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
| Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-vortherapie | Version: 2027.0.0-ballot.1 | |||
| Active Stand: 2026-09-15 | Maschinenlesbarer Name: MII_PR_MTB_Systemische_Vortherapie | |||
Systemische Vortherapie zum Molekularen Tumorboard
Dieses Profil beschreibt eine systemische (medikamentöse) Vortherapie aus Sicht des Molekularen Tumorboards.
Grundlage ist das Profil zur Systemischen Therapie aus dem Onkologie-Modul, wobei ergänzende Angaben zur Leitlinientherapie, d.h. die Therapielinie und der Zulassungsstatus, gemacht werden können. Darüber hinaus
Es sollte nach Möglichkeit eine Datenduplikation zu bereits existierenden Prozeduren (z.B. Systemischen Therapie-Procedures) und Medikamentengaben (z.B. MedicationStatements) aus dem Onkologie-Modul vermieden werden. Stattdessen können bereits vorhandene Ressourcen mit zusätzlichen Informationen wie Therapielinie und Zulassungsstatus getestet werden.
Mapping Datensatz zu FHIR
Suchparameter
Folgende Suchparameter sind für dieses Modul relevant, auch in Kombination:
Der Suchparameter "_id" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?_id=103270
Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-vortherapie
Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "based-on" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?based-on=CarePlan/example
Anwendungshinweise: Weitere Informationen zur Suche nach "based-on" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".
Der Suchparameter "part-of" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?part-of=Observation/example
Anwendungshinweise: Weitere Informationen zur Suche nach "part-of" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".
Der Suchparameter "status" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?status=completed
Anwendungshinweise: Weitere Informationen zur Suche nach "status" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "status-reason" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?status-reason=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund|patient-wish
Anwendungshinweise: Weitere Informationen zur Suche nach "status-reason" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "category" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?category=http://snomed.info/sct|103693007
Anwendungshinweise: Weitere Informationen zur Suche nach "Procedure.category" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "code" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?code=http://fhir.de/CodeSystem/bfarm/ops|5-37
Anwendungshinweise: Weitere Informationen zur Suche nach "Procedure.code" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "subject" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?subject=Patient/example
Anwendungshinweise: Weitere Informationen zur Suche nach "Procedure.subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".
Der Suchparameter "encounter" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?encounter=Encounter/example
Anwendungshinweise: Weitere Informationen zur Suche nach "encounter" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".
Der Suchparameter "date" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?date=eq2025-01-01
Anwendungshinweise: Weitere Informationen zur Suche nach "date" finden sich in der FHIR-Basisspezifikation - Abschnitt "Date Search".
Der Suchparameter "reason-reference" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?reason-reference=Condition/example
Anwendungshinweise: Weitere Informationen zur Suche nach "reason-reference" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".
Der Suchparameter "bodySite" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?bodySite=http://snomed.info/sct|430304001
Anwendungshinweise: Weitere Informationen zur Suche nach "Procedure.bodySite" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "outcome" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?outcome=http://snomed.info/sct|80891009
Anwendungshinweise: Weitere Informationen zur Suche nach "outcome" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "note" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?note=contains:Carbo
Anwendungshinweise: Weitere Informationen zur Suche nach "note" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "dokumentationsdatum" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?dokumentationsdatum=2022-01-01
Anwendungshinweise: Weitere Informationen zur Suche nach "dokumentationsdatum" finden sich in der FHIR-Basisspezifikation - Abschnitt "Date Search".
Der Suchparameter "durchfuehrungsabsicht" MUSS unterstützt werden:
Beispiele:
GET [base]/Procedure?durchfuehrungsabsicht=http://snomed.info/sct|262202000
Anwendungshinweise: Weitere Informationen zur Suche nach "durchfuehrungsabsicht" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "extension-intention" MUSS unterstützt werden:
Beispiele:
```GET [base]/Procedure?extension-intention=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention|K```
Anwendungshinweise: Weitere Informationen zur Suche nach "extension-intention" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Token Search"](http://hl7.org/fhir/R4/search.html#token).
Beispiele:
```GET [base]/Procedure?extension-stellung=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-stellung-zur-op|N```
Anwendungshinweise: Weitere Informationen zur Suche nach "extension-intention" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Token Search"](http://hl7.org/fhir/R4/search.html#token).
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
Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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C | 0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient Constraints: proc-mii-1 |
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SΣ | 0..1 | id | Logical id of this artifact |
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SΣ | 0..1 | Meta | Metadata about the resource |
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SΣ | 0..1 | uri | Identifies where the resource comes from |
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SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
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S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum |
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" |
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S | 1..1 | dateTime | Value of extension |
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S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht |
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0..0 | Extension Slice: Unordered, Open by value:url | ||
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S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" |
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S | 1..1 | Coding | Value of extension Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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S | 1..1 | (Complex) | MII EX Onko Systemische Therapie Intention URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention |
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0..0 | Extension Slice: Unordered, Open by value:url | ||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" | |
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1..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Intention (required) | |
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SΣ | 0..1 | string | Plain text representation of the concept |
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S | 0..* | (Complex) | MII EX Onko Systemische Therapie Stellung zur OP URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop |
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0..0 | Extension Slice: Unordered, Open by value:url | ||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" | |
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0..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Stellung (required) | |
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SΣ | 0..1 | string | Plain text representation of the concept |
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S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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SΣ | 0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by type:$this.resolve() |
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SΣ | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan |
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SΣ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
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?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
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SΣ | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
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SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
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Content/Rules for all slices | |||
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SΣ | 1..1 | uri | Identity of the terminology system |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
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SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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0..1 | string | Version of the system - if relevant | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
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SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
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SΣ | 0..1 | CodingOPS(1.6.0) | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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Content/Rules for all slices | |||
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S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation |
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" |
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S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
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SΣ | 1..1 | uri | Identity of the terminology system |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
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SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
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SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 |
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SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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0..1 | string | Version of the system - if relevant | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 0..1 | Coding | Art der systemischen oder abwartenden Therapie Binding: MII VS Onkologie Systemische Therapie Art (required) |
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Σ | 1..1 | uri | Identity of the terminology system |
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Σ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on |
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SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) |
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SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 1..1 | Period | Durchführungsdatum Slice: Unordered, Closed by type:$this |
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SΣ | 0..1 | Period | Durchführungszeitraum |
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SΣC | 1..1 | dateTime | Startdatum der systemischen oder abwartenden Therapie |
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SΣC | 0..1 | dateTime | Enddatum der systemischen oder abwartenden Therapie |
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SΣ | 0..1 | dateTime | When the procedure was performed |
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SΣ | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor | Condition) | The justification that the procedure was performed |
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SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
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Content/Rules for all slices | |||
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0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
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SΣ | 0..1 | Coding | SNOMED CT Code |
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SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
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SΣ | 0..1 | string | Version of the system - if relevant |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 0..1 | CodeableConcept | The result of procedure Binding: MII VS Onkologie Systemische Therapie Ende Grund (required) |
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Σ | 0..* | Coding | Grund für Ende der systemischen oder abwartenden Therapie |
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Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund |
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SΣ | 0..1 | code | Symbol in syntax defined by the system |
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S | 0..* | Annotation | Hinweis |
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S | 0..* | CodeableConcept | Coded items used during the procedure Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible) |
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Σ | 0..* | Coding | Protokoll der systemischen Therapie |
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SΣ | 1..1 | uri | Identity of the terminology system |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | 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()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Onko_Systemische_Therapie
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient | |
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Content/Rules for all slices | |||
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S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation |
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Content/Rules for all slices | |||
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0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan | |
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S | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie |
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S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
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Content/Rules for all slices | |||
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S | 1..1 | uri | Identity of the terminology system |
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S | 1..1 | code | Symbol in syntax defined by the system |
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S | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) |
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1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.statusReason.coding:Therapiestatusgrund | Base | required | MII VS Therapiestatusgrund | 📦2027.0.0-ballot.1 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient Constraints: proc-mii-1 | ||||
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SΣ | 0..1 | id | Logical id of this artifact | ||||
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SΣ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
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SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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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". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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S | 1..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" | ||||
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S | 1..1 | dateTime | Value of extension | ||||
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S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" | ||||
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S | 1..1 | Coding | Value of extension Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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S | 1..1 | (Complex) | MII EX Onko Systemische Therapie Intention URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" | |||||
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1..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Intention (required) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Intention der systemischen oder abwartenden Therapie | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | string | Plain text representation of the concept | ||||
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S | 0..* | (Complex) | MII EX Onko Systemische Therapie Stellung zur OP URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" | |||||
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0..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Stellung (required) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Stellung der systemischen Therapie zu einer Operation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-stellungzurop | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | string | Plain text representation of the concept | ||||
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S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
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Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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SΣ | 0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by type:$this.resolve() | ||||
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SΣ | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan | ||||
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SΣ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
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?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
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SΣ | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
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SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | CodingOPS(1.6.0) | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Content/Rules for all slices | |||||||
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S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" | ||||
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S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | ||||
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SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
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SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | Coding | Art der systemischen oder abwartenden Therapie Binding: MII VS Onkologie Systemische Therapie Art (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣ | 1..1 | Period | Durchführungsdatum Slice: Unordered, Closed by type:$this | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
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ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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SΣ | 0..1 | Period | Durchführungszeitraum | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 1..1 | dateTime | Startdatum der systemischen oder abwartenden Therapie | ||||
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SΣC | 0..1 | dateTime | Enddatum der systemischen oder abwartenden Therapie | ||||
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SΣ | 0..1 | dateTime | When the procedure was performed | ||||
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Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
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Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
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Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
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0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
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Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
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Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
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SΣ | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor | Condition) | The justification that the procedure was performed | ||||
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SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||
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SΣ | 0..1 | Coding | SNOMED CT Code | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: MII VS Onkologie Systemische Therapie Ende Grund (required) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
Σ | 0..* | Coding | Grund für Ende der systemischen oder abwartenden Therapie | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
![]() ![]() |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
![]() ![]() |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
![]() ![]() |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
![]() ![]() |
S | 0..* | Annotation | Hinweis | ||||
![]() ![]() |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
![]() ![]() ![]() |
1..1 | Reference(Device) | Device that was changed | |||||
![]() ![]() |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
![]() ![]() |
S | 0..* | CodeableConcept | Coded items used during the procedure Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
Σ | 0..* | Coding | Protokoll der systemischen Therapie | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | 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()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Onko_Systemische_Therapie
Summary
Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 6 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Schlüsselelemente-Ansicht
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient Constraints: proc-mii-1 |
![]() ![]() |
SΣ | 0..1 | id | Logical id of this artifact |
![]() ![]() |
SΣ | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() |
SΣ | 0..1 | uri | Identifies where the resource comes from |
![]() ![]() ![]() |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
S | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
![]() ![]() ![]() |
S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum |
![]() ![]() ![]() ![]() |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" |
![]() ![]() ![]() ![]() |
S | 1..1 | dateTime | Value of extension |
![]() ![]() ![]() |
S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht |
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() |
S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" |
![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() |
S | 1..1 | (Complex) | MII EX Onko Systemische Therapie Intention URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention |
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Intention (required) | |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
S | 0..* | (Complex) | MII EX Onko Systemische Therapie Stellung zur OP URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop |
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Stellung (required) | |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
SΣ | 0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by type:$this.resolve() |
![]() ![]() ![]() |
SΣ | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan |
![]() ![]() |
SΣ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
![]() ![]() |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
![]() ![]() |
SΣ | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
![]() ![]() ![]() |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
![]() ![]() ![]() |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | CodingOPS(1.6.0) | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() ![]() |
S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
![]() ![]() ![]() ![]() ![]() |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | Art der systemischen oder abwartenden Therapie Binding: MII VS Onkologie Systemische Therapie Art (required) |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on |
![]() ![]() ![]() |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() |
SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) |
![]() ![]() ![]() |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() |
SΣ | 1..1 | Period | Durchführungsdatum Slice: Unordered, Closed by type:$this |
![]() ![]() ![]() |
SΣ | 0..1 | Period | Durchführungszeitraum |
![]() ![]() ![]() ![]() |
SΣC | 1..1 | dateTime | Startdatum der systemischen oder abwartenden Therapie |
![]() ![]() ![]() ![]() |
SΣC | 0..1 | dateTime | Enddatum der systemischen oder abwartenden Therapie |
![]() ![]() ![]() |
SΣ | 0..1 | dateTime | When the procedure was performed |
![]() ![]() |
SΣ | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor | Condition) | The justification that the procedure was performed |
![]() ![]() |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: MII VS Onkologie Systemische Therapie Ende Grund (required) |
![]() ![]() ![]() |
Σ | 0..* | Coding | Grund für Ende der systemischen oder abwartenden Therapie |
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
S | 0..* | Annotation | Hinweis |
![]() ![]() |
S | 0..* | CodeableConcept | Coded items used during the procedure Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible) |
![]() ![]() ![]() |
Σ | 0..* | Coding | Protokoll der systemischen Therapie |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | 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()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Differential-Ansicht
Diese Struktur ist abgeleitet von MII_PR_Onko_Systemische_Therapie
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient | |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan | |
![]() ![]() |
S | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie |
![]() ![]() ![]() |
S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() |
S | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.statusReason.coding:Therapiestatusgrund | Base | required | MII VS Therapiestatusgrund | 📦2027.0.0-ballot.1 | This IG |
Snapshot-AnsichtView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient Constraints: proc-mii-1 | ||||
![]() ![]() |
SΣ | 0..1 | id | Logical id of this artifact | ||||
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SΣ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
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SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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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". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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S | 1..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" | ||||
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S | 1..1 | dateTime | Value of extension | ||||
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S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" | ||||
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S | 1..1 | Coding | Value of extension Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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S | 1..1 | (Complex) | MII EX Onko Systemische Therapie Intention URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" | |||||
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1..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Intention (required) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Intention der systemischen oder abwartenden Therapie | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | string | Plain text representation of the concept | ||||
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S | 0..* | (Complex) | MII EX Onko Systemische Therapie Stellung zur OP URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" | |||||
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0..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Stellung (required) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Stellung der systemischen Therapie zu einer Operation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-stellungzurop | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | string | Plain text representation of the concept | ||||
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S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
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Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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SΣ | 0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by type:$this.resolve() | ||||
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SΣ | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan | ||||
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SΣ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
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?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
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SΣ | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
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SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | CodingOPS(1.6.0) | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Content/Rules for all slices | |||||||
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S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" | ||||
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S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | ||||
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SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
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SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | Coding | Art der systemischen oder abwartenden Therapie Binding: MII VS Onkologie Systemische Therapie Art (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣ | 1..1 | Period | Durchführungsdatum Slice: Unordered, Closed by type:$this | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
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ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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SΣ | 0..1 | Period | Durchführungszeitraum | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 1..1 | dateTime | Startdatum der systemischen oder abwartenden Therapie | ||||
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SΣC | 0..1 | dateTime | Enddatum der systemischen oder abwartenden Therapie | ||||
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SΣ | 0..1 | dateTime | When the procedure was performed | ||||
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Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
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Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
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Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
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0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
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Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
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Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
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SΣ | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor | Condition) | The justification that the procedure was performed | ||||
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SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||
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SΣ | 0..1 | Coding | SNOMED CT Code | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
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SΣ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 0..1 | CodeableConcept | The result of procedure Binding: MII VS Onkologie Systemische Therapie Ende Grund (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Grund für Ende der systemischen oder abwartenden Therapie | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
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0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
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0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
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0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
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S | 0..* | Annotation | Hinweis | ||||
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0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
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1..1 | Reference(Device) | Device that was changed | |||||
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0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
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S | 0..* | CodeableConcept | Coded items used during the procedure Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Protokoll der systemischen Therapie | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | 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()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Onko_Systemische_Therapie
Summary
Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 6 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
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