{
  "resourceType" : "Goal",
  "id" : "TherapiezielCRCLebensverlaengerung",
  "meta" : {
    "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-goal"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Goal TherapiezielCRCLebensverlaengerung</b></p><a name=\"en-TherapiezielCRCLebensverlaengerung\"> </a><a name=\"en-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>"
  },
  "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"
  }]
}