MII IG Kerndatensatz-Modul Molekulares Tumorboard
2027.0.0-ballot.1 - Germany

This page is part of the MII Implementation Guide Molecular Tumor Board (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII PR MTB Diagnose Primärtumor

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor Version: 2027.0.0-ballot.1
Active Stand: 2026-09-15 Maschinenlesbarer Name: MII_PR_MTB_Diagnose_Primaertumor

Diagnose zum Primärtumor

Inhalt

Dieses Profil beschreibt die onkologische Diagnose zum Primärtumor und umfasst die Tumorausbreitung zum Zeitpunkt der Diagnosestellung sowie der Anmeldung zum Molekularen Tumorboard. Handeln es sich um einen Tumor des zentralen Nervensystems, kann eine Graduierung nach WHO-Klassifikation vorgenommen werden.

Verknüpfungen zu anderen Ressourcen

Prinzipiell erbt die Molekulare Tumorboard-Diagnose alle Datenfelder der Onkologie-Diagnose, darunter ICD-O Morphologie, Topographie usw. Pro Patient sollte es nur eine Condition-Ressource pro Primärtumor geben.

Die MTB-Diagnose erweitert daher die Onkologie-Felder um weitere Datenpunkte, die für die Auswertung und Therapiefindung im Molekularen Tumorboard von Bedeutung sind, z.B.:

  1. Für Zentrales Nervensystem (ZNS)-Tumore kann bei Bedarf der WHO-Grad angegeben werden.

  2. Für alle Tumore kann bei Bedarf eine OncoTree-Klassifikation des MSKCC / OnkoKB angegeben werden.

  3. Tumorausbreitung ist eigentlich ein abgeleiteter Datenpunkt. Theoretisch kann dieser aus vorliegenden Zeitstempeln und Referenzen berechnet werden (z.B. aus TNM-Klassifikationen/ Verlaufs-Beonachtungen in der Krankheitshistorie). Da aber in der Realität an den Datenintegrationszentren nicht die komplette Krankheitsgeschichte in strukturierter Form vorliegen wird,hält das Modulteam es für die vorliegende Profilierung für vertretbar, die Datenpunkte Tumorausbreitung zum Zeitpunkt der Erstdiagonse und zum Zeitpunkt des Einschlusses ins Molekulare Tumorboard zunächst als explizite Datenpunkte zu hinterlegen.

Inhalt

Mapping Datensatz zu FHIR

Suchparameter

Folgende Suchparameter sind für dieses Modul relevant, auch in Kombination:

  1. Der Suchparameter "_id" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?_id=12345

    Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".

  2. Der Suchparameter "_profile" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor

    Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".

  3. Der Suchparameter "code" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?code=http://fhir.de/CodeSystem/bfarm/icd-10-gm|A15.0

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  4. Der Suchparameter "subject" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?subject=Patient/example

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".

  5. Der Suchparameter "patient" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?patient=Patient/example

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".

  6. Der Suchparameter "body-site" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?body-site=http://terminology.hl7.org/CodeSystem/icd-o-3|C44.2

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.body-site" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".

  7. Der Suchparameter "morphology-behaviour-icd03" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?morphology-behaviour-icdo3=http://terminology.hl7.org/CodeSystem/icd-o-3|8503/2

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.extension[morphology-behaviour-icdo3]" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".

  8. Der Suchparameter "icd10gm-diagnosesicherheit" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?icd10gm-diagnosesicherheit=https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT|G

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code.coding.extension.where(url='http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit').value" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  9. Der Suchparameter "icd10gm-mehrfachcodierung" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?icd10gm-mehrfachcodierung=http://fhir.de/CodeSystem/icd-10-gm-mehrfachcodierungs-kennzeichen|†

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code.coding.extension.where(url='http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen').value" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  10. Der Suchparameter "icd10gm-seitenlokalisation" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?icd10gm-seitenlokalisation=https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION|B

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code.coding.extension.where(url = 'http://fhir.de/StructureDefinition/seitenlokalisation').value" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

Beispiele

Beispiel: Beschluss MTB-Fall für Kim Musterperson vom 28.03.2023 (siehe Szenarien)

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* MII_PR_Onko_Diagnose_Primaertumor Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:ReferenzPrimaerdiagnose S 0..1 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 1..1 (Complex) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
.... extension:morphology-behavior-icdo3 S 0..* (Complex) ICD-O-Morphologie
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie ICD-O-3 Morphologie (required)
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:occurredFollowing S 0..* (Complex) Frühere Tumorerkrankungen (zeitliche Abfolge)
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR Onkologie Frühere Tumorerkrankung) Value of extension
.... extension:dueTo S 0..* (Complex) Verursacht durch (therapieassoziierte Sekundärmalignome)
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Strahlentherapie | MII PR Onkologie Systemische Therapie | MII PR Onkologie Systemische Therapie Medikation | MII PR Onkologie Diagnose Primärtumor | MII PR Onkologie Frühere Tumorerkrankung) Value of extension
.... extension:transformationVon S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Transformation aus registriertem Primärtumor
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-transformation-von
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Tumor-ID (Tumoridentität)
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 0..1 string The value that is unique
Example General: 123456
... clinicalStatus ?!SΣC 0..1 CodeableConcept Klinischer Status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 0..1 uri Identity of the terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 0..1 uri Identity of the terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
..... coding:condition-ver-status SΣ 0..1 Coding Code defined by a terminology system
Binding: ConditionVerificationStatus (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
...... code SΣ 0..1 code Symbol in syntax defined by the system
..... coding:primaertumorDiagnosesicherung SΣ 0..1 Coding Diagnosesicherung gemäß oBDS
Binding: MII VS Onkologie Primärtumor Diagnosesicherung (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung
...... code SΣ 1..1 code Symbol in syntax defined by the system
... Slices for category 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:onkologie S 1..1 CodeableConcept Onkologie-Kennzeichnung
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55342001
...... display 1..1 string Representation defined by the system
Fixed Value: Neoplastic disease
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:icd10-gm SΣC 0..1 CodingICD10GM(1.6.0) ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)
Constraints: onko-icd-meldepflicht

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... system SΣ 0..1 uri Identity of the terminology system
......... code SΣ 0..1 code Symbol in syntax defined by the system
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alpha-id SΣ 0..1 CodingAlphaID(1.6.0) Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... code SΣ 1..1 code Symbol in syntax defined by the system
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:primaertumorSeitenlokalisation SΣ 0..1 Coding Seitenlokalisation des Primärtumors gemäß oBDS
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:icd-o-3 SΣ 0..1 Coding ICD-O-Topographie
Binding: MII VS Onkologie ICD-O-3 Topographie (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient) Who has the condition?
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... Slices for abatement[x] SC 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime SC 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge SC 0..1 Age Erkrankungsende als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... recordedDate SΣ 1..1 dateTime Aufzeichnungsdatum
... Slices for stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type.coding
Constraints: con-1
.... stage:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... stage:WHOGradZNS SC 0..1 BackboneElement WHO Grad Tumor ZNS
Constraints: con-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment SC 1..1 Reference(MII PR MTB WHO Grad Tumor ZNS) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396920006
....... display 1..1 string Representation defined by the system
Fixed Value: WHO grade for central nervous system tumor
....... userSelected 0..1 boolean If this coding was chosen directly by the user
.... stage:OncoTree SC 0..* BackboneElement OncoTree Classification
Constraints: con-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment SC 1..1 Reference(MII PR MTB Oncotree Klassifikation) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371441004
....... display 1..1 string Representation defined by the system
Fixed Value: Histologic type of proliferative mass
....... userSelected 0..1 boolean If this coding was chosen directly by the user
.... stage:ErstdiagnoseZeitpunkt SC 0..1 BackboneElement Tumorausbreitung Erstdiagnose
Constraints: con-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment SC 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C19251
....... display 1..1 string Representation defined by the system
Fixed Value: Stage at Diagnosis
....... userSelected 0..1 boolean If this coding was chosen directly by the user
.... stage:MolekularesTumorboardZeitpunkt SC 0..1 BackboneElement Tumorausbreitung Molekulares Tumorboard
Constraints: con-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment SC 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 93771000119109
....... display 1..1 string Representation defined by the system
Fixed Value: Diagnosis deferred
....... userSelected 0..1 boolean If this coding was chosen directly by the user
... evidence SC 0..1 BackboneElement Supporting evidence
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail SΣC 0..* Reference(MII PR Onkologie Evidenz Diagnose Primärtumor) Evidenz für Erstdiagnose
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.extension:morphology-behavior-icdo3.​value[x] Base required MII VS Onkologie ICD-O-3 Morphologie 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.extension:occurredFollowing.​value[x] Base example Condition Predecessor Codes 📦4.0.1 FHIR Std.
Condition.extension:dueTo.​value[x] Base example Condition Cause Codes 📦4.0.1 FHIR Std.
Condition.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:condition-ver-status Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.verificationStatus.​coding:primaertumorDiagnosesicherung Base required MII VS Onkologie Primärtumor Diagnosesicherung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:onkologie Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . ⏿1.00 127.0.0.1
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite.coding:primaertumorSeitenlokalisation Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.bodySite.coding:icd-o-3 Base required MII VS Onkologie ICD-O-3 Topographie 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage:WHOGradZNS.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:OncoTree.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:ErstdiagnoseZeitpunkt.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:MolekularesTumorboardZeitpunkt.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage, Condition.stage:WHOGradZNS, Condition.stage:OncoTree, Condition.stage:ErstdiagnoseZeitpunkt, Condition.stage:MolekularesTumorboardZeitpunkt Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item 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()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition 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 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()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
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()
icd-4 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex warning Condition.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
onko-icd-meldepflicht warning Condition.code.coding:icd10-gm Der ICD-10-GM-Code sollte aus der Menge der krebsregister-meldepflichtigen Neubildungen stammen (C00-C97, D00-D09, D32-D33, D35.2-D35.4, D37-D48). Andere Codes sind zulässig, aber untypisch für eine onkologische Primärdiagnose. $this.memberOf('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-icd10-meldepflichtige-tumoren')

Diese Struktur ist abgeleitet von MII_PR_Onko_Diagnose_Primaertumor

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* MII_PR_Onko_Diagnose_Primaertumor Detailed information about conditions, problems or diagnoses
... Slices for stage S 0..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type.coding
.... stage:WHOGradZNS S 0..1 BackboneElement WHO Grad Tumor ZNS
..... assessment S 1..1 Reference(MII PR MTB WHO Grad Tumor ZNS) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396920006
....... display 1..1 string Representation defined by the system
Fixed Value: WHO grade for central nervous system tumor
.... stage:OncoTree S 0..* BackboneElement OncoTree Classification
..... assessment S 1..1 Reference(MII PR MTB Oncotree Klassifikation) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371441004
....... display 1..1 string Representation defined by the system
Fixed Value: Histologic type of proliferative mass
.... stage:ErstdiagnoseZeitpunkt S 0..1 BackboneElement Tumorausbreitung Erstdiagnose
..... assessment S 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C19251
....... display 1..1 string Representation defined by the system
Fixed Value: Stage at Diagnosis
.... stage:MolekularesTumorboardZeitpunkt S 0..1 BackboneElement Tumorausbreitung Molekulares Tumorboard
..... assessment S 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 93771000119109
....... display 1..1 string Representation defined by the system
Fixed Value: Diagnosis deferred

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* MII_PR_Onko_Diagnose_Primaertumor Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:ReferenzPrimaerdiagnose S 0..1 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 1..1 (Complex) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
.... extension:morphology-behavior-icdo3 S 0..* (Complex) ICD-O-Morphologie
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie ICD-O-3 Morphologie (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:occurredFollowing S 0..* (Complex) Frühere Tumorerkrankungen (zeitliche Abfolge)
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR Onkologie Frühere Tumorerkrankung) Value of extension
.... extension:dueTo S 0..* (Complex) Verursacht durch (therapieassoziierte Sekundärmalignome)
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Strahlentherapie | MII PR Onkologie Systemische Therapie | MII PR Onkologie Systemische Therapie Medikation | MII PR Onkologie Diagnose Primärtumor | MII PR Onkologie Frühere Tumorerkrankung) Value of extension
.... extension:transformationVon S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Transformation aus registriertem Primärtumor
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-transformation-von
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Tumor-ID (Tumoridentität)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 0..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... clinicalStatus ?!SΣC 0..1 CodeableConcept Klinischer Status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:condition-ver-status SΣ 0..1 Coding Code defined by a terminology system
Binding: ConditionVerificationStatus (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:primaertumorDiagnosesicherung SΣ 0..1 Coding Diagnosesicherung gemäß oBDS
Binding: MII VS Onkologie Primärtumor Diagnosesicherung (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... Slices for category 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:onkologie S 1..1 CodeableConcept Onkologie-Kennzeichnung
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55342001
...... display 1..1 string Representation defined by the system
Fixed Value: Neoplastic disease
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:icd10-gm SΣC 0..1 CodingICD10GM(1.6.0) ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)
Constraints: onko-icd-meldepflicht

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 0..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 0..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alpha-id SΣ 0..1 CodingAlphaID(1.6.0) Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:primaertumorSeitenlokalisation SΣ 0..1 Coding Seitenlokalisation des Primärtumors gemäß oBDS
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:icd-o-3 SΣ 0..1 Coding ICD-O-Topographie
Binding: MII VS Onkologie ICD-O-3 Topographie (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... Slices for abatement[x] SC 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime SC 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge SC 0..1 Age Erkrankungsende als Alter
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... recordedDate SΣ 1..1 dateTime Aufzeichnungsdatum
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... Slices for stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type.coding
Constraints: con-1
.... stage:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
..... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
.... stage:WHOGradZNS SC 0..1 BackboneElement WHO Grad Tumor ZNS
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment SC 1..1 Reference(MII PR MTB WHO Grad Tumor ZNS) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396920006
....... display 1..1 string Representation defined by the system
Fixed Value: WHO grade for central nervous system tumor
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... stage:OncoTree SC 0..* BackboneElement OncoTree Classification
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment SC 1..1 Reference(MII PR MTB Oncotree Klassifikation) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371441004
....... display 1..1 string Representation defined by the system
Fixed Value: Histologic type of proliferative mass
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... stage:ErstdiagnoseZeitpunkt SC 0..1 BackboneElement Tumorausbreitung Erstdiagnose
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment SC 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C19251
....... display 1..1 string Representation defined by the system
Fixed Value: Stage at Diagnosis
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... stage:MolekularesTumorboardZeitpunkt SC 0..1 BackboneElement Tumorausbreitung Molekulares Tumorboard
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment SC 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 93771000119109
....... display 1..1 string Representation defined by the system
Fixed Value: Diagnosis deferred
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... evidence SC 0..1 BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail SΣC 0..* Reference(MII PR Onkologie Evidenz Diagnose Primärtumor) Evidenz für Erstdiagnose
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.extension:morphology-behavior-icdo3.​value[x] Base required MII VS Onkologie ICD-O-3 Morphologie 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.extension:occurredFollowing.​value[x] Base example Condition Predecessor Codes 📦4.0.1 FHIR Std.
Condition.extension:dueTo.​value[x] Base example Condition Cause Codes 📦4.0.1 FHIR Std.
Condition.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Condition.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:condition-ver-status Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.verificationStatus.​coding:primaertumorDiagnosesicherung Base required MII VS Onkologie Primärtumor Diagnosesicherung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:onkologie Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . ⏿1.00 127.0.0.1
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite.coding:primaertumorSeitenlokalisation Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.bodySite.coding:icd-o-3 Base required MII VS Onkologie ICD-O-3 Topographie 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:WHOGradZNS.​summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage:WHOGradZNS.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:OncoTree.​summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage:OncoTree.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:ErstdiagnoseZeitpunkt.​summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage:ErstdiagnoseZeitpunkt.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:MolekularesTumorboardZeitpunkt.​summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage:MolekularesTumorboardZeitpunkt.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage, Condition.stage:WHOGradZNS, Condition.stage:OncoTree, Condition.stage:ErstdiagnoseZeitpunkt, Condition.stage:MolekularesTumorboardZeitpunkt Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item 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()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition 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 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()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
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()
icd-4 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex warning Condition.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
onko-icd-meldepflicht warning Condition.code.coding:icd10-gm Der ICD-10-GM-Code sollte aus der Menge der krebsregister-meldepflichtigen Neubildungen stammen (C00-C97, D00-D09, D32-D33, D35.2-D35.4, D37-D48). Andere Codes sind zulässig, aber untypisch für eine onkologische Primärdiagnose. $this.memberOf('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-icd10-meldepflichtige-tumoren')

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* MII_PR_Onko_Diagnose_Primaertumor Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:ReferenzPrimaerdiagnose S 0..1 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 1..1 (Complex) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
.... extension:morphology-behavior-icdo3 S 0..* (Complex) ICD-O-Morphologie
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie ICD-O-3 Morphologie (required)
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:occurredFollowing S 0..* (Complex) Frühere Tumorerkrankungen (zeitliche Abfolge)
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR Onkologie Frühere Tumorerkrankung) Value of extension
.... extension:dueTo S 0..* (Complex) Verursacht durch (therapieassoziierte Sekundärmalignome)
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Strahlentherapie | MII PR Onkologie Systemische Therapie | MII PR Onkologie Systemische Therapie Medikation | MII PR Onkologie Diagnose Primärtumor | MII PR Onkologie Frühere Tumorerkrankung) Value of extension
.... extension:transformationVon S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Transformation aus registriertem Primärtumor
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-transformation-von
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Tumor-ID (Tumoridentität)
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 0..1 string The value that is unique
Example General: 123456
... clinicalStatus ?!SΣC 0..1 CodeableConcept Klinischer Status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 0..1 uri Identity of the terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 0..1 uri Identity of the terminology system
...... code SΣ 0..1 code Symbol in syntax defined by the system
..... coding:condition-ver-status SΣ 0..1 Coding Code defined by a terminology system
Binding: ConditionVerificationStatus (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
...... code SΣ 0..1 code Symbol in syntax defined by the system
..... coding:primaertumorDiagnosesicherung SΣ 0..1 Coding Diagnosesicherung gemäß oBDS
Binding: MII VS Onkologie Primärtumor Diagnosesicherung (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung
...... code SΣ 1..1 code Symbol in syntax defined by the system
... Slices for category 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:onkologie S 1..1 CodeableConcept Onkologie-Kennzeichnung
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55342001
...... display 1..1 string Representation defined by the system
Fixed Value: Neoplastic disease
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:icd10-gm SΣC 0..1 CodingICD10GM(1.6.0) ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)
Constraints: onko-icd-meldepflicht

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... system SΣ 0..1 uri Identity of the terminology system
......... code SΣ 0..1 code Symbol in syntax defined by the system
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alpha-id SΣ 0..1 CodingAlphaID(1.6.0) Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... code SΣ 1..1 code Symbol in syntax defined by the system
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:primaertumorSeitenlokalisation SΣ 0..1 Coding Seitenlokalisation des Primärtumors gemäß oBDS
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:icd-o-3 SΣ 0..1 Coding ICD-O-Topographie
Binding: MII VS Onkologie ICD-O-3 Topographie (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient) Who has the condition?
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... Slices for abatement[x] SC 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime SC 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge SC 0..1 Age Erkrankungsende als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... recordedDate SΣ 1..1 dateTime Aufzeichnungsdatum
... Slices for stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type.coding
Constraints: con-1
.... stage:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... stage:WHOGradZNS SC 0..1 BackboneElement WHO Grad Tumor ZNS
Constraints: con-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment SC 1..1 Reference(MII PR MTB WHO Grad Tumor ZNS) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396920006
....... display 1..1 string Representation defined by the system
Fixed Value: WHO grade for central nervous system tumor
....... userSelected 0..1 boolean If this coding was chosen directly by the user
.... stage:OncoTree SC 0..* BackboneElement OncoTree Classification
Constraints: con-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment SC 1..1 Reference(MII PR MTB Oncotree Klassifikation) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371441004
....... display 1..1 string Representation defined by the system
Fixed Value: Histologic type of proliferative mass
....... userSelected 0..1 boolean If this coding was chosen directly by the user
.... stage:ErstdiagnoseZeitpunkt SC 0..1 BackboneElement Tumorausbreitung Erstdiagnose
Constraints: con-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment SC 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C19251
....... display 1..1 string Representation defined by the system
Fixed Value: Stage at Diagnosis
....... userSelected 0..1 boolean If this coding was chosen directly by the user
.... stage:MolekularesTumorboardZeitpunkt SC 0..1 BackboneElement Tumorausbreitung Molekulares Tumorboard
Constraints: con-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment SC 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 93771000119109
....... display 1..1 string Representation defined by the system
Fixed Value: Diagnosis deferred
....... userSelected 0..1 boolean If this coding was chosen directly by the user
... evidence SC 0..1 BackboneElement Supporting evidence
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail SΣC 0..* Reference(MII PR Onkologie Evidenz Diagnose Primärtumor) Evidenz für Erstdiagnose
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.extension:morphology-behavior-icdo3.​value[x] Base required MII VS Onkologie ICD-O-3 Morphologie 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.extension:occurredFollowing.​value[x] Base example Condition Predecessor Codes 📦4.0.1 FHIR Std.
Condition.extension:dueTo.​value[x] Base example Condition Cause Codes 📦4.0.1 FHIR Std.
Condition.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:condition-ver-status Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.verificationStatus.​coding:primaertumorDiagnosesicherung Base required MII VS Onkologie Primärtumor Diagnosesicherung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:onkologie Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . ⏿1.00 127.0.0.1
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite.coding:primaertumorSeitenlokalisation Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.bodySite.coding:icd-o-3 Base required MII VS Onkologie ICD-O-3 Topographie 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage:WHOGradZNS.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:OncoTree.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:ErstdiagnoseZeitpunkt.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:MolekularesTumorboardZeitpunkt.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage, Condition.stage:WHOGradZNS, Condition.stage:OncoTree, Condition.stage:ErstdiagnoseZeitpunkt, Condition.stage:MolekularesTumorboardZeitpunkt Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item 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()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition 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 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()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
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()
icd-4 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex warning Condition.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
onko-icd-meldepflicht warning Condition.code.coding:icd10-gm Der ICD-10-GM-Code sollte aus der Menge der krebsregister-meldepflichtigen Neubildungen stammen (C00-C97, D00-D09, D32-D33, D35.2-D35.4, D37-D48). Andere Codes sind zulässig, aber untypisch für eine onkologische Primärdiagnose. $this.memberOf('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-icd10-meldepflichtige-tumoren')

Differential-Ansicht

Diese Struktur ist abgeleitet von MII_PR_Onko_Diagnose_Primaertumor

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* MII_PR_Onko_Diagnose_Primaertumor Detailed information about conditions, problems or diagnoses
... Slices for stage S 0..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type.coding
.... stage:WHOGradZNS S 0..1 BackboneElement WHO Grad Tumor ZNS
..... assessment S 1..1 Reference(MII PR MTB WHO Grad Tumor ZNS) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396920006
....... display 1..1 string Representation defined by the system
Fixed Value: WHO grade for central nervous system tumor
.... stage:OncoTree S 0..* BackboneElement OncoTree Classification
..... assessment S 1..1 Reference(MII PR MTB Oncotree Klassifikation) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371441004
....... display 1..1 string Representation defined by the system
Fixed Value: Histologic type of proliferative mass
.... stage:ErstdiagnoseZeitpunkt S 0..1 BackboneElement Tumorausbreitung Erstdiagnose
..... assessment S 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C19251
....... display 1..1 string Representation defined by the system
Fixed Value: Stage at Diagnosis
.... stage:MolekularesTumorboardZeitpunkt S 0..1 BackboneElement Tumorausbreitung Molekulares Tumorboard
..... assessment S 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 93771000119109
....... display 1..1 string Representation defined by the system
Fixed Value: Diagnosis deferred

doco Documentation for this format

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* MII_PR_Onko_Diagnose_Primaertumor Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:ReferenzPrimaerdiagnose S 0..1 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 1..1 (Complex) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
.... extension:morphology-behavior-icdo3 S 0..* (Complex) ICD-O-Morphologie
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie ICD-O-3 Morphologie (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:occurredFollowing S 0..* (Complex) Frühere Tumorerkrankungen (zeitliche Abfolge)
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR Onkologie Frühere Tumorerkrankung) Value of extension
.... extension:dueTo S 0..* (Complex) Verursacht durch (therapieassoziierte Sekundärmalignome)
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Strahlentherapie | MII PR Onkologie Systemische Therapie | MII PR Onkologie Systemische Therapie Medikation | MII PR Onkologie Diagnose Primärtumor | MII PR Onkologie Frühere Tumorerkrankung) Value of extension
.... extension:transformationVon S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Transformation aus registriertem Primärtumor
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-transformation-von
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Tumor-ID (Tumoridentität)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 0..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... clinicalStatus ?!SΣC 0..1 CodeableConcept Klinischer Status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:condition-ver-status SΣ 0..1 Coding Code defined by a terminology system
Binding: ConditionVerificationStatus (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:primaertumorDiagnosesicherung SΣ 0..1 Coding Diagnosesicherung gemäß oBDS
Binding: MII VS Onkologie Primärtumor Diagnosesicherung (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... Slices for category 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:onkologie S 1..1 CodeableConcept Onkologie-Kennzeichnung
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55342001
...... display 1..1 string Representation defined by the system
Fixed Value: Neoplastic disease
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:icd10-gm SΣC 0..1 CodingICD10GM(1.6.0) ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)
Constraints: onko-icd-meldepflicht

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 0..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 0..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alpha-id SΣ 0..1 CodingAlphaID(1.6.0) Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:primaertumorSeitenlokalisation SΣ 0..1 Coding Seitenlokalisation des Primärtumors gemäß oBDS
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:icd-o-3 SΣ 0..1 Coding ICD-O-Topographie
Binding: MII VS Onkologie ICD-O-3 Topographie (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... Slices for abatement[x] SC 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime SC 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge SC 0..1 Age Erkrankungsende als Alter
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... recordedDate SΣ 1..1 dateTime Aufzeichnungsdatum
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... Slices for stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type.coding
Constraints: con-1
.... stage:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
..... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
.... stage:WHOGradZNS SC 0..1 BackboneElement WHO Grad Tumor ZNS
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment SC 1..1 Reference(MII PR MTB WHO Grad Tumor ZNS) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396920006
....... display 1..1 string Representation defined by the system
Fixed Value: WHO grade for central nervous system tumor
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... stage:OncoTree SC 0..* BackboneElement OncoTree Classification
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment SC 1..1 Reference(MII PR MTB Oncotree Klassifikation) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 371441004
....... display 1..1 string Representation defined by the system
Fixed Value: Histologic type of proliferative mass
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... stage:ErstdiagnoseZeitpunkt SC 0..1 BackboneElement Tumorausbreitung Erstdiagnose
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment SC 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C19251
....... display 1..1 string Representation defined by the system
Fixed Value: Stage at Diagnosis
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... stage:MolekularesTumorboardZeitpunkt SC 0..1 BackboneElement Tumorausbreitung Molekulares Tumorboard
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... assessment SC 1..1 Reference(MII PR MTB Tumorausbreitung) Formal record of assessment
..... type S 1..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 93771000119109
....... display 1..1 string Representation defined by the system
Fixed Value: Diagnosis deferred
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... evidence SC 0..1 BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail SΣC 0..* Reference(MII PR Onkologie Evidenz Diagnose Primärtumor) Evidenz für Erstdiagnose
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.extension:morphology-behavior-icdo3.​value[x] Base required MII VS Onkologie ICD-O-3 Morphologie 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.extension:occurredFollowing.​value[x] Base example Condition Predecessor Codes 📦4.0.1 FHIR Std.
Condition.extension:dueTo.​value[x] Base example Condition Cause Codes 📦4.0.1 FHIR Std.
Condition.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Condition.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:condition-ver-status Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.verificationStatus.​coding:primaertumorDiagnosesicherung Base required MII VS Onkologie Primärtumor Diagnosesicherung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:onkologie Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . ⏿1.00 127.0.0.1
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite.coding:primaertumorSeitenlokalisation Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.bodySite.coding:icd-o-3 Base required MII VS Onkologie ICD-O-3 Topographie 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Condition.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:WHOGradZNS.​summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage:WHOGradZNS.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:OncoTree.​summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage:OncoTree.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:ErstdiagnoseZeitpunkt.​summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage:ErstdiagnoseZeitpunkt.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.stage:MolekularesTumorboardZeitpunkt.​summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage:MolekularesTumorboardZeitpunkt.​type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage, Condition.stage:WHOGradZNS, Condition.stage:OncoTree, Condition.stage:ErstdiagnoseZeitpunkt, Condition.stage:MolekularesTumorboardZeitpunkt Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item 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()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition 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 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()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
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()
icd-4 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex warning Condition.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
onko-icd-meldepflicht warning Condition.code.coding:icd10-gm Der ICD-10-GM-Code sollte aus der Menge der krebsregister-meldepflichtigen Neubildungen stammen (C00-C97, D00-D09, D32-D33, D35.2-D35.4, D37-D48). Andere Codes sind zulässig, aber untypisch für eine onkologische Primärdiagnose. $this.memberOf('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-icd10-meldepflichtige-tumoren')

 

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