<Bundle xmlns="http://hl7.org/fhir" xmlns:hash="java:de.samply.obds2fhir">
  <id value="1302b6d11c5b628d" />
  <type value="transaction" />
  <entry>
    <fullUrl value="http://example.com/Patient/1302b6d11c5b628d" />
    <resource>
      <Patient>
        <id value="1302b6d11c5b628d" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient" />
        </meta>
        <identifier>
          <type>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/PseudonymArtCS" />
              <code value="Lokal" />
            </coding>
          </type>
          <value value="74d5d4e4c777663db30dd772cf65111b" />
        </identifier>
        <gender value="male" />
        <birthDate value="1989-04-13" />
      </Patient>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Patient/1302b6d11c5b628d" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Condition/dig1f2f2da54770c86f" />
    <resource>
      <Condition>
        <id value="dig1f2f2da54770c86f" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose" />
        </meta>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fmf0a68ae26e5c737c" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fma4f7df9bbde8fb01" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fm38d362ec4172f5d9" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fm8b2e6350a26764fb" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fmc15293635ce1b90e" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fm08d339986d2fb690" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fm08a764d51b8969cb" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fmc68f03eee86a8ec0" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fma5107942a948d651" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fm625b2e056dd32e77" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fm6081c71a7ebbf470" />
          </valueReference>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen">
          <valueReference>
            <reference value="Observation/fm93610caa7674760d" />
          </valueReference>
        </extension>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm" />
            <version value="2024" />
            <code value="C43.4" />
          </coding>
          <text value="Malignes_Melanom_oberer_Ruecken_mittig" />
        </code>
        <bodySite>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.6.43.1" />
            <version value="33" />
            <code value="C44.5" />
            <display value="oberer_quadrant" />
          </coding>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS" />
            <code value="M" />
          </coding>
        </bodySite>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <onsetDateTime value="2024-03-02" />
        <recordedDate value="2024-03-02" />
        <stage>
          <assessment>
            <reference value="Observation/tnm6676e73631013304" />
          </assessment>
        </stage>
        <stage>
          <assessment>
            <reference value="Observation/tnmd803254e19394531" />
          </assessment>
        </stage>
        <evidence>
          <code>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/DiagnosesicherungCS" />
              <code value="2" />
            </coding>
          </code>
          <detail>
            <reference value="Observation/histb7bd2dea7b9d637b" />
          </detail>
          <detail>
            <reference value="Observation/genaba78cc5c215416a" />
          </detail>
          <detail>
            <reference value="Observation/gen16f2c57a327db5b3" />
          </detail>
        </evidence>
      </Condition>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Condition/dig1f2f2da54770c86f" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/cd8184cad15f879f" />
    <resource>
      <Observation>
        <id value="cd8184cad15f879f" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Ecog" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="89247-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/EcogCS" />
            <code value="3" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/cd8184cad15f879f" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/2d12bb65b288089e" />
    <resource>
      <Observation>
        <id value="2d12bb65b288089e" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation" />
        </meta>
        <status value="registered" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LP248771-0" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:Breslow" />
            <code value="13,1" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/2d12bb65b288089e" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/806081b2a110e3b0" />
    <resource>
      <Observation>
        <id value="806081b2a110e3b0" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation" />
        </meta>
        <status value="registered" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LP248771-0" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:WHO-Grading_fuer_Gehirntumoren" />
            <code value="II" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/806081b2a110e3b0" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/bf4c0681b80e379c" />
    <resource>
      <Observation>
        <id value="bf4c0681b80e379c" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation" />
        </meta>
        <status value="registered" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LP248771-0" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:Clark-Level" />
            <code value="III" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/bf4c0681b80e379c" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/histb7bd2dea7b9d637b" />
    <resource>
      <Observation>
        <id value="histb7bd2dea7b9d637b" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="59847-4" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.6.43.1" />
            <version value="33" />
            <code value="8721/3" />
          </coding>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.6.43.1" />
            <version value="31" />
            <code value="8722/3" />
          </coding>
          <text value="Nodulaeres_malignes_Melanom_(NM)" />
        </valueCodeableConcept>
        <hasMember>
          <reference value="Observation/grdb7bd2dea7b9d637b" />
        </hasMember>
        <hasMember>
          <reference value="Observation/lkub7bd2dea7b9d637b" />
        </hasMember>
        <hasMember>
          <reference value="Observation/lkbb7bd2dea7b9d637b" />
        </hasMember>
        <hasMember>
          <reference value="Observation/slkub7bd2dea7b9d637b" />
        </hasMember>
        <hasMember>
          <reference value="Observation/slkbb7bd2dea7b9d637b" />
        </hasMember>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/histb7bd2dea7b9d637b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/grdb7bd2dea7b9d637b" />
    <resource>
      <Observation>
        <id value="grdb7bd2dea7b9d637b" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Grading" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="59542-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GradingCS" />
            <code value="T" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/grdb7bd2dea7b9d637b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/lkub7bd2dea7b9d637b" />
    <resource>
      <Observation>
        <id value="lkub7bd2dea7b9d637b" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-AnzahlUntersuchtenLymphknoten" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21894-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <valueQuantity>
          <value value="50" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/lkub7bd2dea7b9d637b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/lkbb7bd2dea7b9d637b" />
    <resource>
      <Observation>
        <id value="lkbb7bd2dea7b9d637b" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-AnzahlBefallenenLymphknoten" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21893-3" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <valueQuantity>
          <value value="50" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/lkbb7bd2dea7b9d637b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/slkub7bd2dea7b9d637b" />
    <resource>
      <Observation>
        <id value="slkub7bd2dea7b9d637b" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-AnzahlUntersuchtenSentinelLymphknoten" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="85347-3" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <valueQuantity>
          <value value="50" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/slkub7bd2dea7b9d637b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/slkbb7bd2dea7b9d637b" />
    <resource>
      <Observation>
        <id value="slkbb7bd2dea7b9d637b" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-AnzahlBefallenenSentinelLymphknoten" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="92832-5" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <valueQuantity>
          <value value="50" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/slkbb7bd2dea7b9d637b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fmf0a68ae26e5c737c" />
    <resource>
      <Observation>
        <id value="fmf0a68ae26e5c737c" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="PUL" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fmf0a68ae26e5c737c" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fma4f7df9bbde8fb01" />
    <resource>
      <Observation>
        <id value="fma4f7df9bbde8fb01" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="OSS" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fma4f7df9bbde8fb01" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm38d362ec4172f5d9" />
    <resource>
      <Observation>
        <id value="fm38d362ec4172f5d9" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="HEP" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm38d362ec4172f5d9" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm8b2e6350a26764fb" />
    <resource>
      <Observation>
        <id value="fm8b2e6350a26764fb" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="BRA" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm8b2e6350a26764fb" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fmc15293635ce1b90e" />
    <resource>
      <Observation>
        <id value="fmc15293635ce1b90e" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="LYM" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fmc15293635ce1b90e" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm08d339986d2fb690" />
    <resource>
      <Observation>
        <id value="fm08d339986d2fb690" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="MAR" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm08d339986d2fb690" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm08a764d51b8969cb" />
    <resource>
      <Observation>
        <id value="fm08a764d51b8969cb" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="PLE" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm08a764d51b8969cb" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fmc68f03eee86a8ec0" />
    <resource>
      <Observation>
        <id value="fmc68f03eee86a8ec0" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="PER" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fmc68f03eee86a8ec0" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fma5107942a948d651" />
    <resource>
      <Observation>
        <id value="fma5107942a948d651" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="ADR" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fma5107942a948d651" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm625b2e056dd32e77" />
    <resource>
      <Observation>
        <id value="fm625b2e056dd32e77" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="SKI" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm625b2e056dd32e77" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm6081c71a7ebbf470" />
    <resource>
      <Observation>
        <id value="fm6081c71a7ebbf470" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="OTH" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm6081c71a7ebbf470" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm93610caa7674760d" />
    <resource>
      <Observation>
        <id value="fm93610caa7674760d" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="GEN" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm93610caa7674760d" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/tnm6676e73631013304" />
    <resource>
      <Observation>
        <id value="tnm6676e73631013304" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21908-9" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-05-29" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/UiccstadiumCS" />
            <version value="8" />
            <code value="IB" />
          </coding>
        </valueCodeableConcept>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="u" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21905-5" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMTCS" />
              <version value="8" />
              <code value="1a" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="c" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21906-3" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMNCS" />
              <version value="8" />
              <code value="0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="c" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21907-1" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMMCS" />
              <version value="8" />
              <code value="0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="59479-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMySymbolCS" />
              <code value="y" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21983-2" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMrSymbolCS" />
              <code value="r" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="42030-7" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMmSymbolCS" />
              <code value="m1" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="33739-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMLKategorieCS" />
              <code value="L0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="33740-2" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMVKategorieCS" />
              <code value="Vx" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="92837-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMPnKategorieCS" />
              <code value="PnX" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21924-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMSKategorieCS" />
              <code value="SX" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/tnm6676e73631013304" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/tnmd803254e19394531" />
    <resource>
      <Observation>
        <id value="tnmd803254e19394531" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMp" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21902-2" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-31" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/UiccstadiumCS" />
            <version value="8" />
            <code value="IB2" />
          </coding>
        </valueCodeableConcept>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="p" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21899-0" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMTCS" />
              <version value="8" />
              <code value="1a" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="p" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21900-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMNCS" />
              <version value="8" />
              <code value="0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="p" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21901-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMMCS" />
              <version value="8" />
              <code value="0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="59479-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMySymbolCS" />
              <code value="9" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21983-2" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMrSymbolCS" />
              <code value="9" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="33739-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMLKategorieCS" />
              <code value="L1" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="33740-2" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMVKategorieCS" />
              <code value="V2" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="92837-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMPnKategorieCS" />
              <code value="Pn1" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21924-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMSKategorieCS" />
              <code value="S3" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/tnmd803254e19394531" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/genaba78cc5c215416a" />
    <resource>
      <Observation>
        <id value="genaba78cc5c215416a" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GenetischeVariante" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="69548-6" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GenetischeVarianteCS" />
            <code value="Mutation/positiv" />
          </coding>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="48018-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.genenames.org" />
              <code value="EGFR" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/genaba78cc5c215416a" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/gen16f2c57a327db5b3" />
    <resource>
      <Observation>
        <id value="gen16f2c57a327db5b3" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GenetischeVariante" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="69548-6" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-03-02" />
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="48018-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.genenames.org" />
              <code value="freitext" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/gen16f2c57a327db5b3" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Procedure/op8c478942a711e3d4" />
    <resource>
      <Procedure>
        <id value="op8c478942a711e3d4" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Operation" />
        </meta>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-OPIntention">
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/OPIntentionCS" />
              <code value="P" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <status value="completed" />
        <category>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS" />
            <code value="OP" />
            <display value="Operation" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/bfarm/ops" />
            <version value="2013" />
            <code value="5-456.00" />
          </coding>
          <coding>
            <system value="http://fhir.de/CodeSystem/bfarm/ops" />
            <version value="2013" />
            <code value="5-451.02" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <performedDateTime value="2024-04-02" />
        <reasonReference>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </reasonReference>
        <outcome>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/LokaleBeurteilungResidualstatusCS" />
            <code value="R0" />
          </coding>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GesamtbeurteilungResidualstatusCS" />
            <code value="R1(cy+)" />
          </coding>
        </outcome>
        <complication>
          <coding>
            <system value="http://fhir.de/ValueSet/bfarm/icd-10-gm" />
            <code value="U" />
          </coding>
          <coding>
            <system value="http://fhir.de/ValueSet/bfarm/icd-10-gm" />
            <code value="ABD" />
          </coding>
          <coding>
            <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm" />
            <version value="10 2000 GM" />
            <code value="E31" />
          </coding>
        </complication>
      </Procedure>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Procedure/op8c478942a711e3d4" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/hista53c3ee5f0b90321" />
    <resource>
      <Observation>
        <id value="hista53c3ee5f0b90321" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="59847-4" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-04-02" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.6.43.1" />
            <version value="33" />
            <code value="8721/3" />
          </coding>
          <text value="Nodulaeres_malignes_Melanom_(NM)" />
        </valueCodeableConcept>
        <hasMember>
          <reference value="Observation/grda53c3ee5f0b90321" />
        </hasMember>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/hista53c3ee5f0b90321" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/grda53c3ee5f0b90321" />
    <resource>
      <Observation>
        <id value="grda53c3ee5f0b90321" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Grading" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="59542-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GradingCS" />
            <code value="T" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/grda53c3ee5f0b90321" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/tnm1da964f68e843e7a" />
    <resource>
      <Observation>
        <id value="tnm1da964f68e843e7a" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21908-9" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-04-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/UiccstadiumCS" />
            <version value="8" />
            <code value="IB" />
          </coding>
        </valueCodeableConcept>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="u" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21905-5" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMTCS" />
              <version value="8" />
              <code value="1a" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="c" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21906-3" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMNCS" />
              <version value="8" />
              <code value="0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="c" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21907-1" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMMCS" />
              <version value="8" />
              <code value="0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="59479-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMySymbolCS" />
              <code value="y" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21983-2" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMrSymbolCS" />
              <code value="r" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="42030-7" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMmSymbolCS" />
              <code value="m1" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="33739-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMLKategorieCS" />
              <code value="L0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="33740-2" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMVKategorieCS" />
              <code value="Vx" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="92837-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMPnKategorieCS" />
              <code value="PnX" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21924-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMSKategorieCS" />
              <code value="SX" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/tnm1da964f68e843e7a" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/genaa19114e79156bc6" />
    <resource>
      <Observation>
        <id value="genaa19114e79156bc6" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GenetischeVariante" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="69548-6" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-04-02" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GenetischeVarianteCS" />
            <code value="Mutation/positiv" />
          </coding>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="48018-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.genenames.org" />
              <code value="PLAAT4" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/genaa19114e79156bc6" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/gen7ccf53b43f5357ca" />
    <resource>
      <Observation>
        <id value="gen7ccf53b43f5357ca" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GenetischeVariante" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="69548-6" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-04-02" />
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="48018-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.genenames.org" />
              <code value="EGFR" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/gen7ccf53b43f5357ca" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/2e263b870d3a105b" />
    <resource>
      <Observation>
        <id value="2e263b870d3a105b" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation" />
        </meta>
        <status value="registered" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LP248771-0" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-04-03" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:UICC" />
            <code value="3" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/2e263b870d3a105b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/2e655935817ed9b8" />
    <resource>
      <Observation>
        <id value="2e655935817ed9b8" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation" />
        </meta>
        <status value="registered" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LP248771-0" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2024-04-04" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:WHO-Grading" />
            <code value="VI" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/2e655935817ed9b8" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Procedure/sttestpatient-oBDS-101200120400001" />
    <resource>
      <Procedure>
        <id value="sttestpatient-oBDS-101200120400001" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie" />
        </meta>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-StellungZurOp">
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTStellungOPCS" />
              <code value="O" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SYSTIntention">
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTIntentionCS" />
              <code value="K" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <status value="completed" />
        <category>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS" />
            <code value="ST" />
            <display value="Strahlentherapie" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/bfarm/ops" />
            <code value="8-52" />
            <display value="Strahlentherapie" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <reasonReference>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </reasonReference>
      </Procedure>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Procedure/sttestpatient-oBDS-101200120400001" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/AdverseEvent/23d4d558fcd5817c" />
    <resource>
      <AdverseEvent>
        <id value="23d4d558fcd5817c" />
        <actuality value="actual" />
        <event>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/MedDRA_CodeCS" />
            <version value="4.03" />
            <code value="10061103" />
          </coding>
        </event>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <severity>
          <coding>
            <system value="http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system" />
            <code value="3" />
          </coding>
        </severity>
        <suspectEntity>
          <instance>
            <reference value="Procedure/sttestpatient-oBDS-101200120400001" />
          </instance>
        </suspectEntity>
      </AdverseEvent>
    </resource>
    <request>
      <method value="PUT" />
      <url value="AdverseEvent/23d4d558fcd5817c" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/AdverseEvent/58c2f8c5cf651e50" />
    <resource>
      <AdverseEvent>
        <id value="58c2f8c5cf651e50" />
        <actuality value="actual" />
        <event>
          <coding>
            <system value="urn:proprietaerCode" />
            <version value="Sonstige" />
            <code value="proprietärCode" />
          </coding>
        </event>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <severity>
          <coding>
            <system value="http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system" />
            <code value="5" />
          </coding>
        </severity>
        <suspectEntity>
          <instance>
            <reference value="Procedure/sttestpatient-oBDS-101200120400001" />
          </instance>
        </suspectEntity>
      </AdverseEvent>
    </resource>
    <request>
      <method value="PUT" />
      <url value="AdverseEvent/58c2f8c5cf651e50" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/AdverseEvent/4b3588639f2db72d" />
    <resource>
      <AdverseEvent>
        <id value="4b3588639f2db72d" />
        <actuality value="actual" />
        <event>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/CTCAECS" />
            <code value="CTC" />
          </coding>
        </event>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <severity>
          <coding>
            <system value="http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system" />
            <code value="1" />
          </coding>
        </severity>
        <suspectEntity>
          <instance>
            <reference value="Procedure/sttestpatient-oBDS-101200120400001" />
          </instance>
        </suspectEntity>
      </AdverseEvent>
    </resource>
    <request>
      <method value="PUT" />
      <url value="AdverseEvent/4b3588639f2db72d" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Procedure/stsf6a2876a834ef8ef" />
    <resource>
      <Procedure>
        <id value="stsf6a2876a834ef8ef" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie" />
        </meta>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Bestrahlung">
          <extension url="Applikationsart">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ApplikationsartCS" />
                <code value="PRCJ" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="Zielgebiet">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ZielgebietCS" />
                <code value="9.10" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="SeiteZielgebiet">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS" />
                <code value="L" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="Gesamtdosis">
            <valueQuantity>
              <value value="30" />
              <unit value="Gy" />
              <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS" />
            </valueQuantity>
          </extension>
          <extension url="Einzeldosis">
            <valueQuantity>
              <value value="2" />
              <unit value="Gy" />
              <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS" />
            </valueQuantity>
          </extension>
          <extension url="Boost">
            <valueCodeableConcept>
              <coding>
                <code value="N" />
              </coding>
            </valueCodeableConcept>
          </extension>
        </extension>
        <partOf>
          <reference value="Procedure/sttestpatient-oBDS-101200120400001" />
        </partOf>
        <status value="stopped" />
        <category>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS" />
            <code value="ST" />
            <display value="Strahlentherapie" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/dimdi/ops" />
            <code value="8-52" />
            <display value="Strahlentherapie" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <performedPeriod>
          <start value="2024-05-13" />
          <end value="2024-05-29" />
        </performedPeriod>
        <reasonReference>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </reasonReference>
      </Procedure>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Procedure/stsf6a2876a834ef8ef" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Procedure/stsbba30c9ae7efb98b" />
    <resource>
      <Procedure>
        <id value="stsbba30c9ae7efb98b" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie" />
        </meta>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Bestrahlung">
          <extension url="Applikationsart">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ApplikationsartCS" />
                <code value="KLDR" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="Zielgebiet">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ZielgebietCS" />
                <code value="3.3." />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="SeiteZielgebiet">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS" />
                <code value="L" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="Gesamtdosis">
            <valueQuantity>
              <value value="13" />
              <unit value="Gy" />
              <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS" />
            </valueQuantity>
          </extension>
          <extension url="Einzeldosis">
            <valueQuantity>
              <value value="2" />
              <unit value="Gy" />
              <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS" />
            </valueQuantity>
          </extension>
        </extension>
        <partOf>
          <reference value="Procedure/sttestpatient-oBDS-101200120400001" />
        </partOf>
        <status value="stopped" />
        <category>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS" />
            <code value="ST" />
            <display value="Strahlentherapie" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/dimdi/ops" />
            <code value="8-52" />
            <display value="Strahlentherapie" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <performedPeriod>
          <start value="2024-05-30" />
          <end value="2024-06-03" />
        </performedPeriod>
        <reasonReference>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </reasonReference>
      </Procedure>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Procedure/stsbba30c9ae7efb98b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Procedure/sts761cf0f948585dac" />
    <resource>
      <Procedure>
        <id value="sts761cf0f948585dac" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie" />
        </meta>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Bestrahlung">
          <extension url="Applikationsart">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ApplikationsartCS" />
                <code value="MPRRT" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="Zielgebiet">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ZielgebietCS" />
                <code value="2.1." />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="SeiteZielgebiet">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS" />
                <code value="L" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="Gesamtdosis">
            <valueQuantity>
              <value value="200" />
              <unit value="GBq" />
              <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS" />
            </valueQuantity>
          </extension>
          <extension url="Einzeldosis">
            <valueQuantity>
              <value value="3150" />
              <unit value="kBq" />
              <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS" />
            </valueQuantity>
          </extension>
        </extension>
        <partOf>
          <reference value="Procedure/sttestpatient-oBDS-101200120400001" />
        </partOf>
        <status value="stopped" />
        <category>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS" />
            <code value="ST" />
            <display value="Strahlentherapie" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/dimdi/ops" />
            <code value="8-52" />
            <display value="Strahlentherapie" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <performedPeriod>
          <start value="2024-07-01" />
          <end value="2024-07-21" />
        </performedPeriod>
        <reasonReference>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </reasonReference>
      </Procedure>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Procedure/sts761cf0f948585dac" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Procedure/sts7bcf079244521d82" />
    <resource>
      <Procedure>
        <id value="sts7bcf079244521d82" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Procedure-Strahlentherapie" />
        </meta>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Bestrahlung">
          <extension url="Applikationsart">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ApplikationsartCS" />
                <code value="S" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="Zielgebiet">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/ZielgebietCS" />
                <code value="8.9." />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="SeiteZielgebiet">
            <valueCodeableConcept>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS" />
                <code value="U" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="Gesamtdosis">
            <valueQuantity>
              <value value="3" />
              <unit value="Gy" />
              <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS" />
            </valueQuantity>
          </extension>
          <extension url="Einzeldosis">
            <valueQuantity>
              <value value="0.1" />
              <unit value="Gy" />
              <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/StrahlungseinheitVS" />
            </valueQuantity>
          </extension>
        </extension>
        <partOf>
          <reference value="Procedure/sttestpatient-oBDS-101200120400001" />
        </partOf>
        <status value="stopped" />
        <category>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS" />
            <code value="ST" />
            <display value="Strahlentherapie" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/dimdi/ops" />
            <code value="8-52" />
            <display value="Strahlentherapie" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <performedPeriod>
          <start value="2025-01-01" />
          <end value="2025-02-13" />
        </performedPeriod>
        <reasonReference>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </reasonReference>
      </Procedure>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Procedure/sts7bcf079244521d82" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/MedicationStatement/systdea82a2a8b34ae93" />
    <resource>
      <MedicationStatement>
        <id value="systdea82a2a8b34ae93" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-MedicationStatement-Systemtherapie" />
        </meta>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-StellungZurOp">
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTStellungOPCS" />
              <code value="O" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SYSTIntention">
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTIntentionCS" />
              <code value="P" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SystemischeTherapieProtokoll">
          <valueCodeableConcept>
            <text value="Atezolizumab/_Bevacizumab" />
          </valueCodeableConcept>
        </extension>
        <status value="completed" />
        <category>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTTherapieartCS" />
            <code value="CIZ" />
          </coding>
        </category>
        <medicationCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTSubstanzCS" />
            <code value="Bevacizumab" />
          </coding>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTSubstanzCS" />
            <code value="Ipilimumab" />
          </coding>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SYSTSubstanzATCCS" />
            <version value="2004" />
            <code value="A00AA00" />
          </coding>
          <text value="Bevacizumab;Ipilimumab" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <effectivePeriod>
          <start value="2023-01-01" />
          <end value="2023-09-15" />
        </effectivePeriod>
        <reasonReference>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </reasonReference>
      </MedicationStatement>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationStatement/systdea82a2a8b34ae93" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/AdverseEvent/259c6b9afd4deb02" />
    <resource>
      <AdverseEvent>
        <id value="259c6b9afd4deb02" />
        <actuality value="actual" />
        <event>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/MedDRA_CodeCS" />
            <version value="4" />
            <code value="00000000" />
          </coding>
        </event>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <severity>
          <coding>
            <system value="http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system" />
            <code value="3" />
          </coding>
        </severity>
        <suspectEntity>
          <instance>
            <reference value="MedicationStatement/systdea82a2a8b34ae93" />
          </instance>
        </suspectEntity>
      </AdverseEvent>
    </resource>
    <request>
      <method value="PUT" />
      <url value="AdverseEvent/259c6b9afd4deb02" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/AdverseEvent/c17c29aa959e4c9e" />
    <resource>
      <AdverseEvent>
        <id value="c17c29aa959e4c9e" />
        <actuality value="actual" />
        <event>
          <coding>
            <system value="urn:Bezeichnung17" />
            <version value="4" />
            <code value="Bezeichnung17" />
          </coding>
        </event>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <severity>
          <coding>
            <system value="http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system" />
            <code value="3" />
          </coding>
        </severity>
        <suspectEntity>
          <instance>
            <reference value="MedicationStatement/systdea82a2a8b34ae93" />
          </instance>
        </suspectEntity>
      </AdverseEvent>
    </resource>
    <request>
      <method value="PUT" />
      <url value="AdverseEvent/c17c29aa959e4c9e" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/AdverseEvent/5e34588728c9d31b" />
    <resource>
      <AdverseEvent>
        <id value="5e34588728c9d31b" />
        <actuality value="actual" />
        <event>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/CTCAECS" />
            <code value="CTC" />
          </coding>
        </event>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <severity>
          <coding>
            <system value="http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system" />
            <code value="1" />
          </coding>
        </severity>
        <suspectEntity>
          <instance>
            <reference value="MedicationStatement/systdea82a2a8b34ae93" />
          </instance>
        </suspectEntity>
      </AdverseEvent>
    </resource>
    <request>
      <method value="PUT" />
      <url value="AdverseEvent/5e34588728c9d31b" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/ClinicalImpression/vrla162a1b405cb9895" />
    <resource>
      <ClinicalImpression>
        <id value="vrla162a1b405cb9895" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ClinicalImpression-Verlauf" />
        </meta>
        <status value="completed" />
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <effectiveDateTime value="2023-07-19" />
        <problem>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </problem>
        <finding>
          <itemReference>
            <reference value="Observation/tnm63396c400de4b9d0" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/hist35818c93f2c6dfa8" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/fm4f8d0efd5c22c8e0" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/fm343cbfa4cf3f532c" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/genb41fc3d37cb665fb" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/a15450f20d081544" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/0caf212356ac14b8" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/09b16fce09c21227" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/181d07b47999d4f5" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/vrla162a1b405cb9895krz" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/vrla162a1b405cb9895tsl" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/vrla162a1b405cb9895fmn" />
          </itemReference>
        </finding>
        <finding>
          <itemReference>
            <reference value="Observation/vrla162a1b405cb9895asp" />
          </itemReference>
        </finding>
      </ClinicalImpression>
    </resource>
    <request>
      <method value="PUT" />
      <url value="ClinicalImpression/vrla162a1b405cb9895" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/vrla162a1b405cb9895krz" />
    <resource>
      <Observation>
        <id value="vrla162a1b405cb9895krz" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-LokalerTumorstatus" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LA4583-6" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-19" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/VerlaufLokalerTumorstatusCS" />
            <code value="K" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/vrla162a1b405cb9895krz" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/vrla162a1b405cb9895tsl" />
    <resource>
      <Observation>
        <id value="vrla162a1b405cb9895tsl" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusLymphknoten" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LA4370-8" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-19" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/VerlaufTumorstatusLymphknotenCS" />
            <code value="K" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/vrla162a1b405cb9895tsl" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/vrla162a1b405cb9895fmn" />
    <resource>
      <Observation>
        <id value="vrla162a1b405cb9895fmn" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusFernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LA4226-2" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-19" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/VerlaufTumorstatusFernmetastasenCS" />
            <code value="R" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/vrla162a1b405cb9895fmn" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/vrla162a1b405cb9895asp" />
    <resource>
      <Observation>
        <id value="vrla162a1b405cb9895asp" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GesamtbeurteilungTumorstatus" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21976-6" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-19" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GesamtbeurteilungTumorstatusCS" />
            <code value="P" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/vrla162a1b405cb9895asp" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/hist35818c93f2c6dfa8" />
    <resource>
      <Observation>
        <id value="hist35818c93f2c6dfa8" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="59847-4" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-19" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.6.43.1" />
            <version value="33" />
            <code value="8721/3" />
          </coding>
          <text value="unklar" />
        </valueCodeableConcept>
        <hasMember>
          <reference value="Observation/grd35818c93f2c6dfa8" />
        </hasMember>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/hist35818c93f2c6dfa8" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/grd35818c93f2c6dfa8" />
    <resource>
      <Observation>
        <id value="grd35818c93f2c6dfa8" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Grading" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="59542-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GradingCS" />
            <code value="T" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/grd35818c93f2c6dfa8" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/tnm63396c400de4b9d0" />
    <resource>
      <Observation>
        <id value="tnm63396c400de4b9d0" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21908-9" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-15" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/UiccstadiumCS" />
            <version value="8" />
            <code value="I" />
          </coding>
        </valueCodeableConcept>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="u" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21905-5" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMTCS" />
              <version value="8" />
              <code value="1" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="c" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21906-3" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMNCS" />
              <version value="8" />
              <code value="0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <extension url="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix">
            <valueCodeableConcept>
              <coding>
                <code value="c" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21907-1" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMMCS" />
              <version value="8" />
              <code value="0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="59479-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMySymbolCS" />
              <code value="y" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21983-2" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMrSymbolCS" />
              <code value="r" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="42030-7" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMmSymbolCS" />
              <code value="m1" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="33739-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMLKategorieCS" />
              <code value="L0" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="33740-2" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMVKategorieCS" />
              <code value="Vx" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="92837-4" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMPnKategorieCS" />
              <code value="PnX" />
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="21924-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/TNMSKategorieCS" />
              <code value="SX" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/tnm63396c400de4b9d0" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm4f8d0efd5c22c8e0" />
    <resource>
      <Observation>
        <id value="fm4f8d0efd5c22c8e0" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-19" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="OTH" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm4f8d0efd5c22c8e0" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/fm343cbfa4cf3f532c" />
    <resource>
      <Observation>
        <id value="fm343cbfa4cf3f532c" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="21907-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-19" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
            <code value="J" />
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/FMLokalisationCS" />
            <code value="ADR" />
          </coding>
        </bodySite>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/fm343cbfa4cf3f532c" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/genb41fc3d37cb665fb" />
    <resource>
      <Observation>
        <id value="genb41fc3d37cb665fb" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GenetischeVariante" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="69548-6" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-15" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/GenetischeVarianteCS" />
            <code value="M" />
          </coding>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="48018-6" />
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.genenames.org" />
              <code value="FCRL4" />
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/genb41fc3d37cb665fb" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/a15450f20d081544" />
    <resource>
      <Observation>
        <id value="a15450f20d081544" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Ecog" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="89247-1" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-19" />
        <valueCodeableConcept>
          <coding>
            <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/EcogCS" />
            <code value="0" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/a15450f20d081544" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/0caf212356ac14b8" />
    <resource>
      <Observation>
        <id value="0caf212356ac14b8" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation" />
        </meta>
        <status value="registered" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LP248771-0" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-18" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:UICC" />
            <code value="II" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/0caf212356ac14b8" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/09b16fce09c21227" />
    <resource>
      <Observation>
        <id value="09b16fce09c21227" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation" />
        </meta>
        <status value="registered" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LP248771-0" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-18" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:WHO-Grading" />
            <code value="I" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/09b16fce09c21227" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/Observation/181d07b47999d4f5" />
    <resource>
      <Observation>
        <id value="181d07b47999d4f5" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation" />
        </meta>
        <status value="registered" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="LP248771-0" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <focus>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </focus>
        <effectiveDateTime value="2023-07-18" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:problematic_duplicate:_diagnosis_and_progress" />
            <code value="I" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/181d07b47999d4f5" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.com/CarePlan/tkz6b65836252023468" />
    <resource>
      <CarePlan>
        <id value="tkz6b65836252023468" />
        <meta>
          <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-CarePlan-Therapieempfehlung" />
        </meta>
        <status value="unknown" />
        <intent value="proposal" />
        <subject>
          <reference value="Patient/1302b6d11c5b628d" />
        </subject>
        <created value="2024-03-02" />
        <addresses>
          <reference value="Condition/dig1f2f2da54770c86f" />
        </addresses>
        <activity>
          <detail>
            <code>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/TherapieempfehlungCS" />
                <code value="CZ" />
              </coding>
            </code>
            <status value="unknown" />
            <statusReason>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
                <code value="N" />
              </coding>
            </statusReason>
          </detail>
        </activity>
        <activity>
          <detail>
            <code>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/TherapieempfehlungCS" />
                <code value="HO" />
              </coding>
            </code>
            <status value="unknown" />
            <statusReason>
              <coding>
                <system value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/JNUCS" />
                <code value="N" />
              </coding>
            </statusReason>
          </detail>
        </activity>
      </CarePlan>
    </resource>
    <request>
      <method value="PUT" />
      <url value="CarePlan/tkz6b65836252023468" />
    </request>
  </entry>
</Bundle>