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

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{
  "resourceType" : "Goal",
  "id" : "TherapiezielMammaHeilung",
  "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 TherapiezielMammaHeilung</b></p><a name=\"en-TherapiezielMammaHeilung\"> </a><a name=\"en-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>"
  },
  "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"
    },
    {
      "extension" : [
        {
          "url" : "individual",
          "valueReference" : {
            🔗 "reference" : "Patient/PatientinMamma"
          }
        },
        {
          "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://hl7.org/fhir/goal-relationship-type",
                "code" : "predecessor",
                "display" : "Predecessor"
              }
            ]
          }
        },
        {
          "url" : "target",
          "valueReference" : {
            🔗 "reference" : "Goal/DiagnosticGoal"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/goal-relationship"
    },
    {
      "extension" : [
        {
          "url" : "type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/goal-relationship-type",
                "code" : "successor",
                "display" : "Successor"
              }
            ]
          }
        },
        {
          "url" : "target",
          "valueReference" : {
            🔗 "reference" : "Goal/FollowUpGoal"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/goal-relationship"
    }
  ],
  "lifecycleStatus" : "active",
  "achievementStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
        "code" : "achieved",
        "display" : "Achieved"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type",
          "code" : "heilung",
          "display" : "Heilung"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/onko-therapy-goal-type",
          "code" : "funktionserhalt",
          "display" : "Funktionserhalt"
        }
      ]
    }
  ],
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
        "code" : "high-priority",
        "display" : "High Priority"
      }
    ]
  },
  "description" : {
    "text" : "Kurative Behandlung des frühen triple-negativen Mammakarzinoms mittels neoadjuvanter Systemtherapie und brusterhaltender Operation; Erreichen einer pathologischen Komplettremission (pCR)."
  },
  "subject" : {
    🔗 "reference" : "Patient/PatientinMamma"
  },
  "startDate" : "2025-09-22",
  "target" : [
    {
      "measure" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "21908-9",
            "display" : "Stage group.clinical Cancer"
          }
        ]
      },
      "dueDate" : "2026-04-15"
    }
  ],
  "expressedBy" : {
    🔗 "reference" : "Practitioner/OnkologinMamma"
  },
  "addresses" : [
    {
      🔗 "reference" : "Condition/ConditionMamma"
    }
  ],
  "outcomeReference" : [
    {
      🔗 "reference" : "Observation/ObsDiseaseStatusMamma"
    }
  ]
}