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authorPaul-Christian Volkmer2025-07-20 11:57:53 +0200
committerGitHub2025-07-20 11:57:53 +0200
commit1a5737189c9e74fe0dc17fca3e88eb07cb6d467f (patch)
tree41054ed46d5ce366f65ed4032856a43a3bfb91de /src
parent7543785116a3d318f3abba604d2616a19e2037ce (diff)
chore: update mtb data model example file (#123)
Diffstat (limited to 'src')
-rw-r--r--src/test/resources/mv64e-mtb-fake-patient.json1949
1 files changed, 915 insertions, 1034 deletions
diff --git a/src/test/resources/mv64e-mtb-fake-patient.json b/src/test/resources/mv64e-mtb-fake-patient.json
index 291f22d..43fc2ef 100644
--- a/src/test/resources/mv64e-mtb-fake-patient.json
+++ b/src/test/resources/mv64e-mtb-fake-patient.json
@@ -1,12 +1,13 @@
{
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"gender": {
- "code": "male",
- "display": "Männlich",
+ "code": "female",
+ "display": "Weiblich",
"system": "Gender"
},
- "birthDate": "1961-09-01",
+ "birthDate": "1962-10-21",
+ "dateOfDeath": "2009-10-21",
"healthInsurance": {
"type": {
"code": "GKV",
@@ -24,28 +25,28 @@
"municipalityCode": "12345"
},
"age": {
- "value": 63,
+ "value": 47,
"unit": "Years"
},
"vitalStatus": {
- "code": "alive",
- "display": "Lebend",
+ "code": "deceased",
+ "display": "Verstorben",
"system": "dnpm-dip/patient/vital-status"
}
},
"episodesOfCare": [
{
- "id": "5481850f-f266-4d2f-8fbc-6bb790680d8f",
+ "id": "d8b68856-3ba2-4d43-9653-6924897f5eab",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"period": {
- "start": "2024-12-24"
+ "start": "2025-01-09"
},
"diagnoses": [
{
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
"type": "MTBDiagnosis"
}
]
@@ -53,12 +54,12 @@
],
"diagnoses": [
{
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
- "recordedOn": "2023-03-01",
+ "recordedOn": "2007-10-21",
"type": {
"history": [
{
@@ -67,35 +68,35 @@
"display": "Hauptdiagnose",
"system": "dnpm-dip/mtb/diagnosis/type"
},
- "date": "2023-03-01"
+ "date": "2007-10-21"
}
]
},
"code": {
- "code": "C50.1",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "code": "C72.5",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
"version": "2025"
},
"topography": {
- "code": "C50.1",
- "display": "Zentraler Drüsenkörper der Brust",
+ "code": "C72.5",
+ "display": "Hirnnerven o.n.A.",
"system": "urn:oid:2.16.840.1.113883.6.43.1",
"version": "Zweite Revision"
},
"grading": {
"history": [
{
- "date": "2023-03-01",
+ "date": "2007-10-21",
"codes": [
{
- "code": "U",
- "display": "U = unbekannt",
+ "code": "3",
+ "display": "3 = schlecht differenziert",
"system": "https://www.basisdatensatz.de/feld/161/grading"
},
{
- "code": "2",
- "display": "Diffuse astrocytoma",
+ "code": "3",
+ "display": "Anaplastic astrocytoma",
"system": "dnpm-dip/mtb/who-grading-cns-tumors",
"version": "2021"
}
@@ -106,7 +107,7 @@
"staging": {
"history": [
{
- "date": "2023-03-01",
+ "date": "2007-10-21",
"method": {
"code": "clinical",
"display": "Klinisch",
@@ -114,15 +115,15 @@
},
"tnmClassification": {
"tumor": {
- "code": "T1",
+ "code": "T0",
"system": "UICC"
},
"nodes": {
- "code": "N2",
+ "code": "Nx",
"system": "UICC"
},
"metastasis": {
- "code": "Mx",
+ "code": "M0",
"system": "UICC"
}
},
@@ -137,8 +138,8 @@
]
},
"guidelineTreatmentStatus": {
- "code": "unknown",
- "display": "Unbekannt",
+ "code": "impossible",
+ "display": "Leitlinientherapie nicht möglich",
"system": "dnpm-dip/mtb/diagnosis/guideline-treatment-status"
},
"notes": [
@@ -148,42 +149,42 @@
],
"familyMemberHistories": [
{
- "id": "f982b161-f8a3-4b5b-a390-1ef0d84efc1b",
+ "id": "0eac775e-ea13-49d4-a390-a5e99744ac6b",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"relationship": {
- "code": "EXT",
- "display": "Verwandter weiteren Grades",
+ "code": "FAMMEMB",
+ "display": "Verwandter ersten Grades",
"system": "dnpm-dip/mtb/family-meber-history/relationship-type"
}
}
],
"guidelineTherapies": [
{
- "id": "0c696b1a-d123-419b-9a6f-e79322392f4e",
+ "id": "af77fcc8-bcdc-41fb-9989-c4ad2fd9ce3c",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"type": "MTBDiagnosis"
},
- "therapyLine": 3,
+ "therapyLine": 8,
"intent": {
"code": "X",
"display": "Keine Angabe",
"system": "dnpm-dip/therapy/intent"
},
"category": {
- "code": "I",
- "display": "Intraopterativ",
+ "code": "A",
+ "display": "Adjuvant",
"system": "dnpm-dip/therapy/category"
},
- "recordedOn": "2025-06-24",
+ "recordedOn": "2025-07-09",
"status": {
"code": "stopped",
"display": "Abgebrochen",
@@ -195,13 +196,13 @@
"system": "dnpm-dip/therapy/status-reason"
},
"period": {
- "start": "2024-04-24",
- "end": "2024-12-18"
+ "start": "2024-03-09",
+ "end": "2024-08-10"
},
"medication": [
{
- "code": "L01EX02",
- "display": "Sorafenib",
+ "code": "L01XX58",
+ "display": "Epacadostat",
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"version": "2025"
}
@@ -211,28 +212,28 @@
]
},
{
- "id": "da26f4c4-834e-4f6a-86eb-4df13c4a442f",
+ "id": "f922939a-926e-4319-90e7-488ed9027d6d",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"type": "MTBDiagnosis"
},
- "therapyLine": 4,
+ "therapyLine": 5,
"intent": {
"code": "X",
"display": "Keine Angabe",
"system": "dnpm-dip/therapy/intent"
},
"category": {
- "code": "A",
- "display": "Adjuvant",
+ "code": "I",
+ "display": "Intraopterativ",
"system": "dnpm-dip/therapy/category"
},
- "recordedOn": "2025-06-24",
+ "recordedOn": "2025-07-09",
"status": {
"code": "stopped",
"display": "Abgebrochen",
@@ -244,13 +245,13 @@
"system": "dnpm-dip/therapy/status-reason"
},
"period": {
- "start": "2024-06-24",
- "end": "2025-02-24"
+ "start": "2024-04-09",
+ "end": "2024-09-10"
},
"medication": [
{
- "code": "L01EX13",
- "display": "Gilteritinib",
+ "code": "L01EG01",
+ "display": "Temsirolimus",
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"version": "2025"
}
@@ -262,80 +263,40 @@
],
"guidelineProcedures": [
{
- "id": "09ac6bfb-05bb-4c8f-b65a-dae96407939c",
+ "id": "b6d5bd15-356d-468a-a816-5fd955fc51a2",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"type": "MTBDiagnosis"
},
- "therapyLine": 3,
+ "therapyLine": 2,
"intent": {
"code": "X",
"display": "Keine Angabe",
"system": "dnpm-dip/therapy/intent"
},
"code": {
- "code": "nuclear-medicine",
- "display": "Nuklearmedizinische Therapie",
- "system": "dnpm-dip/mtb/procedure/type"
- },
- "status": {
- "code": "stopped",
- "display": "Abgebrochen",
- "system": "dnpm-dip/therapy/status"
- },
- "statusReason": {
- "code": "patient-death",
- "display": "Tod",
- "system": "dnpm-dip/therapy/status-reason"
- },
- "recordedOn": "2025-06-24",
- "period": {
- "start": "2024-12-24"
- },
- "notes": [
- "Notes on the therapeutic procedure..."
- ]
- },
- {
- "id": "1d12955f-216f-4731-8a37-e2eca4c2a735",
- "patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
- "type": "Patient"
- },
- "reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
- "type": "MTBDiagnosis"
- },
- "therapyLine": 1,
- "intent": {
- "code": "S",
- "display": "Sonstiges",
- "system": "dnpm-dip/therapy/intent"
- },
- "code": {
- "code": "surgery",
- "display": "OP",
+ "code": "radio-therapy",
+ "display": "Strahlen-Therapie",
"system": "dnpm-dip/mtb/procedure/type"
},
"status": {
- "code": "completed",
- "display": "Abgeschlossen",
+ "code": "on-going",
+ "display": "Laufend",
"system": "dnpm-dip/therapy/status"
},
"statusReason": {
- "code": "progression",
- "display": "Progression",
+ "code": "regular-completion-with-substance-change",
+ "display": "Reguläres Ende mit Substanzwechsel",
"system": "dnpm-dip/therapy/status-reason"
},
- "recordedOn": "2025-06-24",
+ "recordedOn": "2025-07-09",
"period": {
- "start": "2024-12-24"
+ "start": "2025-01-09"
},
"notes": [
"Notes on the therapeutic procedure..."
@@ -344,45 +305,45 @@
],
"performanceStatus": [
{
- "id": "7cf3d19b-a537-47e4-b7f0-d324e8b1ad70",
+ "id": "279b4954-7901-4b0b-89f3-1f90b12bcc02",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
- "effectiveDate": "2025-06-24",
+ "effectiveDate": "2025-07-09",
"value": {
- "code": "1",
- "display": "ECOG 1",
+ "code": "3",
+ "display": "ECOG 3",
"system": "ECOG-Performance-Status"
}
}
],
"specimens": [
{
- "id": "c3f30fe7-d193-4cde-a3c2-ef8f2497df51",
+ "id": "c479b60d-c3e4-44d4-b0e5-c5891dd460ed",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"diagnosis": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
"type": "MTBDiagnosis"
},
"type": {
- "code": "unknown",
- "display": "Unbekannt",
+ "code": "FFPE",
+ "display": "FFPE",
"system": "dnpm-dip/mtb/tumor-specimen/type"
},
"collection": {
- "date": "2025-06-24",
+ "date": "2025-07-09",
"method": {
- "code": "unknown",
- "display": "Unbekannt",
+ "code": "biopsy",
+ "display": "Biopsie",
"system": "dnpm-dip/mtb/tumor-specimen/collection/method"
},
"localization": {
- "code": "unknown",
- "display": "Unbekannt",
+ "code": "local-recurrence",
+ "display": "Lokalrezidiv",
"system": "dnpm-dip/mtb/tumor-specimen/collection/localization"
}
}
@@ -390,9 +351,9 @@
],
"priorDiagnosticReports": [
{
- "id": "0209a1fa-3948-4bc5-a2f5-988818057544",
+ "id": "a7f20f97-c9ea-424d-add6-605dc2461782",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"performer": {
@@ -400,9 +361,9 @@
"display": "Molekular-Pathologie UKx",
"type": "Institute"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"specimen": {
- "id": "c3f30fe7-d193-4cde-a3c2-ef8f2497df51",
+ "id": "c479b60d-c3e4-44d4-b0e5-c5891dd460ed",
"type": "TumorSpecimen"
},
"type": {
@@ -417,43 +378,43 @@
],
"histologyReports": [
{
- "id": "1c51bb6f-b551-43a4-9923-6db7fe36440c",
+ "id": "d57816b6-18b5-485d-9d7f-fc31004c429e",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"specimen": {
- "id": "c3f30fe7-d193-4cde-a3c2-ef8f2497df51",
+ "id": "c479b60d-c3e4-44d4-b0e5-c5891dd460ed",
"type": "TumorSpecimen"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"results": {
"tumorMorphology": {
- "id": "a177e88e-af76-45c8-ba93-e2f2339888a0",
+ "id": "21f1d157-6f40-4127-9b2f-91f32fedceb0",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"specimen": {
- "id": "c3f30fe7-d193-4cde-a3c2-ef8f2497df51",
+ "id": "c479b60d-c3e4-44d4-b0e5-c5891dd460ed",
"type": "TumorSpecimen"
},
"value": {
- "code": "9719/3",
- "display": "Nasales NK/T-Zell-Lymphom",
+ "code": "9542/3",
+ "display": "Epitheloider maligner peripherer Nervenscheidentumor",
"system": "urn:oid:2.16.840.1.113883.6.43.1",
"version": "Zweite Revision"
},
"note": "Notes..."
},
"tumorCellContent": {
- "id": "32605a2f-4c5c-4f5a-9909-326955405fe0",
+ "id": "81a42ef1-f9fe-4dfe-a876-cf1a262ca4ce",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"specimen": {
- "id": "c3f30fe7-d193-4cde-a3c2-ef8f2497df51",
+ "id": "c479b60d-c3e4-44d4-b0e5-c5891dd460ed",
"type": "TumorSpecimen"
},
"method": {
@@ -461,190 +422,134 @@
"display": "Histologisch",
"system": "dnpm-dip/mtb/tumor-cell-content/method"
},
- "value": 0.40875903241796807
+ "value": 0.12624946426974026
}
}
}
],
"ihcReports": [
{
- "id": "ced8a836-262e-4067-b272-94c8f9222446",
+ "id": "2046a862-66e0-4402-bb93-b64ce179d014",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"specimen": {
- "id": "c3f30fe7-d193-4cde-a3c2-ef8f2497df51",
+ "id": "c479b60d-c3e4-44d4-b0e5-c5891dd460ed",
"type": "TumorSpecimen"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"results": {
"proteinExpression": [
{
- "id": "07bdd4f4-6df7-4c22-9ef2-2abb86cf4666",
+ "id": "15d628bb-6e6a-435f-98dd-8bbc2f0311d1",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"protein": {
- "code": "HGNC:3942",
- "display": "MTOR",
+ "code": "HGNC:5173",
+ "display": "HRAS",
"system": "https://www.genenames.org/"
},
"value": {
- "code": "not-exp",
- "display": "Nicht exprimiert",
+ "code": "1+",
+ "display": "1+",
"system": "dnpm-dip/mtb/ihc/protein-expression/result"
},
- "tpsScore": 21,
+ "tpsScore": 42,
"icScore": {
"code": "1",
"display": ">= 1%",
"system": "dnpm-dip/mtb/ihc/protein-expression/ic-score"
},
"tcScore": {
- "code": "6",
- "display": ">= 75%",
+ "code": "4",
+ "display": ">= 25%",
"system": "dnpm-dip/mtb/ihc/protein-expression/tc-score"
}
},
{
- "id": "38ac3c86-7d13-4d5d-a85d-7d79846aa85d",
+ "id": "a7af8f99-b917-4498-8c95-f09818906de2",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"protein": {
- "code": "HGNC:886",
- "display": "ATRX",
+ "code": "HGNC:391",
+ "display": "AKT1",
"system": "https://www.genenames.org/"
},
"value": {
- "code": "3+",
- "display": "3+",
+ "code": "1+",
+ "display": "1+",
"system": "dnpm-dip/mtb/ihc/protein-expression/result"
},
- "tpsScore": 46,
+ "tpsScore": 90,
"icScore": {
"code": "0",
"display": "< 1%",
"system": "dnpm-dip/mtb/ihc/protein-expression/ic-score"
},
"tcScore": {
- "code": "1",
- "display": ">= 1%",
+ "code": "4",
+ "display": ">= 25%",
"system": "dnpm-dip/mtb/ihc/protein-expression/tc-score"
}
},
{
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"type": "Patient"
},
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- "code": "HGNC:34",
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+ "display": "AACS",
"system": "https://www.genenames.org/"
},
"value": {
- "code": "not-exp",
- "display": "Nicht exprimiert",
+ "code": "1+",
+ "display": "1+",
"system": "dnpm-dip/mtb/ihc/protein-expression/result"
},
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},
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"display": ">= 5%",
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}
},
{
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},
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- "code": "HGNC:1097",
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+ "display": "ACAD10",
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},
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- "code": "not-exp",
- "display": "Nicht exprimiert",
+ "code": "unknown",
+ "display": "untersucht, kein Ergebnis",
"system": "dnpm-dip/mtb/ihc/protein-expression/result"
},
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"system": "dnpm-dip/mtb/ihc/protein-expression/ic-score"
},
"tcScore": {
- "code": "2",
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+ "display": ">= 50%",
"system": "dnpm-dip/mtb/ihc/protein-expression/tc-score"
}
}
@@ -653,18 +558,42 @@
}
}
],
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+ "patient": {
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+ "type": "TumorSpecimen"
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+ "display": "PCR",
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@@ -675,19 +604,19 @@
"kitType": "Kit Type",
"kitManufacturer": "Manufacturer",
"sequencer": "Sequencer",
- "referenceGenome": "HG19",
+ "referenceGenome": "GRCh37",
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}
],
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@@ -695,36 +624,36 @@
"display": "Bioinformatisch",
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},
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+ "code": "intermediate",
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@@ -734,97 +663,48 @@
}
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}
],
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+ "code": "HGNC:3236",
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@@ -835,68 +715,68 @@
}
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- "proteinChange": "p.Cys28_Lys29delinsTrp",
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+ "code": "HGNC:33",
+ "display": "ABCA3",
"system": "https://www.genenames.org/"
},
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{
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- "display": "Intergenic",
+ "code": "coding-region",
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@@ -904,74 +784,25 @@
}
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{
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+ "code": "HGNC:76",
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@@ -982,242 +813,283 @@
}
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{
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{
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{
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+ "code": "HGNC:21298",
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+ "code": "HGNC:3689",
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}
],
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- "display": "Low-level-gain",
+ "code": "high-level-gain",
+ "display": "High-level-gain",
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},
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{
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{
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},
{
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{
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+ "code": "HGNC:3942",
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+ "code": "HGNC:3236",
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}
]
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{
- "id": "da5cc035-4c3a-4178-b8f1-9beb10e26bfa",
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
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},
- "chromosome": "chr12",
+ "chromosome": "chr7",
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{
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- "display": "Coding region",
+ "code": "intronic",
+ "display": "Intronic",
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}
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"system": "https://www.genenames.org/"
},
{
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+ },
+ {
+ "code": "HGNC:9967",
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{
@@ -1226,8 +1098,13 @@
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:3689",
- "display": "FGFR2",
+ "code": "HGNC:34",
+ "display": "ABCA4",
+ "system": "https://www.genenames.org/"
+ },
+ {
+ "code": "HGNC:3942",
+ "display": "MTOR",
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}
],
@@ -1239,68 +1116,68 @@
},
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- "display": "FGFR3",
+ "code": "HGNC:33",
+ "display": "ABCA3",
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},
{
- "code": "HGNC:391",
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},
{
- "code": "HGNC:3689",
- "display": "FGFR2",
+ "code": "HGNC:3942",
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},
{
- "code": "HGNC:21597",
- "display": "ACAD10",
+ "code": "HGNC:1097",
+ "display": "BRAF",
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},
{
- "code": "HGNC:6407",
- "display": "KRAS",
+ "code": "HGNC:25662",
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},
{
- "code": "HGNC:25662",
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{
- "code": "HGNC:1100",
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+ "code": "HGNC:3689",
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}
]
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{
- "id": "6d8cfac1-7809-46c3-afcb-cf663de78f7f",
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
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},
- "chromosome": "chr2",
+ "chromosome": "chr7",
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{
- "code": "intergenic",
- "display": "Intergenic",
+ "code": "splicing-region",
+ "display": "splicing region",
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}
],
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@@ -1308,28 +1185,18 @@
"system": "https://www.genenames.org/"
},
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- "display": "ABRAXAS1",
- "system": "https://www.genenames.org/"
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- "display": "FGFR3",
- "system": "https://www.genenames.org/"
- },
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- "code": "HGNC:1100",
- "display": "BRCA1",
+ "code": "HGNC:5173",
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},
{
- "code": "HGNC:76",
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+ "code": "HGNC:25662",
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},
{
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+ "code": "HGNC:886",
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{
@@ -1338,29 +1205,14 @@
"system": "https://www.genenames.org/"
},
{
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- "system": "https://www.genenames.org/"
- },
- {
- "code": "HGNC:3942",
- "display": "MTOR",
+ "code": "HGNC:34",
+ "display": "ABCA4",
"system": "https://www.genenames.org/"
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{
"code": "HGNC:3236",
"display": "EGFR",
"system": "https://www.genenames.org/"
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@@ -1371,65 +1223,80 @@
},
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+ "code": "HGNC:33",
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{
- "code": "HGNC:1097",
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{
- "code": "HGNC:391",
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{
- "code": "HGNC:6407",
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{
- "code": "HGNC:1753",
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+ "code": "HGNC:886",
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{
- "code": "HGNC:3690",
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+ "code": "HGNC:34",
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]
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{
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
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- "chromosome": "chr4",
+ "chromosome": "chr21",
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- "code": "splicing-region",
- "display": "splicing region",
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@@ -1440,41 +1307,51 @@
"system": "https://www.genenames.org/"
},
{
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- "display": "RET",
+ "code": "HGNC:1777",
+ "display": "CDK6",
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{
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{
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- "display": "BRAF",
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{
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],
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- "display": "Low-level-gain",
+ "code": "high-level-gain",
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- "display": "ABRAXAS1",
+ "code": "HGNC:5173",
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{
@@ -1488,43 +1365,48 @@
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:34",
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{
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]
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
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- "chromosome": "chr1",
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@@ -1532,18 +1414,43 @@
"system": "https://www.genenames.org/"
},
{
+ "code": "HGNC:5173",
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+ },
+ {
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+ "code": "HGNC:3690",
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{
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+ "code": "HGNC:21597",
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{
@@ -1552,18 +1459,23 @@
"system": "https://www.genenames.org/"
},
{
+ "code": "HGNC:25662",
+ "display": "AAGAB",
+ "system": "https://www.genenames.org/"
+ },
+ {
"code": "HGNC:1100",
"display": "BRCA1",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:34",
- "display": "ABCA4",
+ "code": "HGNC:9967",
+ "display": "RET",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:3942",
- "display": "MTOR",
+ "code": "HGNC:21298",
+ "display": "AACS",
"system": "https://www.genenames.org/"
}
],
@@ -1575,8 +1487,8 @@
},
"copyNumberNeutralLoH": [
{
- "code": "HGNC:25829",
- "display": "ABRAXAS1",
+ "code": "HGNC:5173",
+ "display": "HRAS",
"system": "https://www.genenames.org/"
},
{
@@ -1585,18 +1497,18 @@
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:25662",
- "display": "AAGAB",
+ "code": "HGNC:3690",
+ "display": "FGFR3",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:76",
- "display": "ABL1",
+ "code": "HGNC:1097",
+ "display": "BRAF",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:886",
- "display": "ATRX",
+ "code": "HGNC:1777",
+ "display": "CDK6",
"system": "https://www.genenames.org/"
},
{
@@ -1605,43 +1517,48 @@
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:3942",
- "display": "MTOR",
+ "code": "HGNC:18615",
+ "display": "BRAFP1",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:3236",
- "display": "EGFR",
+ "code": "HGNC:34",
+ "display": "ABCA4",
+ "system": "https://www.genenames.org/"
+ },
+ {
+ "code": "HGNC:21597",
+ "display": "ACAD10",
"system": "https://www.genenames.org/"
}
]
},
{
- "id": "b6c87ffe-cafa-4017-8304-cc7d5e5ed6ef",
+ "id": "251c4538-efd4-41cb-ac11-7aa6004b4546",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
- "chromosome": "chr4",
+ "chromosome": "chr6",
"localization": [
{
- "code": "intergenic",
- "display": "Intergenic",
+ "code": "regulatory-region",
+ "display": "Regulatory region",
"system": "dnpm-dip/variant/localization"
}
],
"startRange": {
- "start": 28913,
- "end": 28955
+ "start": 10903,
+ "end": 10945
},
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- "relativeCopyNumber": 0.24079048197395347,
- "cnA": 0.8864208860638342,
- "cnB": 0.9335254612742215,
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+ "cnA": 0.6937471513244393,
+ "cnB": 0.07580581478248649,
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{
"code": "HGNC:11998",
@@ -1649,13 +1566,13 @@
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:25829",
- "display": "ABRAXAS1",
+ "code": "HGNC:1753",
+ "display": "CDH13",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:886",
- "display": "ATRX",
+ "code": "HGNC:1100",
+ "display": "BRCA1",
"system": "https://www.genenames.org/"
},
{
@@ -1664,21 +1581,6 @@
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:9967",
- "display": "RET",
- "system": "https://www.genenames.org/"
- },
- {
- "code": "HGNC:3689",
- "display": "FGFR2",
- "system": "https://www.genenames.org/"
- },
- {
- "code": "HGNC:34",
- "display": "ABCA4",
- "system": "https://www.genenames.org/"
- },
- {
"code": "HGNC:3942",
"display": "MTOR",
"system": "https://www.genenames.org/"
@@ -1687,11 +1589,6 @@
"code": "HGNC:18615",
"display": "BRAFP1",
"system": "https://www.genenames.org/"
- },
- {
- "code": "HGNC:6407",
- "display": "KRAS",
- "system": "https://www.genenames.org/"
}
],
"reportedFocality": "partial q-arm",
@@ -1702,13 +1599,13 @@
},
"copyNumberNeutralLoH": [
{
- "code": "HGNC:33",
- "display": "ABCA3",
+ "code": "HGNC:11998",
+ "display": "TP53",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:11998",
- "display": "TP53",
+ "code": "HGNC:5173",
+ "display": "HRAS",
"system": "https://www.genenames.org/"
},
{
@@ -1717,28 +1614,33 @@
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:21298",
- "display": "AACS",
+ "code": "HGNC:3690",
+ "display": "FGFR3",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:34",
- "display": "ABCA4",
+ "code": "HGNC:1097",
+ "display": "BRAF",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:18615",
- "display": "BRAFP1",
+ "code": "HGNC:1777",
+ "display": "CDK6",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:1097",
- "display": "BRAF",
+ "code": "HGNC:9967",
+ "display": "RET",
"system": "https://www.genenames.org/"
},
{
- "code": "HGNC:1100",
- "display": "BRCA1",
+ "code": "HGNC:18615",
+ "display": "BRAFP1",
+ "system": "https://www.genenames.org/"
+ },
+ {
+ "code": "HGNC:6407",
+ "display": "KRAS",
"system": "https://www.genenames.org/"
}
]
@@ -1746,75 +1648,75 @@
],
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{
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+ "id": "1175b70b-b667-47b2-831d-c8537f035b47",
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- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"localization": [
{
- "code": "splicing-region",
- "display": "splicing region",
+ "code": "regulatory-region",
+ "display": "Regulatory region",
"system": "dnpm-dip/variant/localization"
}
],
"fusionPartner5prime": {
- "chromosome": "chr10",
+ "chromosome": "chr19",
"gene": {
- "code": "HGNC:1100",
- "display": "BRCA1",
+ "code": "HGNC:21597",
+ "display": "ACAD10",
"system": "https://www.genenames.org/"
},
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},
"fusionPartner3prime": {
- "chromosome": "chr19",
+ "chromosome": "chr7",
"gene": {
- "code": "HGNC:1097",
- "display": "BRAF",
+ "code": "HGNC:3689",
+ "display": "FGFR2",
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},
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{
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"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"localization": [
{
- "code": "regulatory-region",
- "display": "Regulatory region",
+ "code": "splicing-region",
+ "display": "splicing region",
"system": "dnpm-dip/variant/localization"
}
],
"fusionPartner5prime": {
- "chromosome": "chr3",
+ "chromosome": "chr17",
"gene": {
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- "display": "MDM2",
+ "code": "HGNC:1097",
+ "display": "BRAF",
"system": "https://www.genenames.org/"
},
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},
"fusionPartner3prime": {
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+ "display": "AKT1",
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{
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
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},
"localization": [
@@ -1825,72 +1727,97 @@
}
],
"fusionPartner5prime": {
- "chromosome": "chr3",
+ "chromosome": "chr20",
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+ "code": "HGNC:886",
+ "display": "ATRX",
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"fusionPartner3prime": {
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{
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"patient": {
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"localization": [
{
- "code": "splicing-region",
- "display": "splicing region",
+ "code": "regulatory-region",
+ "display": "Regulatory region",
"system": "dnpm-dip/variant/localization"
}
],
"fusionPartner5prime": {
- "chromosome": "chr21",
+ "chromosome": "chr1",
"gene": {
- "code": "HGNC:1753",
- "display": "CDH13",
+ "code": "HGNC:6407",
+ "display": "KRAS",
"system": "https://www.genenames.org/"
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+ "position": 564
},
"fusionPartner3prime": {
- "chromosome": "chr14",
+ "chromosome": "chr1",
"gene": {
- "code": "HGNC:3689",
- "display": "FGFR2",
+ "code": "HGNC:1777",
+ "display": "CDK6",
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},
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},
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{
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"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
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{
- "value": "8560bec8-434c-485a-9dcf-357903a668df",
- "system": "https://cancer.sanger.ac.uk/cosmic"
+ "code": "splicing-region",
+ "display": "splicing region",
+ "system": "dnpm-dip/variant/localization"
}
],
+ "fusionPartner5prime": {
+ "chromosome": "chr21",
+ "gene": {
+ "code": "HGNC:21597",
+ "display": "ACAD10",
+ "system": "https://www.genenames.org/"
+ },
+ "position": 155
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+ "fusionPartner3prime": {
+ "chromosome": "chr11",
+ "gene": {
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+ "display": "AACS",
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+ "type": "Patient"
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{
"code": "intergenic",
@@ -1899,98 +1826,64 @@
}
],
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- "system": "https://www.ncbi.nlm.nih.gov/refseq"
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- "exonId": "6",
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+ "display": "AAGAB",
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- "system": "https://www.ensembl.org"
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+ "code": "HGNC:886",
+ "display": "ATRX",
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{
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"patient": {
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
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- "system": "https://cancer.sanger.ac.uk/cosmic"
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"localization": [
{
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- "display": "Intronic",
+ "code": "regulatory-region",
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- "display": "BRAF",
+ "code": "HGNC:1753",
+ "display": "CDH13",
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- "system": "https://www.ensembl.org"
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+ "chromosome": "chr18",
"gene": {
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- "display": "ABCA4",
+ "code": "HGNC:33",
+ "display": "ABCA3",
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},
{
- "id": "139e3749-4ce8-4add-aff8-d50edb63a910",
+ "id": "794aec2c-de1b-406c-94e0-e8248d5885d4",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
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{
"code": "coding-region",
@@ -1999,235 +1892,226 @@
}
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- "system": "https://www.ncbi.nlm.nih.gov/refseq"
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+ "code": "HGNC:391",
+ "display": "AKT1",
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- "system": "https://www.ensembl.org"
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
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"system": "https://cancer.sanger.ac.uk/cosmic"
}
],
"localization": [
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- "display": "Intergenic",
+ "code": "regulatory-region",
+ "display": "Regulatory region",
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"gene": {
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+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
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"system": "https://cancer.sanger.ac.uk/cosmic"
}
],
"localization": [
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- "display": "Intronic",
+ "code": "regulatory-region",
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"gene": {
- "code": "HGNC:11998",
- "display": "TP53",
+ "code": "HGNC:3236",
+ "display": "EGFR",
"system": "https://www.genenames.org/"
},
- "position": 517,
+ "position": 230,
"strand": "+"
},
"effect": "Effect",
- "reportedNumReads": 7
+ "reportedNumReads": 5
},
{
- "id": "ec5cf70d-41cf-4ae6-80c7-f97c762b49bf",
+ "id": "c881e1ab-b776-40f5-b08c-69dc9aa0618d",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"externalIds": [
{
- "value": "05989288-3ed9-4a9e-b0e8-d71e6b00e486",
+ "value": "7b636af7-c36e-463f-bb4d-35c02429cc0a",
"system": "https://cancer.sanger.ac.uk/cosmic"
}
],
"localization": [
{
- "code": "splicing-region",
- "display": "splicing region",
+ "code": "coding-region",
+ "display": "Coding region",
"system": "dnpm-dip/variant/localization"
}
],
"fusionPartner5prime": {
"transcriptId": {
- "value": "7b5e30e2-2ad0-43ee-a420-c012525ecdc8",
+ "value": "83696ba9-2bf6-4525-8916-cfd7d6b57d8e",
"system": "https://www.ncbi.nlm.nih.gov/refseq"
},
- "exonId": "8",
+ "exonId": "9",
"gene": {
- "code": "HGNC:3236",
- "display": "EGFR",
+ "code": "HGNC:1097",
+ "display": "BRAF",
"system": "https://www.genenames.org/"
},
- "position": 768,
- "strand": "-"
+ "position": 549,
+ "strand": "+"
},
"fusionPartner3prime": {
"transcriptId": {
- "value": "7bb8a065-afaa-4f70-850f-3b4df9a62f43",
- "system": "https://www.ncbi.nlm.nih.gov/refseq"
+ "value": "3245f5a3-88a9-45b8-bed7-14cbb55208a3",
+ "system": "https://www.ensembl.org"
},
- "exonId": "3",
+ "exonId": "10",
"gene": {
- "code": "HGNC:9967",
- "display": "RET",
+ "code": "HGNC:391",
+ "display": "AKT1",
"system": "https://www.genenames.org/"
},
- "position": 720,
+ "position": 472,
"strand": "-"
},
"effect": "Effect",
- "reportedNumReads": 4
+ "reportedNumReads": 9
},
{
- "id": "b11ccdea-d5ff-4fb0-ba78-4da793e4ffd8",
+ "id": "08835215-46f5-4ee3-8c9e-7ac1eff090fd",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"externalIds": [
{
- "value": "5642d5ed-d3ff-47d4-975d-070414c71c60",
+ "value": "344c53a9-8744-4d7f-873a-41ed56a6477f",
"system": "https://cancer.sanger.ac.uk/cosmic"
}
],
"localization": [
{
- "code": "splicing-region",
- "display": "splicing region",
+ "code": "intergenic",
+ "display": "Intergenic",
"system": "dnpm-dip/variant/localization"
}
],
"fusionPartner5prime": {
"transcriptId": {
- "value": "04f2a51a-d782-42d2-a313-67e2ea362155",
+ "value": "7185fa47-ca77-4ffb-b7d4-96e0929c8beb",
"system": "https://www.ncbi.nlm.nih.gov/refseq"
},
- "exonId": "9",
+ "exonId": "2",
"gene": {
- "code": "HGNC:21597",
- "display": "ACAD10",
+ "code": "HGNC:11998",
+ "display": "TP53",
"system": "https://www.genenames.org/"
},
- "position": 575,
+ "position": 942,
"strand": "-"
},
"fusionPartner3prime": {
"transcriptId": {
- "value": "56e704c3-b889-4768-b33a-f0be5cc3ea4d",
+ "value": "c0bf67cd-f0ee-4ce6-b3d9-b9ced8174db4",
"system": "https://www.ncbi.nlm.nih.gov/refseq"
},
- "exonId": "6",
+ "exonId": "9",
"gene": {
- "code": "HGNC:18615",
- "display": "BRAFP1",
+ "code": "HGNC:1753",
+ "display": "CDH13",
"system": "https://www.genenames.org/"
},
- "position": 537,
+ "position": 434,
"strand": "-"
},
"effect": "Effect",
- "reportedNumReads": 8
+ "reportedNumReads": 9
}
],
"rnaSeqs": []
@@ -2236,96 +2120,98 @@
],
"carePlans": [
{
- "id": "75f515ff-44e9-44ef-8de4-20750f160322",
+ "id": "785d0496-4e74-492e-b8cf-73390b0f4954",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"type": "MTBDiagnosis"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"geneticCounselingRecommendation": {
- "id": "708baa95-c6de-4e1d-9e2c-f40dd1d14a32",
+ "id": "23452d54-dfa9-48f7-a191-7df1b94594c2",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"reason": {
- "code": "self-anamnesis",
- "display": "Eigenanamnese",
+ "code": "secondary-tumor",
+ "display": "Zweittumor",
"system": "dnpm-dip/mtb/recommendation/genetic-counseling/reason"
}
},
"medicationRecommendations": [
{
- "id": "1db4d8d9-d6c0-48d1-b135-d040403654f9",
+ "id": "55f1bead-15c6-4fd5-8aa8-ee4c9b2cb285",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"type": "MTBDiagnosis"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"priority": {
- "code": "4",
- "display": "4",
+ "code": "3",
+ "display": "3",
"system": "dnpm-dip/recommendation/priority"
},
"levelOfEvidence": {
"grading": {
- "code": "m2B",
- "display": "m2B",
+ "code": "m2C",
+ "display": "m2C",
"system": "dnpm-dip/mtb/level-of-evidence/grading"
},
"addendums": [
{
- "code": "R",
- "display": "R",
+ "code": "is",
+ "display": "is",
"system": "dnpm-dip/mtb/level-of-evidence/addendum"
}
],
"publications": [
{
- "id": "1802087682",
+ "id": "1525598879",
"system": "https://pubmed.ncbi.nlm.nih.gov",
"type": "Publication"
}
]
},
- "category": {
- "code": "SO",
- "display": "Sonstiges",
- "system": "dnpm-dip/mtb/recommendation/systemic-therapy/category"
- },
+ "category": [
+ {
+ "code": "IM",
+ "display": "Immun-/Antikörpertherapie",
+ "system": "dnpm-dip/mtb/recommendation/systemic-therapy/category"
+ }
+ ],
"medication": [
{
- "code": "L01XX77",
- "display": "Adagrasib",
+ "code": "L01FX03",
+ "display": "Catumaxomab",
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"version": "2025"
}
],
"useType": {
- "code": "sec-preventive",
- "display": "Sec-preventive",
+ "code": "compassionate",
+ "display": "Compassionate Use",
"system": "dnpm-dip/mtb/recommendation/systemic-therapy/use-type"
},
"supportingVariants": [
{
"variant": {
- "id": "a9487572-a2a5-4074-ba8b-1e73cf92b378",
+ "id": "4093aaf4-b5a9-4a36-a027-bf3b4a313a6f",
"type": "Variant"
},
"gene": {
- "code": "HGNC:11998",
- "display": "TP53",
+ "code": "HGNC:1753",
+ "display": "CDH13",
"system": "https://www.genenames.org/"
}
}
@@ -2334,26 +2220,26 @@
],
"procedureRecommendations": [
{
- "id": "1f5aebc0-2f32-4fdf-96e3-ba2309a580e3",
+ "id": "57720dff-86a6-4795-9ac2-0942e50b8191",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"type": "MTBDiagnosis"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"priority": {
- "code": "2",
- "display": "2",
+ "code": "3",
+ "display": "3",
"system": "dnpm-dip/recommendation/priority"
},
"levelOfEvidence": {
"grading": {
- "code": "undefined",
- "display": "Nicht definiert",
+ "code": "m2B",
+ "display": "m2B",
"system": "dnpm-dip/mtb/level-of-evidence/grading"
},
"addendums": [
@@ -2365,26 +2251,26 @@
],
"publications": [
{
- "id": "519591396",
+ "id": "1386708679",
"system": "https://pubmed.ncbi.nlm.nih.gov",
"type": "Publication"
}
]
},
"code": {
- "code": "AS",
- "display": "Active Surveillance",
+ "code": "OP",
+ "display": "Operation",
"system": "dnpm-dip/mtb/recommendation/procedure/category"
},
"supportingVariants": [
{
"variant": {
- "id": "828dfee4-37e4-485a-8c6f-49f863903f3f",
+ "id": "302808e8-25e5-44dd-bac1-1ec3bc901fca",
"type": "Variant"
},
"gene": {
- "code": "HGNC:886",
- "display": "ATRX",
+ "code": "HGNC:11998",
+ "display": "TP53",
"system": "https://www.genenames.org/"
}
}
@@ -2393,59 +2279,59 @@
],
"studyEnrollmentRecommendations": [
{
- "id": "590cd85f-24b9-435c-bb63-8a719dfa7c8e",
+ "id": "106ad35c-93c3-4c51-8da4-090489615969",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"type": "MTBDiagnosis"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"levelOfEvidence": {
"grading": {
- "code": "m2B",
- "display": "m2B",
+ "code": "m2C",
+ "display": "m2C",
"system": "dnpm-dip/mtb/level-of-evidence/grading"
},
"addendums": [
{
- "code": "R",
- "display": "R",
+ "code": "is",
+ "display": "is",
"system": "dnpm-dip/mtb/level-of-evidence/addendum"
}
],
"publications": [
{
- "id": "1802087682",
+ "id": "1525598879",
"system": "https://pubmed.ncbi.nlm.nih.gov",
"type": "Publication"
}
]
},
"priority": {
- "code": "1",
- "display": "1",
+ "code": "3",
+ "display": "3",
"system": "dnpm-dip/recommendation/priority"
},
"study": [
{
- "id": "0509-104679-07-52",
- "system": "Eudra-CT",
+ "id": "NCT69553088",
+ "system": "NCT",
"type": "Study"
}
],
"supportingVariants": [
{
"variant": {
- "id": "a9487572-a2a5-4074-ba8b-1e73cf92b378",
+ "id": "4093aaf4-b5a9-4a36-a027-bf3b4a313a6f",
"type": "Variant"
},
"gene": {
- "code": "HGNC:11998",
- "display": "TP53",
+ "code": "HGNC:1753",
+ "display": "CDH13",
"system": "https://www.genenames.org/"
}
}
@@ -2454,30 +2340,30 @@
],
"histologyReevaluationRequests": [
{
- "id": "38f2133a-f1cf-4af6-b441-c21953e43ed3",
+ "id": "b6fdf1d5-4434-47e7-97d8-3a085f772a07",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"specimen": {
- "id": "c3f30fe7-d193-4cde-a3c2-ef8f2497df51",
+ "id": "c479b60d-c3e4-44d4-b0e5-c5891dd460ed",
"type": "TumorSpecimen"
},
- "issuedOn": "2025-06-24"
+ "issuedOn": "2025-07-09"
}
],
"rebiopsyRequests": [
{
- "id": "0860944d-ede1-453b-b7ea-b13ea0fb1d2f",
+ "id": "5317db9f-af34-403f-8084-bed8d7822df7",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"tumorEntity": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
"type": "MTBDiagnosis"
},
- "issuedOn": "2025-06-24"
+ "issuedOn": "2025-07-09"
}
],
"notes": [
@@ -2487,48 +2373,48 @@
],
"followUps": [
{
- "date": "2025-06-03",
+ "date": "2009-08-12",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
- "lastContactDate": "2025-06-03"
+ "lastContactDate": "2009-08-12"
}
],
"claims": [
{
- "id": "5ec237d4-4857-475a-9931-0aa374a93634",
+ "id": "d9d6e12f-46a2-4fe0-8aa8-1839a6bf22cb",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"recommendation": {
- "id": "1db4d8d9-d6c0-48d1-b135-d040403654f9",
+ "id": "55f1bead-15c6-4fd5-8aa8-ee4c9b2cb285",
"type": "MTBMedicationRecommendation"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"stage": {
- "code": "unknown",
- "display": "Unbekannt",
+ "code": "follow-up-claim",
+ "display": "Folgeantrag",
"system": "dnpm-dip/mtb/claim/stage"
}
}
],
"claimResponses": [
{
- "id": "fed8817e-708a-4230-a7e1-95594b67e5ce",
+ "id": "159caaab-9792-4004-993e-9c9410915a8a",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"claim": {
- "id": "5ec237d4-4857-475a-9931-0aa374a93634",
+ "id": "d9d6e12f-46a2-4fe0-8aa8-1839a6bf22cb",
"type": "Claim"
},
- "issuedOn": "2025-06-24",
+ "issuedOn": "2025-07-09",
"status": {
- "code": "accepted",
- "display": "Angenommen",
+ "code": "unknown",
+ "display": "Unbekannt",
"system": "dnpm-dip/mtb/claim-response/status"
}
}
@@ -2537,59 +2423,54 @@
{
"history": [
{
- "id": "0b2347b7-3b85-442d-aa46-e9c5c9ee7802",
+ "id": "f47600f1-9563-4964-b4db-1826faf01a52",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"reason": {
- "id": "c1731d5e-6cca-4f8e-bca6-de233926106e",
- "display": "Bösartige Neubildung: Zentraler Drüsenkörper der Brustdrüse",
+ "id": "19de7fac-c8db-4936-b8fe-c47acda6599b",
+ "display": "Bösartige Neubildung: Sonstige und nicht näher bezeichnete Hirnnerven",
"type": "MTBDiagnosis"
},
"intent": {
- "code": "P",
- "display": "Palliativ",
+ "code": "K",
+ "display": "Kurativ",
"system": "dnpm-dip/therapy/intent"
},
"category": {
- "code": "S",
- "display": "Sonstiges",
+ "code": "N",
+ "display": "Neoadjuvant",
"system": "dnpm-dip/therapy/category"
},
"basedOn": {
- "id": "1db4d8d9-d6c0-48d1-b135-d040403654f9",
+ "id": "55f1bead-15c6-4fd5-8aa8-ee4c9b2cb285",
"type": "MTBMedicationRecommendation"
},
- "recordedOn": "2025-06-24",
+ "recordedOn": "2025-07-09",
"status": {
- "code": "stopped",
- "display": "Abgebrochen",
+ "code": "on-going",
+ "display": "Laufend",
"system": "dnpm-dip/therapy/status"
},
- "statusReason": {
- "code": "progression",
- "display": "Progression",
- "system": "dnpm-dip/therapy/status-reason"
- },
"recommendationFulfillmentStatus": {
"code": "partial",
"display": "Partiell",
"system": "dnpm-dip/therapy/recommendation-fulfillment-status"
},
"dosage": {
- "code": "under-50%",
- "display": "< 50 %",
+ "code": "over-50%",
+ "display": ">= 50 %",
"system": "dnpm-dip/therapy/dosage-density"
},
"period": {
- "start": "2025-03-18",
- "end": "2025-06-24"
+ "start": "2009-04-29",
+ "end": "2009-10-21"
},
"medication": [
{
- "code": "L01XX77",
- "display": "Adagrasib",
+ "code": "L01FX03",
+ "display": "Catumaxomab",
"system": "http://fhir.de/CodeSystem/bfarm/atc",
"version": "2025"
}
@@ -2603,16 +2484,16 @@
],
"responses": [
{
- "id": "70c6b774-ca26-4837-b424-5fc37e9a1548",
+ "id": "5da70b0a-e683-4de8-8671-b6508f237fc9",
"patient": {
- "id": "aca5a971-28be-4089-8128-0036a4fe6f1a",
+ "id": "fae56ea7-24a7-4556-82fb-2b5dde71bb4d",
"type": "Patient"
},
"therapy": {
- "id": "0b2347b7-3b85-442d-aa46-e9c5c9ee7802",
+ "id": "f47600f1-9563-4964-b4db-1826faf01a52",
"type": "MTBSystemicTherapy"
},
- "effectiveDate": "2025-06-03",
+ "effectiveDate": "2009-08-12",
"method": {
"code": "RANO",
"display": "Nach RANO-Kriterien",