Implementierungsleitfaden Therapieziele Onkologie
1.0.0-ballot - Ballot Germany

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: Onkologisches Diagnosezeil

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<Goal xmlns="http://hl7.org/fhir">
  <id value="DiagnosticGoal"/>
  <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/><p class="res-header-id"><b>Generated Narrative: Goal DiagnosticGoal</b></p><a name="DiagnosticGoal"> </a><a name="hcDiagnosticGoal"> </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>Goal acceptance</b></p><ul><li>individual: <a href="Patient-PatientinMamma.html">Sabine Baumann  Female, DoB: 1977-06-24</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><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:{http://snomed.info/sct 261004008}">Diagnostic intent</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:">Diagnosesicherung für die Verdachtsdiagnose</span></p><p><b>subject</b>: <a href="Patient-PatientinMamma.html">Sabine Baumann  Female, DoB: 1977-06-24</a></p><p><b>start</b>: 2025-09-12</p><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 21905-5}">Primary tumor.clinical [Class] Cancer</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 21906-3}">Regional lymph nodes.clinical [Class] Cancer</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 21907-1}">Distant metastases.clinical [Class] Cancer</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 21908-9}">Stage group.clinical Cancer</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 40556-3}">Estrogen receptor Ag [Presence] in Tissue by Immune stain</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 85339-0}">Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 48676-1}">HER2 Ag [Interpretation] in Tissue</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 21855-2}">Primary site Cancer</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 44648-4}">Histologic grade [Score] in Breast cancer specimen by Nottingham</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 33732-9}">Histology grade [Identifier] in Cancer specimen</span></p></blockquote><blockquote><p><b>target</b></p><p><b>measure</b>: <span title="Codes:{http://loinc.org 85347-3}">Sentinel lymph nodes examined [#] in Cancer specimen by Light microscopy</span></p></blockquote><p><b>expressedBy</b>: <a href="Practitioner-OnkologinMamma.html">Practitioner Katrin Musterarzt </a></p><p><b>addresses</b>: <a href="Condition-ConditionMamma.html">Condition Bösartige Neubildung: Oberer äußerer Quadrant der Brustdrüse</a></p><p><b>outcomeReference</b>: <a href="Observation-ObsDiseaseStatusMamma.html">Observation Cancer disease progression</a></p></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/goal-acceptance">
    <extension url="individual">
      <valueReference>🔗 
        <reference value="Patient/PatientinMamma"/>
      </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>
  <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="http://snomed.info/sct"/>
      <code value="261004008"/>
      <display value="Diagnostic intent"/>
    </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="Diagnosesicherung für die Verdachtsdiagnose"/>
  </description>
  <subject>🔗 
    <reference value="Patient/PatientinMamma"/>
  </subject>
  <startDate value="2025-09-12"/>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21905-5"/>
        <display value="Primary tumor.clinical [Class] Cancer"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21906-3"/>
        <display value="Regional lymph nodes.clinical [Class] Cancer"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21907-1"/>
        <display value="Distant metastases.clinical [Class] Cancer"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21908-9"/>
        <display value="Stage group.clinical Cancer"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="40556-3"/>
        <display
                 value="Estrogen receptor Ag [Presence] in Tissue by Immune stain"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="85339-0"/>
        <display
                 value="Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="48676-1"/>
        <display value="HER2 Ag [Interpretation] in Tissue"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21855-2"/>
        <display value="Primary site Cancer"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="44648-4"/>
        <display
                 value="Histologic grade [Score] in Breast cancer specimen by Nottingham"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="33732-9"/>
        <display value="Histology grade [Identifier] in Cancer specimen"/>
      </coding>
    </measure>
  </target>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="85347-3"/>
        <display
                 value="Sentinel lymph nodes examined [#] in Cancer specimen by Light microscopy"/>
      </coding>
    </measure>
  </target>
  <expressedBy>🔗 
    <reference value="Practitioner/OnkologinMamma"/>
  </expressedBy>
  <addresses>🔗 
    <reference value="Condition/ConditionMamma"/>
  </addresses>
  <outcomeReference>🔗 
    <reference value="Observation/ObsDiseaseStatusMamma"/>
  </outcomeReference>
</Goal>