Registration WTZ Sarkom (Example)

ONCOnnectTumorboardIG - Local Development build (v0.5.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example ServiceRequest: Registration WTZ Sarkom (Example)

Profile: Registration WTZ Sarkom (Profile)

Tag: Version 0.5.0 (Details: Profile Version (CodeSystem) code 0.5.0 = 'Version 0.5.0')

status: Draft

intent: Order

category: Posttherapeutisch

subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)

authoredOn: 2025-06-18 15:52:30+0000

requester: Identifier: https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR/111111112

supportingInfo:

Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
Observation KPS (Karnofsky Performance Status) score
Observation ECOG performance status
Condition Bösartige Neubildung: Oberer innerer Quadrant der Brustdrüse
Observation Therapeutic intent [Interpretation] Narrative
Observation Status of regression of tumor (observable entity)
Observation Pathologic TNM stage grouping
Observation pT category (observable entity)
Observation cN category (observable entity)
Observation cM category (observable entity)
Observation Pathologic TNM stage grouping
Observation Cancer staging after multimodality therapy
Observation pT category (observable entity)
Observation cN category (observable entity)
Observation cM category (observable entity)
Observation Pathologic TNM stage grouping
Observation Cancer staging after tumor recurrence
Observation Multiple tumors reported as single primary Cancer
Observation cT category (observable entity)
Observation cN category (observable entity)
Observation pM category (observable entity)
List for 'Patient history' for '->Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)'
Procedure Partielle Resektion des Pankreas: Pankreaskopfresektion, pyloruserhaltend
Procedure: status = completed; note = 2023-01: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie
CarePlan: status = completed; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2023-01-15; note = 2023-01-15: Tumorboard meeting for pancreatic cancer treatment.
Procedure Brachytherapie mit umschlossenen Radionukliden: Körperoberfläche
Procedure Chemotherapie
MedicationStatement: status = completed; medication[x] = Antineoplastic agents; effective[x] = 2023-01-15 --> 2023-05-15; note = 2023-01-15: Chemotherapy medication for pancreatic cancer.
CarePlan: status = completed; intent = plan; description = Second guideline therapy completed for the patient.; period = 2023-06-01 --> 2023-12-01; note = 2023-12-01: Completion of the second guideline therapy as per the oncological treatment plan.
List for 'Comorbidities and coexisting conditions' for '->Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)'
Condition Diabetes mellitus Typ 2
Condition Chronische obstruktive Lungenkrankheit, nicht näher bezeichnet
Condition Essentielle (primäre) Hypertonie
List for 'History of family member diseases' for '->Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)'
FamilyMemberHistory: status = completed; date = 2024-06-21; relationship = Mutter
FamilyMemberHistory: status = completed; date = 2024-06-21; relationship = Familienmitglied
FamilyMemberHistory: status = completed; date = 2024-06-21; relationship = Großvater (mütterlicherseits); deceased[x] = No display for Age
DocumentReference: status = current; type = Immune stain study; description = Immunohistochemistry report

note:

Indikation zur erweiterten molekularen Diagnostik