<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="BundleCRCPalliativ"/>
  <language value="de"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="http://example.org/fhir/Patient/PatientinCRC"/>
    <resource>
      <Patient>
        <id value="PatientinCRC"/>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="Patient_PatientinCRC"> </a><p class="res-header-id"><b>Generated Narrative: Patient PatientinCRC</b></p><a name="PatientinCRC"> </a><a name="hcPatientinCRC"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Erika Musterfrau  Female, DoB: 1961-09-12</p><hr/></div>
        </text>
        <name>
          <family value="Musterfrau"/>
          <given value="Erika"/>
        </name>
        <gender value="female"/>
        <birthDate value="1961-09-12"/>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Practitioner/OnkologinCRC"/>
    <resource>
      <Practitioner>
        <id value="OnkologinCRC"/>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="Practitioner_OnkologinCRC"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner OnkologinCRC</b></p><a name="OnkologinCRC"> </a><a name="hcOnkologinCRC"> </a><p><b>name</b>: Petra Musterarzt </p></div>
        </text>
        <name>
          <family value="Musterarzt"/>
          <given value="Petra"/>
        </name>
      </Practitioner>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Practitioner"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Organization/TumorzentrumCRC"/>
    <resource>
      <Organization>
        <id value="TumorzentrumCRC"/>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="Organization_TumorzentrumCRC"> </a><p class="res-header-id"><b>Generated Narrative: Organization TumorzentrumCRC</b></p><a name="TumorzentrumCRC"> </a><a name="hcTumorzentrumCRC"> </a><p><b>name</b>: Onkologisches Zentrum Musterklinik</p></div>
        </text>
        <name value="Onkologisches Zentrum Musterklinik"/>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/CareTeam/TumorboardCRC"/>
    <resource>
      <CareTeam>
        <id value="TumorboardCRC"/>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="CareTeam_TumorboardCRC"> </a><p class="res-header-id"><b>Generated Narrative: CareTeam TumorboardCRC</b></p><a name="TumorboardCRC"> </a><a name="hcTumorboardCRC"> </a><p><b>status</b>: Active</p><p><b>name</b>: Interdisziplinäres Tumorboard Kolorektales Karzinom</p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Member</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-OnkologinCRC.html">Practitioner Petra Musterarzt </a></td></tr></table><p><b>managingOrganization</b>: <a href="Organization-TumorzentrumCRC.html">Organization Onkologisches Zentrum Musterklinik</a></p></div>
        </text>
        <status value="active"/>
        <name value="Interdisziplinäres Tumorboard Kolorektales Karzinom"/>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <participant>
          <member>
            <reference value="Practitioner/OnkologinCRC"/>
          </member>
        </participant>
        <managingOrganization>
          <reference value="Organization/TumorzentrumCRC"/>
        </managingOrganization>
      </CareTeam>
    </resource>
    <request>
      <method value="POST"/>
      <url value="CareTeam"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Condition/ConditionCRC"/>
    <resource>
      <Condition>
        <id value="ConditionCRC"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-condition"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="Condition_ConditionCRC"> </a><p class="res-header-id"><b>Generated Narrative: Condition ConditionCRC</b></p><a name="ConditionCRC"> </a><a name="hcConditionCRC"> </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-onko-condition.html">Onkologische Diagnose (Condition)</a></p></div><p><b>Condition Asserted Date</b>: 2026-01-20</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}">Encounter Diagnosis</span></p><p><b>code</b>: <span title="Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm C18.9}">Metastasiertes Kolonkarzinom (mCRC) mit Lebermetastasen</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>onset</b>: 2026-01-20</p><p><b>recordedDate</b>: 2026-01-20</p></div>
        </text>
        <extension url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
          <valueDateTime value="2026-01-20"/>
        </extension>
        <clinicalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
            <version value="2026"/>
            <code value="C18.9"/>
            <display value="Bösartige Neubildung: Kolon, nicht näher bezeichnet"/>
          </coding>
          <text value="Metastasiertes Kolonkarzinom (mCRC) mit Lebermetastasen"/>
        </code>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <onsetDateTime value="2026-01-20"/>
        <recordedDate value="2026-01-20"/>
      </Condition>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Condition"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/CarePlan/DiagnostikCarePlanCRC"/>
    <resource>
      <CarePlan>
        <id value="DiagnostikCarePlanCRC"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-diagnostic-care-plan"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="CarePlan_DiagnostikCarePlanCRC"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan DiagnostikCarePlanCRC</b></p><a name="DiagnostikCarePlanCRC"> </a><a name="hcDiagnostikCarePlanCRC"> </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-onko-diagnostic-care-plan.html">Diagnostischer CarePlan</a></p></div><p><b>CarePlan Custodian (Extension)</b>: <a href="Organization-TumorzentrumCRC.html">Organization Onkologisches Zentrum Musterklinik</a></p><p><b>status</b>: Completed</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:">Tumordiagnostik</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>period</b>: 2026-01-05 --&gt; 2026-01-20</p><p><b>careTeam</b>: <a href="CareTeam-TumorboardCRC.html">CareTeam Interdisziplinäres Tumorboard Kolorektales Karzinom</a></p><p><b>addresses</b>: <a href="Condition-ConditionCRC.html">Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet</a></p><h3>Activities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>OutcomeReference</b></td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><a href="DiagnosticReport-DiagnosticReportHistologieCRC.html">Diagnostic Report for 'Pathology Synoptic report' for '-&gt;Erika Musterfrau  Female, DoB: 1961-09-12'</a></td><td><a href="ServiceRequest-ServiceRequestKoloskopieCRC.html">ServiceRequest Colonoscopy</a></td></tr></table></div>
        </text>
        <extension url="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian">
          <valueReference>
            <reference value="Organization/TumorzentrumCRC"/>
          </valueReference>
        </extension>
        <status value="completed"/>
        <intent value="plan"/>
        <category>
          <text value="Tumordiagnostik"/>
        </category>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <period>
          <start value="2026-01-05"/>
          <end value="2026-01-20"/>
        </period>
        <careTeam>
          <reference value="CareTeam/TumorboardCRC"/>
        </careTeam>
        <addresses>
          <reference value="Condition/ConditionCRC"/>
        </addresses>
        <activity>
          <outcomeReference>
            <reference value="DiagnosticReport/DiagnosticReportHistologieCRC"/>
          </outcomeReference>
          <reference>
            <reference value="ServiceRequest/ServiceRequestKoloskopieCRC"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
    <request>
      <method value="POST"/>
      <url value="CarePlan"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/ServiceRequest/ServiceRequestKoloskopieCRC"/>
    <resource>
      <ServiceRequest>
        <id value="ServiceRequestKoloskopieCRC"/>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="ServiceRequest_ServiceRequestKoloskopieCRC"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest ServiceRequestKoloskopieCRC</b></p><a name="ServiceRequestKoloskopieCRC"> </a><a name="hcServiceRequestKoloskopieCRC"> </a><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 73761001}">Koloskopie mit Biopsieentnahme</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p></div>
        </text>
        <status value="completed"/>
        <intent value="order"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="73761001"/>
            <display value="Colonoscopy"/>
          </coding>
          <text value="Koloskopie mit Biopsieentnahme"/>
        </code>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
      </ServiceRequest>
    </resource>
    <request>
      <method value="POST"/>
      <url value="ServiceRequest"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/DiagnosticReport/DiagnosticReportHistologieCRC"/>
    <resource>
      <DiagnosticReport>
        <id value="DiagnosticReportHistologieCRC"/>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="DiagnosticReport_DiagnosticReportHistologieCRC"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport DiagnosticReportHistologieCRC</b></p><a name="DiagnosticReportHistologieCRC"> </a><a name="hcDiagnosticReportHistologieCRC"> </a><h2><span title="Codes:{http://loinc.org 60568-3}">Histopathologie Kolonbiopsie</span> </h2><table class="grid"><tr><td>Subject</td><td>Erika Musterfrau  Female, DoB: 1961-09-12</td></tr><tr><td>Relevant Time</td><td>2026-01-18</td></tr></table><p><b>Report Details</b></p><p>Adenokarzinom des Kolons (C18.9), ICD-O-3 M8140/3.</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60568-3"/>
            <display value="Pathology Synoptic report"/>
          </coding>
          <text value="Histopathologie Kolonbiopsie"/>
        </code>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <effectiveDateTime value="2026-01-18"/>
        <conclusion value="Adenokarzinom des Kolons (C18.9), ICD-O-3 M8140/3."/>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="DiagnosticReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/EpisodeOfCare/TherapielinieCRCErstlinie"/>
    <resource>
      <EpisodeOfCare>
        <id value="TherapielinieCRCErstlinie"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="EpisodeOfCare_TherapielinieCRCErstlinie"> </a><p class="res-header-id"><b>Generated Narrative: EpisodeOfCare TherapielinieCRCErstlinie</b></p><a name="TherapielinieCRCErstlinie"> </a><a name="hcTherapielinieCRCErstlinie"> </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-onko-therapy-line.html">Onkologische Therapielinie</a></p></div><blockquote><p><b>Onkologische Therapieintention (Extension)</b></p><ul><li>hauptintention: <span title="Codes:{http://snomed.info/sct 363676003}">Palliative intent</span></li><li>phase: <span title="Codes:{http://snomed.info/sct 450827009}">Induction chemotherapy</span></li></ul></blockquote><blockquote><p><b>EnLiST-LoT-Designation (Extension)</b></p><ul><li>setting: <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/enlist-lot-setting aLoT}">aLoT — fortgeschrittenes Setting</span></li><li>line: 1</li><li>modification: 0</li><li>notation: aLoT 1.0</li></ul></blockquote><p><b>EnLiST-Zählstatus (Extension)</b>: <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/enlist-countable counted}">Zählt in der LoT-Zählung</span></p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 315601005}">Ambulatory chemotherapy</span></p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Condition</b></td><td><b>Role</b></td><td><b>Rank</b></td></tr><tr><td style="display: none">*</td><td><a href="Condition-ConditionCRC.html">Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}">Chief complaint</span></td><td>1</td></tr></table><p><b>patient</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>managingOrganization</b>: <a href="Organization-TumorzentrumCRC.html">Organization Onkologisches Zentrum Musterklinik</a></p><p><b>period</b>: 2026-02-10 --&gt; (ongoing)</p><p><b>careManager</b>: <a href="Practitioner-OnkologinCRC.html">Practitioner Petra Musterarzt </a></p><p><b>team</b>: <a href="CareTeam-TumorboardCRC.html">CareTeam Interdisziplinäres Tumorboard Kolorektales Karzinom</a></p></div>
        </text>
        <extension url="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent">
          <extension url="hauptintention">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="363676003"/>
                <display value="Palliative intent"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="phase">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="450827009"/>
                <display value="Induction chemotherapy"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension url="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot">
          <extension url="setting">
            <valueCodeableConcept>
              <coding>
                <system value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/enlist-lot-setting"/>
                <code value="aLoT"/>
                <display value="aLoT — fortgeschrittenes Setting"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="line">
            <valuePositiveInt value="1"/>
          </extension>
          <extension url="modification">
            <valueUnsignedInt value="0"/>
          </extension>
          <extension url="notation">
            <valueString value="aLoT 1.0"/>
          </extension>
        </extension>
        <extension url="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable">
          <valueCodeableConcept>
            <coding>
              <system value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/enlist-countable"/>
              <code value="counted"/>
              <display value="Zählt in der LoT-Zählung"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="315601005"/>
            <display value="Ambulatory chemotherapy"/>
          </coding>
        </type>
        <diagnosis>
          <condition>
            <reference value="Condition/ConditionCRC"/>
          </condition>
          <role>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
              <code value="CC"/>
              <display value="Chief complaint"/>
            </coding>
          </role>
          <rank value="1"/>
        </diagnosis>
        <patient>
          <reference value="Patient/PatientinCRC"/>
        </patient>
        <managingOrganization>
          <reference value="Organization/TumorzentrumCRC"/>
        </managingOrganization>
        <period>
          <start value="2026-02-10"/>
        </period>
        <careManager>
          <reference value="Practitioner/OnkologinCRC"/>
        </careManager>
        <team>
          <reference value="CareTeam/TumorboardCRC"/>
        </team>
      </EpisodeOfCare>
    </resource>
    <request>
      <method value="POST"/>
      <url value="EpisodeOfCare"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Goal/TherapiezielCRCLebensverlaengerung"/>
    <resource>
      <Goal>
        <id value="TherapiezielCRCLebensverlaengerung"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-goal"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="Goal_TherapiezielCRCLebensverlaengerung"> </a><p class="res-header-id"><b>Generated Narrative: Goal TherapiezielCRCLebensverlaengerung</b></p><a name="TherapiezielCRCLebensverlaengerung"> </a><a name="hcTherapiezielCRCLebensverlaengerung"> </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-onko-therapy-goal.html">Onkologisches Therapieziel</a></p></div><blockquote><p><b>Onkologische Therapieintention (Extension)</b></p><ul><li>hauptintention: <span title="Codes:{http://snomed.info/sct 363676003}">Palliative intent</span></li><li>phase: <span title="Codes:{http://snomed.info/sct 450827009}">Induction chemotherapy</span></li></ul></blockquote><blockquote><p><b>Goal acceptance</b></p><ul><li>individual: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></li><li>status: agree</li><li>priority: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-priority high-priority}">High Priority</span></li></ul></blockquote><blockquote><p><b>Goal: Related Goal</b></p><ul><li>type: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-relationship-type replacement}">Replacement</span></li><li>target: <a href="Goal-TherapiezielCRCKurativAbgelehnt.html">Goal: extension = ,; lifecycleStatus = rejected; category = Heilung; description = </a></li></ul></blockquote><blockquote><p><b>Goal: Related Goal</b></p><ul><li>type: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-relationship-type successor}">Successor</span></li><li>target: <a href="Goal-TherapiezielCRCErhaltung.html">Goal: extension = ,; lifecycleStatus = proposed; category = Lebensverlängerung,Lebensqualität; description = </a></li></ul></blockquote><p><b>lifecycleStatus</b>: Active</p><p><b>achievementStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-achievement in-progress}">In Progress</span></p><p><b>category</b>: <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type lebensverlaengerung}">Lebensverlängerung</span>, <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type symptomkontrolle}">Symptomkontrolle / Palliation</span></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-priority high-priority}">High Priority</span></p><p><b>description</b>: <span title="Codes:">Verlängerung des Gesamtüberlebens und Kontrolle tumorbedingter Symptome unter palliativer Systemtherapie.</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>start</b>: 2026-02-10</p><h3>Targets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Measure</b></td><td><b>Due[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 21908-9}">Stage group.clinical Cancer</span></td><td>2026-08-10</td></tr></table><p><b>expressedBy</b>: <a href="Practitioner-OnkologinCRC.html">Practitioner Petra Musterarzt </a></p><p><b>addresses</b>: <a href="Condition-ConditionCRC.html">Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet</a></p><p><b>outcomeReference</b>: <a href="Observation-ObservationDiseaseStatusCRC.html">Observation Cancer disease progression</a></p></div>
        </text>
        <extension url="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent">
          <extension url="hauptintention">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="363676003"/>
                <display value="Palliative intent"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="phase">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="450827009"/>
                <display value="Induction chemotherapy"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/goal-acceptance">
          <extension url="individual">
            <valueReference>
              <reference value="Patient/PatientinCRC"/>
            </valueReference>
          </extension>
          <extension url="status">
            <valueCode value="agree"/>
          </extension>
          <extension url="priority">
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/goal-priority"/>
                <code value="high-priority"/>
                <display value="High Priority"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/goal-relationship">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/goal-relationship-type"/>
                <code value="replacement"/>
                <display value="Replacement"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="target">
            <valueReference>
              <reference value="Goal/TherapiezielCRCKurativAbgelehnt"/>
            </valueReference>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/goal-relationship">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/goal-relationship-type"/>
                <code value="successor"/>
                <display value="Successor"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="target">
            <valueReference>
              <reference value="Goal/TherapiezielCRCErhaltung"/>
            </valueReference>
          </extension>
        </extension>
        <lifecycleStatus value="active"/>
        <achievementStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
            <code value="in-progress"/>
            <display value="In Progress"/>
          </coding>
        </achievementStatus>
        <category>
          <coding>
            <system value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type"/>
            <code value="lebensverlaengerung"/>
            <display value="Lebensverlängerung"/>
          </coding>
        </category>
        <category>
          <coding>
            <system value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type"/>
            <code value="symptomkontrolle"/>
            <display value="Symptomkontrolle / Palliation"/>
          </coding>
        </category>
        <priority>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/goal-priority"/>
            <code value="high-priority"/>
            <display value="High Priority"/>
          </coding>
        </priority>
        <description>
          <text value="Verlängerung des Gesamtüberlebens und Kontrolle tumorbedingter Symptome unter palliativer Systemtherapie."/>
        </description>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <startDate value="2026-02-10"/>
        <target>
          <measure>
            <coding>
              <system value="http://loinc.org"/>
              <code value="21908-9"/>
              <display value="Stage group.clinical Cancer"/>
            </coding>
          </measure>
          <dueDate value="2026-08-10"/>
        </target>
        <expressedBy>
          <reference value="Practitioner/OnkologinCRC"/>
        </expressedBy>
        <addresses>
          <reference value="Condition/ConditionCRC"/>
        </addresses>
        <outcomeReference>
          <reference value="Observation/ObservationDiseaseStatusCRC"/>
        </outcomeReference>
      </Goal>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Goal"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Goal/TherapiezielCRCKurativAbgelehnt"/>
    <resource>
      <Goal>
        <id value="TherapiezielCRCKurativAbgelehnt"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-goal"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="Goal_TherapiezielCRCKurativAbgelehnt"> </a><p class="res-header-id"><b>Generated Narrative: Goal TherapiezielCRCKurativAbgelehnt</b></p><a name="TherapiezielCRCKurativAbgelehnt"> </a><a name="hcTherapiezielCRCKurativAbgelehnt"> </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-onko-therapy-goal.html">Onkologisches Therapieziel</a></p></div><blockquote><p><b>Onkologische Therapieintention (Extension)</b></p><ul><li>hauptintention: <span title="Codes:{http://snomed.info/sct 373808002}">Curative - procedure intent</span></li></ul></blockquote><p><b>Goal Reason Rejected</b>: <span title="Codes:">Nicht resektable Fernmetastasierung — kuratives Ziel nicht erreichbar.</span></p><p><b>lifecycleStatus</b>: Rejected</p><p><b>category</b>: <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type heilung}">Heilung</span></p><p><b>description</b>: <span title="Codes:">Kurative Resektion des Primärtumors mit kurativer Absicht.</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>expressedBy</b>: <a href="Practitioner-OnkologinCRC.html">Practitioner Petra Musterarzt </a></p><p><b>addresses</b>: <a href="Condition-ConditionCRC.html">Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet</a></p></div>
        </text>
        <extension url="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent">
          <extension url="hauptintention">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="373808002"/>
                <display value="Curative - procedure intent"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected">
          <valueCodeableConcept>
            <text value="Nicht resektable Fernmetastasierung — kuratives Ziel nicht erreichbar."/>
          </valueCodeableConcept>
        </extension>
        <lifecycleStatus value="rejected"/>
        <category>
          <coding>
            <system value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type"/>
            <code value="heilung"/>
            <display value="Heilung"/>
          </coding>
        </category>
        <description>
          <text value="Kurative Resektion des Primärtumors mit kurativer Absicht."/>
        </description>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <expressedBy>
          <reference value="Practitioner/OnkologinCRC"/>
        </expressedBy>
        <addresses>
          <reference value="Condition/ConditionCRC"/>
        </addresses>
      </Goal>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Goal"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Goal/TherapiezielCRCErhaltung"/>
    <resource>
      <Goal>
        <id value="TherapiezielCRCErhaltung"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-goal"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="Goal_TherapiezielCRCErhaltung"> </a><p class="res-header-id"><b>Generated Narrative: Goal TherapiezielCRCErhaltung</b></p><a name="TherapiezielCRCErhaltung"> </a><a name="hcTherapiezielCRCErhaltung"> </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-onko-therapy-goal.html">Onkologisches Therapieziel</a></p></div><blockquote><p><b>Onkologische Therapieintention (Extension)</b></p><ul><li>hauptintention: <span title="Codes:{http://snomed.info/sct 363676003}">Palliative intent</span></li><li>phase: <span title="Codes:{http://snomed.info/sct 1345242003}">Maintenance antineoplastic therapy</span></li></ul></blockquote><blockquote><p><b>Goal: Related Goal</b></p><ul><li>type: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-relationship-type predecessor}">Predecessor</span></li><li>target: <a href="Goal-TherapiezielCRCLebensverlaengerung.html">Goal: extension = ,,,; lifecycleStatus = active; achievementStatus = In Progress; category = Lebensverlängerung,Symptomkontrolle / Palliation; priority = High Priority; description = ; start[x] = 2026-02-10</a></li></ul></blockquote><p><b>lifecycleStatus</b>: Proposed</p><p><b>category</b>: <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type lebensverlaengerung}">Lebensverlängerung</span>, <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type lebensqualitaet}">Lebensqualität</span></p><p><b>description</b>: <span title="Codes:">Erhalt des Therapieansprechens bei reduzierter Toxizität (Erhaltungstherapie) nach erfolgreicher Induktion.</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>expressedBy</b>: <a href="Practitioner-OnkologinCRC.html">Practitioner Petra Musterarzt </a></p><p><b>addresses</b>: <a href="Condition-ConditionCRC.html">Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet</a></p></div>
        </text>
        <extension url="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent">
          <extension url="hauptintention">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="363676003"/>
                <display value="Palliative intent"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="phase">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="1345242003"/>
                <display value="Maintenance antineoplastic therapy"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/goal-relationship">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/goal-relationship-type"/>
                <code value="predecessor"/>
                <display value="Predecessor"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="target">
            <valueReference>
              <reference value="Goal/TherapiezielCRCLebensverlaengerung"/>
            </valueReference>
          </extension>
        </extension>
        <lifecycleStatus value="proposed"/>
        <category>
          <coding>
            <system value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type"/>
            <code value="lebensverlaengerung"/>
            <display value="Lebensverlängerung"/>
          </coding>
        </category>
        <category>
          <coding>
            <system value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type"/>
            <code value="lebensqualitaet"/>
            <display value="Lebensqualität"/>
          </coding>
        </category>
        <description>
          <text value="Erhalt des Therapieansprechens bei reduzierter Toxizität (Erhaltungstherapie) nach erfolgreicher Induktion."/>
        </description>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <expressedBy>
          <reference value="Practitioner/OnkologinCRC"/>
        </expressedBy>
        <addresses>
          <reference value="Condition/ConditionCRC"/>
        </addresses>
      </Goal>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Goal"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/MedicationRequest/MedicationRequestFOLFOX"/>
    <resource>
      <MedicationRequest>
        <id value="MedicationRequestFOLFOX"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-tumorboard-medication-request"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="MedicationRequest_MedicationRequestFOLFOX"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest MedicationRequestFOLFOX</b></p><a name="MedicationRequestFOLFOX"> </a><a name="hcMedicationRequestFOLFOX"> </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-onko-tumorboard-medication-request.html">Tumorboard MedicationRequest</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://loinc.org 85232-7}">Tumor board Consult note</span></p><p><b>medication</b>: <span title="Codes:">FOLFOX + Bevacizumab</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>requester</b>: <a href="Practitioner-OnkologinCRC.html">Practitioner Petra Musterarzt </a></p></div>
        </text>
        <status value="active"/>
        <intent value="plan"/>
        <category>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85232-7"/>
            <display value="Tumor board Consult note"/>
          </coding>
        </category>
        <medicationCodeableConcept>
          <text value="FOLFOX + Bevacizumab"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <requester>
          <reference value="Practitioner/OnkologinCRC"/>
        </requester>
      </MedicationRequest>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MedicationRequest"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/ServiceRequest/ServiceRequestPortCRC"/>
    <resource>
      <ServiceRequest>
        <id value="ServiceRequestPortCRC"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-tumorboard-service-request"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="ServiceRequest_ServiceRequestPortCRC"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest ServiceRequestPortCRC</b></p><a name="ServiceRequestPortCRC"> </a><a name="hcServiceRequestPortCRC"> </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-onko-tumorboard-service-request.html">Tumorboard ServiceRequest</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://loinc.org 85232-7}">Tumor board Consult note</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1255694000}">Implantation eines Portkatheters für die systemische Therapie</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>requester</b>: <a href="Practitioner-OnkologinCRC.html">Practitioner Petra Musterarzt </a></p></div>
        </text>
        <status value="active"/>
        <intent value="plan"/>
        <category>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85232-7"/>
            <display value="Tumor board Consult note"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1255694000"/>
            <display value="Implantable venous access port injection"/>
          </coding>
          <text value="Implantation eines Portkatheters für die systemische Therapie"/>
        </code>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <requester>
          <reference value="Practitioner/OnkologinCRC"/>
        </requester>
      </ServiceRequest>
    </resource>
    <request>
      <method value="POST"/>
      <url value="ServiceRequest"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Observation/ObservationDiseaseStatusCRC"/>
    <resource>
      <Observation>
        <id value="ObservationDiseaseStatusCRC"/>
        <language value="de"/>
        <text>
          <status value="generated"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="Observation_ObservationDiseaseStatusCRC"> </a><p class="res-header-id"><b>Generated Narrative: Observation ObservationDiseaseStatusCRC</b></p><a name="ObservationDiseaseStatusCRC"> </a><a name="hcObservationDiseaseStatusCRC"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 97509-4}">Cancer disease progression</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>effective</b>: 2026-05-15</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 260415000}">Not detected</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="97509-4"/>
            <display value="Cancer disease progression"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/PatientinCRC"/>
        </subject>
        <effectiveDateTime value="2026-05-15"/>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="260415000"/>
            <display value="Not detected"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/CarePlan/CarePlanCRCPalliativ"/>
    <resource>
      <CarePlan>
        <id value="CarePlanCRCPalliativ"/>
        <meta>
          <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-care-plan"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><a name="CarePlan_CarePlanCRCPalliativ"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan CarePlanCRCPalliativ</b></p><a name="CarePlanCRCPalliativ"> </a><a name="hcCarePlanCRCPalliativ"> </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-onko-care-plan.html">Onkologischer CarePlan</a></p></div><blockquote><p><b>Onkologische Therapieintention (Extension)</b></p><ul><li>hauptintention: <span title="Codes:{http://snomed.info/sct 363676003}">Palliative intent</span></li></ul></blockquote><p><b>CarePlan Custodian (Extension)</b>: <a href="Organization-TumorzentrumCRC.html">Organization Onkologisches Zentrum Musterklinik</a></p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 736252007}">Cancer care plan</span></p><p><b>subject</b>: <a href="Patient-PatientinCRC.html">Erika Musterfrau  Female, DoB: 1961-09-12</a></p><p><b>period</b>: 2026-02-10 --&gt; (ongoing)</p><p><b>author</b>: <a href="Practitioner-OnkologinCRC.html">Practitioner Petra Musterarzt </a></p><p><b>careTeam</b>: <a href="CareTeam-TumorboardCRC.html">CareTeam Interdisziplinäres Tumorboard Kolorektales Karzinom</a></p><p><b>addresses</b>: <a href="Condition-ConditionCRC.html">Condition Bösartige Neubildung: Kolon, nicht näher bezeichnet</a></p><p><b>supportingInfo</b>: <a href="CarePlan-DiagnostikCarePlanCRC.html">CarePlan: extension = -&gt;Organization Onkologisches Zentrum Musterklinik; status = completed; intent = plan; category = ; period = 2026-01-05 --&gt; 2026-01-20</a></p><p><b>goal</b>: <a href="Goal-TherapiezielCRCLebensverlaengerung.html">Goal: extension = ,,,; lifecycleStatus = active; achievementStatus = In Progress; category = Lebensverlängerung,Symptomkontrolle / Palliation; priority = High Priority; description = ; start[x] = 2026-02-10</a></p><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: <a href="Observation-ObservationDiseaseStatusCRC.html">Observation Cancer disease progression</a></p><p><b>reference</b>: <a href="MedicationRequest-MedicationRequestFOLFOX.html">MedicationRequest: status = active; intent = plan; category = Tumor board Consult note; medication[x] = </a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href="ServiceRequest-ServiceRequestPortCRC.html">ServiceRequest Implantable venous access port injection</a></p></blockquote></div>
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          <reference value="CarePlan/DiagnostikCarePlanCRC"/>
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