German Oncological Data Standard (GOLD)
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: Diagnose MammaCa rechts - JSON Representation

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{
  "resourceType" : "Condition",
  "id" : "mamma-ca-rechts",
  "meta" : {
    "profile" : [
      🔗 "https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor-disorder"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"mamma-ca-rechts\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition &quot;mamma-ca-rechts&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-tumor-disorder.html\">Profile Tumor Disorder</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>code</b>: Bösartige Neubildung der Brustdrüse [Mamma] Oberer innerer Quadrant der Brustdrüse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (ICD10GM[2019]#C50.2; International Classification of Diseases for Oncology, version 3.[2019]#8500/3 &quot;Invasives duktales Karzinom o.n.A.&quot;)</span></p><p><b>bodySite</b>: Oberer innerer Quadrant der Brust <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (International Classification of Diseases for Oncology, version 3.[2019]#C50.2)</span></p><p><b>subject</b>: <a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.4.0&amp;canonical=http://fhir.org/packages/de.basisprofil.r4/Patient/example\">Patient/example</a></p><p><b>encounter</b>: <a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.4.0&amp;canonical=http://fhir.org/packages/de.basisprofil.r4/Encounter/example\">Encounter/example</a></p><p><b>onset</b>: 2019-09-17</p><p><b>recordedDate</b>: 2019-09-19</p><p><b>recorder</b>: <a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.4.0&amp;canonical=http://fhir.org/packages/de.basisprofil.r4/Practitioner/dokumentar\">Practitioner/dokumentar</a></p><p><b>asserter</b>: <a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.4.0&amp;canonical=http://fhir.org/packages/de.basisprofil.r4/Practitioner/kliniker\">Practitioner/kliniker</a></p><blockquote><p><b>stage</b></p><p><b>assessment</b>: <a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.4.0&amp;canonical=http://fhir.org/packages/de.basisprofil.r4/Observation/tnm-cT2cN2cM1IV\">Observation/tnm-cT2cN2cM1IV</a></p><p><b>type</b>: Tumor-node-metastasis (TNM) tumor staging classifications (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#258234001)</span></p></blockquote><blockquote><p><b>stage</b></p><p><b>assessment</b>: <a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.4.0&amp;canonical=http://fhir.org/packages/de.basisprofil.r4/Observation/G3\">Observation/G3</a></p><p><b>type</b>: Tumor histopathological grade status values (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#258244004)</span></p></blockquote><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.4.0&amp;canonical=http://fhir.org/packages/de.basisprofil.r4/DiagnosticReport/pathologie\">DiagnosticReport/pathologie</a></td></tr></table></div>"
  },
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "extension" : [
          {
            "url" : "http://fhir.de/StructureDefinition/seitenlokalisation",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION",
              "code" : "R",
              "display" : "Rechts"
            }
          }
        ],
        "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
        "version" : "2019",
        "code" : "C50.2",
        "display" : "Bösartige Neubildung der Brustdrüse [Mamma] Oberer innerer Quadrant der Brustdrüse"
      },
      {
        "extension" : [
          {
            "url" : "https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://www.vision-zero-oncology.de/fhir/CodeSystem/cs-diagnosesicherung-icdo3",
                  "code" : "7",
                  "display" : "Histologische Untersuchung eines Primärtumors"
                }
              ]
            }
          }
        ],
        "system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
        "version" : "2019",
        "code" : "8500/3",
        "display" : "Invasives duktales Karzinom o.n.A."
      }
    ]
  },
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
          "version" : "2019",
          "code" : "C50.2",
          "display" : "Oberer innerer Quadrant der Brust"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "onsetDateTime" : "2019-09-17",
  "recordedDate" : "2019-09-19",
  "recorder" : {
    "reference" : "Practitioner/dokumentar"
  },
  "asserter" : {
    "reference" : "Practitioner/kliniker"
  },
  "stage" : [
    {
      "assessment" : [
        {
          "reference" : "Observation/tnm-cT2cN2cM1IV"
        }
      ],
      "type" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "258234001",
            "display" : "Tumor-node-metastasis (TNM) tumor staging classifications (tumor staging)"
          }
        ]
      }
    },
    {
      "assessment" : [
        {
          "reference" : "Observation/G3"
        }
      ],
      "type" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "258244004",
            "display" : "Tumor histopathological grade status values (tumor staging)"
          }
        ]
      }
    }
  ],
  "evidence" : [
    {
      "detail" : [
        {
          "reference" : "DiagnosticReport/pathologie"
        }
      ]
    }
  ]
}