Implementierungsleitfaden Therapieziele Onkologie
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: Therapieziel – Heilung & Brusterhalt (Beispiel)

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<Goal xmlns="http://hl7.org/fhir">
  <id value="TherapiezielMammaHeilung"/>
  <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 TherapiezielMammaHeilung</b></p><a name="TherapiezielMammaHeilung"> </a><a name="hcTherapiezielMammaHeilung"> </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><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><blockquote><p><b>Goal: Related Goal</b></p><ul><li>type: <span title="Codes:{http://hl7.org/fhir/goal-relationship-type predecessor}">Predecessor</span></li><li>target: <a href="Goal-DiagnosticGoal.html">Goal: extension = ; lifecycleStatus = active; achievementStatus = In Progress; category = Diagnostic intent; priority = High Priority; description = ; start[x] = 2025-09-12</a></li></ul></blockquote><blockquote><p><b>Goal: Related Goal</b></p><ul><li>type: <span title="Codes:{http://hl7.org/fhir/goal-relationship-type successor}">Successor</span></li><li>target: <a href="Goal-FollowUpGoal.html">Goal: extension = ,,; lifecycleStatus = planned; achievementStatus = In Progress; category = Lebensqualität; priority = High Priority; description = ; start[x] = 2026-08-15</a></li></ul></blockquote><p><b>lifecycleStatus</b>: Active</p><p><b>achievementStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-achievement achieved}">Achieved</span></p><p><b>category</b>: <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type heilung}">Heilung</span>, <span title="Codes:{https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type funktionserhalt}">Funktionserhalt</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:">Kurative Behandlung des frühen triple-negativen Mammakarzinoms mittels neoadjuvanter Systemtherapie und brusterhaltender Operation; Erreichen einer pathologischen Komplettremission (pCR).</span></p><p><b>subject</b>: <a href="Patient-PatientinMamma.html">Sabine Baumann  Female, DoB: 1977-06-24</a></p><p><b>start</b>: 2025-09-22</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>2026-04-15</td></tr></table><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="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-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>
  <extension url="http://hl7.org/fhir/StructureDefinition/goal-relationship">
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/goal-relationship-type"/>
          <code value="predecessor"/>
          <display value="Predecessor"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="target">
      <valueReference>🔗 
        <reference value="Goal/DiagnosticGoal"/>
      </valueReference>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/goal-relationship">
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/goal-relationship-type"/>
          <code value="successor"/>
          <display value="Successor"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="target">
      <valueReference>🔗 
        <reference value="Goal/FollowUpGoal"/>
      </valueReference>
    </extension>
  </extension>
  <lifecycleStatus value="active"/>
  <achievementStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <code value="achieved"/>
      <display value="Achieved"/>
    </coding>
  </achievementStatus>
  <category>
    <coding>
      <system
              value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type"/>
      <code value="heilung"/>
      <display value="Heilung"/>
    </coding>
  </category>
  <category>
    <coding>
      <system
              value="https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type"/>
      <code value="funktionserhalt"/>
      <display value="Funktionserhalt"/>
    </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="Kurative Behandlung des frühen triple-negativen Mammakarzinoms mittels neoadjuvanter Systemtherapie und brusterhaltender Operation; Erreichen einer pathologischen Komplettremission (pCR)."/>
  </description>
  <subject>🔗 
    <reference value="Patient/PatientinMamma"/>
  </subject>
  <startDate value="2025-09-22"/>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21908-9"/>
        <display value="Stage group.clinical Cancer"/>
      </coding>
    </measure>
    <dueDate value="2026-04-15"/>
  </target>
  <expressedBy>🔗 
    <reference value="Practitioner/OnkologinMamma"/>
  </expressedBy>
  <addresses>🔗 
    <reference value="Condition/ConditionMamma"/>
  </addresses>
  <outcomeReference>🔗 
    <reference value="Observation/ObsDiseaseStatusMamma"/>
  </outcomeReference>
</Goal>