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diff --git a/src/main/java/dev/dnpm/oshelper/services/strahlentherapie/DefaultStrahlentherapieService.java b/src/main/java/dev/dnpm/oshelper/services/strahlentherapie/DefaultStrahlentherapieService.java
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+/*
+ * This file is part of onkostar-plugin-dnpm
+ *
+ * Copyright (c) 2025 the original author or authors.
+ *
+ * Permission is hereby granted, free of charge, to any person obtaining a copy
+ * of this software and associated documentation files (the "Software"), to deal
+ * in the Software without restriction, including without limitation the rights
+ * to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+ * copies of the Software, and to permit persons to whom the Software is
+ * furnished to do so, subject to the following conditions:
+ *
+ * The above copyright notice and this permission notice shall be included in all
+ * copies or substantial portions of the Software.
+ *
+ * THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+ * IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+ * FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+ * AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+ * LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+ * OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+ * SOFTWARE.
+ */
+
+package dev.dnpm.oshelper.services.strahlentherapie;
+
+import dev.dnpm.oshelper.dto.EcogStatusWithDate;
+import dev.dnpm.oshelper.services.SettingsService;
+import de.itc.onkostar.api.IOnkostarApi;
+import de.itc.onkostar.api.Patient;
+import de.itc.onkostar.api.Procedure;
+
+import java.util.Comparator;
+import java.util.List;
+import java.util.Objects;
+import java.util.Optional;
+import java.util.stream.Collectors;
+
+/**
+ * Standardimplementierung des StrahlentherapieServices
+ *
+ * @since 0.6.0
+ */
+public class DefaultStrahlentherapieService implements StrahlentherapieService {
+
+ private static final String ECOG_FIELD = "ECOGvorTherapie";
+
+ private final IOnkostarApi onkostarApi;
+
+ private final SettingsService settingsService;
+
+ public DefaultStrahlentherapieService(final IOnkostarApi onkostarApi, final SettingsService settingsService) {
+ this.onkostarApi = onkostarApi;
+ this.settingsService = settingsService;
+ }
+
+ /**
+ * Ermittelt den letzten bekannten ECOG-Status aus allen Systemtherapieformularen des Patienten
+ *
+ * @param patient Der zu verwendende Patient
+ * @return Der ECOG-Status als String oder leeres Optional
+ */
+ @Override
+ public Optional<String> latestEcogStatus(Patient patient) {
+ return ecogStatus(patient).stream()
+ .max(Comparator.comparing(EcogStatusWithDate::getDate))
+ .map(EcogStatusWithDate::getStatus);
+ }
+
+ /**
+ * Ermittelt jeden bekannten ECOG-Status aus allen Systemtherapieformularen des Patienten
+ *
+ * @param patient Der zu verwendende Patient
+ * @return Eine Liste mit Datum und ECOG-Status als String
+ */
+ @Override
+ public List<EcogStatusWithDate> ecogStatus(Patient patient) {
+ return patient.getDiseases().stream()
+ .flatMap(disease -> onkostarApi.getProceduresForDiseaseByForm(disease.getId(), getFormName()).stream())
+ .filter(procedure -> null != procedure.getStartDate())
+ .sorted(Comparator.comparing(Procedure::getStartDate))
+ .map(procedure -> {
+ try {
+ return new EcogStatusWithDate(procedure.getStartDate(), procedure.getValue(ECOG_FIELD).getString());
+ } catch (IllegalArgumentException e) {
+ return null;
+ }
+ })
+ .filter(Objects::nonNull)
+ .collect(Collectors.toList());
+ }
+
+ private String getFormName() {
+ return settingsService
+ .getSetting("strahlentherapieform")
+ .orElse("OS.Strahlentherapie");
+ }
+}