{
"description": "Logisches Modell für die organspezifischen Zusatzmodule des oBDS",
"_filename": "StructureDefinition-mii-lm-onko-organspezifische-zusatzmodule.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
"date": "2025-11-13T17:19:39+01:00",
"derivation": "specialization",
"publisher": "Medizininformatik Initiative",
"fhirVersion": "4.0.1",
"name": "MII_LM_Onko_Organspezifische_Zusatzmodule",
"mapping": [ {
"name": "Organspezifische Zusatzmodule LogicalModel FHIR Mapping",
"identity": "FHIR"
}, {
"name": "Organspezifische Zusatzmodule LogicalModel oBDS Mapping",
"identity": "oBDS"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/OrganspezifischeZusatzmodule",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MII LM Onkologie Organspezifische Zusatzmodule",
"package_version": "2026.0.0-rc.1",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule",
"min": 0,
"definition": "Logisches Modell für die organspezifischen Zusatzmodule des oBDS",
"isModifier": false,
"short": "MII LM Onkologie Organspezifische Zusatzmodule",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"max": "*",
"id": "OrganspezifischeZusatzmodule",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element"
}
}, {
"path": "OrganspezifischeZusatzmodule.id",
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"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
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"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
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"base": {
"max": "1",
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"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
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"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
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"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma",
"min": 0,
"definition": "Mamma",
"short": "Mamma",
"mapping": [ {
"map": "Brustspezifische Datenpunkte",
"identity": "FHIR"
}, {
"map": "Mamma-Zusatzmodul nach oBDS",
"comment": "Basiert auf oBDS Mammakarzinom-Modul: https://www.basisdatensatz.de/module/5/mammakarzinom",
"identity": "oBDS"
} ],
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"code": "BackboneElement"
} ],
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"max": "*",
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}
}, {
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"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
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} ],
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}, {
"key": "ext-1",
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} ],
"path": "OrganspezifischeZusatzmodule.Mamma.extension",
"min": 0,
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"isModifier": false,
"short": "Additional content defined by implementations",
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"map": "n/a",
"identity": "rim"
} ],
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"rules": "open",
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"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
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"expression": "hasValue() or (children().count() > id.count())"
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"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.modifierExtension",
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"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.Menopausenstatus",
"min": 0,
"definition": "Prätherapeutischer Menopausenstatus einer Patientin mit Mamma-Karzinom. oBDS M1",
"short": "Menopausenstatus",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='161712005').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M1",
"comment": "Menopausenstatus - oBDS 2021: perimenopausal wird unter prämenopausal subsumiert",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.Menopausenstatus",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.Menopausenstatus"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen",
"min": 0,
"definition": "Rezeptorstatus Estrogen",
"short": "Rezeptorstatus Estrogen",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='40556-3')",
"identity": "FHIR"
}, {
"map": "M2.1",
"comment": "Estrogen-Rezeptorstatus - Duale Kodierung: oBDS-Definition und S3-Leitlinien-Definition",
"identity": "oBDS"
} ],
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"code": "BackboneElement"
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"max": "1",
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"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen"
}
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.id",
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"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
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"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
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"max": "1",
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"path": "Element.id"
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}, {
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"severity": "error",
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"expression": "extension.exists() != value.exists()"
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"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.extension",
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"mapping": [ {
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"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
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"isSummary": false
}, {
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"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
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"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.modifierExtension",
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"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
"min": 0,
"definition": "Kategoriale Bewertung des Estrogen-Rezeptorstatus: positiv/negativ. oBDS M2",
"short": "Estrogen-Rezeptorstatus",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M2.1.1",
"comment": "Kategoriale Bewertung des Estrogen-Rezeptorstatus",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Status"
}
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
"min": 0,
"definition": "Quantitative Bestimmung in Prozent.",
"short": "Anteil positive Zellen",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234804006').valueQuantity",
"identity": "FHIR"
}, {
"map": "M2.1.2",
"comment": "Quantitative Estrogen-Bestimmung in Prozent",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
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"max": "1",
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"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen"
}
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
"min": 0,
"definition": "Qualitative Bewertung der Färbeintensität.",
"short": "Färbeintensität",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1236874005').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M2.1.3",
"comment": "Estrogen-Färbeintensität",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
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"max": "1",
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"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet"
}
}, {
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron",
"min": 0,
"definition": "Rezeptorstatus Progesteron",
"short": "Rezeptorstatus Progesteron",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='85339-0')",
"identity": "FHIR"
}, {
"map": "M2.2",
"comment": "Progesteron-Rezeptorstatus",
"identity": "oBDS"
} ],
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"code": "BackboneElement"
} ],
"max": "1",
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"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron"
}
}, {
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"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
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"path": "Element.id"
},
"isSummary": false
}, {
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
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"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.extension",
"min": 0,
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"mapping": [ {
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} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
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"path": "Element.extension"
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}, {
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"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"min": 0,
"definition": "Kategoriale Bewertung des Progesteron-Rezeptorstatus: positiv/negativ. oBDS M3",
"short": "Progesteron-Rezeptorstatus",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M2.2.1",
"comment": "Kategoriale Bewertung des Progesteron-Rezeptorstatus",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status"
}
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"min": 0,
"definition": "Quantitative Bestimmung in Prozent.",
"short": "Anteil positive Zellen",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234803000').valueQuantity",
"identity": "FHIR"
}, {
"map": "M2.2.2",
"comment": "Quantitative Progesteron-Bestimmung in Prozent",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen"
}
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"min": 0,
"definition": "Qualitative Bewertung der Färbeintensität.",
"short": "Färbeintensität",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1237278006').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M2.2.3",
"comment": "Progesteron-Färbeintensität",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"min": 0,
"definition": "Präoperative Markierung",
"short": "Präoperative Markierung",
"mapping": [ {
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-praeoperative-markierung'))",
"identity": "FHIR"
}, {
"map": "M5",
"comment": "Präoperative Markierung",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"base": {
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung"
}
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"min": 0,
"definition": "Art der präoperativen Markierung",
"short": "Markierungsmodalität",
"mapping": [ {
"map": "Procedure.usedCode.coding.where(memberOf('mii-vs-onko-mamma-praeoperative-markierung-modalitaet'))",
"identity": "FHIR"
}, {
"map": "M5.1",
"comment": "Modalität der präoperativen Markierung",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"min": 0,
"definition": "Mamma-Operation",
"short": "Mamma-Operation",
"mapping": [ {
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-operation'))",
"identity": "FHIR"
}, {
"map": "M4",
"comment": "Mamma-Operationen",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"base": {
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation"
}
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"min": 0,
"definition": "Art der Mamma-Operation.",
"short": "Operationstyp",
"mapping": [ {
"map": "Procedure.code",
"identity": "FHIR"
}, {
"map": "M4.1",
"comment": "Art der Mamma-Operation (BET, Mastektomie, Lymphknotenoperation, Rekonstruktion)",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp"
}
}, {
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"min": 0,
"definition": "Intraoperatives Imagung und weitere Markierungen und Hilfsmittel während der Operation.",
"short": "Intraoperatives Imaging",
"mapping": [ {
"map": "Procedure.usedCode",
"identity": "FHIR"
}, {
"map": "M4.2",
"comment": "Intraoperative Hilfsmittel und Markierungen",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"base": {
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"min": 0,
"definition": "Kolorektales Karzinom",
"short": "Kolorektales Karzinom",
"mapping": [ {
"map": "Bundle/Collection von KRK-spezifischen Ressourcen",
"identity": "FHIR"
}, {
"map": "KRK-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Kolorektales Karzinom basierend auf oBDS-Modul",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"base": {
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"min": 0,
"definition": "Tumor Lokalisation",
"short": "Tumor Lokalisation",
"mapping": [ {
"map": "KRK-spezifische Tumorlokalisation",
"identity": "FHIR"
}, {
"map": "KR1",
"comment": "Tumorlokalisation und anatomische Bezugspunkte",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"min": 0,
"definition": "Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm. oBDS KR1",
"short": "Abstand Anokutanlinie",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33748-5').valueQuantity",
"identity": "FHIR"
}, {
"map": "KR1",
"comment": "Rektum: Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"min": 0,
"definition": "Bildgebende Verfahren",
"short": "Bildgebende Verfahren",
"mapping": [ {
"map": "KRK-spezifische bildgebende Verfahren",
"identity": "FHIR"
}, {
"map": "KR5",
"comment": "Bildgebende Verfahren zur präoperativen Beurteilung",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"min": 0,
"definition": "MRT/CT Mesorektale Faszie",
"short": "MRT/CT Mesorektale Faszie",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://radlex.org' and code.coding.code='RDE96')",
"identity": "FHIR"
}, {
"map": "KR5",
"comment": "Rektum: MRT oder Dünnschicht-CT durchgeführt mit Angabe Abstand mesorektale Faszie",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"min": 0,
"definition": "Abstand des Tumors zur mesorektalen Faszie in mm bei MRT/CT. oBDS KR5",
"short": "Abstand Mesorektale Faszie",
"mapping": [ {
"map": "Observation.valueQuantity",
"identity": "FHIR"
}, {
"map": "KR5",
"comment": "Abstand zur mesorektalen Faszie in mm",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"min": 0,
"definition": "Grund warum der Abstand zur mesorektalen Faszie nicht verfügbar ist (nicht durchgeführt/nicht angegeben/unbekannt).",
"short": "Grund für fehlende Abstandsmessung",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "KR5",
"comment": "Status: D/N/U (durchgeführt aber nicht angegeben/nicht durchgeführt/unbekannt)",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
"min": 0,
"definition": "KRK Operation",
"short": "KRK Operation",
"mapping": [ {
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-operation'))",
"identity": "FHIR"
}, {
"map": "KR-Operation",
"comment": "KRK-spezifische operative Verfahren",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
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"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation"
}
}, {
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"map": "n/a",
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} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
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} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.id",
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"path": "Element.id"
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}, {
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}, {
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} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.extension",
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},
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"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.extension",
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"base": {
"max": "*",
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"path": "Element.extension"
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}, {
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"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
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} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.modifierExtension",
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"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
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} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.modifierExtension",
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"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
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"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
"min": 0,
"definition": "Art der kolorektalen Operation (TME, PME, lokale Exzision, etc.).",
"short": "Operationstyp",
"mapping": [ {
"map": "Procedure.code",
"identity": "FHIR"
}, {
"map": "OPS",
"comment": "Art der kolorektalen Operation nach OPS-Katalog",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
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"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
"min": 0,
"definition": "American Society of Anesthesiologists Physical Status Classification System. oBDS KR4",
"short": "ASA-Klassifikation",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='97816-3').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "KR9",
"comment": "ASA-Klassifikation",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
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"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation"
}
}, {
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"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
"min": 0,
"definition": "Stoma Markierung",
"short": "Stoma Markierung",
"mapping": [ {
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung'))",
"identity": "FHIR"
}, {
"map": "KR7",
"comment": "Rektum: Präoperative Anzeichnung der Stomaposition",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
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}
}, {
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"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
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"map": "n/a",
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} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.id",
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"path": "Element.id"
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"isSummary": false
}, {
"constraint": [ {
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}, {
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"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
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"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.extension",
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},
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"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
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}, {
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}, {
"key": "ext-1",
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"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
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"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.modifierExtension",
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"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
"min": 0,
"definition": "Status der präoperativen Stoma-Markierung.",
"short": "Markierungsstatus",
"mapping": [ {
"map": "Procedure.status",
"identity": "FHIR"
}, {
"map": "KR7",
"comment": "Status der präoperativen Stoma-Markierung",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
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"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"min": 0,
"definition": "Grund für Markierungsstatus (geplant/nicht geplant/abgelehnt).",
"short": "Status Grund",
"mapping": [ {
"map": "Procedure.statusReason",
"identity": "FHIR"
}, {
"map": "KR7",
"comment": "Grund für Markierungsstatus",
"identity": "oBDS"
} ],
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"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund"
}
}, {
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"human": "All FHIR elements must have a @value or children",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
"min": 0,
"definition": "Pathologische Bewertung",
"short": "Pathologische Bewertung",
"mapping": [ {
"map": "KRK-spezifische pathologische Bewertung",
"identity": "FHIR"
}, {
"map": "KR2-KR4",
"comment": "Pathologische Bewertung",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
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"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung"
}
}, {
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"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
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"map": "n/a",
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} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
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} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
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"path": "Element.id"
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}, {
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"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.extension",
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"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.extension",
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} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.modifierExtension",
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"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
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} ],
"type": [ {
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} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.modifierExtension",
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"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"min": 0,
"definition": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm. oBDS KR2",
"short": "Resektionsrand aboral",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81175-2').valueQuantity",
"identity": "FHIR"
}, {
"map": "KR2",
"comment": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"min": 0,
"definition": "Minimaler Abstand des Tumors zur circumferellen Resektionsebene in mm. oBDS KR3",
"short": "Resektionsrand circumferell",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81176-0').valueQuantity",
"identity": "FHIR"
}, {
"map": "KR3",
"comment": "Minimaler Abstand des Tumors zur circumferellen Resektionsebene in mm",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell"
}
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
"min": 0,
"definition": "Qualität der totalen mesorektalen Exzision (Grad 1-3).",
"short": "TME Qualität",
"mapping": [ {
"map": "Specimen.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen')).extension",
"identity": "FHIR"
}, {
"map": "KR4",
"comment": "Rektum: Qualität des TME-Präparats",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
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"max": "1",
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"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet"
}
}, {
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"key": "ele-1",
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} ],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
"min": 0,
"definition": "Postoperative Komplikationen",
"short": "Postoperative Komplikationen",
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"map": "KRK-spezifische postoperative Komplikationen",
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}, {
"map": "KR8",
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}
}, {
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} ],
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} ],
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}, {
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"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.extension",
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"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
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"isSummary": false
}, {
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}, {
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"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
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} ],
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"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
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"map": "N/A",
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} ],
"type": [ {
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"max": "*",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.modifierExtension",
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"base": {
"max": "*",
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"path": "BackboneElement.modifierExtension"
},
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"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
"min": 0,
"definition": "Bewertung der Anastomoseninsuffizienz nach Grad A/B/C.",
"short": "Anastomoseninsuffizienz",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='361317002').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "KR8",
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"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
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"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata",
"min": 0,
"definition": "Prostata",
"short": "Prostata",
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"map": "Bundle/Collection von Prostata-spezifischen Ressourcen",
"identity": "FHIR"
}, {
"map": "Prostata-Zusatzmodul nach oBDS",
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} ],
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"code": "BackboneElement"
} ],
"max": "*",
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"path": "OrganspezifischeZusatzmodule.Prostata"
}
}, {
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"mapping": [ {
"map": "n/a",
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} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
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} ],
"representation": [ "xmlAttr" ],
"max": "1",
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"path": "Element.id"
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}, {
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}, {
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"path": "OrganspezifischeZusatzmodule.Prostata.extension",
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"path": "url",
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},
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"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.extension",
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"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
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}, {
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}, {
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} ],
"path": "OrganspezifischeZusatzmodule.Prostata.modifierExtension",
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"id": "OrganspezifischeZusatzmodule.Prostata.modifierExtension",
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"path": "BackboneElement.modifierExtension"
},
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}, {
"path": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
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"definition": "Prostataspezifisches Antigen in ng/ml für Diagnostik und Verlaufskontrolle.",
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"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='2857-1').valueQuantity",
"identity": "FHIR"
}, {
"map": "P1",
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"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
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"path": "OrganspezifischeZusatzmodule.Prostata.PSAWert"
}
}, {
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"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
"min": 0,
"definition": "Gleason Pattern",
"short": "Gleason Pattern",
"mapping": [ {
"map": "Observation.where(code.coding.memberOf('mii-vs-onko-prostata-gleason-primary-secondary-tertiary'))",
"identity": "FHIR"
}, {
"map": "P2",
"comment": "Gleason Pattern (primär, sekundär, tertiär) für histopathologische Klassifikation",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
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"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.id",
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"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
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} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
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} ],
"representation": [ "xmlAttr" ],
"max": "1",
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"path": "Element.id"
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}, {
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} ],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.extension",
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"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.extension",
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"base": {
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"path": "Element.extension"
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}, {
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}, {
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} ],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.modifierExtension",
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"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
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"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"min": 0,
"definition": "Primäres, sekundäres oder tertiäres Gleason Pattern.",
"short": "Pattern Typ",
"mapping": [ {
"map": "Observation.code",
"identity": "FHIR"
}, {
"map": "P2.1",
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} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"min": 0,
"definition": "Gleason Pattern Wert (1-5, ab 3 als maligne).",
"short": "Pattern Wert",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P2.2",
"comment": "Gleason Pattern Wert (1-5, ab 3 maligne)",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert"
}
}, {
"constraint": [ {
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
"min": 0,
"definition": "Gleason Score",
"short": "Gleason Score",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44642-7')",
"identity": "FHIR"
}, {
"map": "P3",
"comment": "Gleason Score als Summe der Patterns",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
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"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.id",
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"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
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"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"min": 0,
"definition": "Summe aus primärem und sekundärem Pattern.",
"short": "Gleason Score",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P3.1",
"comment": "Gleason Score Gesamtwert",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"min": 0,
"definition": "Internationale Standard Grade Group (1-5).",
"short": "Grade Group",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='79892-6').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P3.2",
"comment": "Internationale Standard Grade Group (1-5)",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"min": 0,
"definition": "Biopsie Ergebnisse",
"short": "Biopsie Ergebnisse",
"mapping": [ {
"map": "Observation Collection",
"identity": "FHIR"
}, {
"map": "P4",
"comment": "Prostatabiopsie-Ergebnisse",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"min": 0,
"definition": "Gesamtanzahl der entnommenen Biopsie-Stanzen.",
"short": "Anzahl Stanzen",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33747-0').valueQuantity",
"identity": "FHIR"
}, {
"map": "P4.1",
"comment": "Gesamtanzahl entnommener Biopsie-Stanzen",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"min": 0,
"definition": "Anzahl der tumorpositiven Stanzen.",
"short": "Anzahl positive Stanzen",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33746-2').valueQuantity",
"identity": "FHIR"
}, {
"map": "P4.2",
"comment": "Anzahl tumorpositiver Stanzen",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"min": 0,
"definition": "Prozentuale Ausdehnung des Karzinoms in der Stanze.",
"short": "Karzinom-Befall je Stanze",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44637-7').valueQuantity",
"identity": "FHIR"
}, {
"map": "P4.3",
"comment": "Prozentuale Ausdehnung Karzinom je Stanze",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"min": 0,
"definition": "Chirurgische Komplikationen",
"short": "Chirurgische Komplikationen",
"mapping": [ {
"map": "Observation.where(method.coding.system='http://snomed.info/sct' and method.coding.code='789278003')",
"identity": "FHIR"
}, {
"map": "P5",
"comment": "Postoperative Komplikationen nach Prostatektomie",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"min": 0,
"definition": "Graduierung postoperativer Komplikationen nach Clavien-Dindo.",
"short": "Clavien-Dindo Grad",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P5.1",
"comment": "Clavien-Dindo Klassifikation postoperativer Komplikationen",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad"
}
}, {
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"min": 0,
"definition": "Spezifische Art der postoperativen Komplikation.",
"short": "Komplikationsart",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='LA462-5').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P5.2",
"comment": "Spezifische Art der postoperativen Komplikation",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom",
"min": 0,
"definition": "Malignes Melanom",
"short": "Malignes Melanom",
"mapping": [ {
"map": "Bundle/Collection von Melanom-spezifischen Ressourcen",
"identity": "FHIR"
}, {
"map": "Melanom-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Malignes Melanom basierend auf oBDS-Modul",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom",
"base": {
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom"
}
}, {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"min": 0,
"definition": "Minimaler Sicherheitsabstand zum Primärtumor in mm gemäß oBDS MM1",
"short": "Sicherheitsabstand Primärtumor",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='396511007').valueQuantity",
"identity": "FHIR"
}, {
"map": "MM1",
"comment": "Minimaler Sicherheitsabstand zum Primärtumor in mm nach definitivem operativem Eingriff",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand"
}
}, {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"min": 0,
"definition": "Breslow-Tumordicke in mm beim Malignen Melanom der Haut",
"short": "Breslow-Tiefe",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='106243009').valueQuantity",
"identity": "FHIR"
}, {
"map": "Breslow",
"comment": "Breslow-Tumordicke in mm - vertikale Tumordicke von der Granularschicht der Epidermis bis zur tiefsten Tumorinvasion",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe"
}
}, {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"min": 0,
"definition": "Pathologisches Kriterium der Ulzeration beim Malignen Melanom der Haut gemäß oBDS MM4",
"short": "Ulzeration",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='6270001000004106').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "MM4",
"comment": "Ulzeration der Epidermis über dem Melanom (J = Ja, N = Nein, U = Unbekannt)",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"min": 0,
"definition": "Laktatdehydrogenase",
"short": "Laktatdehydrogenase",
"mapping": [ {
"map": "Observation.where(code.coding.memberOf('mii-vs-onko-melanom-ldh'))",
"identity": "FHIR"
}, {
"map": "LDH",
"comment": "Laktatdehydrogenase als prognostischer Marker beim metastasierten Melanom",
"identity": "oBDS"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH"
}
}, {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"min": 0,
"definition": "Laktatdehydrogenase Aktivität in U/L als prognostischer Marker",
"short": "LDH-Wert",
"mapping": [ {
"map": "Observation.valueQuantity",
"identity": "FHIR"
}, {
"map": "LDH",
"comment": "LDH-Wert in U/L",
"identity": "oBDS"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert"
}
}, {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"min": 0,
"definition": "Klinische Bewertung des LDH-Werts (normal/erhöht)",
"short": "LDH-Bewertung",
"mapping": [ {
"map": "Observation.interpretation",
"identity": "FHIR"
}, {
"map": "LDH",
"comment": "Bewertung des LDH-Werts (normal/erhöht)",
"identity": "oBDS"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"base": {
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
} ]
},
"status": "active",
"id": "57e9f60b-e16c-4eaf-b007-e5dc05faf899",
"kind": "logical",
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/OrganspezifischeZusatzmodule",
"version": "2026.0.0-ballot",
"differential": {
"element": [ {
"id": "OrganspezifischeZusatzmodule",
"path": "OrganspezifischeZusatzmodule",
"short": "MII LM Onkologie Organspezifische Zusatzmodule",
"definition": "Logisches Modell für die organspezifischen Zusatzmodule des oBDS"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma",
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Mamma",
"mapping": [ {
"map": "Brustspezifische Datenpunkte",
"identity": "FHIR"
}, {
"map": "Mamma-Zusatzmodul nach oBDS",
"comment": "Basiert auf oBDS Mammakarzinom-Modul: https://www.basisdatensatz.de/module/5/mammakarzinom",
"identity": "oBDS"
} ],
"definition": "Mamma"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.Menopausenstatus",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.Menopausenstatus",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Menopausenstatus",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='161712005').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M1",
"comment": "Menopausenstatus - oBDS 2021: perimenopausal wird unter prämenopausal subsumiert",
"identity": "oBDS"
} ],
"definition": "Prätherapeutischer Menopausenstatus einer Patientin mit Mamma-Karzinom. oBDS M1"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Rezeptorstatus Estrogen",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='40556-3')",
"identity": "FHIR"
}, {
"map": "M2.1",
"comment": "Estrogen-Rezeptorstatus - Duale Kodierung: oBDS-Definition und S3-Leitlinien-Definition",
"identity": "oBDS"
} ],
"definition": "Rezeptorstatus Estrogen"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Estrogen-Rezeptorstatus",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M2.1.1",
"comment": "Kategoriale Bewertung des Estrogen-Rezeptorstatus",
"identity": "oBDS"
} ],
"definition": "Kategoriale Bewertung des Estrogen-Rezeptorstatus: positiv/negativ. oBDS M2"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
"type": [ {
"code": "Quantity"
} ],
"short": "Anteil positive Zellen",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234804006').valueQuantity",
"identity": "FHIR"
}, {
"map": "M2.1.2",
"comment": "Quantitative Estrogen-Bestimmung in Prozent",
"identity": "oBDS"
} ],
"definition": "Quantitative Bestimmung in Prozent."
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Färbeintensität",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1236874005').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M2.1.3",
"comment": "Estrogen-Färbeintensität",
"identity": "oBDS"
} ],
"definition": "Qualitative Bewertung der Färbeintensität."
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Rezeptorstatus Progesteron",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='85339-0')",
"identity": "FHIR"
}, {
"map": "M2.2",
"comment": "Progesteron-Rezeptorstatus",
"identity": "oBDS"
} ],
"definition": "Rezeptorstatus Progesteron"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Progesteron-Rezeptorstatus",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M2.2.1",
"comment": "Kategoriale Bewertung des Progesteron-Rezeptorstatus",
"identity": "oBDS"
} ],
"definition": "Kategoriale Bewertung des Progesteron-Rezeptorstatus: positiv/negativ. oBDS M3"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"type": [ {
"code": "Quantity"
} ],
"short": "Anteil positive Zellen",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234803000').valueQuantity",
"identity": "FHIR"
}, {
"map": "M2.2.2",
"comment": "Quantitative Progesteron-Bestimmung in Prozent",
"identity": "oBDS"
} ],
"definition": "Quantitative Bestimmung in Prozent."
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Färbeintensität",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1237278006').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "M2.2.3",
"comment": "Progesteron-Färbeintensität",
"identity": "oBDS"
} ],
"definition": "Qualitative Bewertung der Färbeintensität."
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Präoperative Markierung",
"mapping": [ {
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-praeoperative-markierung'))",
"identity": "FHIR"
}, {
"map": "M5",
"comment": "Präoperative Markierung",
"identity": "oBDS"
} ],
"definition": "Präoperative Markierung"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Markierungsmodalität",
"mapping": [ {
"map": "Procedure.usedCode.coding.where(memberOf('mii-vs-onko-mamma-praeoperative-markierung-modalitaet'))",
"identity": "FHIR"
}, {
"map": "M5.1",
"comment": "Modalität der präoperativen Markierung",
"identity": "oBDS"
} ],
"definition": "Art der präoperativen Markierung"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Mamma-Operation",
"mapping": [ {
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-operation'))",
"identity": "FHIR"
}, {
"map": "M4",
"comment": "Mamma-Operationen",
"identity": "oBDS"
} ],
"definition": "Mamma-Operation"
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Operationstyp",
"mapping": [ {
"map": "Procedure.code",
"identity": "FHIR"
}, {
"map": "M4.1",
"comment": "Art der Mamma-Operation (BET, Mastektomie, Lymphknotenoperation, Rekonstruktion)",
"identity": "oBDS"
} ],
"definition": "Art der Mamma-Operation."
}, {
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Intraoperatives Imaging",
"mapping": [ {
"map": "Procedure.usedCode",
"identity": "FHIR"
}, {
"map": "M4.2",
"comment": "Intraoperative Hilfsmittel und Markierungen",
"identity": "oBDS"
} ],
"definition": "Intraoperatives Imagung und weitere Markierungen und Hilfsmittel während der Operation."
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Kolorektales Karzinom",
"mapping": [ {
"map": "Bundle/Collection von KRK-spezifischen Ressourcen",
"identity": "FHIR"
}, {
"map": "KRK-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Kolorektales Karzinom basierend auf oBDS-Modul",
"identity": "oBDS"
} ],
"definition": "Kolorektales Karzinom"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Tumor Lokalisation",
"mapping": [ {
"map": "KRK-spezifische Tumorlokalisation",
"identity": "FHIR"
}, {
"map": "KR1",
"comment": "Tumorlokalisation und anatomische Bezugspunkte",
"identity": "oBDS"
} ],
"definition": "Tumor Lokalisation"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"type": [ {
"code": "Quantity"
} ],
"short": "Abstand Anokutanlinie",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33748-5').valueQuantity",
"identity": "FHIR"
}, {
"map": "KR1",
"comment": "Rektum: Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm",
"identity": "oBDS"
} ],
"definition": "Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm. oBDS KR1"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Bildgebende Verfahren",
"mapping": [ {
"map": "KRK-spezifische bildgebende Verfahren",
"identity": "FHIR"
}, {
"map": "KR5",
"comment": "Bildgebende Verfahren zur präoperativen Beurteilung",
"identity": "oBDS"
} ],
"definition": "Bildgebende Verfahren"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"type": [ {
"code": "BackboneElement"
} ],
"short": "MRT/CT Mesorektale Faszie",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://radlex.org' and code.coding.code='RDE96')",
"identity": "FHIR"
}, {
"map": "KR5",
"comment": "Rektum: MRT oder Dünnschicht-CT durchgeführt mit Angabe Abstand mesorektale Faszie",
"identity": "oBDS"
} ],
"definition": "MRT/CT Mesorektale Faszie"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"type": [ {
"code": "Quantity"
} ],
"short": "Abstand Mesorektale Faszie",
"mapping": [ {
"map": "Observation.valueQuantity",
"identity": "FHIR"
}, {
"map": "KR5",
"comment": "Abstand zur mesorektalen Faszie in mm",
"identity": "oBDS"
} ],
"definition": "Abstand des Tumors zur mesorektalen Faszie in mm bei MRT/CT. oBDS KR5"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Grund für fehlende Abstandsmessung",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "KR5",
"comment": "Status: D/N/U (durchgeführt aber nicht angegeben/nicht durchgeführt/unbekannt)",
"identity": "oBDS"
} ],
"definition": "Grund warum der Abstand zur mesorektalen Faszie nicht verfügbar ist (nicht durchgeführt/nicht angegeben/unbekannt)."
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
"type": [ {
"code": "BackboneElement"
} ],
"short": "KRK Operation",
"mapping": [ {
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-operation'))",
"identity": "FHIR"
}, {
"map": "KR-Operation",
"comment": "KRK-spezifische operative Verfahren",
"identity": "oBDS"
} ],
"definition": "KRK Operation"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Operationstyp",
"mapping": [ {
"map": "Procedure.code",
"identity": "FHIR"
}, {
"map": "OPS",
"comment": "Art der kolorektalen Operation nach OPS-Katalog",
"identity": "oBDS"
} ],
"definition": "Art der kolorektalen Operation (TME, PME, lokale Exzision, etc.)."
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "ASA-Klassifikation",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='97816-3').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "KR9",
"comment": "ASA-Klassifikation",
"identity": "oBDS"
} ],
"definition": "American Society of Anesthesiologists Physical Status Classification System. oBDS KR4"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Stoma Markierung",
"mapping": [ {
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung'))",
"identity": "FHIR"
}, {
"map": "KR7",
"comment": "Rektum: Präoperative Anzeichnung der Stomaposition",
"identity": "oBDS"
} ],
"definition": "Stoma Markierung"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Markierungsstatus",
"mapping": [ {
"map": "Procedure.status",
"identity": "FHIR"
}, {
"map": "KR7",
"comment": "Status der präoperativen Stoma-Markierung",
"identity": "oBDS"
} ],
"definition": "Status der präoperativen Stoma-Markierung."
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Status Grund",
"mapping": [ {
"map": "Procedure.statusReason",
"identity": "FHIR"
}, {
"map": "KR7",
"comment": "Grund für Markierungsstatus",
"identity": "oBDS"
} ],
"definition": "Grund für Markierungsstatus (geplant/nicht geplant/abgelehnt)."
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Pathologische Bewertung",
"mapping": [ {
"map": "KRK-spezifische pathologische Bewertung",
"identity": "FHIR"
}, {
"map": "KR2-KR4",
"comment": "Pathologische Bewertung",
"identity": "oBDS"
} ],
"definition": "Pathologische Bewertung"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"type": [ {
"code": "Quantity"
} ],
"short": "Resektionsrand aboral",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81175-2').valueQuantity",
"identity": "FHIR"
}, {
"map": "KR2",
"comment": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm",
"identity": "oBDS"
} ],
"definition": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm. oBDS KR2"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"type": [ {
"code": "Quantity"
} ],
"short": "Resektionsrand circumferell",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81176-0').valueQuantity",
"identity": "FHIR"
}, {
"map": "KR3",
"comment": "Minimaler Abstand des Tumors zur circumferellen Resektionsebene in mm",
"identity": "oBDS"
} ],
"definition": "Minimaler Abstand des Tumors zur circumferellen Resektionsebene in mm. oBDS KR3"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "TME Qualität",
"mapping": [ {
"map": "Specimen.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen')).extension",
"identity": "FHIR"
}, {
"map": "KR4",
"comment": "Rektum: Qualität des TME-Präparats",
"identity": "oBDS"
} ],
"definition": "Qualität der totalen mesorektalen Exzision (Grad 1-3)."
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Postoperative Komplikationen",
"mapping": [ {
"map": "KRK-spezifische postoperative Komplikationen",
"identity": "FHIR"
}, {
"map": "KR8",
"comment": "Postoperative Komplikationen",
"identity": "oBDS"
} ],
"definition": "Postoperative Komplikationen"
}, {
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Anastomoseninsuffizienz",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='361317002').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "KR8",
"comment": "Rektumkarzinom: Anastomoseninsuffizienz",
"identity": "oBDS"
} ],
"definition": "Bewertung der Anastomoseninsuffizienz nach Grad A/B/C."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata",
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Prostata",
"mapping": [ {
"map": "Bundle/Collection von Prostata-spezifischen Ressourcen",
"identity": "FHIR"
}, {
"map": "Prostata-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Prostatakarzinom basierend auf oBDS-Modul",
"identity": "oBDS"
} ],
"definition": "Prostata"
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
"type": [ {
"code": "Quantity"
} ],
"short": "PSA-Wert",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='2857-1').valueQuantity",
"identity": "FHIR"
}, {
"map": "P1",
"comment": "PSA-Wert als Tumormarker für Diagnostik und Verlaufskontrolle",
"identity": "oBDS"
} ],
"definition": "Prostataspezifisches Antigen in ng/ml für Diagnostik und Verlaufskontrolle."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Gleason Pattern",
"mapping": [ {
"map": "Observation.where(code.coding.memberOf('mii-vs-onko-prostata-gleason-primary-secondary-tertiary'))",
"identity": "FHIR"
}, {
"map": "P2",
"comment": "Gleason Pattern (primär, sekundär, tertiär) für histopathologische Klassifikation",
"identity": "oBDS"
} ],
"definition": "Gleason Pattern"
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Pattern Typ",
"mapping": [ {
"map": "Observation.code",
"identity": "FHIR"
}, {
"map": "P2.1",
"comment": "Art des Gleason Patterns (primär/sekundär/tertiär)",
"identity": "oBDS"
} ],
"definition": "Primäres, sekundäres oder tertiäres Gleason Pattern."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Pattern Wert",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P2.2",
"comment": "Gleason Pattern Wert (1-5, ab 3 maligne)",
"identity": "oBDS"
} ],
"definition": "Gleason Pattern Wert (1-5, ab 3 als maligne)."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Gleason Score",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44642-7')",
"identity": "FHIR"
}, {
"map": "P3",
"comment": "Gleason Score als Summe der Patterns",
"identity": "oBDS"
} ],
"definition": "Gleason Score"
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Gleason Score",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P3.1",
"comment": "Gleason Score Gesamtwert",
"identity": "oBDS"
} ],
"definition": "Summe aus primärem und sekundärem Pattern."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Grade Group",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='79892-6').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P3.2",
"comment": "Internationale Standard Grade Group (1-5)",
"identity": "oBDS"
} ],
"definition": "Internationale Standard Grade Group (1-5)."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Biopsie Ergebnisse",
"mapping": [ {
"map": "Observation Collection",
"identity": "FHIR"
}, {
"map": "P4",
"comment": "Prostatabiopsie-Ergebnisse",
"identity": "oBDS"
} ],
"definition": "Biopsie Ergebnisse"
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"type": [ {
"code": "Quantity"
} ],
"short": "Anzahl Stanzen",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33747-0').valueQuantity",
"identity": "FHIR"
}, {
"map": "P4.1",
"comment": "Gesamtanzahl entnommener Biopsie-Stanzen",
"identity": "oBDS"
} ],
"definition": "Gesamtanzahl der entnommenen Biopsie-Stanzen."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"type": [ {
"code": "Quantity"
} ],
"short": "Anzahl positive Stanzen",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33746-2').valueQuantity",
"identity": "FHIR"
}, {
"map": "P4.2",
"comment": "Anzahl tumorpositiver Stanzen",
"identity": "oBDS"
} ],
"definition": "Anzahl der tumorpositiven Stanzen."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"type": [ {
"code": "Quantity"
} ],
"short": "Karzinom-Befall je Stanze",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44637-7').valueQuantity",
"identity": "FHIR"
}, {
"map": "P4.3",
"comment": "Prozentuale Ausdehnung Karzinom je Stanze",
"identity": "oBDS"
} ],
"definition": "Prozentuale Ausdehnung des Karzinoms in der Stanze."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Chirurgische Komplikationen",
"mapping": [ {
"map": "Observation.where(method.coding.system='http://snomed.info/sct' and method.coding.code='789278003')",
"identity": "FHIR"
}, {
"map": "P5",
"comment": "Postoperative Komplikationen nach Prostatektomie",
"identity": "oBDS"
} ],
"definition": "Chirurgische Komplikationen"
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Clavien-Dindo Grad",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P5.1",
"comment": "Clavien-Dindo Klassifikation postoperativer Komplikationen",
"identity": "oBDS"
} ],
"definition": "Graduierung postoperativer Komplikationen nach Clavien-Dindo."
}, {
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Komplikationsart",
"mapping": [ {
"map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='LA462-5').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "P5.2",
"comment": "Spezifische Art der postoperativen Komplikation",
"identity": "oBDS"
} ],
"definition": "Spezifische Art der postoperativen Komplikation."
}, {
"id": "OrganspezifischeZusatzmodule.MalignesMelanom",
"max": "*",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Malignes Melanom",
"mapping": [ {
"map": "Bundle/Collection von Melanom-spezifischen Ressourcen",
"identity": "FHIR"
}, {
"map": "Melanom-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Malignes Melanom basierend auf oBDS-Modul",
"identity": "oBDS"
} ],
"definition": "Malignes Melanom"
}, {
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"type": [ {
"code": "Quantity"
} ],
"short": "Sicherheitsabstand Primärtumor",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='396511007').valueQuantity",
"identity": "FHIR"
}, {
"map": "MM1",
"comment": "Minimaler Sicherheitsabstand zum Primärtumor in mm nach definitivem operativem Eingriff",
"identity": "oBDS"
} ],
"definition": "Minimaler Sicherheitsabstand zum Primärtumor in mm gemäß oBDS MM1"
}, {
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"type": [ {
"code": "Quantity"
} ],
"short": "Breslow-Tiefe",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='106243009').valueQuantity",
"identity": "FHIR"
}, {
"map": "Breslow",
"comment": "Breslow-Tumordicke in mm - vertikale Tumordicke von der Granularschicht der Epidermis bis zur tiefsten Tumorinvasion",
"identity": "oBDS"
} ],
"definition": "Breslow-Tumordicke in mm beim Malignen Melanom der Haut"
}, {
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Ulzeration",
"mapping": [ {
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='6270001000004106').valueCodeableConcept",
"identity": "FHIR"
}, {
"map": "MM4",
"comment": "Ulzeration der Epidermis über dem Melanom (J = Ja, N = Nein, U = Unbekannt)",
"identity": "oBDS"
} ],
"definition": "Pathologisches Kriterium der Ulzeration beim Malignen Melanom der Haut gemäß oBDS MM4"
}, {
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Laktatdehydrogenase",
"mapping": [ {
"map": "Observation.where(code.coding.memberOf('mii-vs-onko-melanom-ldh'))",
"identity": "FHIR"
}, {
"map": "LDH",
"comment": "Laktatdehydrogenase als prognostischer Marker beim metastasierten Melanom",
"identity": "oBDS"
} ],
"definition": "Laktatdehydrogenase"
}, {
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"type": [ {
"code": "Quantity"
} ],
"short": "LDH-Wert",
"mapping": [ {
"map": "Observation.valueQuantity",
"identity": "FHIR"
}, {
"map": "LDH",
"comment": "LDH-Wert in U/L",
"identity": "oBDS"
} ],
"definition": "Laktatdehydrogenase Aktivität in U/L als prognostischer Marker"
}, {
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"max": "1",
"min": 0,
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "LDH-Bewertung",
"mapping": [ {
"map": "Observation.interpretation",
"identity": "FHIR"
}, {
"map": "LDH",
"comment": "Bewertung des LDH-Werts (normal/erhöht)",
"identity": "oBDS"
} ],
"definition": "Klinische Bewertung des LDH-Werts (normal/erhöht)"
} ]
},
"contact": [ {
"name": "Medizininformatik Initiative",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}