Generated Narrative: ServiceRequest ONCOnnect-EX-TB-Registration-WTZ-MTB Profile: Registration WTZ MTB (Profile) Tag: 0.2.0 (Details: [not stated] code 0.2.0) 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/123456789 supportingInfo: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) Exception Generating Narrative: Cannot invoke "org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getAddress()" because "tc" is null
Indikation zur erweiterten molekularen Diagnostik
Generated Narrative: Patient ONCOnnect-EX-TB-Patient Profile: Patient (Profile) Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) Other Id: Medical record number/1234567890 Contact Detail Bürgersteig 5c, c/o Müller Dorfingen 10000 Deutschland
Generated Narrative: Condition ONCOnnect-EX-TB-PrimaryDiagnosis Profile: Primary Diagnosis (Profile) Condition Asserted Date: 2024-06-21 clinicalStatus: Active verificationStatus: klinische Diagnostik code: Bösartige Neubildung: Oberer innerer Quadrant der Brustdrüse bodySite: Breast structure subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) recordedDate: 2024-06-21 stage assessment: Observation Pathologic TNM stage grouping type: Pathologic TNM stage grouping stage assessment: Observation Therapeutic intent [Interpretation] Narrative type: Therapeutic intent [Interpretation] Narrative
Bösartige Neubildung: Oberer innerer Quadrant der Brustdrüse
Therapeutic intent [Interpretation] Narrative
Generated Narrative: Observation ONCOnnect-EX-TB-TherapyConcept Profile: Therapy Concept (Profile) status: Final code: Therapeutic intent [Interpretation] Narrative subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) value: kurativ
Generated Narrative: List ONCOnnect-EX-TB-Comorbidities Profile: Comorbidities (Profile) Komorbiditäten Mode: Snapshot List Status: Current Code: Comorbidities and coexisting conditions Subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) note Weitere Komorbiditäten: Hyperlipidämie, Asthma bronchiale, Osteoporose Items Condition Diabetes mellitus Typ 2 Condition Chronische obstruktive Lungenkrankheit, nicht näher bezeichnet Condition Essentielle (primäre) Hypertonie
Weitere Komorbiditäten: Hyperlipidämie, Asthma bronchiale, Osteoporose
Generated Narrative: Condition ONCOnnect-EX-TB-Comorbidities-Diabetes Profile: MII PR Diagnose Condition code: Diabetes mellitus Typ 2 subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) onset: 1969-06-20 recordedDate: 2024-03-20
Generated Narrative: Condition ONCOnnect-EX-TB-Comorbidities-COPD Profile: MII PR Diagnose Condition code: Chronische obstruktive Lungenkrankheit, nicht näher bezeichnet subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) onset: 1969-06-20 --> 1969-07-20 recordedDate: 2024-03-20
Chronische obstruktive Lungenkrankheit, nicht näher bezeichnet
Generated Narrative: Condition ONCOnnect-EX-TB-Comorbidities-Hypertension Profile: MII PR Diagnose Condition code: Essentielle (primäre) Hypertonie subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) onset: 1964-06-20 recordedDate: 2024-03-20
Generated Narrative: List ONCOnnect-EX-TB-FamilyHistory Profile: Family History (Profile) Familienanamnese Mode: Snapshot List Status: Current Code: History of family member diseases Subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) note Weitere unerkrankte Personen: 2 Schwestern (48, 52), 1 Bruder (40), 1 Tante (71) Items 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
Weitere unerkrankte Personen: 2 Schwestern (48, 52), 1 Bruder (40), 1 Tante (71)
Generated Narrative: FamilyMemberHistory ONCOnnect-EX-TB-FamilyHistoryMemberMother Profile: Family History Member (Profile) status: Completed patient: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) date: 2024-06-21 relationship: Mutter Conditions - Code Onset[x] * Bösartige Neubildung der Brust 52 a (Details: UCUM codea = 'a')
Vater, Alter bei Diagnose: 59 Jahre, Bösartige Neubildung der Prostata (ICD-10: C61), 1 Jahr später verstorben
Generated Narrative: FamilyMemberHistory ONCOnnect-EX-TB-FamilyHistoryMemberGrandfather Profile: Family History Member (Profile) status: Completed patient: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) date: 2024-06-21 relationship: Großvater (mütterlicherseits) deceased: 80 a (Details: UCUM codea = 'a') condition code: Bösartige Neubildung des Kolons contributedToDeath: false onset: 65 a (Details: UCUM codea = 'a') condition code: Bösartige Neubildung des Kolons contributedToDeath: true onset: 78 a (Details: UCUM codea = 'a')
Generated Narrative: Observation ONCOnnect-EX-TB-Karnofsky Profile: Karnofsky Performance Status (Profile) status: Final code: Exception Generating Narrative: Cannot invoke "org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getAddress()" because "tc" is null
Generated Narrative: Observation ONCOnnect-EX-TB-ECOG Profile: ECOG Performance Status (Profile) status: Final code: Exception Generating Narrative: Cannot invoke "org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getAddress()" because "tc" is null
Generated Narrative: List ONCOnnect-EX-TB-OncologicalHistory Profile: Oncological History (Profile) Mode: Snapshot List Status: Current Code: Patient history Subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) Items Observation Pathologic TNM stage grouping Observation Pathologic TNM stage grouping 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; 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.
Generated Narrative: Procedure ONCOnnect-EX-TB-OncologicalHistorySurgery Profile: MII PR Onkologie Operation MII EX Onko Operation Intention: palliativ status: Completed category: Surgical procedure code: Partielle Resektion des Pankreas: Pankreaskopfresektion, pyloruserhaltend subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) performed: 2023-01-15 reasonReference: Condition Bösartige Neubildung: Oberer innerer Quadrant der Brustdrüse note: 2023-01-15: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie
Partielle Resektion des Pankreas: Pankreaskopfresektion, pyloruserhaltend
2023-01-15: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie
Generated Narrative: Procedure ONCOnnect-EX-TB-OncologicalHistorySurgeryNarrative status: Completed subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) note: 2023-01: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie
2023-01: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie
Generated Narrative: CarePlan ONCOnnect-EX-TB-OncologicalHistoryGuideline Profile: Oncological History Guideline (Profile) status: Completed intent: Plan description: Second guideline therapy completed for the patient. subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) period: 2023-06-01 --> 2023-12-01 note: 2023-12-01: Completion of the second guideline therapy as per the oncological treatment plan.
Second guideline therapy completed for the patient.
2023-12-01: Completion of the second guideline therapy as per the oncological treatment plan.
Generated Narrative: Observation ONCOnnect-EX-TB-TNMStaging Profile: TNM Staging (Profile) status: Final code: Pathologic TNM stage grouping subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2024-07-14 value: Stadium IIB method: 8. Auflage hasMember: Observation pT category (observable entity) Observation cN category (observable entity) Observation cM category (observable entity)
Generated Narrative: Observation ONCOnnect-EX-TB-TNMStaging-T Profile: MII PR Onkologie TNM T-Kategorie status: Final code: pT category (observable entity) subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2024-07-14 value: T3 method: 8. Auflage
Generated Narrative: Observation ONCOnnect-EX-TB-TNMStaging-N Profile: MII PR Onkologie TNM N-Kategorie status: Final code: cN category (observable entity) subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2024-07-14 value: N0 method: 8. Auflage
Generated Narrative: Observation ONCOnnect-EX-TB-TNMStaging-M Profile: MII PR Onkologie TNM M-Kategorie status: Final code: cM category (observable entity) subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2024-07-14 value: M0 method: 8. Auflage
Generated Narrative: Observation ONCOnnect-EX-TB-TNMStagingT1N0M0 Profile: TNM Staging (Profile) status: Final code: Pathologic TNM stage grouping subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2024-03-14 value: Stadium I method: 8. Auflage hasMember: Observation pT category (observable entity) Observation cN category (observable entity) Observation cM category (observable entity)
Generated Narrative: Observation ONCOnnect-EX-TB-TNMStagingT1N0M0-T Profile: MII PR Onkologie TNM T-Kategorie status: Final code: pT category (observable entity) subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2024-03-14 value: T1 method: 8. Auflage
Generated Narrative: Observation ONCOnnect-EX-TB-TNMStagingT1N0M0-N Profile: MII PR Onkologie TNM N-Kategorie status: Final code: cN category (observable entity) subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2024-03-14 value: N0 method: 8. Auflage
Generated Narrative: Observation ONCOnnect-EX-TB-TNMStagingT1N0M0-M Profile: MII PR Onkologie TNM M-Kategorie status: Final code: cM category (observable entity) subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2024-03-14 value: M0 method: 8. Auflage
Generated Narrative: DocumentReference ONCOnnect-EX-TB-DocumentReference Profile: DocumentReference (Profile) status: Current type: Immune stain study subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) description: Immunohistochemistry report content Attachments - ContentType Size Title * application/pdf 123456 Immunohistochemistry Bericht