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

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<Condition xmlns="http://hl7.org/fhir">
  <id value="mamma-ca-rechts"/>
  <meta>
    <profile
             value="https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor-disorder"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      <code value="active"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
      <code value="confirmed"/>
    </coding>
  </verificationStatus>
  <code>
    <coding>
      <extension url="http://fhir.de/StructureDefinition/seitenlokalisation">
        <valueCoding>
          <system
                  value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION"/>
          <code value="R"/>
          <display value="Rechts"/>
        </valueCoding>
      </extension>
      <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
      <version value="2019"/>
      <code value="C50.2"/>
      <display
               value="Bösartige Neubildung der Brustdrüse [Mamma] Oberer innerer Quadrant der Brustdrüse"/>
    </coding>
    <coding>
      <extension
                 url="https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o">
        <valueCodeableConcept>
          <coding>
            <system
                    value="https://www.vision-zero-oncology.de/fhir/CodeSystem/cs-diagnosesicherung-icdo3"/>
            <code value="7"/>
            <display value="Histologische Untersuchung eines Primärtumors"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
      <version value="2019"/>
      <code value="8500/3"/>
      <display value="Invasives duktales Karzinom o.n.A."/>
    </coding>
  </code>
  <bodySite>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
      <version value="2019"/>
      <code value="C50.2"/>
      <display value="Oberer innerer Quadrant der Brust"/>
    </coding>
  </bodySite>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <encounter>
    <reference value="Encounter/example"/>
  </encounter>
  <onsetDateTime value="2019-09-17"/>
  <recordedDate value="2019-09-19"/>
  <recorder>
    <reference value="Practitioner/dokumentar"/>
  </recorder>
  <asserter>
    <reference value="Practitioner/kliniker"/>
  </asserter>
  <stage>
    <assessment>
      <reference value="Observation/tnm-cT2cN2cM1IV"/>
    </assessment>
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="258234001"/>
        <display
                 value="Tumor-node-metastasis (TNM) tumor staging classifications (tumor staging)"/>
      </coding>
    </type>
  </stage>
  <stage>
    <assessment>
      <reference value="Observation/G3"/>
    </assessment>
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="258244004"/>
        <display
                 value="Tumor histopathological grade status values (tumor staging)"/>
      </coding>
    </type>
  </stage>
  <evidence>
    <detail>
      <reference value="DiagnosticReport/pathologie"/>
    </detail>
  </evidence>
</Condition>