientinCRC" }, "participant" : [{ "member" : { "reference" : "Practitioner/OnkologinCRC" } }], "managingOrganization" : [{ "reference" : "Organization/TumorzentrumCRC" }] }, "request" : { "method" : "POST", "url" : "CareTeam" } }, { "fullUrl" : "http://example.org/fhir/Condition/ConditionCRC", "resource" : { "resourceType" : "Condition", "id" : "ConditionCRC", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-condition"] }, "language" : "de", "text" : { "status" : "extensions", "div" : "

German

Generated Narrative: Condition ConditionCRC

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

" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate", "valueDateTime" : "2026-01-20" }], "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis" }] }], "code" : { "coding" : [{ "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm", "version" : "2026", "code" : "C18.9", "display" : "Bösartige Neubildung: Kolon, nicht näher bezeichnet" }], "text" : "Metastasiertes Kolonkarzinom (mCRC) mit Lebermetastasen" }, "subject" : { "reference" : "Patient/PatientinCRC" }, "onsetDateTime" : "2026-01-20", "recordedDate" : "2026-01-20" }, "request" : { "method" : "POST", "url" : "Condition" } }, { "fullUrl" : "http://example.org/fhir/CarePlan/DiagnostikCarePlanCRC", "resource" : { "resourceType" : "CarePlan", "id" : "DiagnostikCarePlanCRC", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-diagnostic-care-plan"] }, "language" : "de", "text" : { "status" : "extensions", "div" : "

German

Generated Narrative: CarePlan DiagnostikCarePlanCRC

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: Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet

Activities

-OutcomeReferenceReference
*Diagnostic Report for 'Pathology Synoptic report' for '->Erika Musterfrau Female, DoB: 1961-09-12'ServiceRequest Colonoscopy
" }, "extension" : [{ "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian", "valueReference" : { "reference" : "Organization/TumorzentrumCRC" } }], "status" : "completed", "intent" : "plan", "category" : [{ "text" : "Tumordiagnostik" }], "subject" : { "reference" : "Patient/PatientinCRC" }, "period" : { "start" : "2026-01-05", "end" : "2026-01-20" }, "careTeam" : [{ "reference" : "CareTeam/TumorboardCRC" }], "addresses" : [{ "reference" : "Condition/ConditionCRC" }], "activity" : [{ "outcomeReference" : [{ "reference" : "DiagnosticReport/DiagnosticReportHistologieCRC" }], "reference" : { "reference" : "ServiceRequest/ServiceRequestKoloskopieCRC" } }] }, "request" : { "method" : "POST", "url" : "CarePlan" } }, { "fullUrl" : "http://example.org/fhir/ServiceRequest/ServiceRequestKoloskopieCRC", "resource" : { "resourceType" : "ServiceRequest", "id" : "ServiceRequestKoloskopieCRC", "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: ServiceRequest ServiceRequestKoloskopieCRC

status: Completed

intent: Order

code: Koloskopie mit Biopsieentnahme

subject: Erika Musterfrau Female, DoB: 1961-09-12

" }, "status" : "completed", "intent" : "order", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "73761001", "display" : "Colonoscopy" }], "text" : "Koloskopie mit Biopsieentnahme" }, "subject" : { "reference" : "Patient/PatientinCRC" } }, "request" : { "method" : "POST", "url" : "ServiceRequest" } }, { "fullUrl" : "http://example.org/fhir/DiagnosticReport/DiagnosticReportHistologieCRC", "resource" : { "resourceType" : "DiagnosticReport", "id" : "DiagnosticReportHistologieCRC", "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: DiagnosticReport DiagnosticReportHistologieCRC

Histopathologie Kolonbiopsie

SubjectErika Musterfrau Female, DoB: 1961-09-12
Relevant Time2026-01-18

Report Details

Adenokarzinom des Kolons (C18.9), ICD-O-3 M8140/3.

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "60568-3", "display" : "Pathology Synoptic report" }], "text" : "Histopathologie Kolonbiopsie" }, "subject" : { "reference" : "Patient/PatientinCRC" }, "effectiveDateTime" : "2026-01-18", "conclusion" : "Adenokarzinom des Kolons (C18.9), ICD-O-3 M8140/3." }, "request" : { "method" : "POST", "url" : "DiagnosticReport" } }, { "fullUrl" : "http://example.org/fhir/EpisodeOfCare/TherapielinieCRCErstlinie", "resource" : { "resourceType" : "EpisodeOfCare", "id" : "TherapielinieCRCErstlinie", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line"] }, "language" : "de", "text" : { "status" : "extensions", "div" : "

German

Generated Narrative: EpisodeOfCare TherapielinieCRCErstlinie

Profile: Onkologische Therapielinie

Onkologische Therapieintention (Extension)

EnLiST-LoT-Designation (Extension)

EnLiST-Zählstatus (Extension): Zählt in der LoT-Zählung

status: Active

type: Ambulatory chemotherapy

Diagnoses

-ConditionRoleRank
*Condition Bösartige Neubildung: Kolon, nicht näher bezeichnetChief complaint1

patient: Erika Musterfrau Female, DoB: 1961-09-12

managingOrganization: Organization Onkologisches Zentrum Musterklinik

period: 2026-02-10 --> (ongoing)

careManager: Practitioner Petra Musterarzt

team: CareTeam Interdisziplinäres Tumorboard Kolorektales Karzinom

" }, "extension" : [{ "extension" : [{ "url" : "hauptintention", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "363676003", "display" : "Palliative intent" }] } }, { "url" : "phase", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "450827009", "display" : "Induction chemotherapy" }] } }], "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" }, { "extension" : [{ "url" : "setting", "valueCodeableConcept" : { "coding" : [{ "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/enlist-lot-setting", "code" : "aLoT", "display" : "aLoT — fortgeschrittenes Setting" }] } }, { "url" : "line", "valuePositiveInt" : 1 }, { "url" : "modification", "valueUnsignedInt" : 0 }, { "url" : "notation", "valueString" : "aLoT 1.0" }], "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot" }, { "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable", "valueCodeableConcept" : { "coding" : [{ "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/enlist-countable", "code" : "counted", "display" : "Zählt in der LoT-Zählung" }] } }], "status" : "active", "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "315601005", "display" : "Ambulatory chemotherapy" }] }], "diagnosis" : [{ "condition" : { "reference" : "Condition/ConditionCRC" }, "role" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code" : "CC", "display" : "Chief complaint" }] }, "rank" : 1 }], "patient" : { "reference" : "Patient/PatientinCRC" }, "managingOrganization" : { "reference" : "Organization/TumorzentrumCRC" }, "period" : { "start" : "2026-02-10" }, "careManager" : { "reference" : "Practitioner/OnkologinCRC" }, "team" : [{ "reference" : "CareTeam/TumorboardCRC" }] }, "request" : { "method" : "POST", "url" : "EpisodeOfCare" } }, { "fullUrl" : "http://example.org/fhir/Goal/TherapiezielCRCLebensverlaengerung", "resource" : { "resourceType" : "Goal", "id" : "TherapiezielCRCLebensverlaengerung", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-goal"] }, "language" : "de", "text" : { "status" : "extensions", "div" : "

German

Generated Narrative: Goal TherapiezielCRCLebensverlaengerung

Profile: Onkologisches Therapieziel

Onkologische Therapieintention (Extension)

Goal acceptance

Goal: Related Goal

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

-MeasureDue[x]
*Stage group.clinical Cancer2026-08-10

expressedBy: Practitioner Petra Musterarzt

addresses: Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet

outcomeReference: Observation Cancer disease progression

" }, "extension" : [{ "extension" : [{ "url" : "hauptintention", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "363676003", "display" : "Palliative intent" }] } }, { "url" : "phase", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "450827009", "display" : "Induction chemotherapy" }] } }], "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" }, { "extension" : [{ "url" : "individual", "valueReference" : { "reference" : "Patient/PatientinCRC" } }, { "url" : "status", "valueCode" : "agree" }, { "url" : "priority", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/goal-priority", "code" : "high-priority", "display" : "High Priority" }] } }], "url" : "http://hl7.org/fhir/StructureDefinition/goal-acceptance" }, { "extension" : [{ "url" : "type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/goal-relationship-type", "code" : "replacement", "display" : "Replacement" }] } }, { "url" : "target", "valueReference" : { "reference" : "Goal/TherapiezielCRCKurativAbgelehnt" } }], "url" : "http://hl7.org/fhir/StructureDefinition/goal-relationship" }, { "extension" : [{ "url" : "type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/goal-relationship-type", "code" : "successor", "display" : "Successor" }] } }, { "url" : "target", "valueReference" : { "reference" : "Goal/TherapiezielCRCErhaltung" } }], "url" : "http://hl7.org/fhir/StructureDefinition/goal-relationship" }], "lifecycleStatus" : "active", "achievementStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement", "code" : "in-progress", "display" : "In Progress" }] }, "category" : [{ "coding" : [{ "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type", "code" : "lebensverlaengerung", "display" : "Lebensverlängerung" }] }, { "coding" : [{ "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type", "code" : "symptomkontrolle", "display" : "Symptomkontrolle / Palliation" }] }], "priority" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/goal-priority", "code" : "high-priority", "display" : "High Priority" }] }, "description" : { "text" : "Verlängerung des Gesamtüberlebens und Kontrolle tumorbedingter Symptome unter palliativer Systemtherapie." }, "subject" : { "reference" : "Patient/PatientinCRC" }, "startDate" : "2026-02-10", "target" : [{ "measure" : { "coding" : [{ "system" : "http://loinc.org", "code" : "21908-9", "display" : "Stage group.clinical Cancer" }] }, "dueDate" : "2026-08-10" }], "expressedBy" : { "reference" : "Practitioner/OnkologinCRC" }, "addresses" : [{ "reference" : "Condition/ConditionCRC" }], "outcomeReference" : [{ "reference" : "Observation/ObservationDiseaseStatusCRC" }] }, "request" : { "method" : "POST", "url" : "Goal" } }, { "fullUrl" : "http://example.org/fhir/Goal/TherapiezielCRCKurativAbgelehnt", "resource" : { "resourceType" : "Goal", "id" : "TherapiezielCRCKurativAbgelehnt", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-goal"] }, "language" : "de", "text" : { "status" : "extensions", "div" : "

German

Generated Narrative: Goal TherapiezielCRCKurativAbgelehnt

Profile: Onkologisches Therapieziel

Onkologische Therapieintention (Extension)

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

expressedBy: Practitioner Petra Musterarzt

addresses: Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet

" }, "extension" : [{ "extension" : [{ "url" : "hauptintention", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "373808002", "display" : "Curative - procedure intent" }] } }], "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" }, { "url" : "http://hl7.org/fhir/StructureDefinition/goal-reasonRejected", "valueCodeableConcept" : { "text" : "Nicht resektable Fernmetastasierung — kuratives Ziel nicht erreichbar." } }], "lifecycleStatus" : "rejected", "category" : [{ "coding" : [{ "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type", "code" : "heilung", "display" : "Heilung" }] }], "description" : { "text" : "Kurative Resektion des Primärtumors mit kurativer Absicht." }, "subject" : { "reference" : "Patient/PatientinCRC" }, "expressedBy" : { "reference" : "Practitioner/OnkologinCRC" }, "addresses" : [{ "reference" : "Condition/ConditionCRC" }] }, "request" : { "method" : "POST", "url" : "Goal" } }, { "fullUrl" : "http://example.org/fhir/Goal/TherapiezielCRCErhaltung", "resource" : { "resourceType" : "Goal", "id" : "TherapiezielCRCErhaltung", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-goal"] }, "language" : "de", "text" : { "status" : "extensions", "div" : "

German

Generated Narrative: Goal TherapiezielCRCErhaltung

Profile: Onkologisches Therapieziel

Onkologische Therapieintention (Extension)

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

expressedBy: Practitioner Petra Musterarzt

addresses: Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet

" }, "extension" : [{ "extension" : [{ "url" : "hauptintention", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "363676003", "display" : "Palliative intent" }] } }, { "url" : "phase", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1345242003", "display" : "Maintenance antineoplastic therapy" }] } }], "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" }, { "extension" : [{ "url" : "type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/goal-relationship-type", "code" : "predecessor", "display" : "Predecessor" }] } }, { "url" : "target", "valueReference" : { "reference" : "Goal/TherapiezielCRCLebensverlaengerung" } }], "url" : "http://hl7.org/fhir/StructureDefinition/goal-relationship" }], "lifecycleStatus" : "proposed", "category" : [{ "coding" : [{ "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type", "code" : "lebensverlaengerung", "display" : "Lebensverlängerung" }] }, { "coding" : [{ "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type", "code" : "lebensqualitaet", "display" : "Lebensqualität" }] }], "description" : { "text" : "Erhalt des Therapieansprechens bei reduzierter Toxizität (Erhaltungstherapie) nach erfolgreicher Induktion." }, "subject" : { "reference" : "Patient/PatientinCRC" }, "expressedBy" : { "reference" : "Practitioner/OnkologinCRC" }, "addresses" : [{ "reference" : "Condition/ConditionCRC" }] }, "request" : { "method" : "POST", "url" : "Goal" } }, { "fullUrl" : "http://example.org/fhir/MedicationRequest/MedicationRequestFOLFOX", "resource" : { "resourceType" : "MedicationRequest", "id" : "MedicationRequestFOLFOX", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-tumorboard-medication-request"] }, "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: MedicationRequest MedicationRequestFOLFOX

Profile: Tumorboard MedicationRequest

status: Active

intent: Plan

category: Tumor board Consult note

medication: FOLFOX + Bevacizumab

subject: Erika Musterfrau Female, DoB: 1961-09-12

requester: Practitioner Petra Musterarzt

" }, "status" : "active", "intent" : "plan", "category" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "85232-7", "display" : "Tumor board Consult note" }] }], "medicationCodeableConcept" : { "text" : "FOLFOX + Bevacizumab" }, "subject" : { "reference" : "Patient/PatientinCRC" }, "requester" : { "reference" : "Practitioner/OnkologinCRC" } }, "request" : { "method" : "POST", "url" : "MedicationRequest" } }, { "fullUrl" : "http://example.org/fhir/ServiceRequest/ServiceRequestPortCRC", "resource" : { "resourceType" : "ServiceRequest", "id" : "ServiceRequestPortCRC", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-tumorboard-service-request"] }, "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: ServiceRequest ServiceRequestPortCRC

Profile: Tumorboard ServiceRequest

status: Active

intent: Plan

category: Tumor board Consult note

code: Implantation eines Portkatheters für die systemische Therapie

subject: Erika Musterfrau Female, DoB: 1961-09-12

requester: Practitioner Petra Musterarzt

" }, "status" : "active", "intent" : "plan", "category" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "85232-7", "display" : "Tumor board Consult note" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255694000", "display" : "Implantable venous access port injection" }], "text" : "Implantation eines Portkatheters für die systemische Therapie" }, "subject" : { "reference" : "Patient/PatientinCRC" }, "requester" : { "reference" : "Practitioner/OnkologinCRC" } }, "request" : { "method" : "POST", "url" : "ServiceRequest" } }, { "fullUrl" : "http://example.org/fhir/Observation/ObservationDiseaseStatusCRC", "resource" : { "resourceType" : "Observation", "id" : "ObservationDiseaseStatusCRC", "language" : "de", "text" : { "status" : "generated", "div" : "

German

Generated Narrative: Observation ObservationDiseaseStatusCRC

status: Final

code: Cancer disease progression

subject: Erika Musterfrau Female, DoB: 1961-09-12

effective: 2026-05-15

value: Not detected

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "97509-4", "display" : "Cancer disease progression" }] }, "subject" : { "reference" : "Patient/PatientinCRC" }, "effectiveDateTime" : "2026-05-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "260415000", "display" : "Not detected" }] } }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "http://example.org/fhir/CarePlan/CarePlanCRCPalliativ", "resource" : { "resourceType" : "CarePlan", "id" : "CarePlanCRCPalliativ", "meta" : { "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-care-plan"] }, "language" : "de", "text" : { "status" : "extensions", "div" : "

German

Generated Narrative: CarePlan CarePlanCRCPalliativ

Profile: Onkologischer CarePlan

Onkologische Therapieintention (Extension)

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)

author: Practitioner Petra Musterarzt

careTeam: CareTeam Interdisziplinäres Tumorboard Kolorektales Karzinom

addresses: Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet

supportingInfo: CarePlan: extension = ->Organization Onkologisches Zentrum Musterklinik; status = completed; intent = plan; category = ; period = 2026-01-05 --> 2026-01-20

goal: Goal: extension = ,,,; lifecycleStatus = active; achievementStatus = In Progress; category = Lebensverlängerung,Symptomkontrolle / Palliation; priority = High Priority; description = ; start[x] = 2026-02-10

activity

outcomeReference: Observation Cancer disease progression

reference: MedicationRequest: status = active; intent = plan; category = Tumor board Consult note; medication[x] =

activity

reference: ServiceRequest Implantable venous access port injection

" }, "extension" : [{ "extension" : [{ "url" : "hauptintention", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "363676003", "display" : "Palliative intent" }] } }], "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" }, { "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian", "valueReference" : { "reference" : "Organization/TumorzentrumCRC" } }], "status" : "active", "intent" : "plan", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "736252007", "display" : "Cancer care plan" }] }], "subject" : { "reference" : "Patient/PatientinCRC" }, "period" : { "start" : "2026-02-10" }, "author" : { "reference" : "Practitioner/OnkologinCRC" }, "careTeam" : [{ "reference" : "CareTeam/TumorboardCRC" }], "addresses" : [{ "reference" : "Condition/ConditionCRC" }], "supportingInfo" : [{ "reference" : "CarePlan/DiagnostikCarePlanCRC" }], "goal" : [{ "reference" : "Goal/TherapiezielCRCLebensverlaengerung" }], "activity" : [{ "outcomeReference" : [{ "reference" : "Observation/ObservationDiseaseStatusCRC" }], "reference" : { "reference" : "MedicationRequest/MedicationRequestFOLFOX" } }, { "reference" : { "reference" : "ServiceRequest/ServiceRequestPortCRC" } }] }, "request" : { "method" : "POST", "url" : "CarePlan" } }] }