MII IG Modul Patho
2027.0.0-ballot -
Germany
MII IG Modul Patho
2027.0.0-ballot -
Germany
MII IG Modul Patho - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-lm-patho-logical-model | Version: 2027.0.0-ballot | |||
| Active as of 2026-09-14 | Computable Name: MII_LM_Patho_Logical_Model | |||
Logical Model for the graphical reprensentation of the respective Art-Decor Model
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and their representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  mii-lm-patho-logical-model |
0..* | Base | MII LM Patho Logical Model | |
  Identifikation |
1..* | Identifier | The identifier of a pathology report (e.g. E/20/12345.1) is unique and is usually derived from the accession number (case number). It should be composed of the set ID (e.g. E/20/12345), under which all versions of a report are recorded, and the version number (e.g. 1). It is, however, also possible to use a UID (unique identifier) or GUID (global unique identifier) that is not derived from the case number. Usually the case number is used as the set ID. | |
 Status |
1..1 | code | Status of the pathology report. | |
| Dokumentationsdatum |
1..1 | dateTime | Date and time at which the pathology report was documented (verified and released). | |
 Untersuchungsauftrag |
1..1 | BackboneElement | Examination request | |
 @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| klinischeInformation |
1..* | BackboneElement | clinicalInformation | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Fragestellung |
0..1 | string | Clinical question for the case | |
| Anamnese |
0..* | string | History of present illness for the case | |
| Ueberweisungsgrund |
0..* | string | Reason for referral | |
  DiagnoseKodiert |
0..* | Reference(Condition) | Diagnosis according to the valid ICD-10-GM | |
| AuftragsID |
1..* | BackboneElement | OrderID | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| AuftragsgruppenID |
0..1 | Identifier | ID of an order group consisting of several examination requests | |
| AuftragsIDAuftraggeber |
0..1 | Identifier | Order ID assigned by the placer | |
| AuftragsIDAuftragnehmer |
0..1 | Identifier | Order ID assigned by the filler (pathology), often identical to the case number | |
| Status |
1..1 | code | Status of the pathology examination request | |
| Untersuchung |
0..* | CodeableConcept | Ordered examination in coded form | |
| Einsender |
0..* | Reference(Practitioner | Organization) | Doctor who sends specimens of a patient for pathological-anatomical examination and who is the recipient of the pathology report. | |
| Probenentnehmer |
0..* | Reference(Practitioner | Organization) | Sample collector who is not identical to the sender. | |
| Probe |
1..* | Reference(Specimen) | Organ or part of an organ or a collection thereof that is sent in as a submitted specimen together with the examination request for processing and assessment. | |
| Proben |
1..* | BackboneElement | Specimen | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ProbenID |
0..1 | Identifier | Unique identifier for the specimen (submitted specimen). Formally often identical to the accession number (accession identifier). | |
| Status |
0..1 | code | Status of the specimen with regard to availability | |
| Probenart |
1..1 | CodeableConcept | Type of the specimen | |
| Laboreingangszeitpunkt |
0..1 | dateTime | Date and time of specimen receipt in the laboratory | |
| Entnahme |
1..1 | BackboneElement | Collection | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Entnahmemethode |
0..1 | CodeableConcept | Clinical method (procedure) of specimen collection (from the patient) | |
| Herkunft |
0..1 | CodeableConcept | Location of the body site from which the specimen originates. | |
| EntnahmeZeitpunkt |
0..1 | dateTime | Date and time of specimen collection | |
| Eigenschaften |
0..1 | CodeableConcept | Observations on properties of the submitted specimen / of the sample, e.g. dimensions, margin relationships, markings etc., that are communicated by the sender. | |
| Bearbeitung |
0..* | BackboneElement | Processing | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Bearbeitungsprozedur |
1..1 | CodeableConcept | Coded procedure of specimen processing in pathology | |
| Elternprobe |
1..1 | Reference(Specimen) | Reference to the object of the processing procedure / to the parent specimen | |
| Additive |
0..* | Reference(Substance) | Additives used in specimen processing (fixatives, embedding and mounting media, stains) | |
| Beschreibung |
0..1 | string | Textual description of the specimen processing. | |
 Container |
1..* | BackboneElement | Container | |
 @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ContainerID |
1..* | Identifier | Identification of the container, may differ from the specimen ID | |
| ContainerTyp |
0..1 | CodeableConcept | Type of the container | |
 Additive[x] |
0..1 | Additives in the container: fixatives in the submission container, paraffin in the block, mounting medium on the slide | ||
| AdditiveCodeableConcept |
CodeableConcept | |||
| AdditiveReference |
Reference(Substance) | |||
| Beobachtungsberichtabschnitt |
1..* | BackboneElement | Observation report section | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| IntraoperativeBegutachtung |
0..1 | BackboneElement | IntraoperativeAssessment | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of an intraoperative observation. | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | Reference(Media) | Reference to the embedded image | |
| MakrokopischeBeurteilung |
0..1 | BackboneElement | MacroscopicAssessment | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Macroscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| MakroBild |
1..* | Attachment | Macro image of the grossing situation | |
| Skizze |
0..* | Attachment | Sketch of a situation (e.g. grossing) | |
| MikroskopischeBeurteilung |
0..1 | BackboneElement | The microscopic assessment section optionally contains the histopathological findings of the case | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Microscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| MikroBild |
1..* | Attachment | Eyepiece photograph or WSI or screenshot of a WSI | |
| ROI |
0..* | Attachment | Region-of-interest | |
| ZustaetzlicheBeobachtung |
0..1 | BackboneElement | Non-morphological observation | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of an additional specified observation | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| ZugehoerigesDokument |
0..* | Attachment | A document belonging to the additional specified observation, e.g. a molecular pathology report created by means of OMICS resources from the material examined in the pathological-anatomical assessment. | |
| DiagnostischeSchlussfolgerung |
1..1 | BackboneElement | The diagnostic conclusion section contains the diagnosis(es) for all materials / specimens submitted for a case | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of the diagnostic conclusion | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| Skizze |
0..* | Attachment | Sketch | |
| MakroBild |
0..* | Attachment | Macro image | |
| MikroBild |
0..* | Attachment | Micro image | |
| ROI |
0..* | Attachment | Region-of-interest | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
 mii-lm-patho-logical-model |
0..* | Base | MII LM Patho Logical Model | |
| Identifikation |
1..* | Identifier | The identifier of a pathology report (e.g. E/20/12345.1) is unique and is usually derived from the accession number (case number). It should be composed of the set ID (e.g. E/20/12345), under which all versions of a report are recorded, and the version number (e.g. 1). It is, however, also possible to use a UID (unique identifier) or GUID (global unique identifier) that is not derived from the case number. Usually the case number is used as the set ID. | |
| Status |
1..1 | code | Status of the pathology report. | |
| Dokumentationsdatum |
1..1 | dateTime | Date and time at which the pathology report was documented (verified and released). | |
| Untersuchungsauftrag |
1..1 | BackboneElement | Examination request | |
| klinischeInformation |
1..* | BackboneElement | clinicalInformation | |
| Fragestellung |
0..1 | string | Clinical question for the case | |
| Anamnese |
0..* | string | History of present illness for the case | |
| Ueberweisungsgrund |
0..* | string | Reason for referral | |
| DiagnoseKodiert |
0..* | Reference(Condition) | Diagnosis according to the valid ICD-10-GM | |
| AuftragsID |
1..* | BackboneElement | OrderID | |
| AuftragsgruppenID |
0..1 | Identifier | ID of an order group consisting of several examination requests | |
| AuftragsIDAuftraggeber |
0..1 | Identifier | Order ID assigned by the placer | |
| AuftragsIDAuftragnehmer |
0..1 | Identifier | Order ID assigned by the filler (pathology), often identical to the case number | |
| Status |
1..1 | code | Status of the pathology examination request | |
| Untersuchung |
0..* | CodeableConcept | Ordered examination in coded form | |
| Einsender |
0..* | Reference(Practitioner | Organization) | Doctor who sends specimens of a patient for pathological-anatomical examination and who is the recipient of the pathology report. | |
| Probenentnehmer |
0..* | Reference(Practitioner | Organization) | Sample collector who is not identical to the sender. | |
| Probe |
1..* | Reference(Specimen) | Organ or part of an organ or a collection thereof that is sent in as a submitted specimen together with the examination request for processing and assessment. | |
| Proben |
1..* | BackboneElement | Specimen | |
| ProbenID |
0..1 | Identifier | Unique identifier for the specimen (submitted specimen). Formally often identical to the accession number (accession identifier). | |
| Status |
0..1 | code | Status of the specimen with regard to availability | |
| Probenart |
1..1 | CodeableConcept | Type of the specimen | |
| Laboreingangszeitpunkt |
0..1 | dateTime | Date and time of specimen receipt in the laboratory | |
| Entnahme |
1..1 | BackboneElement | Collection | |
| Entnahmemethode |
0..1 | CodeableConcept | Clinical method (procedure) of specimen collection (from the patient) | |
| Herkunft |
0..1 | CodeableConcept | Location of the body site from which the specimen originates. | |
| EntnahmeZeitpunkt |
0..1 | dateTime | Date and time of specimen collection | |
| Eigenschaften |
0..1 | CodeableConcept | Observations on properties of the submitted specimen / of the sample, e.g. dimensions, margin relationships, markings etc., that are communicated by the sender. | |
| Bearbeitung |
0..* | BackboneElement | Processing | |
| Bearbeitungsprozedur |
1..1 | CodeableConcept | Coded procedure of specimen processing in pathology | |
| Elternprobe |
1..1 | Reference(Specimen) | Reference to the object of the processing procedure / to the parent specimen | |
| Additive |
0..* | Reference(Substance) | Additives used in specimen processing (fixatives, embedding and mounting media, stains) | |
| Beschreibung |
0..1 | string | Textual description of the specimen processing. | |
| Container |
1..* | BackboneElement | Container | |
| ContainerID |
1..* | Identifier | Identification of the container, may differ from the specimen ID | |
| ContainerTyp |
0..1 | CodeableConcept | Type of the container | |
| Additive[x] |
0..1 | Additives in the container: fixatives in the submission container, paraffin in the block, mounting medium on the slide | ||
| AdditiveCodeableConcept |
CodeableConcept | |||
| AdditiveReference |
Reference(Substance) | |||
| Beobachtungsberichtabschnitt |
1..* | BackboneElement | Observation report section | |
| IntraoperativeBegutachtung |
0..1 | BackboneElement | IntraoperativeAssessment | |
| Text |
0..1 | string | Text of an intraoperative observation. | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | Reference(Media) | Reference to the embedded image | |
| MakrokopischeBeurteilung |
0..1 | BackboneElement | MacroscopicAssessment | |
| Text |
0..1 | string | Macroscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| ID |
1..* | id | ID of the embedded image | |
| MakroBild |
1..* | Attachment | Macro image of the grossing situation | |
| Skizze |
0..* | Attachment | Sketch of a situation (e.g. grossing) | |
| MikroskopischeBeurteilung |
0..1 | BackboneElement | The microscopic assessment section optionally contains the histopathological findings of the case | |
| Text |
0..1 | string | Microscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| ID |
1..* | id | ID of the embedded image | |
| MikroBild |
1..* | Attachment | Eyepiece photograph or WSI or screenshot of a WSI | |
| ROI |
0..* | Attachment | Region-of-interest | |
| ZustaetzlicheBeobachtung |
0..1 | BackboneElement | Non-morphological observation | |
| Text |
0..1 | string | Text of an additional specified observation | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| ID |
1..* | id | ID of the embedded image | |
| ZugehoerigesDokument |
0..* | Attachment | A document belonging to the additional specified observation, e.g. a molecular pathology report created by means of OMICS resources from the material examined in the pathological-anatomical assessment. | |
| DiagnostischeSchlussfolgerung |
1..1 | BackboneElement | The diagnostic conclusion section contains the diagnosis(es) for all materials / specimens submitted for a case | |
| Text |
0..1 | string | Text of the diagnostic conclusion | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| ID |
1..* | id | ID of the embedded image | |
| Skizze |
0..* | Attachment | Sketch | |
| MakroBild |
0..* | Attachment | Macro image | |
| MikroBild |
0..* | Attachment | Micro image | |
| ROI |
0..* | Attachment | Region-of-interest | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| mii-lm-patho-logical-model |
0..* | Base | MII LM Patho Logical Model | |
| Identifikation |
1..* | Identifier | The identifier of a pathology report (e.g. E/20/12345.1) is unique and is usually derived from the accession number (case number). It should be composed of the set ID (e.g. E/20/12345), under which all versions of a report are recorded, and the version number (e.g. 1). It is, however, also possible to use a UID (unique identifier) or GUID (global unique identifier) that is not derived from the case number. Usually the case number is used as the set ID. | |
| Status |
1..1 | code | Status of the pathology report. | |
| Dokumentationsdatum |
1..1 | dateTime | Date and time at which the pathology report was documented (verified and released). | |
| Untersuchungsauftrag |
1..1 | BackboneElement | Examination request | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| klinischeInformation |
1..* | BackboneElement | clinicalInformation | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Fragestellung |
0..1 | string | Clinical question for the case | |
| Anamnese |
0..* | string | History of present illness for the case | |
| Ueberweisungsgrund |
0..* | string | Reason for referral | |
| DiagnoseKodiert |
0..* | Reference(Condition) | Diagnosis according to the valid ICD-10-GM | |
| AuftragsID |
1..* | BackboneElement | OrderID | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| AuftragsgruppenID |
0..1 | Identifier | ID of an order group consisting of several examination requests | |
| AuftragsIDAuftraggeber |
0..1 | Identifier | Order ID assigned by the placer | |
| AuftragsIDAuftragnehmer |
0..1 | Identifier | Order ID assigned by the filler (pathology), often identical to the case number | |
| Status |
1..1 | code | Status of the pathology examination request | |
| Untersuchung |
0..* | CodeableConcept | Ordered examination in coded form | |
| Einsender |
0..* | Reference(Practitioner | Organization) | Doctor who sends specimens of a patient for pathological-anatomical examination and who is the recipient of the pathology report. | |
| Probenentnehmer |
0..* | Reference(Practitioner | Organization) | Sample collector who is not identical to the sender. | |
| Probe |
1..* | Reference(Specimen) | Organ or part of an organ or a collection thereof that is sent in as a submitted specimen together with the examination request for processing and assessment. | |
| Proben |
1..* | BackboneElement | Specimen | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ProbenID |
0..1 | Identifier | Unique identifier for the specimen (submitted specimen). Formally often identical to the accession number (accession identifier). | |
| Status |
0..1 | code | Status of the specimen with regard to availability | |
| Probenart |
1..1 | CodeableConcept | Type of the specimen | |
| Laboreingangszeitpunkt |
0..1 | dateTime | Date and time of specimen receipt in the laboratory | |
| Entnahme |
1..1 | BackboneElement | Collection | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Entnahmemethode |
0..1 | CodeableConcept | Clinical method (procedure) of specimen collection (from the patient) | |
| Herkunft |
0..1 | CodeableConcept | Location of the body site from which the specimen originates. | |
| EntnahmeZeitpunkt |
0..1 | dateTime | Date and time of specimen collection | |
| Eigenschaften |
0..1 | CodeableConcept | Observations on properties of the submitted specimen / of the sample, e.g. dimensions, margin relationships, markings etc., that are communicated by the sender. | |
| Bearbeitung |
0..* | BackboneElement | Processing | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Bearbeitungsprozedur |
1..1 | CodeableConcept | Coded procedure of specimen processing in pathology | |
| Elternprobe |
1..1 | Reference(Specimen) | Reference to the object of the processing procedure / to the parent specimen | |
| Additive |
0..* | Reference(Substance) | Additives used in specimen processing (fixatives, embedding and mounting media, stains) | |
| Beschreibung |
0..1 | string | Textual description of the specimen processing. | |
| Container |
1..* | BackboneElement | Container | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ContainerID |
1..* | Identifier | Identification of the container, may differ from the specimen ID | |
| ContainerTyp |
0..1 | CodeableConcept | Type of the container | |
| Additive[x] |
0..1 | Additives in the container: fixatives in the submission container, paraffin in the block, mounting medium on the slide | ||
| AdditiveCodeableConcept |
CodeableConcept | |||
| AdditiveReference |
Reference(Substance) | |||
| Beobachtungsberichtabschnitt |
1..* | BackboneElement | Observation report section | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| IntraoperativeBegutachtung |
0..1 | BackboneElement | IntraoperativeAssessment | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of an intraoperative observation. | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | Reference(Media) | Reference to the embedded image | |
| MakrokopischeBeurteilung |
0..1 | BackboneElement | MacroscopicAssessment | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Macroscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| MakroBild |
1..* | Attachment | Macro image of the grossing situation | |
| Skizze |
0..* | Attachment | Sketch of a situation (e.g. grossing) | |
| MikroskopischeBeurteilung |
0..1 | BackboneElement | The microscopic assessment section optionally contains the histopathological findings of the case | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Microscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| MikroBild |
1..* | Attachment | Eyepiece photograph or WSI or screenshot of a WSI | |
| ROI |
0..* | Attachment | Region-of-interest | |
| ZustaetzlicheBeobachtung |
0..1 | BackboneElement | Non-morphological observation | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of an additional specified observation | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| ZugehoerigesDokument |
0..* | Attachment | A document belonging to the additional specified observation, e.g. a molecular pathology report created by means of OMICS resources from the material examined in the pathological-anatomical assessment. | |
| DiagnostischeSchlussfolgerung |
1..1 | BackboneElement | The diagnostic conclusion section contains the diagnosis(es) for all materials / specimens submitted for a case | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of the diagnostic conclusion | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| Skizze |
0..* | Attachment | Sketch | |
| MakroBild |
0..* | Attachment | Macro image | |
| MikroBild |
0..* | Attachment | Micro image | |
| ROI |
0..* | Attachment | Region-of-interest | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| mii-lm-patho-logical-model |
0..* | Base | MII LM Patho Logical Model | |
| Identifikation |
1..* | Identifier | The identifier of a pathology report (e.g. E/20/12345.1) is unique and is usually derived from the accession number (case number). It should be composed of the set ID (e.g. E/20/12345), under which all versions of a report are recorded, and the version number (e.g. 1). It is, however, also possible to use a UID (unique identifier) or GUID (global unique identifier) that is not derived from the case number. Usually the case number is used as the set ID. | |
| Status |
1..1 | code | Status of the pathology report. | |
| Dokumentationsdatum |
1..1 | dateTime | Date and time at which the pathology report was documented (verified and released). | |
| Untersuchungsauftrag |
1..1 | BackboneElement | Examination request | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| klinischeInformation |
1..* | BackboneElement | clinicalInformation | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Fragestellung |
0..1 | string | Clinical question for the case | |
| Anamnese |
0..* | string | History of present illness for the case | |
| Ueberweisungsgrund |
0..* | string | Reason for referral | |
| DiagnoseKodiert |
0..* | Reference(Condition) | Diagnosis according to the valid ICD-10-GM | |
| AuftragsID |
1..* | BackboneElement | OrderID | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| AuftragsgruppenID |
0..1 | Identifier | ID of an order group consisting of several examination requests | |
| AuftragsIDAuftraggeber |
0..1 | Identifier | Order ID assigned by the placer | |
| AuftragsIDAuftragnehmer |
0..1 | Identifier | Order ID assigned by the filler (pathology), often identical to the case number | |
| Status |
1..1 | code | Status of the pathology examination request | |
| Untersuchung |
0..* | CodeableConcept | Ordered examination in coded form | |
| Einsender |
0..* | Reference(Practitioner | Organization) | Doctor who sends specimens of a patient for pathological-anatomical examination and who is the recipient of the pathology report. | |
| Probenentnehmer |
0..* | Reference(Practitioner | Organization) | Sample collector who is not identical to the sender. | |
| Probe |
1..* | Reference(Specimen) | Organ or part of an organ or a collection thereof that is sent in as a submitted specimen together with the examination request for processing and assessment. | |
| Proben |
1..* | BackboneElement | Specimen | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ProbenID |
0..1 | Identifier | Unique identifier for the specimen (submitted specimen). Formally often identical to the accession number (accession identifier). | |
| Status |
0..1 | code | Status of the specimen with regard to availability | |
| Probenart |
1..1 | CodeableConcept | Type of the specimen | |
| Laboreingangszeitpunkt |
0..1 | dateTime | Date and time of specimen receipt in the laboratory | |
| Entnahme |
1..1 | BackboneElement | Collection | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Entnahmemethode |
0..1 | CodeableConcept | Clinical method (procedure) of specimen collection (from the patient) | |
| Herkunft |
0..1 | CodeableConcept | Location of the body site from which the specimen originates. | |
| EntnahmeZeitpunkt |
0..1 | dateTime | Date and time of specimen collection | |
| Eigenschaften |
0..1 | CodeableConcept | Observations on properties of the submitted specimen / of the sample, e.g. dimensions, margin relationships, markings etc., that are communicated by the sender. | |
| Bearbeitung |
0..* | BackboneElement | Processing | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Bearbeitungsprozedur |
1..1 | CodeableConcept | Coded procedure of specimen processing in pathology | |
| Elternprobe |
1..1 | Reference(Specimen) | Reference to the object of the processing procedure / to the parent specimen | |
| Additive |
0..* | Reference(Substance) | Additives used in specimen processing (fixatives, embedding and mounting media, stains) | |
| Beschreibung |
0..1 | string | Textual description of the specimen processing. | |
| Container |
1..* | BackboneElement | Container | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ContainerID |
1..* | Identifier | Identification of the container, may differ from the specimen ID | |
| ContainerTyp |
0..1 | CodeableConcept | Type of the container | |
| Additive[x] |
0..1 | Additives in the container: fixatives in the submission container, paraffin in the block, mounting medium on the slide | ||
| AdditiveCodeableConcept |
CodeableConcept | |||
| AdditiveReference |
Reference(Substance) | |||
| Beobachtungsberichtabschnitt |
1..* | BackboneElement | Observation report section | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| IntraoperativeBegutachtung |
0..1 | BackboneElement | IntraoperativeAssessment | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of an intraoperative observation. | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | Reference(Media) | Reference to the embedded image | |
| MakrokopischeBeurteilung |
0..1 | BackboneElement | MacroscopicAssessment | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Macroscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| MakroBild |
1..* | Attachment | Macro image of the grossing situation | |
| Skizze |
0..* | Attachment | Sketch of a situation (e.g. grossing) | |
| MikroskopischeBeurteilung |
0..1 | BackboneElement | The microscopic assessment section optionally contains the histopathological findings of the case | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Microscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| MikroBild |
1..* | Attachment | Eyepiece photograph or WSI or screenshot of a WSI | |
| ROI |
0..* | Attachment | Region-of-interest | |
| ZustaetzlicheBeobachtung |
0..1 | BackboneElement | Non-morphological observation | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of an additional specified observation | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| ZugehoerigesDokument |
0..* | Attachment | A document belonging to the additional specified observation, e.g. a molecular pathology report created by means of OMICS resources from the material examined in the pathological-anatomical assessment. | |
| DiagnostischeSchlussfolgerung |
1..1 | BackboneElement | The diagnostic conclusion section contains the diagnosis(es) for all materials / specimens submitted for a case | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of the diagnostic conclusion | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| Skizze |
0..* | Attachment | Sketch | |
| MakroBild |
0..* | Attachment | Macro image | |
| MikroBild |
0..* | Attachment | Micro image | |
| ROI |
0..* | Attachment | Region-of-interest | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| mii-lm-patho-logical-model |
0..* | Base | MII LM Patho Logical Model | |
| Identifikation |
1..* | Identifier | The identifier of a pathology report (e.g. E/20/12345.1) is unique and is usually derived from the accession number (case number). It should be composed of the set ID (e.g. E/20/12345), under which all versions of a report are recorded, and the version number (e.g. 1). It is, however, also possible to use a UID (unique identifier) or GUID (global unique identifier) that is not derived from the case number. Usually the case number is used as the set ID. | |
| Status |
1..1 | code | Status of the pathology report. | |
| Dokumentationsdatum |
1..1 | dateTime | Date and time at which the pathology report was documented (verified and released). | |
| Untersuchungsauftrag |
1..1 | BackboneElement | Examination request | |
| klinischeInformation |
1..* | BackboneElement | clinicalInformation | |
| Fragestellung |
0..1 | string | Clinical question for the case | |
| Anamnese |
0..* | string | History of present illness for the case | |
| Ueberweisungsgrund |
0..* | string | Reason for referral | |
| DiagnoseKodiert |
0..* | Reference(Condition) | Diagnosis according to the valid ICD-10-GM | |
| AuftragsID |
1..* | BackboneElement | OrderID | |
| AuftragsgruppenID |
0..1 | Identifier | ID of an order group consisting of several examination requests | |
| AuftragsIDAuftraggeber |
0..1 | Identifier | Order ID assigned by the placer | |
| AuftragsIDAuftragnehmer |
0..1 | Identifier | Order ID assigned by the filler (pathology), often identical to the case number | |
| Status |
1..1 | code | Status of the pathology examination request | |
| Untersuchung |
0..* | CodeableConcept | Ordered examination in coded form | |
| Einsender |
0..* | Reference(Practitioner | Organization) | Doctor who sends specimens of a patient for pathological-anatomical examination and who is the recipient of the pathology report. | |
| Probenentnehmer |
0..* | Reference(Practitioner | Organization) | Sample collector who is not identical to the sender. | |
| Probe |
1..* | Reference(Specimen) | Organ or part of an organ or a collection thereof that is sent in as a submitted specimen together with the examination request for processing and assessment. | |
| Proben |
1..* | BackboneElement | Specimen | |
| ProbenID |
0..1 | Identifier | Unique identifier for the specimen (submitted specimen). Formally often identical to the accession number (accession identifier). | |
| Status |
0..1 | code | Status of the specimen with regard to availability | |
| Probenart |
1..1 | CodeableConcept | Type of the specimen | |
| Laboreingangszeitpunkt |
0..1 | dateTime | Date and time of specimen receipt in the laboratory | |
| Entnahme |
1..1 | BackboneElement | Collection | |
| Entnahmemethode |
0..1 | CodeableConcept | Clinical method (procedure) of specimen collection (from the patient) | |
| Herkunft |
0..1 | CodeableConcept | Location of the body site from which the specimen originates. | |
| EntnahmeZeitpunkt |
0..1 | dateTime | Date and time of specimen collection | |
| Eigenschaften |
0..1 | CodeableConcept | Observations on properties of the submitted specimen / of the sample, e.g. dimensions, margin relationships, markings etc., that are communicated by the sender. | |
| Bearbeitung |
0..* | BackboneElement | Processing | |
| Bearbeitungsprozedur |
1..1 | CodeableConcept | Coded procedure of specimen processing in pathology | |
| Elternprobe |
1..1 | Reference(Specimen) | Reference to the object of the processing procedure / to the parent specimen | |
| Additive |
0..* | Reference(Substance) | Additives used in specimen processing (fixatives, embedding and mounting media, stains) | |
| Beschreibung |
0..1 | string | Textual description of the specimen processing. | |
| Container |
1..* | BackboneElement | Container | |
| ContainerID |
1..* | Identifier | Identification of the container, may differ from the specimen ID | |
| ContainerTyp |
0..1 | CodeableConcept | Type of the container | |
| Additive[x] |
0..1 | Additives in the container: fixatives in the submission container, paraffin in the block, mounting medium on the slide | ||
| AdditiveCodeableConcept |
CodeableConcept | |||
| AdditiveReference |
Reference(Substance) | |||
| Beobachtungsberichtabschnitt |
1..* | BackboneElement | Observation report section | |
| IntraoperativeBegutachtung |
0..1 | BackboneElement | IntraoperativeAssessment | |
| Text |
0..1 | string | Text of an intraoperative observation. | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | Reference(Media) | Reference to the embedded image | |
| MakrokopischeBeurteilung |
0..1 | BackboneElement | MacroscopicAssessment | |
| Text |
0..1 | string | Macroscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| ID |
1..* | id | ID of the embedded image | |
| MakroBild |
1..* | Attachment | Macro image of the grossing situation | |
| Skizze |
0..* | Attachment | Sketch of a situation (e.g. grossing) | |
| MikroskopischeBeurteilung |
0..1 | BackboneElement | The microscopic assessment section optionally contains the histopathological findings of the case | |
| Text |
0..1 | string | Microscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| ID |
1..* | id | ID of the embedded image | |
| MikroBild |
1..* | Attachment | Eyepiece photograph or WSI or screenshot of a WSI | |
| ROI |
0..* | Attachment | Region-of-interest | |
| ZustaetzlicheBeobachtung |
0..1 | BackboneElement | Non-morphological observation | |
| Text |
0..1 | string | Text of an additional specified observation | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| ID |
1..* | id | ID of the embedded image | |
| ZugehoerigesDokument |
0..* | Attachment | A document belonging to the additional specified observation, e.g. a molecular pathology report created by means of OMICS resources from the material examined in the pathological-anatomical assessment. | |
| DiagnostischeSchlussfolgerung |
1..1 | BackboneElement | The diagnostic conclusion section contains the diagnosis(es) for all materials / specimens submitted for a case | |
| Text |
0..1 | string | Text of the diagnostic conclusion | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| ID |
1..* | id | ID of the embedded image | |
| Skizze |
0..* | Attachment | Sketch | |
| MakroBild |
0..* | Attachment | Macro image | |
| MikroBild |
0..* | Attachment | Micro image | |
| ROI |
0..* | Attachment | Region-of-interest | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| mii-lm-patho-logical-model |
0..* | Base | MII LM Patho Logical Model | |
| Identifikation |
1..* | Identifier | The identifier of a pathology report (e.g. E/20/12345.1) is unique and is usually derived from the accession number (case number). It should be composed of the set ID (e.g. E/20/12345), under which all versions of a report are recorded, and the version number (e.g. 1). It is, however, also possible to use a UID (unique identifier) or GUID (global unique identifier) that is not derived from the case number. Usually the case number is used as the set ID. | |
| Status |
1..1 | code | Status of the pathology report. | |
| Dokumentationsdatum |
1..1 | dateTime | Date and time at which the pathology report was documented (verified and released). | |
| Untersuchungsauftrag |
1..1 | BackboneElement | Examination request | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| klinischeInformation |
1..* | BackboneElement | clinicalInformation | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Fragestellung |
0..1 | string | Clinical question for the case | |
| Anamnese |
0..* | string | History of present illness for the case | |
| Ueberweisungsgrund |
0..* | string | Reason for referral | |
| DiagnoseKodiert |
0..* | Reference(Condition) | Diagnosis according to the valid ICD-10-GM | |
| AuftragsID |
1..* | BackboneElement | OrderID | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| AuftragsgruppenID |
0..1 | Identifier | ID of an order group consisting of several examination requests | |
| AuftragsIDAuftraggeber |
0..1 | Identifier | Order ID assigned by the placer | |
| AuftragsIDAuftragnehmer |
0..1 | Identifier | Order ID assigned by the filler (pathology), often identical to the case number | |
| Status |
1..1 | code | Status of the pathology examination request | |
| Untersuchung |
0..* | CodeableConcept | Ordered examination in coded form | |
| Einsender |
0..* | Reference(Practitioner | Organization) | Doctor who sends specimens of a patient for pathological-anatomical examination and who is the recipient of the pathology report. | |
| Probenentnehmer |
0..* | Reference(Practitioner | Organization) | Sample collector who is not identical to the sender. | |
| Probe |
1..* | Reference(Specimen) | Organ or part of an organ or a collection thereof that is sent in as a submitted specimen together with the examination request for processing and assessment. | |
| Proben |
1..* | BackboneElement | Specimen | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ProbenID |
0..1 | Identifier | Unique identifier for the specimen (submitted specimen). Formally often identical to the accession number (accession identifier). | |
| Status |
0..1 | code | Status of the specimen with regard to availability | |
| Probenart |
1..1 | CodeableConcept | Type of the specimen | |
| Laboreingangszeitpunkt |
0..1 | dateTime | Date and time of specimen receipt in the laboratory | |
| Entnahme |
1..1 | BackboneElement | Collection | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Entnahmemethode |
0..1 | CodeableConcept | Clinical method (procedure) of specimen collection (from the patient) | |
| Herkunft |
0..1 | CodeableConcept | Location of the body site from which the specimen originates. | |
| EntnahmeZeitpunkt |
0..1 | dateTime | Date and time of specimen collection | |
| Eigenschaften |
0..1 | CodeableConcept | Observations on properties of the submitted specimen / of the sample, e.g. dimensions, margin relationships, markings etc., that are communicated by the sender. | |
| Bearbeitung |
0..* | BackboneElement | Processing | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Bearbeitungsprozedur |
1..1 | CodeableConcept | Coded procedure of specimen processing in pathology | |
| Elternprobe |
1..1 | Reference(Specimen) | Reference to the object of the processing procedure / to the parent specimen | |
| Additive |
0..* | Reference(Substance) | Additives used in specimen processing (fixatives, embedding and mounting media, stains) | |
| Beschreibung |
0..1 | string | Textual description of the specimen processing. | |
| Container |
1..* | BackboneElement | Container | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ContainerID |
1..* | Identifier | Identification of the container, may differ from the specimen ID | |
| ContainerTyp |
0..1 | CodeableConcept | Type of the container | |
| Additive[x] |
0..1 | Additives in the container: fixatives in the submission container, paraffin in the block, mounting medium on the slide | ||
| AdditiveCodeableConcept |
CodeableConcept | |||
| AdditiveReference |
Reference(Substance) | |||
| Beobachtungsberichtabschnitt |
1..* | BackboneElement | Observation report section | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| IntraoperativeBegutachtung |
0..1 | BackboneElement | IntraoperativeAssessment | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of an intraoperative observation. | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | Reference(Media) | Reference to the embedded image | |
| MakrokopischeBeurteilung |
0..1 | BackboneElement | MacroscopicAssessment | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Macroscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| MakroBild |
1..* | Attachment | Macro image of the grossing situation | |
| Skizze |
0..* | Attachment | Sketch of a situation (e.g. grossing) | |
| MikroskopischeBeurteilung |
0..1 | BackboneElement | The microscopic assessment section optionally contains the histopathological findings of the case | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Microscopic assessment text | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| MikroBild |
1..* | Attachment | Eyepiece photograph or WSI or screenshot of a WSI | |
| ROI |
0..* | Attachment | Region-of-interest | |
| ZustaetzlicheBeobachtung |
0..1 | BackboneElement | Non-morphological observation | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of an additional specified observation | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| ZugehoerigesDokument |
0..* | Attachment | A document belonging to the additional specified observation, e.g. a molecular pathology report created by means of OMICS resources from the material examined in the pathological-anatomical assessment. | |
| DiagnostischeSchlussfolgerung |
1..1 | BackboneElement | The diagnostic conclusion section contains the diagnosis(es) for all materials / specimens submitted for a case | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Text |
0..1 | string | Text of the diagnostic conclusion | |
| Einzelbeobachtung |
0..* | Reference(Observation) | Semantically annotated atomic unit of a generic pathological-anatomical observation | |
| EingebettetesBild |
0..* | BackboneElement | EmbeddedImage | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ID |
1..* | id | ID of the embedded image | |
| Skizze |
0..* | Attachment | Sketch | |
| MakroBild |
0..* | Attachment | Macro image | |
| MikroBild |
0..* | Attachment | Micro image | |
| ROI |
0..* | Attachment | Region-of-interest | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|