Tumorboard Registration WTZ MTB Bundle (Example)

ONCOnnectTumorboardIG - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Tumorboard Registration WTZ MTB Bundle (Example)

Bundle ONCOnnect-EX-TB-Registration-WTZ-Sarkom-Bundle of type transaction

Entry 1 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/ServiceRequest/ONCOnnect-EX-TB-Registration-WTZ-MTB

Resource ServiceRequest:

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:
No display for ServiceRequest.supportingInfo (reference: ->Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer))
No display for ServiceRequest.supportingInfo (reference: ->Observation 761869008)
No display for ServiceRequest.supportingInfo (reference: ->Observation 423740007)
No display for ServiceRequest.supportingInfo (reference: ->Condition Bösartige Neubildung: Oberer innerer Quadrant der Brustdrüse)
No display for ServiceRequest.supportingInfo (reference: ->Observation Therapeutic intent [Interpretation] Narrative)
No display for ServiceRequest.supportingInfo (reference: ->List for 'Previous history cancer' for '->Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)')
No display for ServiceRequest.supportingInfo (reference: ->Condition C50.9)
No display for ServiceRequest.supportingInfo (reference: ->Condition )
No display for ServiceRequest.supportingInfo (reference: ->Observation Status of regression of tumor (observable entity))
No display for ServiceRequest.supportingInfo (reference: ->Observation Pathologic TNM stage grouping)
No display for ServiceRequest.supportingInfo (reference: ->Observation pT category (observable entity))
No display for ServiceRequest.supportingInfo (reference: ->Observation cN category (observable entity))
No display for ServiceRequest.supportingInfo (reference: ->Observation cM category (observable entity))
No display for ServiceRequest.supportingInfo (reference: ->Observation Pathologic TNM stage grouping)
No display for ServiceRequest.supportingInfo (reference: ->Observation pT category (observable entity))
No display for ServiceRequest.supportingInfo (reference: ->Observation cN category (observable entity))
No display for ServiceRequest.supportingInfo (reference: ->Observation cM category (observable entity))
No display for ServiceRequest.supportingInfo (reference: ->List for 'Patient history' for '->Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)')
No display for ServiceRequest.supportingInfo (reference: ->Procedure Partielle Resektion des Pankreas: Pankreaskopfresektion, pyloruserhaltend)
No display for ServiceRequest.supportingInfo (reference: ->Procedure: status = completed; note = 2023-01: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie)
No display for ServiceRequest.supportingInfo (reference: ->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.)
No display for ServiceRequest.supportingInfo (reference: ->Procedure Brachytherapie mit umschlossenen Radionukliden: Körperoberfläche)
No display for ServiceRequest.supportingInfo (reference: ->MedicationStatement: status = completed; medication[x] = Antineoplastic agents; effective[x] = 2023-01-15; note = 2023-01-15: Chemotherapy for pancreatic cancer.)
No display for ServiceRequest.supportingInfo (reference: ->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.)
No display for ServiceRequest.supportingInfo (reference: ->List for 'Comorbidities and coexisting conditions' for '->Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)')
No display for ServiceRequest.supportingInfo (reference: ->Condition Diabetes mellitus Typ 2)
No display for ServiceRequest.supportingInfo (reference: ->Condition Chronische obstruktive Lungenkrankheit, nicht näher bezeichnet)
No display for ServiceRequest.supportingInfo (reference: ->Condition Essentielle (primäre) Hypertonie)
No display for ServiceRequest.supportingInfo (reference: ->List for 'History of family member diseases' for '->Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)')
No display for ServiceRequest.supportingInfo (reference: ->FamilyMemberHistory: status = completed; date = 2024-06-21; relationship = Mutter)
No display for ServiceRequest.supportingInfo (reference: ->FamilyMemberHistory: status = completed; date = 2024-06-21; relationship = Familienmitglied)
No display for ServiceRequest.supportingInfo (reference: ->FamilyMemberHistory: status = completed; date = 2024-06-21; relationship = Großvater (mütterlicherseits); deceased[x] = No display for Age )
No display for ServiceRequest.supportingInfo (reference: ->DocumentReference: status = current; type = Immune stain study; description = Immunohistochemistry report)
note:
Indikation zur erweiterten molekularen Diagnostik

Request:

POST ServiceRequest

Entry 2 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Patient/ONCOnnect-EX-TB-Patient

Resource 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

Request:

POST Patient

Entry 3 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Condition/ONCOnnect-EX-TB-PrimaryDiagnosis

Resource Condition:

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

Request:

POST Condition

Entry 4 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-TherapyConcept

Resource Observation:

Profile: Therapy Concept (Profile)
status: Final
code: Therapeutic intent [Interpretation] Narrative
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
value: kurativ

Request:

POST Observation

Entry 5 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/List/ONCOnnect-EX-TB-Comorbidities

Resource List:

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

Request:

POST List

Entry 6 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Condition/ONCOnnect-EX-TB-Comorbidities-Diabetes

Resource Condition:

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

Request:

POST Condition

Entry 7 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Condition/ONCOnnect-EX-TB-Comorbidities-COPD

Resource Condition:

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

Request:

POST Condition

Entry 8 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Condition/ONCOnnect-EX-TB-Comorbidities-Hypertension

Resource Condition:

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

Request:

POST Condition

Entry 9 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/List/ONCOnnect-EX-TB-FamilyHistory

Resource List:

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

Request:

POST List

Entry 10 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/FamilyMemberHistory/ONCOnnect-EX-TB-FamilyHistoryMemberMother

Resource FamilyMemberHistory:

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')

Request:

POST FamilyMemberHistory

Entry 11 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/FamilyMemberHistory/ONCOnnect-EX-TB-FamilyHistoryMemberFather

Resource FamilyMemberHistory:

Vater, Alter bei Diagnose: 59 Jahre, Bösartige Neubildung der Prostata (ICD-10: C61), 1 Jahr später verstorben

Request:

POST FamilyMemberHistory

Entry 12 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/FamilyMemberHistory/ONCOnnect-EX-TB-FamilyHistoryMemberGrandfather

Resource FamilyMemberHistory:

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')

Request:

POST FamilyMemberHistory

Entry 13 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-Karnofsky

Resource Observation:

Profile: Karnofsky Performance Status (Profile)
status: Final
code: 761869008
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
effective: 2024-06-21
value: 100%

Request:

POST Observation

Entry 14 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-ECOG

Resource Observation:

Profile: ECOG Performance Status (Profile)
status: Final
code: 423740007
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
effective: 2024-06-21
value: Normale, uneingeschränkte Aktivität wie vor der Erkrankung (90 - 100 % nach Karnofsky)

Request:

POST Observation

Entry 15 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/List/ONCOnnect-EX-TB-OncologicalHistory

Resource List:

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

Request:

POST List

Entry 16 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Procedure/ONCOnnect-EX-TB-OncologicalHistorySurgery

Resource Procedure:

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)
note:
2023-01-15: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie

Request:

POST Procedure

Entry 17 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Procedure/ONCOnnect-EX-TB-OncologicalHistorySurgeryNarrative

Resource Procedure:

status: Completed
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
note:
2023-01: Pylorus erhaltende Pankreaskopf- u. Duodenumresketion, simultane Cholezystektomie

Request:

POST Procedure

Entry 18 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/CarePlan/ONCOnnect-EX-TB-OncologicalHistoryTumorboard

Resource CarePlan:

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.

Request:

POST CarePlan

Entry 19 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Procedure/ONCOnnect-EX-TB-OncologicalHistoryRadiotherapy

Resource Procedure:

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)
note:
2023-01-15: Radiotherapy for pancreatic cancer.

Request:

POST Procedure

Entry 20 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/MedicationStatement/ONCOnnect-EX-TB-OncologicalHistoryChemotherapy

Resource MedicationStatement:

Profile: MII PR Medikation MedicationStatement
status: completed
status: recorded
subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)
effective: 2023-01-15
note:
2023-01-15: Chemotherapy for pancreatic cancer.

Request:

POST MedicationStatement

Entry 21 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/CarePlan/ONCOnnect-EX-TB-OncologicalHistoryGuideline

Resource CarePlan:

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.

Request:

POST CarePlan

Entry 22 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTherapyResponse

Resource Observation:

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

Request:

POST Observation

Entry 23 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTNM

Resource Observation:

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)

Request:

POST Observation

Entry 24 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTNM-T

Resource Observation:

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

Request:

POST Observation

Entry 25 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTNM-N

Resource Observation:

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

Request:

POST Observation

Entry 26 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTNM-M

Resource Observation:

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

Request:

POST Observation

Entry 27 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTNMT1N0M0

Resource Observation:

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)

Request:

POST Observation

Entry 28 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTNMT1N0M0-T

Resource Observation:

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

Request:

POST Observation

Entry 29 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTNMT1N0M0-N

Resource Observation:

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

Request:

POST Observation

Entry 30 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/Observation/ONCOnnect-EX-TB-OncologicalHistoryStagingTNMT1N0M0-M

Resource Observation:

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

Request:

POST Observation

Entry 31 - fullUrl = https://tumorboards-ig.app.ccc-onconnect.de/DocumentReference/ONCOnnect-EX-TB-DocumentReference

Resource 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

Request:

POST DocumentReference

Mode: Snapshot List	Status: Current	Code: Comorbidities and coexisting conditions
Subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)

Mode: Snapshot List	Status: Current	Code: History of family member diseases
Subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)

Mode: Snapshot List	Status: Current	Code: Patient history
Subject: Leo Muster (official) Other, DoB: 1980-04-06 ( Krankenversichertennummer)