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

Resource Profile: MII PR MTB Genomic Study

Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-genomic-study Version: 2027.0.0-ballot.1
Active as of 2026-09-15 Computable Name: MII_PR_MTB_Genomic_Study

Genomic Study beinhaltet und verweist über GenomicStudyAnalysis auf Details zu den einzelnen Untersuchungen einer NGS-Untersuchung (Sequenzierung, Variant Calling, CNV-Analyse, Fusions-Analysen etc.)

Content

This profile describes the Genomics Study. Since the structure, scope, and content of genomic analysis reports differ significantly from other diagnostic reports (laboratory, imaging, pathology, microbiology…), a GenomicStudy resource was introduced in FHIR R5 that contains all relevant data elements.

  • https://hl7.org/fhir/R5/genomicstudy.html
  • https://build.fhir.org/ig/HL7/genomics-reporting/StructureDefinition-genomic-study.html

Since many national and international organizations continue to rely on FHIR R4, there was an official backport, so that the contents of an R5 GenomicStudy can be represented via a superordinate GenomicStudy procedure and subordinate GenomicStudyAnalysis procedures.

Content

Mapping of the data set to FHIR

Search parameters

The following search parameters are relevant for this module, including in combination:

  1. The search parameter "_id" MUST be supported:

    Examples:

    GET [base]/Procedure?_id=12345

    Usage notes: Further information on searching by "_id" can be found in the FHIR base specification - section "Parameters for all resources".

  2. The search parameter "_profile" MUST be supported:

    Examples:

    GET [base]/Procedure?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-genomic-study

    Usage notes: Further information on searching by "_profile" can be found in the FHIR base specification - section "Parameters for all resources".

  3. The search parameter "status" MUST be supported:

    Examples:

    GET [base]/Procedure?status=completed

    Usage notes: Further information on searching by "Procedure.status" can be found in the FHIR base specification - section "Token Search"..

  4. The search parameter "code" MUST be supported:

    Examples:

    GET [base]/Procedure?code=Panel sequencing

    Usage notes: Further information on searching by "code" can be found in the FHIR base specification - section "Token Search"..

  5. The search parameter "subject" MUST be supported:

    Examples:

    GET [base]/Procedure?subject=Patient/1234

    Usage notes: Further information on searching by "subject" can be found in the FHIR base specification - section "reference".

  6. The search parameter "encounter" MUST be supported:

    Examples:

    GET [base]/Procedure?encounter=Encounter/1234

    Usage notes: Further information on searching by "encounter" can be found in the FHIR base specification - section "reference".

Examples

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* GenomicStudy An action that is being or was performed on a patient
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:genomic-study-analysis 0..* (Complex) Genomic Study Analysis Extension
URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext"
..... value[x] 0..1 Reference(MII PR MTB Genomic Study Analysis | MII PR MolGen Genomic Study Analysis | Genomic Study Analysis) Value of extension
.... extension:referrer 0..1 Reference(Practitioner | PractitionerRole) GenomicStudy.referrer
URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-referrer-ext
... identifier SΣ 0..* Identifier GenomicStudy.identifier
... status ?!SΣ 1..1 code GenomicStudy.status
Binding: EventStatus (required): A code specifying the state of the procedure.
... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
.... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... code SΣ 0..1 CodeableConcept GenomicStudy.type
Binding: Genomic Study Type ValueSet (example)
... subject SΣ 1..1 Reference(Patient | Group) GenomicStudy.subject
... encounter SΣ 0..1 Reference(Encounter) GenomicStudy.encounter
... performed[x] SΣ 0..1 dateTime GenomicStudy.startDate
... reasonReference SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) GenomicStudy.reason

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base example Genomic Study Type ValueSet 📦3.0.0 Genomics Reporting Implementation Guide v3.0

Constraints

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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* GenomicStudy An action that is being or was performed on a patient
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension Content/Rules for all slices
.... extension:genomic-study-analysis 0..* GenomicStudyAnalysisExt Genomic Study Analysis Extension
..... value[x] 0..1 Reference(MII PR MTB Genomic Study Analysis | MII PR MolGen Genomic Study Analysis | Genomic Study Analysis) Value of extension
... identifier S 0..* Identifier GenomicStudy.identifier
... code S 0..1 CodeableConcept GenomicStudy.type
... subject S 1..1 Reference(Patient | Group) GenomicStudy.subject
... encounter S 0..1 Reference(Encounter) GenomicStudy.encounter
... performed[x] S 0..1 dateTime GenomicStudy.startDate
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) GenomicStudy.reason

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* GenomicStudy An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative GenomicStudy.description
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:genomic-study-analysis 0..* (Complex) Genomic Study Analysis Extension
URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext"
..... value[x] 0..1 Reference(MII PR MTB Genomic Study Analysis | MII PR MolGen Genomic Study Analysis | Genomic Study Analysis) Value of extension
.... extension:referrer 0..1 Reference(Practitioner | PractitionerRole) GenomicStudy.referrer
URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-referrer-ext
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier GenomicStudy.identifier
... instantiatesCanonical Σ 0..* canonical(PlanDefinition) GenomicStudy.instantiatesCanonical
... instantiatesUri Σ 0..* uri GenomicStudy.instantiatesUri
... basedOn Σ 0..* Reference(ServiceRequest) GenomicStudy.basedOn
... status ?!SΣ 1..1 code GenomicStudy.status
Binding: EventStatus (required): A code specifying the state of the procedure.
... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... code SΣ 0..1 CodeableConcept GenomicStudy.type
Binding: Genomic Study Type ValueSet (example)
... subject SΣ 1..1 Reference(Patient | Group) GenomicStudy.subject
... encounter SΣ 0..1 Reference(Encounter) GenomicStudy.encounter
... performed[x] SΣ 0..1 dateTime GenomicStudy.startDate
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole) GenomicStudy.interpreter
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... reasonCode Σ 0..* CodeableConcept GenomicStudy.reason
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) GenomicStudy.reason
... note 0..* Annotation GenomicStudy.note

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Procedure.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base example Genomic Study Type ValueSet 📦3.0.0 Genomics Reporting Implementation Guide v3.0
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📦4.0.1 FHIR Std.

Constraints

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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* GenomicStudy An action that is being or was performed on a patient
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:genomic-study-analysis 0..* (Complex) Genomic Study Analysis Extension
URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext"
..... value[x] 0..1 Reference(MII PR MTB Genomic Study Analysis | MII PR MolGen Genomic Study Analysis | Genomic Study Analysis) Value of extension
.... extension:referrer 0..1 Reference(Practitioner | PractitionerRole) GenomicStudy.referrer
URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-referrer-ext
... identifier SΣ 0..* Identifier GenomicStudy.identifier
... status ?!SΣ 1..1 code GenomicStudy.status
Binding: EventStatus (required): A code specifying the state of the procedure.
... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
.... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... code SΣ 0..1 CodeableConcept GenomicStudy.type
Binding: Genomic Study Type ValueSet (example)
... subject SΣ 1..1 Reference(Patient | Group) GenomicStudy.subject
... encounter SΣ 0..1 Reference(Encounter) GenomicStudy.encounter
... performed[x] SΣ 0..1 dateTime GenomicStudy.startDate
... reasonReference SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) GenomicStudy.reason

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base example Genomic Study Type ValueSet 📦3.0.0 Genomics Reporting Implementation Guide v3.0

Constraints

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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* GenomicStudy An action that is being or was performed on a patient
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension Content/Rules for all slices
.... extension:genomic-study-analysis 0..* GenomicStudyAnalysisExt Genomic Study Analysis Extension
..... value[x] 0..1 Reference(MII PR MTB Genomic Study Analysis | MII PR MolGen Genomic Study Analysis | Genomic Study Analysis) Value of extension
... identifier S 0..* Identifier GenomicStudy.identifier
... code S 0..1 CodeableConcept GenomicStudy.type
... subject S 1..1 Reference(Patient | Group) GenomicStudy.subject
... encounter S 0..1 Reference(Encounter) GenomicStudy.encounter
... performed[x] S 0..1 dateTime GenomicStudy.startDate
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) GenomicStudy.reason

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* GenomicStudy An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative GenomicStudy.description
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:genomic-study-analysis 0..* (Complex) Genomic Study Analysis Extension
URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext"
..... value[x] 0..1 Reference(MII PR MTB Genomic Study Analysis | MII PR MolGen Genomic Study Analysis | Genomic Study Analysis) Value of extension
.... extension:referrer 0..1 Reference(Practitioner | PractitionerRole) GenomicStudy.referrer
URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-referrer-ext
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier GenomicStudy.identifier
... instantiatesCanonical Σ 0..* canonical(PlanDefinition) GenomicStudy.instantiatesCanonical
... instantiatesUri Σ 0..* uri GenomicStudy.instantiatesUri
... basedOn Σ 0..* Reference(ServiceRequest) GenomicStudy.basedOn
... status ?!SΣ 1..1 code GenomicStudy.status
Binding: EventStatus (required): A code specifying the state of the procedure.
... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... code SΣ 0..1 CodeableConcept GenomicStudy.type
Binding: Genomic Study Type ValueSet (example)
... subject SΣ 1..1 Reference(Patient | Group) GenomicStudy.subject
... encounter SΣ 0..1 Reference(Encounter) GenomicStudy.encounter
... performed[x] SΣ 0..1 dateTime GenomicStudy.startDate
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole) GenomicStudy.interpreter
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... reasonCode Σ 0..* CodeableConcept GenomicStudy.reason
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) GenomicStudy.reason
... note 0..* Annotation GenomicStudy.note

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Procedure.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base example Genomic Study Type ValueSet 📦3.0.0 Genomics Reporting Implementation Guide v3.0
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📦4.0.1 FHIR Std.

Constraints

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()

 

Other representations of profile: CSV, Excel, Schematron