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 Response Befund

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

Response Beurteilung nach DNPM

Inhalt

Dieses Profil gehört zum Profil Systemische Therapie und bezeichnet den Befund zur Response auf die jeweilige Systemische Therapie
Deshalb wird auch mithilfe des Elements Observation.partOf auf die Systemische Therapie (bzw. Procedure) verwiesen. Zusätzlich kann über Observation.method kodiert werden, falls eine strukturierte Erfassung nach RECIST oder RANO vorgenommen wurde.

Fragestellungen
Das Profil erbt aktuell von MII_PR_Onko_Verlauf. Hier ist vorgesehen, dass neben der Gesamtbewertung Observation.valueCodeableConcept mit Observation.component auch mindestens eine einzelne Bewertungen von Tumor, LK oder FM vorhanden sein muss. Das ist in DNPMv2 nicht vorgesehen.

Außerdem ist für die Gesamtbewertung in DNPMv2 ein anderes VS (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung)vorgesehen als bei Onko.

Verknüpfungen zu anderen Ressourcen

Inhaltlich gibt es Überschneidung zum Verlauf-Profil des Onkologiemoduls.
Dieses befüllt sich aber direkt aus den Krebsregisterdaten, wobei auch die Dokumentationskriterien der Tumordokumentare angewandt werden. Dieses Profil soll daher mit Fokus einen Report der Tumorresponse nach RECIST darstellen.

Inhalt

Mapping Datensatz zu FHIR

Suchparameter

Folgende Suchparameter sind für das Modul Onkologie relevant, auch in Kombination:

  1. Der Suchparameter "_id" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?_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]/Observation?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-response-befund

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

  3. Der Suchparameter "identifier" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?identifier=5466

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

  4. Der Suchparameter "part-of" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?part-of=MII_PR_MTB_Systemische_Therapie/example

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

  5. Der Suchparameter "status" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?status=completed

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

  6. Der Suchparameter "code" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?code=http://fhir.de/CodeSystem/bfarm/ops|5-37

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

  7. Der Suchparameter "subject" MUSS unterstützt werden:

    Beispiele:

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

    Anwendungshinweise: Weitere Informationen zur Suche nach "Observation.subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

  8. Der Suchparameter "focus" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?focus=MII_PR_Onko_Diagnose_Primaertumor/example

    Anwendungshinweise: Weitere Informationen zur Suche nach "Observation.focus" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

  9. Der Suchparameter "encounter" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?subject=Encounter/example

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

  10. Der Suchparameter "method" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?method=Encounter/example

    Anwendungshinweise: Weitere Informationen zur Suche nach "Observation.method" finden sich in der FHIR-Basisspezifikation - Abschnitt "token Search".

  11. Der Suchparameter "combo-value-concept" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?combo-value-concept=ttps://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung|MR

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

  12. Der Suchparameter "component-code-value-concept" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Observation?component-code-value-concept=http://loinc.org|12345-6$http://fhir.de/CodeSystem/sct|12345678

Anwendungshinweise: Weitere Informationen zur Suche nach "components" finden sich in der FHIR-Basisspezifikation - Abschnitt "composite".

Beispiele

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
.. Observation C 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
Constraints: obs-6, obs-7
... meta SΣ 0..1 Meta Metadata about the resource
.... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf SΣ 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemische Therapie
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... coding Σ 0..* 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: 396432002
..... display 1..1 string Representation defined by the system
Fixed Value: Status of regression of tumor (observable entity)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 1..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR MTB Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible)
..... Slices for coding Σ 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
...... 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
..... Slices for coding Content/Rules for all slices
...... coding:oBDS SΣ 0..* Coding Response Beurteilung nach oBDS-Kriterien
....... 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-verlauf-gesamtbeurteilung
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
...... coding:MTB SΣ 0..* Coding Response Beurteilung nach Recist oder Rano iM Rahmen des MTB
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
... method S 1..1 CodeableConcept Beurteilungsmethode
Binding: MII VS Response Befund Beurteilung (required)
... hasMember SΣ 0..* Reference(MII PR Onkologie Tod | MII PR Onkologie TNM-Klassifikation | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Histologie ICD-O-3 | MII PR Onkologie Fernmetastasen | MII PR Onkologie Residualstatus | MII PR Onkologie Genetische Variante) Related resource that belongs to the Observation group
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code.coding
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... component:Tumor_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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: 445200009
....... display 1..1 string Representation defined by the system
Fixed Value: Status of residual neoplasm (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Primärtumor (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Primärtumor im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
.... component:Lymphknoten_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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: 399656008
....... display 1..1 string Representation defined by the system
Fixed Value: Presence of metastatic neoplasm in regional lymph node (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Lymphknoten (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Lymphknoten im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
.... component:Fernmetastasen_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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: 399608002
....... display 1..1 string Representation defined by the system
Fixed Value: Status of distant metastasis (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Fernmetastasen (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Fernmetastasen im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base extensible MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:oBDS.code Base required MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:MTB.code Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.method Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Primärtumor 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Lymphknoten_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Lymphknoten_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Lymphknoten 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Fernmetastasen_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Fernmetastasen_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Fernmetastasen 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 Observation 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 Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation 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()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von MII_PR_Onko_Verlauf

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
... meta S 0..1 Meta Metadata about the resource
... partOf S 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemische Therapie
... status S 1..1 code registered | preliminary | final | amended +
... Slices for effective[x] Content/Rules for all slices
.... effective[x]:effectiveDateTime 0..1 dateTime Zeitpunkt
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueCodeableConcept S 0..1 CodeableConcept Actual result
..... Slices for coding 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
..... Slices for coding Content/Rules for all slices
...... coding:oBDS S 0..* Coding Response Beurteilung nach oBDS-Kriterien
....... system 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung
....... code 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
...... coding:MTB S 0..* Coding Response Beurteilung nach Recist oder Rano iM Rahmen des MTB
....... system 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... code 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
... method S 1..1 CodeableConcept Beurteilungsmethode
Binding: MII VS Response Befund Beurteilung (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x]:valueCodeableConcept.​coding:oBDS.code Base required MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:MTB.code Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.method Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 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 Σ 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
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf SΣ 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemische Therapie
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... 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

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: 396432002
..... display 1..1 string Representation defined by the system
Fixed Value: Status of regression of tumor (observable entity)
..... userSelected 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 and/or what the observation is about
... focus SΣ 1..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR MTB Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible)
..... 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 Σ 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
...... 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
..... Slices for coding Content/Rules for all slices
...... coding:oBDS SΣ 0..* Coding Response Beurteilung nach oBDS-Kriterien
....... 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-verlauf-gesamtbeurteilung
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
....... 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:MTB SΣ 0..* Coding Response Beurteilung nach Recist oder Rano iM Rahmen des MTB
....... 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-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
....... 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
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 1..1 CodeableConcept Beurteilungsmethode
Binding: MII VS Response Befund Beurteilung (required)
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... 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
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember SΣ 0..* Reference(MII PR Onkologie Tod | MII PR Onkologie TNM-Klassifikation | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Histologie ICD-O-3 | MII PR Onkologie Fernmetastasen | MII PR Onkologie Residualstatus | MII PR Onkologie Genetische Variante) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code.coding
.... component: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
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Tumor_Verlauf SΣ 0..1 BackboneElement Component results
..... 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 445200009
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Status of residual neoplasm (observable entity)
....... 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[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Primärtumor (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 Gesamtbeurteilung Primärtumor im Verlauf
....... 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
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Lymphknoten_Verlauf SΣ 0..1 BackboneElement Component results
..... 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 399656008
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Presence of metastatic neoplasm in regional lymph node (observable entity)
....... 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[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Lymphknoten (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 Gesamtbeurteilung Lymphknoten im Verlauf
....... 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
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Fernmetastasen_Verlauf SΣ 0..1 BackboneElement Component results
..... 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 399608002
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Status of distant metastasis (observable entity)
....... 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[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Fernmetastasen (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 Gesamtbeurteilung Fernmetastasen im Verlauf
....... 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
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base extensible MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:oBDS.code Base required MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:MTB.code Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Primärtumor 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Tumor_Verlauf.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Lymphknoten_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Lymphknoten_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Lymphknoten 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Lymphknoten_Verlauf.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Lymphknoten_Verlauf.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Fernmetastasen_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Fernmetastasen_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Fernmetastasen 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Fernmetastasen_Verlauf.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Fernmetastasen_Verlauf.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 Observation 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 Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation 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()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
Constraints: obs-6, obs-7
... meta SΣ 0..1 Meta Metadata about the resource
.... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf SΣ 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemische Therapie
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... coding Σ 0..* 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: 396432002
..... display 1..1 string Representation defined by the system
Fixed Value: Status of regression of tumor (observable entity)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 1..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR MTB Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible)
..... Slices for coding Σ 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
...... 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
..... Slices for coding Content/Rules for all slices
...... coding:oBDS SΣ 0..* Coding Response Beurteilung nach oBDS-Kriterien
....... 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-verlauf-gesamtbeurteilung
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
...... coding:MTB SΣ 0..* Coding Response Beurteilung nach Recist oder Rano iM Rahmen des MTB
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
... method S 1..1 CodeableConcept Beurteilungsmethode
Binding: MII VS Response Befund Beurteilung (required)
... hasMember SΣ 0..* Reference(MII PR Onkologie Tod | MII PR Onkologie TNM-Klassifikation | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Histologie ICD-O-3 | MII PR Onkologie Fernmetastasen | MII PR Onkologie Residualstatus | MII PR Onkologie Genetische Variante) Related resource that belongs to the Observation group
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code.coding
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... component:Tumor_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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: 445200009
....... display 1..1 string Representation defined by the system
Fixed Value: Status of residual neoplasm (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Primärtumor (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Primärtumor im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
.... component:Lymphknoten_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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: 399656008
....... display 1..1 string Representation defined by the system
Fixed Value: Presence of metastatic neoplasm in regional lymph node (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Lymphknoten (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Lymphknoten im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
.... component:Fernmetastasen_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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: 399608002
....... display 1..1 string Representation defined by the system
Fixed Value: Status of distant metastasis (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Fernmetastasen (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Fernmetastasen im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base extensible MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:oBDS.code Base required MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:MTB.code Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.method Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Primärtumor 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Lymphknoten_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Lymphknoten_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Lymphknoten 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Fernmetastasen_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Fernmetastasen_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Fernmetastasen 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 Observation 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 Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation 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()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential-Ansicht

Diese Struktur ist abgeleitet von MII_PR_Onko_Verlauf

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
... meta S 0..1 Meta Metadata about the resource
... partOf S 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemische Therapie
... status S 1..1 code registered | preliminary | final | amended +
... Slices for effective[x] Content/Rules for all slices
.... effective[x]:effectiveDateTime 0..1 dateTime Zeitpunkt
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueCodeableConcept S 0..1 CodeableConcept Actual result
..... Slices for coding 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
..... Slices for coding Content/Rules for all slices
...... coding:oBDS S 0..* Coding Response Beurteilung nach oBDS-Kriterien
....... system 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung
....... code 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
...... coding:MTB S 0..* Coding Response Beurteilung nach Recist oder Rano iM Rahmen des MTB
....... system 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... code 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
... method S 1..1 CodeableConcept Beurteilungsmethode
Binding: MII VS Response Befund Beurteilung (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x]:valueCodeableConcept.​coding:oBDS.code Base required MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:MTB.code Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.method Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 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 Σ 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
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf SΣ 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemische Therapie
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... 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

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: 396432002
..... display 1..1 string Representation defined by the system
Fixed Value: Status of regression of tumor (observable entity)
..... userSelected 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 and/or what the observation is about
... focus SΣ 1..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR MTB Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible)
..... 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 Σ 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
...... 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
..... Slices for coding Content/Rules for all slices
...... coding:oBDS SΣ 0..* Coding Response Beurteilung nach oBDS-Kriterien
....... 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-verlauf-gesamtbeurteilung
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
....... 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:MTB SΣ 0..* Coding Response Beurteilung nach Recist oder Rano iM Rahmen des MTB
....... 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-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
....... 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
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 1..1 CodeableConcept Beurteilungsmethode
Binding: MII VS Response Befund Beurteilung (required)
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... 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
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember SΣ 0..* Reference(MII PR Onkologie Tod | MII PR Onkologie TNM-Klassifikation | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Histologie ICD-O-3 | MII PR Onkologie Fernmetastasen | MII PR Onkologie Residualstatus | MII PR Onkologie Genetische Variante) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code.coding
.... component: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
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Tumor_Verlauf SΣ 0..1 BackboneElement Component results
..... 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 445200009
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Status of residual neoplasm (observable entity)
....... 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[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Primärtumor (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 Gesamtbeurteilung Primärtumor im Verlauf
....... 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
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Lymphknoten_Verlauf SΣ 0..1 BackboneElement Component results
..... 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 399656008
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Presence of metastatic neoplasm in regional lymph node (observable entity)
....... 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[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Lymphknoten (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 Gesamtbeurteilung Lymphknoten im Verlauf
....... 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
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Fernmetastasen_Verlauf SΣ 0..1 BackboneElement Component results
..... 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... 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
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 399608002
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Status of distant metastasis (observable entity)
....... 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[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Fernmetastasen (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 Gesamtbeurteilung Fernmetastasen im Verlauf
....... 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
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base extensible MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:oBDS.code Base required MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:MTB.code Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Primärtumor 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Tumor_Verlauf.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Tumor_Verlauf.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Lymphknoten_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Lymphknoten_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Lymphknoten 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Lymphknoten_Verlauf.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Lymphknoten_Verlauf.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Fernmetastasen_Verlauf.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Fernmetastasen_Verlauf.​value[x] Base required MII VS Onkologie Verlauf Fernmetastasen 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.component:Fernmetastasen_Verlauf.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Fernmetastasen_Verlauf.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 Observation 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 Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation 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()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

 

Weitere Repräsentationen des Profils: CSV, Excel, Schematron