Generated Narrative: ServiceRequest ONCOnnect-EX-TB-Registration-WTZ-MTB Profile: Registration WTZ MTB (Profile) Tag: 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) 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 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
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-PreviousTumors Profile: Previous Tumors (Profile) Mode: Snapshot List Status: Current Code: Previous history cancer Subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) Items Condition C50.9 Condition
Generated Narrative: Condition ONCOnnect-EX-TB-PreviousTumorMammaCoded Profile: MII PR Onkologie Frühere Tumorerkrankung Condition Asserted Date: 2013 clinicalStatus: Resolved category: Medical oncology (qualifier value) code: Mamma-Ca, links bodySite: Breast, NOS subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
Generated Narrative: Condition ONCOnnect-EX-TB-PreviousTumorSkinText Profile: MII PR Onkologie Frühere Tumorerkrankung Condition Asserted Date: 2010 clinicalStatus: Resolved category: Medical oncology (qualifier value) code: Hautkrebs am Rücken, ca. 2010 subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) note: Patient berichtet von operativ entferntem Hautkrebs vor ca. 14 Jahren
Patient berichtet von operativ entferntem Hautkrebs vor ca. 14 Jahren
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 MedicationStatement: status = completed; medication[x] = Antineoplastic agents; effective[x] = 2023-01-15; note = 2023-01-15: Chemotherapy 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. Procedure Brachytherapie mit umschlossenen Radionukliden: Körperoberfläche 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 pT category (observable entity) Observation cN category (observable entity) Observation cM category (observable entity) Procedure Partielle Resektion des Pankreas: Pankreaskopfresektion, pyloruserhaltend 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: status = completed; note = 2023-01: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie
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-OncologicalHistoryTumorboard Profile: MII PR Onkologie Tumorkonferenz status: Completed intent: Plan category: prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie) subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) created: 2023-01-15 note: 2023-01-15: Tumorboard meeting for pancreatic cancer treatment.
prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie)
2023-01-15: Tumorboard meeting for pancreatic cancer treatment.
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.
Brachytherapie mit umschlossenen Radionukliden: Körperoberfläche
2023-01-15: Radiotherapy for pancreatic cancer.
Generated Narrative: MedicationStatement ONCOnnect-EX-TB-OncologicalHistoryChemotherapy Profile: MII PR Medikation MedicationStatement status: Completed medication: Antineoplastic agents subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer) effective: 2023-01-15 note: 2023-01-15: Chemotherapy for pancreatic cancer.
2023-01-15: Chemotherapy for pancreatic cancer.
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-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
Status of regression of tumor (observable entity)
keine Änderung (no change, NC) = stable disease
2023-01-10: Staging (Therapy response) for pancreatic cancer showing stable disease.
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: Observation pT category (observable entity) Observation cN category (observable entity) Observation cM category (observable entity)
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: Observation ONCOnnect-EX-TB-OncologicalHistoryStagingTNMT1N0M0 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-OncologicalHistoryStagingTNMT1N0M0-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-OncologicalHistoryStagingTNMT1N0M0-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-OncologicalHistoryStagingTNMT1N0M0-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