{
"description": "MII LogicalModel Modul Onkologie",
"_filename": "StructureDefinition-mii-lm-onko.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",
"mapping": [ {
"name": "Onkologie LogicalModel FHIR Mapping",
"identity": "FHIR"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/Onkologie",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MII LM Onkologie",
"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": "Onkologie",
"min": 0,
"definition": "MII LogicalModel Modul Onkologie",
"isModifier": false,
"short": "MII LM Onkologie",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"max": "*",
"id": "Onkologie",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element"
}
}, {
"path": "Onkologie.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": "Onkologie.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": "Onkologie.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": "Onkologie.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())"
} ],
"path": "Onkologie.Diagnose",
"min": 0,
"definition": "Diagnose",
"short": "Diagnose",
"mapping": [ {
"map": "Condition",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Diagnose",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Diagnose"
}
}, {
"path": "Onkologie.Diagnose.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": "Onkologie.Diagnose.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": "Onkologie.Diagnose.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": "Onkologie.Diagnose.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": "Onkologie.Diagnose.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": "Onkologie.Diagnose.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": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDCode",
"min": 0,
"definition": "Kodierung einer meldepflichtigen Erkrankung nach der aktuellen ICD-GM Version.",
"short": "Primärtumor Tumordiagnose ICD Code",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDCode",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDCode"
}
}, {
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDVersion",
"min": 0,
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM Version.",
"short": "Primärtumor Tumordiagnose ICD-Version",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').version",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDVersion",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDVersion"
}
}, {
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseText",
"min": 0,
"definition": "Bezeichnung einer meldepflichtigen Erkrankung.",
"short": "Primärtumor Tumordiagnose Text",
"mapping": [ {
"map": "Condition.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorTumordiagnoseText",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseText"
}
}, {
"path": "Onkologie.Diagnose.PrimaertumorTopographieICDO",
"min": 0,
"definition": "Bezeichnung der Topographie einer Erkrankung nach der aktuellen ICD-O Version.",
"short": "Primärtumor Topographie ICD-O",
"mapping": [ {
"map": "Condition.bodySite.coding.where(system='http://terminology.hl7.org/CodeSystem/icd-o-3').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorTopographieICDO",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTopographieICDO"
}
}, {
"path": "Onkologie.Diagnose.PrimaertumorTopographieICDOVersion",
"min": 0,
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-O Version.",
"short": "Primärtumor Topographie ICD-O-Version",
"mapping": [ {
"map": "Condition.bodySite.coding.where(system='http://terminology.hl7.org/CodeSystem/icd-o-3').version",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorTopographieICDOVersion",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTopographieICDOVersion"
}
}, {
"path": "Onkologie.Diagnose.PrimaertumorDiagnosedatum",
"min": 0,
"definition": "Datum, angegeben in Tag, Monat und Jahr, an dem die meldepflichtige Diagnose erstmals durch einen Arzt klinisch oder mikroskopisch diagnostiziert wurde.",
"short": "Primärtumor Diagnosedatum",
"mapping": [ {
"map": "Condition.assertedDate",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorDiagnosedatum",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorDiagnosedatum"
}
}, {
"path": "Onkologie.Diagnose.PrimaertumorDiagnosesicherung",
"min": 0,
"definition": "Höchste erreichte Diagnosesicherheit der Diagnose.",
"short": "Primärtumor Diagnosesicherung",
"mapping": [ {
"map": "Condition.verificationStatus.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorDiagnosesicherung",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorDiagnosesicherung"
}
}, {
"path": "Onkologie.Diagnose.PrimaertumorSeitenlokalisation",
"min": 0,
"definition": "Organspezifische Angabe der betroffenen Seite.",
"short": "Primärtumor Seitenlokalisation",
"mapping": [ {
"map": "Condition.bodySite.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-seitenlokalisation').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorSeitenlokalisation",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorSeitenlokalisation"
}
}, {
"path": "Onkologie.Diagnose.FruehereTumorerkrankungen",
"min": 0,
"definition": "Tumorerkrankungen, die in der Anamnese zu einem früheren Zeitpunkt diagnostiziert/behandelt wurden.",
"short": "Frühere Tumorerkrankungen",
"mapping": [ {
"map": "Condition",
"identity": "FHIR"
} ],
"type": [ {
"code": "Condition"
} ],
"max": "*",
"id": "Onkologie.Diagnose.FruehereTumorerkrankungen",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Diagnose.FruehereTumorerkrankungen"
}
}, {
"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": "Onkologie.Histologie",
"min": 0,
"definition": "Histologie",
"short": "Histologie",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Histologie",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie"
}
}, {
"path": "Onkologie.Histologie.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": "Onkologie.Histologie.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": "Onkologie.Histologie.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": "Onkologie.Histologie.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": "Onkologie.Histologie.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": "Onkologie.Histologie.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": "Onkologie.Histologie.TumorHistologiedatum",
"min": 0,
"definition": "Datum, an dem die Gewebeprobe entnommen wurde.",
"short": "Tumor Histologiedatum",
"mapping": [ {
"map": "Specimen.collection.collectedDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Onkologie.Histologie.TumorHistologiedatum",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.TumorHistologiedatum"
}
}, {
"path": "Onkologie.Histologie.HistologieEinsendenummer",
"min": 0,
"definition": "Die Histologie-Einsendenummer/Auftragsnummer wird vom Pathologischen Institut beim Eingang des Präparates vergeben.",
"short": "Histologie-Einsendenummer",
"mapping": [ {
"map": "Specimen.accessionIdentifier",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Histologie.HistologieEinsendenummer",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.HistologieEinsendenummer"
}
}, {
"path": "Onkologie.Histologie.MorphologieCode",
"min": 0,
"definition": "Gibt an, welche Histologie der Tumor aufweist.",
"short": "Morphologie-Code",
"mapping": [ {
"map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3').valueCodeableConcept.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Histologie.MorphologieCode",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.MorphologieCode"
}
}, {
"path": "Onkologie.Histologie.MorphologieICDOBlueBookVersion",
"min": 0,
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-O/Blue Book Version.",
"short": "Morphologie ICD-O/Blue Book Version",
"mapping": [ {
"map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3').valueCodeableConcept.version",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Histologie.MorphologieICDOBlueBookVersion",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.MorphologieICDOBlueBookVersion"
}
}, {
"path": "Onkologie.Histologie.MorphologieFreitext",
"min": 0,
"definition": "Gibt die Originalbezeichnung der morphologischen Diagnose an.",
"short": "Morphologie-Freitext",
"mapping": [ {
"map": "Condition.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Histologie.MorphologieFreitext",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.MorphologieFreitext"
}
}, {
"path": "Onkologie.Histologie.Grading",
"min": 0,
"definition": "Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an.",
"short": "Grading",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Histologie.Grading",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.Grading"
}
}, {
"path": "Onkologie.Histologie.AnzahlUntersuchteLymphknoten",
"min": 0,
"definition": "Gibt an, wie viele Lymphknoten untersucht wurden (einschließlich Sentinel).",
"short": "Anzahl der untersuchten Lymphknoten",
"mapping": [ {
"map": "Observation.code.coding.where(system='http://loinc.org' and code='2708-6').select(%resource.valueQuantity.value)",
"identity": "FHIR"
} ],
"type": [ {
"code": "decimal"
} ],
"max": "*",
"id": "Onkologie.Histologie.AnzahlUntersuchteLymphknoten",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlUntersuchteLymphknoten"
}
}, {
"path": "Onkologie.Histologie.AnzahlBefalleneLymphknoten",
"min": 0,
"definition": "Gibt an, wie viele Lymphknoten befallen sind (einschließlich Sentinel).",
"short": "Anzahl der befallenen Lymphknoten",
"mapping": [ {
"map": "Observation.code.coding.where(system='http://loinc.org' and code='21893-3').select(%resource.valueQuantity.value)",
"identity": "FHIR"
} ],
"type": [ {
"code": "decimal"
} ],
"max": "*",
"id": "Onkologie.Histologie.AnzahlBefalleneLymphknoten",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlBefalleneLymphknoten"
}
}, {
"path": "Onkologie.Histologie.AnzahlUntersuchteSentinelLymphknoten",
"min": 0,
"definition": "Gibt an, wie viele Sentinel-Lymphknoten untersucht wurden.",
"short": "Anzahl der untersuchten Sentinel-Lymphknoten",
"mapping": [ {
"map": "Observation.code.coding.where(system='http://loinc.org' and code='85347-3').select(%resource.valueQuantity.value)",
"identity": "FHIR"
} ],
"type": [ {
"code": "decimal"
} ],
"max": "*",
"id": "Onkologie.Histologie.AnzahlUntersuchteSentinelLymphknoten",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlUntersuchteSentinelLymphknoten"
}
}, {
"path": "Onkologie.Histologie.AnzahlBefalleneSentinelLymphknoten",
"min": 0,
"definition": "Gibt an, wie viele Sentinel-Lymphknoten befallen sind.",
"short": "Anzahl der befallenen Sentinel-Lymphknoten",
"mapping": [ {
"map": "Observation.code.coding.where(system='http://loinc.org' and code='92832-5').select(%resource.valueQuantity.value)",
"identity": "FHIR"
} ],
"type": [ {
"code": "decimal"
} ],
"max": "*",
"id": "Onkologie.Histologie.AnzahlBefalleneSentinelLymphknoten",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlBefalleneSentinelLymphknoten"
}
}, {
"path": "Onkologie.Histologie.Befund",
"min": 0,
"definition": "Vollständiger Befundbericht des Pathologen.",
"short": "Befund",
"mapping": [ {
"map": "DiagnosticReport.code.coding.where(system='http://loinc.org' and code='60568-3').select(%resource.conclusion)",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Onkologie.Histologie.Befund",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.Befund"
}
}, {
"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": "Onkologie.TNMKlassifikation",
"min": 0,
"definition": "TNM-Klassifikation",
"short": "TNM-Klassifikation",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.TNMKlassifikation",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.TNMKlassifikation"
}
}, {
"path": "Onkologie.TNMKlassifikation.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": "Onkologie.TNMKlassifikation.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": "Onkologie.TNMKlassifikation.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": "Onkologie.TNMKlassifikation.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": "Onkologie.TNMKlassifikation.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": "Onkologie.TNMKlassifikation.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": "Onkologie.TNMKlassifikation.TNMDatum",
"min": 1,
"definition": "Gibt an, auf welches Datum sich die TNM-Klassifikation bezieht.",
"short": "TNM Datum",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMDatum",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.TNMKlassifikation.TNMDatum"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMVersion",
"min": 1,
"definition": "Gibt an, nach welcher Version des TNM klassifiziert wurde.",
"short": "TNM Version",
"mapping": [ {
"map": "Observation.method",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMVersion",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.TNMKlassifikation.TNMVersion"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMySymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation während oder nach initialer multimodaler Therapie erfolgte.",
"short": "TNM y-Symbol",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMySymbol",
"code": [ {
"code": "101658-3",
"system": "http://loinc.org",
"display": "Cancer staging after multimodality therapy"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMySymbol"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMrSymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation ein Rezidiv beurteilt.",
"short": "TNM r-Symbol",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMrSymbol",
"code": [ {
"code": "101659-1",
"system": "http://loinc.org",
"display": "Cancer staging after tumor recurrence"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMrSymbol"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMaSymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation aus Anlass einer Autopsie erfolgte.",
"short": "TNM a-Symbol",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMaSymbol",
"code": [ {
"code": "101660-9",
"system": "http://loinc.org",
"display": "Cancer staging during autopsy"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMaSymbol"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixT",
"min": 0,
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
"short": "TNM c/p-Präfix T",
"mapping": [ {
"map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMcpuPraefixT",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixT"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixN",
"min": 0,
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
"short": "TNM c/p-Präfix N",
"mapping": [ {
"map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMcpuPraefixN",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixN"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixM",
"min": 0,
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
"short": "TNM c/p-Präfix M",
"mapping": [ {
"map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMcpuPraefixM",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixM"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMTKategorie",
"min": 0,
"definition": "Ausbreitung des Primärtumors, erfolgt gemäß Tumorentität nach TNM.",
"short": "TNM T-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMTKategorie",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMTKategorie"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMmSymbol",
"min": 0,
"definition": "Kennzeichnet Vorhandensein multipler Primärtumoren in einem anatomischen Bezirk.",
"short": "TNM m-Symbol",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMmSymbol",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMmSymbol"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMMKategorie",
"min": 0,
"definition": "Fehlen oder Vorhandensein von Fernmetastasen, gemäß Tumorentität nach TNM.",
"short": "TNM M-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMMKategorie",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMMKategorie"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMNKategorie",
"min": 0,
"definition": "Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.",
"short": "TNM N-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMNKategorie",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMNKategorie"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMLKategorie",
"min": 0,
"definition": "Lymphgefäßinvasion.",
"short": "TNM L-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMLKategorie",
"code": [ {
"code": "395715009",
"system": "http://snomed.info/sct",
"display": "Status of lymphatic (small vessel) invasion by tumor (observable entity)"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMLKategorie"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMVKategorie",
"min": 0,
"definition": "Veneninvasion.",
"short": "TNM V-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMVKategorie",
"code": [ {
"code": "371493002",
"system": "http://snomed.info/sct",
"display": "Status of venous (large vessel) invasion by tumor (observable entity)"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMVKategorie"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMPnKategorie",
"min": 0,
"definition": "Perineuralinvasion.",
"short": "TNM Pn-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMPnKategorie",
"code": [ {
"code": "371513001",
"system": "http://snomed.info/sct",
"display": "Presence of direct invasion by primary malignant neoplasm to nerve (observable entity)"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMPnKategorie"
}
}, {
"path": "Onkologie.TNMKlassifikation.TNMSKategorie",
"min": 0,
"definition": "Serumtumormarker.",
"short": "TNM S-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMSKategorie",
"code": [ {
"code": "399424006",
"system": "http://snomed.info/sct",
"display": "Serum tumor marker category (observable entity)"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMSKategorie"
}
}, {
"path": "Onkologie.TNMKlassifikation.UICCStadium",
"min": 0,
"definition": "Stadium nach aktuell gültiger TNM-Klassifikation.",
"short": "UICC Stadium",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.UICCStadium",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.UICCStadium"
}
}, {
"id": "Onkologie.WeitereKlassifikationen",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.WeitereKlassifikationen"
},
"path": "Onkologie.WeitereKlassifikationen",
"type": [ {
"code": "BackboneElement"
} ],
"mapping": [ {
"map": "Observation",
"identity": "FHIR"
} ],
"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": "Onkologie.WeitereKlassifikationen.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": "Onkologie.WeitereKlassifikationen.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": "Onkologie.WeitereKlassifikationen.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": "Onkologie.WeitereKlassifikationen.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": "Onkologie.WeitereKlassifikationen.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": "Onkologie.WeitereKlassifikationen.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": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationDatum",
"min": 1,
"definition": "Gibt an, auf welches Datum sich die Klassifikation bezieht.",
"short": "Hämatoonkologische und sonstige Klassifikationen Datum",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationDatum",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationDatum"
}
}, {
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationName",
"min": 1,
"definition": "Name der hämatologischen oder sonstigen Klassifikation. Art der Klassifikation.",
"short": "Hämatoonkologische und sonstige Klassifikationen Name",
"mapping": [ {
"map": "Observation.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationName",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationName"
}
}, {
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
"min": 1,
"definition": "Einstufung gemäß der verwendeten hämatoonkologischen oder sonstigen Klassifikationen.",
"short": "Hämatoonkologische und sonstige Klassifikationen Einstufung",
"mapping": [ {
"map": "Observation.value[x]",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationEinstufung"
}
}, {
"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": "Onkologie.Residualstatus",
"min": 0,
"definition": "Residualstatus",
"short": "Residualstatus",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Residualstatus",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Residualstatus"
}
}, {
"path": "Onkologie.Residualstatus.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": "Onkologie.Residualstatus.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": "Onkologie.Residualstatus.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": "Onkologie.Residualstatus.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": "Onkologie.Residualstatus.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": "Onkologie.Residualstatus.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": "Onkologie.Residualstatus.LokalerResidualstatus",
"min": 0,
"definition": "Lokale Beurteilung der Residualklassifikation nach Resektion, bezieht sich auf das, was reseziert wurde, meist Primärtumor, aber z. B. auch Lebermetastasen.",
"short": "Beurteilung des lokalen Residualstatus nach Abschluss der Operation",
"mapping": [ {
"map": "Procedure.outcome",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Residualstatus.LokalerResidualstatus",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Residualstatus.LokalerResidualstatus"
}
}, {
"path": "Onkologie.Residualstatus.GlobalerResidualstatus",
"min": 0,
"definition": "Gesamtbeurteilung der Residualklassifikation der Erkrankung einschließlich etwaiger Fernmetastasen.",
"short": "Gesamtbeurteilung des Residualstatus",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Residualstatus.GlobalerResidualstatus",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Residualstatus.GlobalerResidualstatus"
}
}, {
"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": "Onkologie.Fernmetastasen",
"min": 0,
"definition": "Fernmetastasen",
"short": "Fernmetastasen",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Fernmetastasen",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Fernmetastasen"
}
}, {
"path": "Onkologie.Fernmetastasen.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": "Onkologie.Fernmetastasen.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": "Onkologie.Fernmetastasen.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": "Onkologie.Fernmetastasen.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": "Onkologie.Fernmetastasen.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": "Onkologie.Fernmetastasen.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": "Onkologie.Fernmetastasen.LokalisationFernmetastase",
"min": 1,
"definition": "Lokalisation der Fernmetastase(n).",
"short": "Lokalisation von Fernmetastase(n)",
"mapping": [ {
"map": "Observation.bodySite",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Fernmetastasen.LokalisationFernmetastase",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Fernmetastasen.LokalisationFernmetastase"
}
}, {
"path": "Onkologie.Fernmetastasen.DatumFernmetase",
"min": 1,
"definition": "Gibt an, wann die Fernmetastase festgestellt wurde.",
"short": "Datum der diagnostischen Sicherung von Fernmetastasen",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Onkologie.Fernmetastasen.DatumFernmetase",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Fernmetastasen.DatumFernmetase"
}
}, {
"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": "Onkologie.AllgemeinerLeistungszustand",
"min": 0,
"definition": "Allgemeiner Leistungszustand",
"short": "Allgemeiner Leistungszustand",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.AllgemeinerLeistungszustand",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.AllgemeinerLeistungszustand"
}
}, {
"path": "Onkologie.AllgemeinerLeistungszustand.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": "Onkologie.AllgemeinerLeistungszustand.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": "Onkologie.AllgemeinerLeistungszustand.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": "Onkologie.AllgemeinerLeistungszustand.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": "Onkologie.AllgemeinerLeistungszustand.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": "Onkologie.AllgemeinerLeistungszustand.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": "Onkologie.AllgemeinerLeistungszustand.ECOGKarnofsky",
"min": 1,
"definition": "ECOG oder Karnofsky",
"short": "ECOG oder Karnofsky",
"mapping": [ {
"map": "Observation.value[x]",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.AllgemeinerLeistungszustand.ECOGKarnofsky",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.AllgemeinerLeistungszustand.ECOGKarnofsky"
}
}, {
"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": "Onkologie.Operation",
"min": 0,
"definition": "Operation",
"short": "Operation",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Operation",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Operation"
}
}, {
"path": "Onkologie.Operation.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": "Onkologie.Operation.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": "Onkologie.Operation.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": "Onkologie.Operation.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": "Onkologie.Operation.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": "Onkologie.Operation.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": "Onkologie.Operation.OPIntention",
"min": 1,
"definition": "Gibt an, mit welchem Ziel die Operation geplant wurde",
"short": "Intention",
"mapping": [ {
"map": "Procedure.extension.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Operation.OPIntention",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Operation.OPIntention"
}
}, {
"path": "Onkologie.Operation.OPDatum",
"min": 1,
"definition": "Datum der OP",
"short": "OP Datum",
"mapping": [ {
"map": "Procedure.performedDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Operation.OPDatum",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Operation.OPDatum"
}
}, {
"path": "Onkologie.Operation.OPSCode",
"min": 1,
"definition": "Gibt an, welche Operation durchgeführ wurde. OPS (5-*), so genau wie möglich. Bei paaringen Organen mit Seitenangabe",
"short": "OPS Code",
"mapping": [ {
"map": "Procedure.code.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Operation.OPSCode",
"base": {
"max": "*",
"min": 1,
"path": "Onkologie.Operation.OPSCode"
}
}, {
"path": "Onkologie.Operation.OPSVersion",
"min": 1,
"definition": "Gibt an, nach welcher Version (Jahr) des OPS klassifiziert wurde (Gültige Bezeichnung nach BfArM)",
"short": "OPS Version",
"mapping": [ {
"map": "Procedure.code.coding.version",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Operation.OPSVersion",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Operation.OPSVersion"
}
}, {
"path": "Onkologie.Operation.OPKomplikation",
"min": 0,
"definition": "Gibt an, ob eine oder keine Komplikation aufgetreten ist, bzw. wenn eine aufgetreten ist welche.",
"short": "OP Komplikationen",
"mapping": [ {
"map": "Procedure.complication.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Operation.OPKomplikation",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Operation.OPKomplikation"
}
}, {
"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": "Onkologie.Strahlentherapie",
"min": 0,
"definition": "Strahlentherapie",
"short": "Strahlentherapie",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Strahlentherapie",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Strahlentherapie"
}
}, {
"path": "Onkologie.Strahlentherapie.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": "Onkologie.Strahlentherapie.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": "Onkologie.Strahlentherapie.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": "Onkologie.Strahlentherapie.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": "Onkologie.Strahlentherapie.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": "Onkologie.Strahlentherapie.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": "Onkologie.Strahlentherapie.StrahlentherapieIntention",
"min": 1,
"definition": "Gibt an, mit welcher Intention die Strahlentherapie geplant wurde.",
"short": "Intention der Strahlentherapie",
"mapping": [ {
"map": "Procedure.extension[Intention].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieIntention",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieIntention"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieStellung",
"min": 1,
"definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die Bestrahlung steht.",
"short": "Strahlentherapie Stellung zu operativer Therapie",
"mapping": [ {
"map": "Procedure.extension[Stellung].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieStellung",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieStellung"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieEndeGrund",
"min": 0,
"definition": "Gibt den Grund an, warum die Strahlentherapie beendet wurde.",
"short": "Strahlentherapie Ende Grund",
"mapping": [ {
"map": "Procedure.outcome.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieEndeGrund",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieEndeGrund"
}
}, {
"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": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung",
"min": 1,
"definition": "Dieser Abschnitt entspricht einer Bestrahlung mit spezifischem Zielgebiet, Methodik und Dosis",
"short": "Bestrahlung",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung]",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung",
"base": {
"max": "*",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.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": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.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": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.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": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.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": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.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": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.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": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
"min": 1,
"definition": "Gibt an, an welcher anatomischen Region die Bestrahlung durchgeführt wurde.",
"short": "Strahlentherapie Zielgebiet",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Zielgebiet].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
"base": {
"max": "*",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
"min": 0,
"definition": "Bei Zielgebieten, die durch \"(r, l)\" gekennzeichnet sind, ist eine Seitenangabe Pflicht.",
"short": "Strahlentherapie Seite Zielgebiet",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Zielgebiet_Lateralitaet].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
"min": 1,
"definition": "Gibt an, wann die Strahlentherapie begonnen wurde.",
"short": "Strahlentherapie Beginn",
"mapping": [ {
"map": "Procedure.performedPeriod.start",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
"min": 0,
"definition": "Gibt an, wann die Strahlentherapie beendet wurde.",
"short": "Strahlentherapie Ende",
"mapping": [ {
"map": "Procedure.performedPeriod.end",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
"min": 1,
"definition": "Gibt an, mit welcher Technik die Strahlentherapie durchgeführt wurde.",
"short": "Strahlentherapie Applikationsart",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Applikationsart].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
"min": 1,
"definition": "Angewandte Strahlenart (Strahlung oder metabolische Nuklide)",
"short": "Strahlenart",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Strahlenart].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
"min": 0,
"definition": "Gibt an, mit welcher Gesamtdosis das Zielgebiet bestrahlt wurde (inklusive Boost).",
"short": "Strahlentherapie Gesamtdosis",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Gesamtdosis].valueQuantity.value",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
"min": 0,
"definition": "Strahlentherapie Einzeldosis pro Tag (Dosis)",
"short": "Strahlentherapie Einzeldosis",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Einzeldosis].valueQuantity.value",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
"min": 0,
"definition": "Gibt die Einheit zu der Einzel- oder Gesamtdosis an, mit welcher das Zielgebiet bestrahlt wurde, bzw. bei metabolischer Therapie die Aktivität des verwendeten Radionuklids.",
"short": "Strahlentherapie Einheit",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Einheit].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit"
}
}, {
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
"min": 0,
"definition": "Angabe, ob ein Boost und falls ja, welche Art von Boost appliziert wurde.",
"short": "Boost",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Boost].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost"
}
}, {
"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": "Onkologie.SystemischeTherapie",
"min": 0,
"definition": "Systemische Therapie",
"short": "Systemische Therapie",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.SystemischeTherapie",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.SystemischeTherapie"
}
}, {
"path": "Onkologie.SystemischeTherapie.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": "Onkologie.SystemischeTherapie.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": "Onkologie.SystemischeTherapie.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": "Onkologie.SystemischeTherapie.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": "Onkologie.SystemischeTherapie.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": "Onkologie.SystemischeTherapie.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": "Onkologie.SystemischeTherapie.SystemischeTherapieIntention",
"min": 1,
"definition": "Intention der systemischen Therapie",
"short": "Intention der systemischen Therapie",
"mapping": [ {
"map": "Procedure.extension[Intention].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieIntention",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieIntention"
}
}, {
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieStellung",
"min": 1,
"definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die systemische Therapie steht.",
"short": "Systemische Therapie Stellung zu operativer Therapie",
"mapping": [ {
"map": "Procedure.extension[Stellung].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieStellung",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieStellung"
}
}, {
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieArtTherapie",
"min": 1,
"definition": "Gibt an, welche Art der Therapie bzw. abwartende Strategie durchgeführt wurde.",
"short": "Art der systemischen oder abwartenden Therapie",
"mapping": [ {
"map": "Procedure.code.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieArtTherapie",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieArtTherapie"
}
}, {
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieProtokoll",
"min": 0,
"definition": "Gibt an, nach welchem Protokoll die Systemtherapie durchgeführt wurde.",
"short": "Systemische Therapie Protokoll",
"mapping": [ {
"map": "MedicationStatement.medicationCodeableConcept.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieProtokoll",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieProtokoll"
}
}, {
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieSubstanz",
"min": 0,
"definition": "Gibt an, mit welcher Substanz die Systemtherapie durchgeführt wurde. Nach Möglichkeit ATC kodiert. Mehrere Substanzen sind jeweils einzeln zu kodieren.",
"short": "Systemische Therapie Substanz",
"mapping": [ {
"map": "MedicationStatement.medicationCodeableConcept[atcClassDe].coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieSubstanz",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieSubstanz"
}
}, {
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieBeginn",
"min": 0,
"definition": "Gibt an, wann die systemische Therapie begonnen wurde.",
"short": "Systemische Therapie Beginn",
"mapping": [ {
"map": "Procedure.performedPeriod.start",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieBeginn",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieBeginn"
}
}, {
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieEnde",
"min": 0,
"definition": "Gibt den Grund an, warum die Systemtherapie beendet wurde.",
"short": "Systemische Therapie Ende Grund",
"mapping": [ {
"map": "Procedure.performedPeriod.end",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieEnde",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieEnde"
}
}, {
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieEndeGrund",
"min": 0,
"definition": "Gibt an, wann die systemische Therapie beendet wurde.",
"short": "Systemische Therapie Ende",
"mapping": [ {
"map": "Procedure.outcome.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieEndeGrund",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieEndeGrund"
}
}, {
"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": "Onkologie.Nebenwirkungen",
"min": 0,
"definition": "Nebenwirkungen",
"short": "Nebenwirkungen",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Nebenwirkungen",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Nebenwirkungen"
}
}, {
"path": "Onkologie.Nebenwirkungen.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": "Onkologie.Nebenwirkungen.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": "Onkologie.Nebenwirkungen.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": "Onkologie.Nebenwirkungen.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": "Onkologie.Nebenwirkungen.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": "Onkologie.Nebenwirkungen.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": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEGrad",
"min": 1,
"definition": "Gibt an, zu welchem Schweregrad von Nebenwirkungen es bei der Bestrahlung oder der systemischen Therapie gekommen ist.",
"short": "Nebenwirkungen nach CTCAE-Grad",
"mapping": [ {
"map": "AdverseEvent.seriousness.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEGrad",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEGrad"
}
}, {
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEArt",
"min": 1,
"definition": "Gibt an, zu welcher Nebenwirkung es bei der Bestrahlung oder der systemischen Therapie gekommen ist. Bei der Bestrahlung sind sogenannte akute Nebenwirkungen bis zum 90. Tag nach Bestrahlungsbeginn gemeint.",
"short": "Nebenwirkungen nach CTCAE Art",
"mapping": [ {
"map": "AdverseEvent.event.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEArt",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEArt"
}
}, {
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEVersion",
"min": 1,
"definition": "Für den medizinischen Katalog gültige Versionsbezeichnungen.",
"short": "Nebenwirkungen nach CTCAE Version",
"mapping": [ {
"map": "AdverseEvent.event.coding.version",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEVersion",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEVersion"
}
}, {
"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": "Onkologie.Verlauf",
"min": 0,
"definition": "Verlauf",
"short": "Verlauf",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Verlauf",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf"
}
}, {
"path": "Onkologie.Verlauf.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": "Onkologie.Verlauf.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": "Onkologie.Verlauf.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": "Onkologie.Verlauf.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": "Onkologie.Verlauf.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": "Onkologie.Verlauf.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
}, {
"id": "Onkologie.Verlauf.VerlaufDatum",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufDatum"
},
"path": "Onkologie.Verlauf.VerlaufDatum",
"type": [ {
"code": "date"
} ],
"short": "Untersuchungsdatum Verlauf",
"definition": "Datum, an dem die letzte Untersuchung durchgeführt wurde, die zur Einschätzung des Tumorstatus geführt hat."
}, {
"id": "Onkologie.Verlauf.VerlaufBeurteilungTumorstatus",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufBeurteilungTumorstatus"
},
"path": "Onkologie.Verlauf.VerlaufBeurteilungTumorstatus",
"type": [ {
"code": "code"
} ],
"short": "Gesamtbeurteilung des Tumorstatus",
"definition": "Gesamtbeurteilung der Erkrankung unter Berücksichtigung aller Manifestationen."
}, {
"id": "Onkologie.Verlauf.VerlaufTumorstatusPrimaertumor",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusPrimaertumor"
},
"path": "Onkologie.Verlauf.VerlaufTumorstatusPrimaertumor",
"type": [ {
"code": "code"
} ],
"short": "Tumorstatus Primärtumor",
"definition": "Beurteilung der Situation im Primärtumorbereich."
}, {
"id": "Onkologie.Verlauf.VerlaufTumorstatusLymphknoten",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusLymphknoten"
},
"path": "Onkologie.Verlauf.VerlaufTumorstatusLymphknoten",
"type": [ {
"code": "code"
} ],
"short": "Tumorstatus Lymphknoten",
"definition": "Beurteilung der Situation im Bereich der regionären Lymphknoten."
}, {
"id": "Onkologie.Verlauf.VerlaufTumorstatusMetastasen",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusMetastasen"
},
"path": "Onkologie.Verlauf.VerlaufTumorstatusMetastasen",
"type": [ {
"code": "code"
} ],
"short": "Tumorstatus Fernmetastasen",
"definition": "Beurteilung der Situation im Bereich der Fernmetastasen."
}, {
"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": "Onkologie.Tumorkonferenz",
"min": 0,
"definition": "Tumorkonferenz und Therapieempfehlung",
"short": "Tumorkonferenz und Therapieempfehlung",
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Tumorkonferenz",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Tumorkonferenz"
}
}, {
"path": "Onkologie.Tumorkonferenz.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": "Onkologie.Tumorkonferenz.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": "Onkologie.Tumorkonferenz.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": "Onkologie.Tumorkonferenz.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": "Onkologie.Tumorkonferenz.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": "Onkologie.Tumorkonferenz.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": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
"min": 1,
"definition": "Datum der Durchführung der Tumorkonferenz bzw. der sonstigen Therapieplanung.",
"short": "Tumorkonferenz Therapieplanung Datum",
"mapping": [ {
"map": "CarePlan.created",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungDatum"
}
}, {
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
"min": 1,
"definition": "Typ der Tumorkonferenz bzw. der sonstigen Therapieplanung.",
"short": "Tumorkonferenz Therapieplanung Typ",
"mapping": [ {
"map": "CarePlan.category",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungTyp"
}
}, {
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
"min": 1,
"definition": "Typ der Therapieempfehlung der Tumorkonferenz (z.B. CH, OP, ST).",
"short": "Tumorkonferenz Therapieempfehlung Typ",
"mapping": [ {
"map": "RequestGroup.code (Therapy type: CH, OP, ST, etc.)",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
"base": {
"max": "*",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp"
}
}, {
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
"min": 0,
"definition": "Empfohlenes Therapieprotokoll bei systemischer Therapie (z.B. FOLFOX4, R-CHOP, AC). Optional, insbesondere bei Kombinationstherapien.",
"short": "Tumorkonferenz Therapieempfehlung Protokoll",
"mapping": [ {
"map": "RequestGroup.action.code (Protocol: FOLFOX4, R-CHOP, etc.)",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll"
}
}, {
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
"min": 0,
"definition": "Einzelne empfohlene Medikamente/Substanzen der Therapie (z.B. ATC-kodiert). Bei Kombinationstherapien werden mehrere Medikamente angegeben.",
"short": "Tumorkonferenz Therapieempfehlung Medikation",
"mapping": [ {
"map": "MedicationRequest.medicationCodeableConcept (referenced from RequestGroup.action.action.resource)",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation"
}
}, {
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
"min": 1,
"definition": "Abweichung auf Wunsch des Patienten.",
"short": "Tumorkonferenz/Therapieempfehlung Therapieabweichung auf Wunsch des Patienten",
"mapping": [ {
"map": "CarePlan.activity.detail.status & statusReason",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
"base": {
"max": "*",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch"
}
}, {
"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": "Onkologie.Tod",
"min": 0,
"definition": "Tod",
"short": "Tod",
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "Onkologie.Tod",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Tod"
}
}, {
"path": "Onkologie.Tod.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": "Onkologie.Tod.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": "Onkologie.Tod.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": "Onkologie.Tod.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": "Onkologie.Tod.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": "Onkologie.Tod.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": "Onkologie.Tod.Sterbedatum",
"min": 0,
"definition": "Datum des Todes",
"short": "Sterbedatum",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Onkologie.Tod.Sterbedatum",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Tod.Sterbedatum"
}
}, {
"path": "Onkologie.Tod.TodTumorbedingt",
"min": 0,
"definition": "Krebs-Tod-Relation",
"short": "Tod tumorbedingt",
"mapping": [ {
"map": "Observation.interpretation.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Tod.TodTumorbedingt",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Tod.TodTumorbedingt"
}
}, {
"path": "Onkologie.Tod.TodesursacheICD",
"min": 0,
"definition": "Todesursache im Sinne des Grundleidens",
"short": "Todesursache ICD",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Tod.TodesursacheICD",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Tod.TodesursacheICD"
}
}, {
"path": "Onkologie.Tod.TodesursacheICDVersion",
"min": 0,
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM-Version",
"short": "Todesursache ICD Version",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.version",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Onkologie.Tod.TodesursacheICDVersion",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Tod.TodesursacheICDVersion"
}
}, {
"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": "Onkologie.GenetischeVariante",
"min": 0,
"definition": "Genetische Variante",
"short": "Genetische Variante",
"mapping": [ {
"map": "Observation",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.GenetischeVariante",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.GenetischeVariante"
}
}, {
"path": "Onkologie.GenetischeVariante.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": "Onkologie.GenetischeVariante.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": "Onkologie.GenetischeVariante.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": "Onkologie.GenetischeVariante.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": "Onkologie.GenetischeVariante.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": "Onkologie.GenetischeVariante.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": "Onkologie.GenetischeVariante.GenetischeVarianteName",
"min": 0,
"definition": "Name der genetischen Variante (z.B. K-ras, BRAFV600, NRAS, C-KIT)",
"short": "Genetische Variante Name",
"mapping": [ {
"map": "Observation.note",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.GenetischeVariante.GenetischeVarianteName",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.GenetischeVariante.GenetischeVarianteName"
}
}, {
"path": "Onkologie.GenetischeVariante.GenetischeVarianteAuspraegung",
"min": 0,
"definition": "Ausprägung der genetischen Variante nach oBDS",
"short": "Genetische Variante Ausprägung",
"mapping": [ {
"map": "Observation.interpretation",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.GenetischeVariante.GenetischeVarianteAuspraegung",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.GenetischeVariante.GenetischeVarianteAuspraegung"
}
}, {
"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": "Onkologie.Studienteilnahme",
"min": 0,
"definition": "Studienteilnahme",
"short": "Studienteilnahme",
"mapping": [ {
"map": "Observation",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Onkologie.Studienteilnahme",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Studienteilnahme"
}
}, {
"path": "Onkologie.Studienteilnahme.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": "Onkologie.Studienteilnahme.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": "Onkologie.Studienteilnahme.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": "Onkologie.Studienteilnahme.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": "Onkologie.Studienteilnahme.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": "Onkologie.Studienteilnahme.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": "Onkologie.Studienteilnahme.StudienteilnahmeStatus",
"min": 0,
"definition": "Einschluss in eine Studie mit Ethikvotum",
"short": "Studienteilnahme Status",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Studienteilnahme.StudienteilnahmeStatus",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Studienteilnahme.StudienteilnahmeStatus"
}
}, {
"path": "Onkologie.Studienteilnahme.StudienteilnahmeDatum",
"min": 0,
"definition": "Erstes Einschlussdatum einer Studie mit Ethikvotum",
"short": "Studienteilnahme Datum",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.Studienteilnahme.StudienteilnahmeDatum",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Studienteilnahme.StudienteilnahmeDatum"
}
}, {
"path": "Onkologie.Studienteilnahme.StudienteilnahmeStudienreferenz",
"min": 0,
"definition": "Referenz zur konkreten Studie (ResearchStudy)",
"short": "Studienteilnahme Studienreferenz",
"mapping": [ {
"map": "Observation.focus.where(resolve() is ResearchStudy)",
"identity": "FHIR"
} ],
"type": [ {
"code": "Reference"
} ],
"max": "1",
"id": "Onkologie.Studienteilnahme.StudienteilnahmeStudienreferenz",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Studienteilnahme.StudienteilnahmeStudienreferenz"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
} ]
},
"status": "active",
"id": "87ea0b79-678b-411e-9e03-0e93d3541d0b",
"kind": "logical",
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/Onkologie",
"version": "2026.0.0-ballot",
"differential": {
"element": [ {
"id": "Onkologie",
"path": "Onkologie",
"short": "MII LM Onkologie",
"definition": "MII LogicalModel Modul Onkologie"
}, {
"id": "Onkologie.Diagnose",
"max": "*",
"min": 0,
"path": "Onkologie.Diagnose",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Diagnose",
"mapping": [ {
"map": "Condition",
"identity": "FHIR"
} ],
"definition": "Diagnose"
}, {
"id": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDCode",
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDCode",
"type": [ {
"code": "code"
} ],
"short": "Primärtumor Tumordiagnose ICD Code",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code",
"identity": "FHIR"
} ],
"definition": "Kodierung einer meldepflichtigen Erkrankung nach der aktuellen ICD-GM Version."
}, {
"id": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDVersion",
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDVersion",
"type": [ {
"code": "string"
} ],
"short": "Primärtumor Tumordiagnose ICD-Version",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').version",
"identity": "FHIR"
} ],
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM Version."
}, {
"id": "Onkologie.Diagnose.PrimaertumorTumordiagnoseText",
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseText",
"type": [ {
"code": "string"
} ],
"short": "Primärtumor Tumordiagnose Text",
"mapping": [ {
"map": "Condition.code.text",
"identity": "FHIR"
} ],
"definition": "Bezeichnung einer meldepflichtigen Erkrankung."
}, {
"id": "Onkologie.Diagnose.PrimaertumorTopographieICDO",
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTopographieICDO",
"type": [ {
"code": "code"
} ],
"short": "Primärtumor Topographie ICD-O",
"mapping": [ {
"map": "Condition.bodySite.coding.where(system='http://terminology.hl7.org/CodeSystem/icd-o-3').code",
"identity": "FHIR"
} ],
"definition": "Bezeichnung der Topographie einer Erkrankung nach der aktuellen ICD-O Version."
}, {
"id": "Onkologie.Diagnose.PrimaertumorTopographieICDOVersion",
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTopographieICDOVersion",
"type": [ {
"code": "string"
} ],
"short": "Primärtumor Topographie ICD-O-Version",
"mapping": [ {
"map": "Condition.bodySite.coding.where(system='http://terminology.hl7.org/CodeSystem/icd-o-3').version",
"identity": "FHIR"
} ],
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-O Version."
}, {
"id": "Onkologie.Diagnose.PrimaertumorDiagnosedatum",
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorDiagnosedatum",
"type": [ {
"code": "dateTime"
} ],
"short": "Primärtumor Diagnosedatum",
"mapping": [ {
"map": "Condition.assertedDate",
"identity": "FHIR"
} ],
"definition": "Datum, angegeben in Tag, Monat und Jahr, an dem die meldepflichtige Diagnose erstmals durch einen Arzt klinisch oder mikroskopisch diagnostiziert wurde."
}, {
"id": "Onkologie.Diagnose.PrimaertumorDiagnosesicherung",
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorDiagnosesicherung",
"type": [ {
"code": "code"
} ],
"short": "Primärtumor Diagnosesicherung",
"mapping": [ {
"map": "Condition.verificationStatus.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung').code",
"identity": "FHIR"
} ],
"definition": "Höchste erreichte Diagnosesicherheit der Diagnose."
}, {
"id": "Onkologie.Diagnose.PrimaertumorSeitenlokalisation",
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorSeitenlokalisation",
"type": [ {
"code": "code"
} ],
"short": "Primärtumor Seitenlokalisation",
"mapping": [ {
"map": "Condition.bodySite.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-seitenlokalisation').code",
"identity": "FHIR"
} ],
"definition": "Organspezifische Angabe der betroffenen Seite."
}, {
"id": "Onkologie.Diagnose.FruehereTumorerkrankungen",
"max": "*",
"min": 0,
"path": "Onkologie.Diagnose.FruehereTumorerkrankungen",
"type": [ {
"code": "Condition"
} ],
"short": "Frühere Tumorerkrankungen",
"mapping": [ {
"map": "Condition",
"identity": "FHIR"
} ],
"definition": "Tumorerkrankungen, die in der Anamnese zu einem früheren Zeitpunkt diagnostiziert/behandelt wurden."
}, {
"id": "Onkologie.Histologie",
"max": "*",
"min": 0,
"path": "Onkologie.Histologie",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Histologie",
"definition": "Histologie"
}, {
"id": "Onkologie.Histologie.TumorHistologiedatum",
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.TumorHistologiedatum",
"type": [ {
"code": "dateTime"
} ],
"short": "Tumor Histologiedatum",
"mapping": [ {
"map": "Specimen.collection.collectedDateTime",
"identity": "FHIR"
} ],
"definition": "Datum, an dem die Gewebeprobe entnommen wurde."
}, {
"id": "Onkologie.Histologie.HistologieEinsendenummer",
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.HistologieEinsendenummer",
"type": [ {
"code": "string"
} ],
"short": "Histologie-Einsendenummer",
"mapping": [ {
"map": "Specimen.accessionIdentifier",
"identity": "FHIR"
} ],
"definition": "Die Histologie-Einsendenummer/Auftragsnummer wird vom Pathologischen Institut beim Eingang des Präparates vergeben."
}, {
"id": "Onkologie.Histologie.MorphologieCode",
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.MorphologieCode",
"type": [ {
"code": "code"
} ],
"short": "Morphologie-Code",
"mapping": [ {
"map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3').valueCodeableConcept.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, welche Histologie der Tumor aufweist."
}, {
"id": "Onkologie.Histologie.MorphologieICDOBlueBookVersion",
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.MorphologieICDOBlueBookVersion",
"type": [ {
"code": "string"
} ],
"short": "Morphologie ICD-O/Blue Book Version",
"mapping": [ {
"map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3').valueCodeableConcept.version",
"identity": "FHIR"
} ],
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-O/Blue Book Version."
}, {
"id": "Onkologie.Histologie.MorphologieFreitext",
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.MorphologieFreitext",
"type": [ {
"code": "string"
} ],
"short": "Morphologie-Freitext",
"mapping": [ {
"map": "Condition.code.text",
"identity": "FHIR"
} ],
"definition": "Gibt die Originalbezeichnung der morphologischen Diagnose an."
}, {
"id": "Onkologie.Histologie.Grading",
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.Grading",
"type": [ {
"code": "code"
} ],
"short": "Grading",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading').code",
"identity": "FHIR"
} ],
"definition": "Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an."
}, {
"id": "Onkologie.Histologie.AnzahlUntersuchteLymphknoten",
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlUntersuchteLymphknoten",
"type": [ {
"code": "decimal"
} ],
"short": "Anzahl der untersuchten Lymphknoten",
"mapping": [ {
"map": "Observation.code.coding.where(system='http://loinc.org' and code='2708-6').select(%resource.valueQuantity.value)",
"identity": "FHIR"
} ],
"definition": "Gibt an, wie viele Lymphknoten untersucht wurden (einschließlich Sentinel)."
}, {
"id": "Onkologie.Histologie.AnzahlBefalleneLymphknoten",
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlBefalleneLymphknoten",
"type": [ {
"code": "decimal"
} ],
"short": "Anzahl der befallenen Lymphknoten",
"mapping": [ {
"map": "Observation.code.coding.where(system='http://loinc.org' and code='21893-3').select(%resource.valueQuantity.value)",
"identity": "FHIR"
} ],
"definition": "Gibt an, wie viele Lymphknoten befallen sind (einschließlich Sentinel)."
}, {
"id": "Onkologie.Histologie.AnzahlUntersuchteSentinelLymphknoten",
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlUntersuchteSentinelLymphknoten",
"type": [ {
"code": "decimal"
} ],
"short": "Anzahl der untersuchten Sentinel-Lymphknoten",
"mapping": [ {
"map": "Observation.code.coding.where(system='http://loinc.org' and code='85347-3').select(%resource.valueQuantity.value)",
"identity": "FHIR"
} ],
"definition": "Gibt an, wie viele Sentinel-Lymphknoten untersucht wurden."
}, {
"id": "Onkologie.Histologie.AnzahlBefalleneSentinelLymphknoten",
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlBefalleneSentinelLymphknoten",
"type": [ {
"code": "decimal"
} ],
"short": "Anzahl der befallenen Sentinel-Lymphknoten",
"mapping": [ {
"map": "Observation.code.coding.where(system='http://loinc.org' and code='92832-5').select(%resource.valueQuantity.value)",
"identity": "FHIR"
} ],
"definition": "Gibt an, wie viele Sentinel-Lymphknoten befallen sind."
}, {
"id": "Onkologie.Histologie.Befund",
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.Befund",
"type": [ {
"code": "string"
} ],
"short": "Befund",
"mapping": [ {
"map": "DiagnosticReport.code.coding.where(system='http://loinc.org' and code='60568-3').select(%resource.conclusion)",
"identity": "FHIR"
} ],
"definition": "Vollständiger Befundbericht des Pathologen."
}, {
"id": "Onkologie.TNMKlassifikation",
"max": "*",
"min": 0,
"path": "Onkologie.TNMKlassifikation",
"type": [ {
"code": "BackboneElement"
} ],
"short": "TNM-Klassifikation",
"definition": "TNM-Klassifikation"
}, {
"id": "Onkologie.TNMKlassifikation.TNMDatum",
"max": "1",
"min": 1,
"path": "Onkologie.TNMKlassifikation.TNMDatum",
"type": [ {
"code": "dateTime"
} ],
"short": "TNM Datum",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"definition": "Gibt an, auf welches Datum sich die TNM-Klassifikation bezieht."
}, {
"id": "Onkologie.TNMKlassifikation.TNMVersion",
"max": "1",
"min": 1,
"path": "Onkologie.TNMKlassifikation.TNMVersion",
"type": [ {
"code": "code"
} ],
"short": "TNM Version",
"mapping": [ {
"map": "Observation.method",
"identity": "FHIR"
} ],
"definition": "Gibt an, nach welcher Version des TNM klassifiziert wurde."
}, {
"path": "Onkologie.TNMKlassifikation.TNMySymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation während oder nach initialer multimodaler Therapie erfolgte.",
"short": "TNM y-Symbol",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMySymbol",
"code": [ {
"code": "101658-3",
"system": "http://loinc.org",
"display": "Cancer staging after multimodality therapy"
} ]
}, {
"path": "Onkologie.TNMKlassifikation.TNMrSymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation ein Rezidiv beurteilt.",
"short": "TNM r-Symbol",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMrSymbol",
"code": [ {
"code": "101659-1",
"system": "http://loinc.org",
"display": "Cancer staging after tumor recurrence"
} ]
}, {
"path": "Onkologie.TNMKlassifikation.TNMaSymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation aus Anlass einer Autopsie erfolgte.",
"short": "TNM a-Symbol",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMaSymbol",
"code": [ {
"code": "101660-9",
"system": "http://loinc.org",
"display": "Cancer staging during autopsy"
} ]
}, {
"id": "Onkologie.TNMKlassifikation.TNMcpuPraefixT",
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixT",
"type": [ {
"code": "code"
} ],
"short": "TNM c/p-Präfix T",
"mapping": [ {
"map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte."
}, {
"id": "Onkologie.TNMKlassifikation.TNMcpuPraefixN",
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixN",
"type": [ {
"code": "code"
} ],
"short": "TNM c/p-Präfix N",
"mapping": [ {
"map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte."
}, {
"id": "Onkologie.TNMKlassifikation.TNMcpuPraefixM",
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMcpuPraefixM",
"type": [ {
"code": "code"
} ],
"short": "TNM c/p-Präfix M",
"mapping": [ {
"map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte."
}, {
"id": "Onkologie.TNMKlassifikation.TNMTKategorie",
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMTKategorie",
"type": [ {
"code": "code"
} ],
"short": "TNM T-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Ausbreitung des Primärtumors, erfolgt gemäß Tumorentität nach TNM."
}, {
"id": "Onkologie.TNMKlassifikation.TNMmSymbol",
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMmSymbol",
"type": [ {
"code": "code"
} ],
"short": "TNM m-Symbol",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Kennzeichnet Vorhandensein multipler Primärtumoren in einem anatomischen Bezirk."
}, {
"id": "Onkologie.TNMKlassifikation.TNMMKategorie",
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMMKategorie",
"type": [ {
"code": "code"
} ],
"short": "TNM M-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Fehlen oder Vorhandensein von Fernmetastasen, gemäß Tumorentität nach TNM."
}, {
"id": "Onkologie.TNMKlassifikation.TNMNKategorie",
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.TNMNKategorie",
"type": [ {
"code": "code"
} ],
"short": "TNM N-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM."
}, {
"path": "Onkologie.TNMKlassifikation.TNMLKategorie",
"min": 0,
"definition": "Lymphgefäßinvasion.",
"short": "TNM L-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMLKategorie",
"code": [ {
"code": "395715009",
"system": "http://snomed.info/sct",
"display": "Status of lymphatic (small vessel) invasion by tumor (observable entity)"
} ]
}, {
"path": "Onkologie.TNMKlassifikation.TNMVKategorie",
"min": 0,
"definition": "Veneninvasion.",
"short": "TNM V-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMVKategorie",
"code": [ {
"code": "371493002",
"system": "http://snomed.info/sct",
"display": "Status of venous (large vessel) invasion by tumor (observable entity)"
} ]
}, {
"path": "Onkologie.TNMKlassifikation.TNMPnKategorie",
"min": 0,
"definition": "Perineuralinvasion.",
"short": "TNM Pn-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMPnKategorie",
"code": [ {
"code": "371513001",
"system": "http://snomed.info/sct",
"display": "Presence of direct invasion by primary malignant neoplasm to nerve (observable entity)"
} ]
}, {
"path": "Onkologie.TNMKlassifikation.TNMSKategorie",
"min": 0,
"definition": "Serumtumormarker.",
"short": "TNM S-Kategorie",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Onkologie.TNMKlassifikation.TNMSKategorie",
"code": [ {
"code": "399424006",
"system": "http://snomed.info/sct",
"display": "Serum tumor marker category (observable entity)"
} ]
}, {
"id": "Onkologie.TNMKlassifikation.UICCStadium",
"max": "1",
"min": 0,
"path": "Onkologie.TNMKlassifikation.UICCStadium",
"type": [ {
"code": "code"
} ],
"short": "UICC Stadium",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Stadium nach aktuell gültiger TNM-Klassifikation."
}, {
"id": "Onkologie.WeitereKlassifikationen",
"max": "*",
"min": 0,
"path": "Onkologie.WeitereKlassifikationen",
"type": [ {
"code": "BackboneElement"
} ],
"mapping": [ {
"map": "Observation",
"identity": "FHIR"
} ]
}, {
"id": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationDatum",
"max": "1",
"min": 1,
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationDatum",
"type": [ {
"code": "date"
} ],
"short": "Hämatoonkologische und sonstige Klassifikationen Datum",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"definition": "Gibt an, auf welches Datum sich die Klassifikation bezieht."
}, {
"id": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationName",
"max": "1",
"min": 1,
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationName",
"type": [ {
"code": "string"
} ],
"short": "Hämatoonkologische und sonstige Klassifikationen Name",
"mapping": [ {
"map": "Observation.code.text",
"identity": "FHIR"
} ],
"definition": "Name der hämatologischen oder sonstigen Klassifikation. Art der Klassifikation."
}, {
"id": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
"max": "1",
"min": 1,
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
"type": [ {
"code": "code"
} ],
"short": "Hämatoonkologische und sonstige Klassifikationen Einstufung",
"mapping": [ {
"map": "Observation.value[x]",
"identity": "FHIR"
} ],
"definition": "Einstufung gemäß der verwendeten hämatoonkologischen oder sonstigen Klassifikationen."
}, {
"id": "Onkologie.Residualstatus",
"max": "*",
"min": 0,
"path": "Onkologie.Residualstatus",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Residualstatus",
"definition": "Residualstatus"
}, {
"id": "Onkologie.Residualstatus.LokalerResidualstatus",
"max": "1",
"min": 0,
"path": "Onkologie.Residualstatus.LokalerResidualstatus",
"type": [ {
"code": "code"
} ],
"short": "Beurteilung des lokalen Residualstatus nach Abschluss der Operation",
"mapping": [ {
"map": "Procedure.outcome",
"identity": "FHIR"
} ],
"definition": "Lokale Beurteilung der Residualklassifikation nach Resektion, bezieht sich auf das, was reseziert wurde, meist Primärtumor, aber z. B. auch Lebermetastasen."
}, {
"id": "Onkologie.Residualstatus.GlobalerResidualstatus",
"max": "1",
"min": 0,
"path": "Onkologie.Residualstatus.GlobalerResidualstatus",
"type": [ {
"code": "code"
} ],
"short": "Gesamtbeurteilung des Residualstatus",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Gesamtbeurteilung der Residualklassifikation der Erkrankung einschließlich etwaiger Fernmetastasen."
}, {
"id": "Onkologie.Fernmetastasen",
"max": "*",
"min": 0,
"path": "Onkologie.Fernmetastasen",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Fernmetastasen",
"definition": "Fernmetastasen"
}, {
"id": "Onkologie.Fernmetastasen.LokalisationFernmetastase",
"max": "1",
"min": 1,
"path": "Onkologie.Fernmetastasen.LokalisationFernmetastase",
"type": [ {
"code": "code"
} ],
"short": "Lokalisation von Fernmetastase(n)",
"mapping": [ {
"map": "Observation.bodySite",
"identity": "FHIR"
} ],
"definition": "Lokalisation der Fernmetastase(n)."
}, {
"id": "Onkologie.Fernmetastasen.DatumFernmetase",
"max": "1",
"min": 1,
"path": "Onkologie.Fernmetastasen.DatumFernmetase",
"type": [ {
"code": "date"
} ],
"short": "Datum der diagnostischen Sicherung von Fernmetastasen",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"definition": "Gibt an, wann die Fernmetastase festgestellt wurde."
}, {
"id": "Onkologie.AllgemeinerLeistungszustand",
"max": "*",
"min": 0,
"path": "Onkologie.AllgemeinerLeistungszustand",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Allgemeiner Leistungszustand",
"definition": "Allgemeiner Leistungszustand"
}, {
"id": "Onkologie.AllgemeinerLeistungszustand.ECOGKarnofsky",
"max": "1",
"min": 1,
"path": "Onkologie.AllgemeinerLeistungszustand.ECOGKarnofsky",
"type": [ {
"code": "code"
} ],
"short": "ECOG oder Karnofsky",
"mapping": [ {
"map": "Observation.value[x]",
"identity": "FHIR"
} ],
"definition": "ECOG oder Karnofsky"
}, {
"id": "Onkologie.Operation",
"max": "*",
"min": 0,
"path": "Onkologie.Operation",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Operation",
"definition": "Operation"
}, {
"id": "Onkologie.Operation.OPIntention",
"max": "1",
"min": 1,
"path": "Onkologie.Operation.OPIntention",
"type": [ {
"code": "code"
} ],
"short": "Intention",
"mapping": [ {
"map": "Procedure.extension.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, mit welchem Ziel die Operation geplant wurde"
}, {
"id": "Onkologie.Operation.OPDatum",
"max": "1",
"min": 1,
"path": "Onkologie.Operation.OPDatum",
"type": [ {
"code": "code"
} ],
"short": "OP Datum",
"mapping": [ {
"map": "Procedure.performedDateTime",
"identity": "FHIR"
} ],
"definition": "Datum der OP"
}, {
"id": "Onkologie.Operation.OPSCode",
"max": "*",
"min": 1,
"path": "Onkologie.Operation.OPSCode",
"type": [ {
"code": "code"
} ],
"short": "OPS Code",
"mapping": [ {
"map": "Procedure.code.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, welche Operation durchgeführ wurde. OPS (5-*), so genau wie möglich. Bei paaringen Organen mit Seitenangabe"
}, {
"id": "Onkologie.Operation.OPSVersion",
"max": "1",
"min": 1,
"path": "Onkologie.Operation.OPSVersion",
"type": [ {
"code": "code"
} ],
"short": "OPS Version",
"mapping": [ {
"map": "Procedure.code.coding.version",
"identity": "FHIR"
} ],
"definition": "Gibt an, nach welcher Version (Jahr) des OPS klassifiziert wurde (Gültige Bezeichnung nach BfArM)"
}, {
"id": "Onkologie.Operation.OPKomplikation",
"max": "*",
"min": 0,
"path": "Onkologie.Operation.OPKomplikation",
"type": [ {
"code": "code"
} ],
"short": "OP Komplikationen",
"mapping": [ {
"map": "Procedure.complication.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, ob eine oder keine Komplikation aufgetreten ist, bzw. wenn eine aufgetreten ist welche."
}, {
"id": "Onkologie.Strahlentherapie",
"max": "*",
"min": 0,
"path": "Onkologie.Strahlentherapie",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Strahlentherapie",
"definition": "Strahlentherapie"
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieIntention",
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieIntention",
"type": [ {
"code": "code"
} ],
"short": "Intention der Strahlentherapie",
"mapping": [ {
"map": "Procedure.extension[Intention].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, mit welcher Intention die Strahlentherapie geplant wurde."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieStellung",
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieStellung",
"type": [ {
"code": "code"
} ],
"short": "Strahlentherapie Stellung zu operativer Therapie",
"mapping": [ {
"map": "Procedure.extension[Stellung].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die Bestrahlung steht."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieEndeGrund",
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieEndeGrund",
"type": [ {
"code": "code"
} ],
"short": "Strahlentherapie Ende Grund",
"mapping": [ {
"map": "Procedure.outcome.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt den Grund an, warum die Strahlentherapie beendet wurde."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung",
"max": "*",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Bestrahlung",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung]",
"identity": "FHIR"
} ],
"definition": "Dieser Abschnitt entspricht einer Bestrahlung mit spezifischem Zielgebiet, Methodik und Dosis"
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
"max": "*",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
"type": [ {
"code": "code"
} ],
"short": "Strahlentherapie Zielgebiet",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Zielgebiet].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, an welcher anatomischen Region die Bestrahlung durchgeführt wurde."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
"max": "*",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
"type": [ {
"code": "code"
} ],
"short": "Strahlentherapie Seite Zielgebiet",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Zielgebiet_Lateralitaet].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Bei Zielgebieten, die durch \"(r, l)\" gekennzeichnet sind, ist eine Seitenangabe Pflicht."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
"type": [ {
"code": "date"
} ],
"short": "Strahlentherapie Beginn",
"mapping": [ {
"map": "Procedure.performedPeriod.start",
"identity": "FHIR"
} ],
"definition": "Gibt an, wann die Strahlentherapie begonnen wurde."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
"type": [ {
"code": "date"
} ],
"short": "Strahlentherapie Ende",
"mapping": [ {
"map": "Procedure.performedPeriod.end",
"identity": "FHIR"
} ],
"definition": "Gibt an, wann die Strahlentherapie beendet wurde."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
"type": [ {
"code": "code"
} ],
"short": "Strahlentherapie Applikationsart",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Applikationsart].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, mit welcher Technik die Strahlentherapie durchgeführt wurde."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
"max": "1",
"min": 1,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
"type": [ {
"code": "code"
} ],
"short": "Strahlenart",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Strahlenart].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Angewandte Strahlenart (Strahlung oder metabolische Nuklide)"
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
"type": [ {
"code": "code"
} ],
"short": "Strahlentherapie Gesamtdosis",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Gesamtdosis].valueQuantity.value",
"identity": "FHIR"
} ],
"definition": "Gibt an, mit welcher Gesamtdosis das Zielgebiet bestrahlt wurde (inklusive Boost)."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
"type": [ {
"code": "code"
} ],
"short": "Strahlentherapie Einzeldosis",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Einzeldosis].valueQuantity.value",
"identity": "FHIR"
} ],
"definition": "Strahlentherapie Einzeldosis pro Tag (Dosis)"
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
"type": [ {
"code": "code"
} ],
"short": "Strahlentherapie Einheit",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Einheit].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt die Einheit zu der Einzel- oder Gesamtdosis an, mit welcher das Zielgebiet bestrahlt wurde, bzw. bei metabolischer Therapie die Aktivität des verwendeten Radionuklids."
}, {
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
"max": "1",
"min": 0,
"path": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
"type": [ {
"code": "code"
} ],
"short": "Boost",
"mapping": [ {
"map": "Procedure.extension[Bestrahlung].extension[Boost].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Angabe, ob ein Boost und falls ja, welche Art von Boost appliziert wurde."
}, {
"id": "Onkologie.SystemischeTherapie",
"max": "*",
"min": 0,
"path": "Onkologie.SystemischeTherapie",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Systemische Therapie",
"definition": "Systemische Therapie"
}, {
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieIntention",
"max": "1",
"min": 1,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieIntention",
"type": [ {
"code": "code"
} ],
"short": "Intention der systemischen Therapie",
"mapping": [ {
"map": "Procedure.extension[Intention].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Intention der systemischen Therapie"
}, {
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieStellung",
"max": "1",
"min": 1,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieStellung",
"type": [ {
"code": "code"
} ],
"short": "Systemische Therapie Stellung zu operativer Therapie",
"mapping": [ {
"map": "Procedure.extension[Stellung].valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die systemische Therapie steht."
}, {
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieArtTherapie",
"max": "1",
"min": 1,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieArtTherapie",
"type": [ {
"code": "code"
} ],
"short": "Art der systemischen oder abwartenden Therapie",
"mapping": [ {
"map": "Procedure.code.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, welche Art der Therapie bzw. abwartende Strategie durchgeführt wurde."
}, {
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieProtokoll",
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieProtokoll",
"type": [ {
"code": "string"
} ],
"short": "Systemische Therapie Protokoll",
"mapping": [ {
"map": "MedicationStatement.medicationCodeableConcept.text",
"identity": "FHIR"
} ],
"definition": "Gibt an, nach welchem Protokoll die Systemtherapie durchgeführt wurde."
}, {
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieSubstanz",
"max": "*",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieSubstanz",
"type": [ {
"code": "code"
} ],
"short": "Systemische Therapie Substanz",
"mapping": [ {
"map": "MedicationStatement.medicationCodeableConcept[atcClassDe].coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, mit welcher Substanz die Systemtherapie durchgeführt wurde. Nach Möglichkeit ATC kodiert. Mehrere Substanzen sind jeweils einzeln zu kodieren."
}, {
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieBeginn",
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieBeginn",
"type": [ {
"code": "date"
} ],
"short": "Systemische Therapie Beginn",
"mapping": [ {
"map": "Procedure.performedPeriod.start",
"identity": "FHIR"
} ],
"definition": "Gibt an, wann die systemische Therapie begonnen wurde."
}, {
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieEnde",
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieEnde",
"type": [ {
"code": "date"
} ],
"short": "Systemische Therapie Ende Grund",
"mapping": [ {
"map": "Procedure.performedPeriod.end",
"identity": "FHIR"
} ],
"definition": "Gibt den Grund an, warum die Systemtherapie beendet wurde."
}, {
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieEndeGrund",
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieEndeGrund",
"type": [ {
"code": "code"
} ],
"short": "Systemische Therapie Ende",
"mapping": [ {
"map": "Procedure.outcome.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, wann die systemische Therapie beendet wurde."
}, {
"id": "Onkologie.Nebenwirkungen",
"max": "*",
"min": 0,
"path": "Onkologie.Nebenwirkungen",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Nebenwirkungen",
"definition": "Nebenwirkungen"
}, {
"id": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEGrad",
"max": "1",
"min": 1,
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEGrad",
"type": [ {
"code": "code"
} ],
"short": "Nebenwirkungen nach CTCAE-Grad",
"mapping": [ {
"map": "AdverseEvent.seriousness.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, zu welchem Schweregrad von Nebenwirkungen es bei der Bestrahlung oder der systemischen Therapie gekommen ist."
}, {
"id": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEArt",
"max": "1",
"min": 1,
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEArt",
"type": [ {
"code": "code"
} ],
"short": "Nebenwirkungen nach CTCAE Art",
"mapping": [ {
"map": "AdverseEvent.event.coding.code",
"identity": "FHIR"
} ],
"definition": "Gibt an, zu welcher Nebenwirkung es bei der Bestrahlung oder der systemischen Therapie gekommen ist. Bei der Bestrahlung sind sogenannte akute Nebenwirkungen bis zum 90. Tag nach Bestrahlungsbeginn gemeint."
}, {
"id": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEVersion",
"max": "1",
"min": 1,
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEVersion",
"type": [ {
"code": "string"
} ],
"short": "Nebenwirkungen nach CTCAE Version",
"mapping": [ {
"map": "AdverseEvent.event.coding.version",
"identity": "FHIR"
} ],
"definition": "Für den medizinischen Katalog gültige Versionsbezeichnungen."
}, {
"id": "Onkologie.Verlauf",
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Verlauf",
"definition": "Verlauf"
}, {
"id": "Onkologie.Verlauf.VerlaufDatum",
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufDatum",
"type": [ {
"code": "date"
} ],
"short": "Untersuchungsdatum Verlauf",
"definition": "Datum, an dem die letzte Untersuchung durchgeführt wurde, die zur Einschätzung des Tumorstatus geführt hat."
}, {
"id": "Onkologie.Verlauf.VerlaufBeurteilungTumorstatus",
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufBeurteilungTumorstatus",
"type": [ {
"code": "code"
} ],
"short": "Gesamtbeurteilung des Tumorstatus",
"definition": "Gesamtbeurteilung der Erkrankung unter Berücksichtigung aller Manifestationen."
}, {
"id": "Onkologie.Verlauf.VerlaufTumorstatusPrimaertumor",
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusPrimaertumor",
"type": [ {
"code": "code"
} ],
"short": "Tumorstatus Primärtumor",
"definition": "Beurteilung der Situation im Primärtumorbereich."
}, {
"id": "Onkologie.Verlauf.VerlaufTumorstatusLymphknoten",
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusLymphknoten",
"type": [ {
"code": "code"
} ],
"short": "Tumorstatus Lymphknoten",
"definition": "Beurteilung der Situation im Bereich der regionären Lymphknoten."
}, {
"id": "Onkologie.Verlauf.VerlaufTumorstatusMetastasen",
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusMetastasen",
"type": [ {
"code": "code"
} ],
"short": "Tumorstatus Fernmetastasen",
"definition": "Beurteilung der Situation im Bereich der Fernmetastasen."
}, {
"id": "Onkologie.Tumorkonferenz",
"max": "*",
"min": 0,
"path": "Onkologie.Tumorkonferenz",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Tumorkonferenz und Therapieempfehlung",
"definition": "Tumorkonferenz und Therapieempfehlung"
}, {
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
"max": "1",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
"type": [ {
"code": "date"
} ],
"short": "Tumorkonferenz Therapieplanung Datum",
"mapping": [ {
"map": "CarePlan.created",
"identity": "FHIR"
} ],
"definition": "Datum der Durchführung der Tumorkonferenz bzw. der sonstigen Therapieplanung."
}, {
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
"max": "1",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
"type": [ {
"code": "code"
} ],
"short": "Tumorkonferenz Therapieplanung Typ",
"mapping": [ {
"map": "CarePlan.category",
"identity": "FHIR"
} ],
"definition": "Typ der Tumorkonferenz bzw. der sonstigen Therapieplanung."
}, {
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
"max": "*",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
"type": [ {
"code": "code"
} ],
"short": "Tumorkonferenz Therapieempfehlung Typ",
"mapping": [ {
"map": "RequestGroup.code (Therapy type: CH, OP, ST, etc.)",
"identity": "FHIR"
} ],
"definition": "Typ der Therapieempfehlung der Tumorkonferenz (z.B. CH, OP, ST)."
}, {
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
"max": "*",
"min": 0,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
"type": [ {
"code": "code"
} ],
"short": "Tumorkonferenz Therapieempfehlung Protokoll",
"mapping": [ {
"map": "RequestGroup.action.code (Protocol: FOLFOX4, R-CHOP, etc.)",
"identity": "FHIR"
} ],
"definition": "Empfohlenes Therapieprotokoll bei systemischer Therapie (z.B. FOLFOX4, R-CHOP, AC). Optional, insbesondere bei Kombinationstherapien."
}, {
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
"max": "*",
"min": 0,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
"type": [ {
"code": "code"
} ],
"short": "Tumorkonferenz Therapieempfehlung Medikation",
"mapping": [ {
"map": "MedicationRequest.medicationCodeableConcept (referenced from RequestGroup.action.action.resource)",
"identity": "FHIR"
} ],
"definition": "Einzelne empfohlene Medikamente/Substanzen der Therapie (z.B. ATC-kodiert). Bei Kombinationstherapien werden mehrere Medikamente angegeben."
}, {
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
"max": "*",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
"type": [ {
"code": "code"
} ],
"short": "Tumorkonferenz/Therapieempfehlung Therapieabweichung auf Wunsch des Patienten",
"mapping": [ {
"map": "CarePlan.activity.detail.status & statusReason",
"identity": "FHIR"
} ],
"definition": "Abweichung auf Wunsch des Patienten."
}, {
"id": "Onkologie.Tod",
"max": "1",
"min": 0,
"path": "Onkologie.Tod",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Tod",
"definition": "Tod"
}, {
"id": "Onkologie.Tod.Sterbedatum",
"max": "1",
"min": 0,
"path": "Onkologie.Tod.Sterbedatum",
"type": [ {
"code": "date"
} ],
"short": "Sterbedatum",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"definition": "Datum des Todes"
}, {
"id": "Onkologie.Tod.TodTumorbedingt",
"max": "1",
"min": 0,
"path": "Onkologie.Tod.TodTumorbedingt",
"type": [ {
"code": "code"
} ],
"short": "Tod tumorbedingt",
"mapping": [ {
"map": "Observation.interpretation.coding.code",
"identity": "FHIR"
} ],
"definition": "Krebs-Tod-Relation"
}, {
"id": "Onkologie.Tod.TodesursacheICD",
"max": "*",
"min": 0,
"path": "Onkologie.Tod.TodesursacheICD",
"type": [ {
"code": "code"
} ],
"short": "Todesursache ICD",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Todesursache im Sinne des Grundleidens"
}, {
"id": "Onkologie.Tod.TodesursacheICDVersion",
"max": "*",
"min": 0,
"path": "Onkologie.Tod.TodesursacheICDVersion",
"type": [ {
"code": "string"
} ],
"short": "Todesursache ICD Version",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.version",
"identity": "FHIR"
} ],
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM-Version"
}, {
"id": "Onkologie.GenetischeVariante",
"max": "*",
"min": 0,
"path": "Onkologie.GenetischeVariante",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Genetische Variante",
"mapping": [ {
"map": "Observation",
"identity": "FHIR"
} ],
"definition": "Genetische Variante"
}, {
"id": "Onkologie.GenetischeVariante.GenetischeVarianteName",
"max": "1",
"min": 0,
"path": "Onkologie.GenetischeVariante.GenetischeVarianteName",
"type": [ {
"code": "string"
} ],
"short": "Genetische Variante Name",
"mapping": [ {
"map": "Observation.note",
"identity": "FHIR"
} ],
"definition": "Name der genetischen Variante (z.B. K-ras, BRAFV600, NRAS, C-KIT)"
}, {
"id": "Onkologie.GenetischeVariante.GenetischeVarianteAuspraegung",
"max": "1",
"min": 0,
"path": "Onkologie.GenetischeVariante.GenetischeVarianteAuspraegung",
"type": [ {
"code": "code"
} ],
"short": "Genetische Variante Ausprägung",
"mapping": [ {
"map": "Observation.interpretation",
"identity": "FHIR"
} ],
"definition": "Ausprägung der genetischen Variante nach oBDS"
}, {
"id": "Onkologie.Studienteilnahme",
"max": "*",
"min": 0,
"path": "Onkologie.Studienteilnahme",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Studienteilnahme",
"mapping": [ {
"map": "Observation",
"identity": "FHIR"
} ],
"definition": "Studienteilnahme"
}, {
"id": "Onkologie.Studienteilnahme.StudienteilnahmeStatus",
"max": "1",
"min": 0,
"path": "Onkologie.Studienteilnahme.StudienteilnahmeStatus",
"type": [ {
"code": "code"
} ],
"short": "Studienteilnahme Status",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "FHIR"
} ],
"definition": "Einschluss in eine Studie mit Ethikvotum"
}, {
"id": "Onkologie.Studienteilnahme.StudienteilnahmeDatum",
"max": "1",
"min": 0,
"path": "Onkologie.Studienteilnahme.StudienteilnahmeDatum",
"type": [ {
"code": "code"
} ],
"short": "Studienteilnahme Datum",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "FHIR"
} ],
"definition": "Erstes Einschlussdatum einer Studie mit Ethikvotum"
}, {
"id": "Onkologie.Studienteilnahme.StudienteilnahmeStudienreferenz",
"max": "1",
"min": 0,
"path": "Onkologie.Studienteilnahme.StudienteilnahmeStudienreferenz",
"type": [ {
"code": "Reference"
} ],
"short": "Studienteilnahme Studienreferenz",
"mapping": [ {
"map": "Observation.focus.where(resolve() is ResearchStudy)",
"identity": "FHIR"
} ],
"definition": "Referenz zur konkreten Studie (ResearchStudy)"
} ]
},
"contact": [ {
"name": "Medizininformatik Initiative",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}