{
"description": "MII LogicalModel Modul Onkologie",
"_filename": "StructureDefinition-mii-lm-onko.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
"date": null,
"derivation": "specialization",
"publisher": "Medizininformatik Initiative",
"fhirVersion": "4.0.1",
"name": "MII_LM_Onko",
"mapping": [ {
"name": "Onkologie LogicalModel FHIR Mapping",
"identity": "FHIR"
} ],
"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": "2025.1.0-alpha",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"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"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Onkologie"
}
}, {
"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",
"isModifier": false,
"short": "Diagnose",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Diagnose",
"condition": [ "ele-1" ],
"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](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
}, {
"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.PrimaertumorTumordiagnoseICDCode",
"min": 0,
"definition": "Kodierung einer meldepflichtigen Erkrankung nach der aktuellen ICD-GM Version.",
"isModifier": false,
"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"
},
"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.PrimaertumorTumordiagnoseICDVersion",
"min": 0,
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM Version.",
"isModifier": false,
"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",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseICDVersion"
},
"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.PrimaertumorTumordiagnoseText",
"min": 0,
"definition": "Bezeichnung einer meldepflichtigen Erkrankung.",
"isModifier": false,
"short": "Primärtumor Tumordiagnose Text",
"mapping": [ {
"map": "Condition.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Diagnose.PrimaertumorTumordiagnoseText",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTumordiagnoseText"
},
"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.PrimaertumorTopographieICDO",
"min": 0,
"definition": "Bezeichnung der Topographie einer Erkrankung nach der aktuellen ICD-O Version.",
"isModifier": false,
"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"
},
"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.PrimaertumorTopographieICDOVersion",
"min": 0,
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-O Version.",
"isModifier": false,
"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",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Diagnose.PrimaertumorTopographieICDOVersion"
},
"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.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.",
"isModifier": false,
"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"
},
"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.PrimaertumorDiagnosesicherung",
"min": 0,
"definition": "Höchste erreichte Diagnosesicherheit der Diagnose.",
"isModifier": false,
"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"
},
"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.PrimaertumorSeitenlokalisation",
"min": 0,
"definition": "Organspezifische Angabe der betroffenen Seite.",
"isModifier": false,
"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"
},
"isSummary": false
}, {
"constraint": [ {
"key": "con-3",
"human": "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item",
"xpath": "exists(f:clinicalStatus) or exists(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(category[@value='problem-list-item']))",
"source": "http://hl7.org/fhir/StructureDefinition/Condition",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
} ],
"expression": "clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()"
}, {
"key": "con-4",
"human": "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
"xpath": "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])",
"source": "http://hl7.org/fhir/StructureDefinition/Condition",
"severity": "error",
"expression": "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()"
}, {
"key": "con-5",
"human": "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
"xpath": "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))",
"source": "http://hl7.org/fhir/StructureDefinition/Condition",
"severity": "error",
"expression": "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()"
}, {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
} ],
"expression": "text.`div`.exists()"
} ],
"path": "Onkologie.Diagnose.FruehereTumorerkrankungen",
"min": 0,
"definition": "Tumorerkrankungen, die in der Anamnese zu einem früheren Zeitpunkt diagnostiziert/behandelt wurden.",
"isModifier": false,
"short": "Frühere Tumorerkrankungen",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Event",
"identity": "workflow"
}, {
"map": "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)",
"identity": "sct-concept"
}, {
"map": "PPR message",
"identity": "v2"
}, {
"map": "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value,
"identity": "rim"
}, {
"map": "Condition",
"identity": "FHIR"
} ],
"type": [ {
"code": "Condition"
} ],
"max": "*",
"id": "Onkologie.Diagnose.FruehereTumorerkrankungen",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Diagnose.FruehereTumorerkrankungen"
},
"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.Histologie",
"min": 0,
"definition": "Histologie",
"isModifier": false,
"short": "Histologie",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Histologie",
"condition": [ "ele-1" ],
"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](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
}, {
"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.TumorHistologiedatum",
"min": 0,
"definition": "Datum, an dem die Gewebeprobe entnommen wurde.",
"isModifier": false,
"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"
},
"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.Histologie.HistologieEinsendenummer",
"min": 0,
"definition": "Die Histologie-Einsendenummer/Auftragsnummer wird vom Pathologischen Institut beim Eingang des Präparates vergeben.",
"isModifier": false,
"short": "Histologie-Einsendenummer",
"mapping": [ {
"map": "Specimen.accessionIdentifier",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Histologie.HistologieEinsendenummer",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.HistologieEinsendenummer"
},
"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.Histologie.MorphologieCode",
"min": 0,
"definition": "Gibt an, welche Histologie der Tumor aufweist.",
"isModifier": false,
"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"
},
"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.Histologie.MorphologieICDOBlueBookVersion",
"min": 0,
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-O/Blue Book Version.",
"isModifier": false,
"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",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.MorphologieICDOBlueBookVersion"
},
"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.Histologie.MorphologieFreitext",
"min": 0,
"definition": "Gibt die Originalbezeichnung der morphologischen Diagnose an.",
"isModifier": false,
"short": "Morphologie-Freitext",
"mapping": [ {
"map": "Condition.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Histologie.MorphologieFreitext",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.Histologie.MorphologieFreitext"
},
"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.Histologie.Grading",
"min": 0,
"definition": "Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an.",
"isModifier": false,
"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"
},
"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.Histologie.AnzahlUntersuchteLymphknoten",
"min": 0,
"definition": "Gibt an, wie viele Lymphknoten untersucht wurden (einschließlich Sentinel).",
"isModifier": false,
"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",
"comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlUntersuchteLymphknoten"
},
"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.Histologie.AnzahlBefalleneLymphknoten",
"min": 0,
"definition": "Gibt an, wie viele Lymphknoten befallen sind (einschließlich Sentinel).",
"isModifier": false,
"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",
"comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlBefalleneLymphknoten"
},
"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.Histologie.AnzahlUntersuchteSentinelLymphknoten",
"min": 0,
"definition": "Gibt an, wie viele Sentinel-Lymphknoten untersucht wurden.",
"isModifier": false,
"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",
"comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlUntersuchteSentinelLymphknoten"
},
"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.Histologie.AnzahlBefalleneSentinelLymphknoten",
"min": 0,
"definition": "Gibt an, wie viele Sentinel-Lymphknoten befallen sind.",
"isModifier": false,
"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",
"comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.AnzahlBefalleneSentinelLymphknoten"
},
"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.Histologie.Befund",
"min": 0,
"definition": "Vollständiger Befundbericht des Pathologen.",
"isModifier": false,
"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",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Histologie.Befund"
},
"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.TNMKlassifikation",
"min": 0,
"definition": "TNM-Klassifikation",
"isModifier": false,
"short": "TNM-Klassifikation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.TNMKlassifikation",
"condition": [ "ele-1" ],
"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](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
}, {
"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.TNMDatum",
"min": 1,
"definition": "Gibt an, auf welches Datum sich die TNM-Klassifikation bezieht.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMVersion",
"min": 1,
"definition": "Gibt an, nach welcher Version des TNM klassifiziert wurde.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMySymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation während oder nach initialer multimodaler Therapie erfolgte.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMrSymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation ein Rezidiv beurteilt.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMaSymbol",
"min": 0,
"definition": "Gibt an, ob die Klassifikation aus Anlass einer Autopsie erfolgte.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMcpuPraefixT",
"min": 0,
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMcpuPraefixN",
"min": 0,
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMcpuPraefixM",
"min": 0,
"definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMTKategorie",
"min": 0,
"definition": "Ausbreitung des Primärtumors, erfolgt gemäß Tumorentität nach TNM.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMmSymbol",
"min": 0,
"definition": "Kennzeichnet Vorhandensein multipler Primärtumoren in einem anatomischen Bezirk.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMMKategorie",
"min": 0,
"definition": "Fehlen oder Vorhandensein von Fernmetastasen, gemäß Tumorentität nach TNM.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMNKategorie",
"min": 0,
"definition": "Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMLKategorie",
"min": 0,
"definition": "Lymphgefäßinvasion.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMVKategorie",
"min": 0,
"definition": "Veneninvasion.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMPnKategorie",
"min": 0,
"definition": "Perineuralinvasion.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.TNMSKategorie",
"min": 0,
"definition": "Serumtumormarker.",
"isModifier": false,
"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"
},
"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.TNMKlassifikation.UICCStadium",
"min": 0,
"definition": "Stadium nach aktuell gültiger TNM-Klassifikation.",
"isModifier": false,
"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"
},
"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.WeitereKlassifikationen",
"min": 0,
"definition": "Base definition for all elements that are defined inside a resource - but not those in a data type.",
"isModifier": false,
"short": "Base for elements defined inside a resource",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Observation",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.WeitereKlassifikationen",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.WeitereKlassifikationen"
}
}, {
"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](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
}, {
"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.WeitereKlassifikationDatum",
"min": 1,
"definition": "Gibt an, auf welches Datum sich die Klassifikation bezieht.",
"isModifier": false,
"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"
},
"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.WeitereKlassifikationen.WeitereKlassifikationName",
"min": 1,
"definition": "Name der hämatologischen oder sonstigen Klassifikation. Art der Klassifikation.",
"isModifier": false,
"short": "Hämatoonkologische und sonstige Klassifikationen Name",
"mapping": [ {
"map": "Observation.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationName",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.WeitereKlassifikationen.WeitereKlassifikationName"
},
"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.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
"min": 1,
"definition": "Einstufung gemäß der verwendeten hämatoonkologischen oder sonstigen Klassifikationen.",
"isModifier": false,
"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"
},
"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.Residualstatus",
"min": 0,
"definition": "Residualstatus",
"isModifier": false,
"short": "Residualstatus",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Residualstatus",
"condition": [ "ele-1" ],
"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](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
}, {
"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.LokalerResidualstatus",
"min": 0,
"definition": "Lokale Beurteilung der Residualklassifikation nach Resektion, bezieht sich auf das, was reseziert wurde, meist Primärtumor, aber z. B. auch Lebermetastasen.",
"isModifier": false,
"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"
},
"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.Residualstatus.GlobalerResidualstatus",
"min": 0,
"definition": "Gesamtbeurteilung der Residualklassifikation der Erkrankung einschließlich etwaiger Fernmetastasen.",
"isModifier": false,
"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"
},
"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.Fernmetastasen",
"min": 0,
"definition": "Fernmetastasen",
"isModifier": false,
"short": "Fernmetastasen",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Fernmetastasen",
"condition": [ "ele-1" ],
"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](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
}, {
"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.LokalisationFernmetastase",
"min": 1,
"definition": "Lokalisation der Fernmetastase(n).",
"isModifier": false,
"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"
},
"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.Fernmetastasen.DatumFernmetase",
"min": 1,
"definition": "Gibt an, wann die Fernmetastase festgestellt wurde.",
"isModifier": false,
"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"
},
"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.AllgemeinerLeistungszustand",
"min": 0,
"definition": "Allgemeiner Leistungszustand",
"isModifier": false,
"short": "Allgemeiner Leistungszustand",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.AllgemeinerLeistungszustand",
"condition": [ "ele-1" ],
"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](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
}, {
"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.ECOGKarnofsky",
"min": 1,
"definition": "ECOG oder Karnofsky",
"isModifier": false,
"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"
},
"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.Operation",
"min": 0,
"definition": "Operation",
"isModifier": false,
"short": "Operation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Operation",
"condition": [ "ele-1" ],
"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](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
}, {
"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.OPIntention",
"min": 1,
"definition": "Gibt an, mit welchem Ziel die Operation geplant wurde",
"isModifier": false,
"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"
},
"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.Operation.OPDatum",
"min": 1,
"definition": "Datum der OP",
"isModifier": false,
"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"
},
"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.Operation.OPSCode",
"min": 1,
"definition": "Gibt an, welche Operation durchgeführ wurde. OPS (5-*), so genau wie möglich. Bei paaringen Organen mit Seitenangabe",
"isModifier": false,
"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"
},
"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.Operation.OPSVersion",
"min": 1,
"definition": "Gibt an, nach welcher Version (Jahr) des OPS klassifiziert wurde (Gültige Bezeichnung nach BfArM)",
"isModifier": false,
"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"
},
"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.Operation.OPKomplikation",
"min": 0,
"definition": "Gibt an, ob eine oder keine Komplikation aufgetreten ist, bzw. wenn eine aufgetreten ist welche.",
"isModifier": false,
"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"
},
"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.Strahlentherapie",
"min": 0,
"definition": "Strahlentherapie",
"isModifier": false,
"short": "Strahlentherapie",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Strahlentherapie",
"condition": [ "ele-1" ],
"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](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
}, {
"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.StrahlentherapieIntention",
"min": 1,
"definition": "Gibt an, mit welcher Intention die Strahlentherapie geplant wurde.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieStellung",
"min": 1,
"definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die Bestrahlung steht.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieEndeGrund",
"min": 0,
"definition": "Gibt den Grund an, warum die Strahlentherapie beendet wurde.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung",
"min": 1,
"definition": "Dieser Abschnitt entspricht einer Bestrahlung mit spezifischem Zielgebiet, Methodik und Dosis",
"isModifier": false,
"short": "Bestrahlung",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Procedure.extension[Bestrahlung]",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Strahlentherapie.StrahlentherapieBestrahlung",
"condition": [ "ele-1" ],
"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](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
}, {
"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.StrahlentherapieZielgebiet",
"min": 1,
"definition": "Gibt an, an welcher anatomischen Region die Bestrahlung durchgeführt wurde.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
"min": 0,
"definition": "Bei Zielgebieten, die durch \"(r, l)\" gekennzeichnet sind, ist eine Seitenangabe Pflicht.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
"min": 1,
"definition": "Gibt an, wann die Strahlentherapie begonnen wurde.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
"min": 0,
"definition": "Gibt an, wann die Strahlentherapie beendet wurde.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
"min": 1,
"definition": "Gibt an, mit welcher Technik die Strahlentherapie durchgeführt wurde.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
"min": 1,
"definition": "Angewandte Strahlenart (Strahlung oder metabolische Nuklide)",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
"min": 0,
"definition": "Gibt an, mit welcher Gesamtdosis das Zielgebiet bestrahlt wurde (inklusive Boost).",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
"min": 0,
"definition": "Strahlentherapie Einzeldosis pro Tag (Dosis)",
"isModifier": false,
"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"
},
"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.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.",
"isModifier": false,
"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"
},
"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.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
"min": 0,
"definition": "Angabe, ob ein Boost und falls ja, welche Art von Boost appliziert wurde.",
"isModifier": false,
"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"
},
"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.SystemischeTherapie",
"min": 0,
"definition": "Systemische Therapie",
"isModifier": false,
"short": "Systemische Therapie",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.SystemischeTherapie",
"condition": [ "ele-1" ],
"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](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
}, {
"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.SystemischeTherapieIntention",
"min": 1,
"definition": "Intention der systemischen Therapie",
"isModifier": false,
"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"
},
"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.SystemischeTherapie.SystemischeTherapieStellung",
"min": 1,
"definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die systemische Therapie steht.",
"isModifier": false,
"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"
},
"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.SystemischeTherapie.SystemischeTherapieArtTherapie",
"min": 1,
"definition": "Gibt an, welche Art der Therapie bzw. abwartende Strategie durchgeführt wurde.",
"isModifier": false,
"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"
},
"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.SystemischeTherapie.SystemischeTherapieProtokoll",
"min": 0,
"definition": "Gibt an, nach welchem Protokoll die Systemtherapie durchgeführt wurde.",
"isModifier": false,
"short": "Systemische Therapie Protokoll",
"mapping": [ {
"map": "MedicationStatement.medicationCodeableConcept.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.SystemischeTherapie.SystemischeTherapieProtokoll",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.SystemischeTherapie.SystemischeTherapieProtokoll"
},
"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.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.",
"isModifier": false,
"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"
},
"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.SystemischeTherapie.SystemischeTherapieBeginn",
"min": 0,
"definition": "Gibt an, wann die systemische Therapie begonnen wurde.",
"isModifier": false,
"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"
},
"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.SystemischeTherapie.SystemischeTherapieEnde",
"min": 0,
"definition": "Gibt den Grund an, warum die Systemtherapie beendet wurde.",
"isModifier": false,
"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"
},
"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.SystemischeTherapie.SystemischeTherapieEndeGrund",
"min": 0,
"definition": "Gibt an, wann die systemische Therapie beendet wurde.",
"isModifier": false,
"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"
},
"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.Nebenwirkungen",
"min": 0,
"definition": "Nebenwirkungen",
"isModifier": false,
"short": "Nebenwirkungen",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Nebenwirkungen",
"condition": [ "ele-1" ],
"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](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
}, {
"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.NebenwirkungenCTCAEGrad",
"min": 1,
"definition": "Gibt an, zu welchem Schweregrad von Nebenwirkungen es bei der Bestrahlung oder der systemischen Therapie gekommen ist.",
"isModifier": false,
"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"
},
"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.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.",
"isModifier": false,
"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"
},
"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.Nebenwirkungen.NebenwirkungenCTCAEVersion",
"min": 1,
"definition": "Für den medizinischen Katalog gültige Versionsbezeichnungen.",
"isModifier": false,
"short": "Nebenwirkungen nach CTCAE Version",
"mapping": [ {
"map": "AdverseEvent.event.coding.version",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEVersion",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 1,
"path": "Onkologie.Nebenwirkungen.NebenwirkungenCTCAEVersion"
},
"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.Verlauf",
"min": 0,
"definition": "Verlauf",
"isModifier": false,
"short": "Verlauf",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Verlauf",
"condition": [ "ele-1" ],
"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](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
}, {
"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.VerlaufDatum",
"min": 0,
"definition": "Datum, an dem die letzte Untersuchung durchgeführt wurde, die zur Einschätzung des Tumorstatus geführt hat.",
"isModifier": false,
"short": "Untersuchungsdatum Verlauf",
"type": [ {
"code": "date"
} ],
"max": "*",
"id": "Onkologie.Verlauf.VerlaufDatum",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufDatum"
},
"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.Verlauf.VerlaufBeurteilungTumorstatus",
"min": 0,
"definition": "Gesamtbeurteilung der Erkrankung unter Berücksichtigung aller Manifestationen.",
"isModifier": false,
"short": "Gesamtbeurteilung des Tumorstatus",
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Verlauf.VerlaufBeurteilungTumorstatus",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufBeurteilungTumorstatus"
},
"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.Verlauf.VerlaufTumorstatusPrimaertumor",
"min": 0,
"definition": "Beurteilung der Situation im Primärtumorbereich.",
"isModifier": false,
"short": "Tumorstatus Primärtumor",
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Verlauf.VerlaufTumorstatusPrimaertumor",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusPrimaertumor"
},
"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.Verlauf.VerlaufTumorstatusLymphknoten",
"min": 0,
"definition": "Beurteilung der Situation im Bereich der regionären Lymphknoten.",
"isModifier": false,
"short": "Tumorstatus Lymphknoten",
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Verlauf.VerlaufTumorstatusLymphknoten",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusLymphknoten"
},
"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.Verlauf.VerlaufTumorstatusMetastasen",
"min": 0,
"definition": "Beurteilung der Situation im Bereich der Fernmetastasen.",
"isModifier": false,
"short": "Tumorstatus Fernmetastasen",
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Verlauf.VerlaufTumorstatusMetastasen",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Verlauf.VerlaufTumorstatusMetastasen"
},
"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.Tumorkonferenz",
"min": 0,
"definition": "Tumorkonferenz und Therapieempfehlung",
"isModifier": false,
"short": "Tumorkonferenz und Therapieempfehlung",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Tumorkonferenz",
"condition": [ "ele-1" ],
"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](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
}, {
"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.TumorkonferenzTherapieplanungDatum",
"min": 1,
"definition": "Datum der Durchführung der Tumorkonferenz bzw. der sonstigen Therapieplanung.",
"isModifier": false,
"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"
},
"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.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
"min": 1,
"definition": "Typ der Tumorkonferenz bzw. der sonstigen Therapieplanung.",
"isModifier": false,
"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"
},
"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.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
"min": 1,
"definition": "Typ der Therapieempfehlung der Tumorkonferenz.",
"isModifier": false,
"short": "Tumorkonferenz Therapieempfehlung Typ",
"mapping": [ {
"map": "CarePlan.activity.detail.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
"base": {
"max": "*",
"min": 1,
"path": "Onkologie.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp"
},
"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.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
"min": 1,
"definition": "Abweichung auf Wunsch des Patienten.",
"isModifier": false,
"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"
},
"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.Tod",
"min": 0,
"definition": "Tod",
"isModifier": false,
"short": "Tod",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Onkologie.Tod",
"condition": [ "ele-1" ],
"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](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
}, {
"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.Sterbedatum",
"min": 0,
"definition": "Datum des Todes",
"isModifier": false,
"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"
},
"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.Tod.TodTumorbedingt",
"min": 0,
"definition": "Krebs-Tod-Relation",
"isModifier": false,
"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"
},
"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.Tod.TodesursacheICD",
"min": 0,
"definition": "Todesursache im Sinne des Grundleidens",
"isModifier": false,
"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"
},
"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.Tod.TodesursacheICDVersion",
"min": 0,
"definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM-Version",
"isModifier": false,
"short": "Todesursache ICD Version",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.version",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Onkologie.Tod.TodesursacheICDVersion",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "*",
"min": 0,
"path": "Onkologie.Tod.TodesursacheICDVersion"
},
"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.GenetischeVariante",
"min": 0,
"definition": "Genetische Variante",
"isModifier": false,
"short": "Genetische Variante",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Observation",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.GenetischeVariante",
"condition": [ "ele-1" ],
"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](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
}, {
"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.GenetischeVarianteName",
"min": 0,
"definition": "Name der genetischen Variante (z.B. K-ras, BRAFV600, NRAS, C-KIT)",
"isModifier": false,
"short": "Genetische Variante Name",
"mapping": [ {
"map": "Observation.note",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Onkologie.GenetischeVariante.GenetischeVarianteName",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Onkologie.GenetischeVariante.GenetischeVarianteName"
},
"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.GenetischeVariante.GenetischeVarianteAuspraegung",
"min": 0,
"definition": "Ausprägung der genetischen Variante nach oBDS",
"isModifier": false,
"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"
},
"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.Studienteilnahme",
"min": 0,
"definition": "Studienteilnahme",
"isModifier": false,
"short": "Studienteilnahme",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Observation",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Onkologie.Studienteilnahme",
"condition": [ "ele-1" ],
"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](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
}, {
"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.StudienteilnahmeStatus",
"min": 0,
"definition": "Einschluss in eine Studie mit Ethikvotum",
"isModifier": false,
"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"
},
"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.Studienteilnahme.StudienteilnahmeDatum",
"min": 0,
"definition": "Erstes Einschlussdatum einer Studie mit Ethikvotum",
"isModifier": false,
"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"
},
"isSummary": false
} ]
},
"status": "active",
"id": "e79fa091-de3e-41d0-8575-948c388f6cea",
"kind": "logical",
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/Onkologie",
"version": "2025.0.0",
"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": "CarePlan.activity.detail.code",
"identity": "FHIR"
} ],
"definition": "Typ der Therapieempfehlung der Tumorkonferenz."
}, {
"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"
} ]
},
"contact": [ {
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}