Generated Narrative: ServiceRequest ONCOnnect-EX-TB-Registration-Charite-MTB
Profile: Registration CHARITE MTB (Profile)
Tag:
status: Draft
intent: Order
category: Prätherapeutisch
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/222222222
supportingInfo:
Exception Generating Narrative: Cannot invoke "org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getAddress()" because "tc" is null
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: 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: Condition ONCOnnect-EX-TB-PrimaryDiagnosis
Profile: Primary Diagnosis (Profile)
Condition Asserted Date: 2024-06-21
MII EX Onko Histology Morphology Behavior ICDO3: Infiltrating duct carcinoma, NOS
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
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: Observation ONCOnnect-EX-TB-OncologicalHistoryStagingTherapyResponse
Profile: MII PR MTB Response Befund
status: Final
code: Status of regression of tumor (observable entity)
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
focus: Condition Bösartige Neubildung: Oberer innerer Quadrant der Brustdrüse
effective: 2023-01-10
value: keine Änderung (no change, NC) = stable disease
note:
2023-01-10: Staging (Therapy response) for pancreatic cancer showing stable disease.
method: RECIST
Generated Narrative: Observation ONCOnnect-EX-TB-OncologicalHistoryStagingTNM
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:
Generated Narrative: Observation ONCOnnect-EX-TB-OncologicalHistoryStagingTNM-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-OncologicalHistoryStagingTNM-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-OncologicalHistoryStagingTNM-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: List ONCOnnect-EX-TB-OncologicalHistoryShort
Profile: Oncological History (Profile)
| Mode: Snapshot List | Status: Current | Code: Patient history |
| Subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) |
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
Generated Narrative: Procedure ONCOnnect-EX-TB-OncologicalHistoryRadiotherapy
Profile: MII PR Onkologie Strahlentherapie
MII EX Onko Strahlentherapie Intention: palliativ
status: Completed
code: Brachytherapie mit umschlossenen Radionukliden: Körperoberfläche
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
performed: 2023-01-15 --> 2023-05-15
note:
2023-01-15: Radiotherapy for pancreatic cancer.
Generated Narrative: Observation ONCOnnect-EX-TB-SmokingStatus
Profile: Smoking Status (Profile)
status: Final
code: Tobacco smoking status
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
effective: 2024-06-21
value: Former smoker
Generated Narrative: Observation ONCOnnect-EX-TB-SmokingStatusPackYears
Profile: Smoking Status Pack Years (Profile)
status: Final
code: Cigarettes smoked total (pack per year) - Reported
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
effective: 2024-06-21
value: 30 pack-years
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