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. For a full list of available versions, see the Directory of published versions

Resource Profile: MII PR MTB Response Befund

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

Response Beurteilung nach DNPM

Content

This profile belongs to the Systemic Therapy profile and denotes the finding on the response to the respective systemic therapy.
For this reason, the element Observation.partOf is used to reference the systemic therapy (i.e. the Procedure). In addition, Observation.method can be used to code whether a structured assessment according to RECIST or RANO was performed.

Open questions
The profile currently inherits from MII_PR_Onko_Verlauf. There it is intended that, in addition to the overall assessment Observation.valueCodeableConcept, at least one individual assessment of tumor, lymph nodes, or distant metastases must also be present via Observation.component. This is not intended in DNPMv2.

Furthermore, for the overall assessment, DNPMv2 provides for a different value set (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung) than the Oncology module.

Relationships to other resources

In terms of content, there is overlap with the Verlauf (progress) profile of the Oncology module. That profile, however, is populated directly from cancer registry data, whereby the documentation criteria of the tumor documentation staff are also applied. This profile is therefore intended to represent, with focus, a report of the tumor response according to RECIST.

Content

Mapping of the data set to FHIR

Search parameters

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

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

    Examples:

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

    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 "identifier" MUST be supported:

    Examples:

    GET [base]/Observation?identifier=5466

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

  4. The search parameter "part-of" MUST be supported:

    Examples:

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

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

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

    Examples:

    GET [base]/Observation?status=completed

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

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

    Examples:

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

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

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

    Examples:

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

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

  8. The search parameter "focus" MUST be supported:

    Examples:

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

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

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

    Examples:

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

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

  10. The search parameter "method" MUST be supported:

    Examples:

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

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

  11. The search parameter "combo-value-concept" MUST be supported:

    Examples:

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

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

  12. The search parameter "component-code-value-concept" MUST be supported:

    Examples:

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

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

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
.. Observation C 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
Constraints: obs-6, obs-7
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf SΣ 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemic Therapy
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... coding Σ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396432002
..... display 1..1 string Representation defined by the system
Fixed Value: Status of regression of tumor (observable entity)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 1..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR MTB Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Time Point
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible)
..... Slices for coding Σ 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
...... coding:All Slices Content/Rules for all slices
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
..... Slices for coding Content/Rules for all slices
...... coding:oBDS SΣ 0..* Coding Response assessment according to oBDS criteria
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
...... coding:MTB SΣ 0..* Coding Response assessment according to RECIST or RANO within the MTB
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
... method S 1..1 CodeableConcept Assessment Method
Binding: MII VS Response Befund Beurteilung (required)
... hasMember SΣ 0..* Reference(MII PR Onkologie Tod | MII PR Onkologie TNM-Klassifikation | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Histologie ICD-O-3 | MII PR Onkologie Fernmetastasen | MII PR Onkologie Residualstatus | MII PR Onkologie Genetische Variante) Related resource that belongs to the Observation group
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code.coding
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... component:Tumor_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 445200009
....... display 1..1 string Representation defined by the system
Fixed Value: Status of residual neoplasm (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Primärtumor (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Primärtumor im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
.... component:Lymphknoten_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 399656008
....... display 1..1 string Representation defined by the system
Fixed Value: Presence of metastatic neoplasm in regional lymph node (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Lymphknoten (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Lymphknoten im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
.... component:Fernmetastasen_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 399608002
....... display 1..1 string Representation defined by the system
Fixed Value: Status of distant metastasis (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Fernmetastasen (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Fernmetastasen im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x]:valueCodeableConcept.​coding:oBDS.code Base required MII VS Onkologie Verlauf Gesamtbeurteilung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
Observation.value[x]:valueCodeableConcept.​coding:MTB.code Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
Observation.method Base required MII VS Response Befund Beurteilung 📦2027.0.0-ballot.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf SΣ 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemic Therapy
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396432002
..... display 1..1 string Representation defined by the system
Fixed Value: Status of regression of tumor (observable entity)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 1..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR MTB Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Time Point
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
...... coding:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... Slices for coding Content/Rules for all slices
...... coding:oBDS SΣ 0..* Coding Response assessment according to oBDS criteria
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:MTB SΣ 0..* Coding Response assessment according to RECIST or RANO within the MTB
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 1..1 CodeableConcept Assessment Method
Binding: MII VS Response Befund Beurteilung (required)
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember SΣ 0..* Reference(MII PR Onkologie Tod | MII PR Onkologie TNM-Klassifikation | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Histologie ICD-O-3 | MII PR Onkologie Fernmetastasen | MII PR Onkologie Residualstatus | MII PR Onkologie Genetische Variante) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code.coding
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Tumor_Verlauf SΣ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 445200009
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Status of residual neoplasm (observable entity)
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Primärtumor (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Gesamtbeurteilung Primärtumor im Verlauf
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Lymphknoten_Verlauf SΣ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 399656008
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Presence of metastatic neoplasm in regional lymph node (observable entity)
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Lymphknoten (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Gesamtbeurteilung Lymphknoten im Verlauf
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Fernmetastasen_Verlauf SΣ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 399608002
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Status of distant metastasis (observable entity)
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Fernmetastasen (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Gesamtbeurteilung Fernmetastasen im Verlauf
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
Constraints: obs-6, obs-7
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf SΣ 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemic Therapy
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... coding Σ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396432002
..... display 1..1 string Representation defined by the system
Fixed Value: Status of regression of tumor (observable entity)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 1..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR MTB Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Time Point
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible)
..... Slices for coding Σ 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
...... coding:All Slices Content/Rules for all slices
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
..... Slices for coding Content/Rules for all slices
...... coding:oBDS SΣ 0..* Coding Response assessment according to oBDS criteria
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
...... coding:MTB SΣ 0..* Coding Response assessment according to RECIST or RANO within the MTB
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
... method S 1..1 CodeableConcept Assessment Method
Binding: MII VS Response Befund Beurteilung (required)
... hasMember SΣ 0..* Reference(MII PR Onkologie Tod | MII PR Onkologie TNM-Klassifikation | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Histologie ICD-O-3 | MII PR Onkologie Fernmetastasen | MII PR Onkologie Residualstatus | MII PR Onkologie Genetische Variante) Related resource that belongs to the Observation group
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code.coding
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... component:Tumor_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 445200009
....... display 1..1 string Representation defined by the system
Fixed Value: Status of residual neoplasm (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Primärtumor (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Primärtumor im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
.... component:Lymphknoten_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 399656008
....... display 1..1 string Representation defined by the system
Fixed Value: Presence of metastatic neoplasm in regional lymph node (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Lymphknoten (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Lymphknoten im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system
.... component:Fernmetastasen_Verlauf SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 399608002
....... display 1..1 string Representation defined by the system
Fixed Value: Status of distant metastasis (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Fernmetastasen (required)
...... coding Σ 0..* Coding Gesamtbeurteilung Fernmetastasen im Verlauf
....... system SΣ 0..1 uri Identity of the terminology system
....... code SΣ 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

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

doco Documentation for this format

Terminology Bindings (Differential)

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

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Onko_Verlauf Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf SΣ 0..* Reference(MII PR MTB Systemische Therapie | Procedure) Systemic Therapy
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 396432002
..... display 1..1 string Representation defined by the system
Fixed Value: Status of regression of tumor (observable entity)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 1..1 Reference(MII PR Onkologie Diagnose Primärtumor | MII PR MTB Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Time Point
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Gesamtbeurteilung im Verlauf
Slice: Unordered, Open by pattern:system
...... coding:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... Slices for coding Content/Rules for all slices
...... coding:oBDS SΣ 0..* Coding Response assessment according to oBDS criteria
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (required)
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:MTB SΣ 0..* Coding Response assessment according to RECIST or RANO within the MTB
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Binding: MII VS Response Befund Beurteilung (required)
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 1..1 CodeableConcept Assessment Method
Binding: MII VS Response Befund Beurteilung (required)
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember SΣ 0..* Reference(MII PR Onkologie Tod | MII PR Onkologie TNM-Klassifikation | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Histologie ICD-O-3 | MII PR Onkologie Fernmetastasen | MII PR Onkologie Residualstatus | MII PR Onkologie Genetische Variante) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code.coding
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Tumor_Verlauf SΣ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 445200009
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Status of residual neoplasm (observable entity)
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Primärtumor (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Gesamtbeurteilung Primärtumor im Verlauf
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Lymphknoten_Verlauf SΣ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 399656008
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Presence of metastatic neoplasm in regional lymph node (observable entity)
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Lymphknoten (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Gesamtbeurteilung Lymphknoten im Verlauf
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:Fernmetastasen_Verlauf SΣ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 399608002
....... display Σ 0..1 string Representation defined by the system
Fixed Value: Status of distant metastasis (observable entity)
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: MII VS Onkologie Verlauf Fernmetastasen (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Gesamtbeurteilung Fernmetastasen im Verlauf
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

 

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