MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 - Germany

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

Ressourcenprofil: MII PR Onkologie TNM N-Kategorie

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie Version: 2027.0.0-ballot.1
Active Stand: 2026-09-15 Maschinenlesbarer Name: MII_PR_Onko_TNM_N_Kategorie

TNM-Klassifikation: TNM N-Kategorie. Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.

Dieses Profil beschreibt die N-Kategorie der TNM-Klassifikation. Die N-Kategorie kodiert für Fehlen bzw. Vorhandensein von regionären Lymphknotenmetastasen und wird entitätsspezifisch kodiert.

UICC-Präfixe y/r/a (modifierExtension): Die Präfixe y (während/nach multimodaler Therapie), r (Rezidiv) und a (Autopsie) werden auf Kategorie-Ebene als modifierExtension abgebildet (mii-ex-onko-tnm-y-praefix, …-r-praefix, …-a-praefix), da sie die Interpretation des Kategorie-Wertes verändern — ypT2 ist prognostisch nicht mit pT2 vergleichbar. Verarbeitende Systeme müssen diese Extensions kennen. Das c/p/u-Präfix bleibt eine normale Extension auf code, da diese Information redundant im Observable-Code und im SNOMED-CT-Wert enthalten ist. Die Symbol-Observations (y-/r-/a-Symbol) auf Ebene der TNM-Klassifikation bleiben für das oBDS-Mapping (8.3–8.5) erhalten; gemischte Präfix-Situationen (z. B. ypT2 cN0) werden über die Kategorie-Präfixe abgebildet.

Beispiele

mii-exa-onko-tnm-n-kategorie-N0

mii-exa-onko-tnm-n-kategorie-pN0i-sn

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, tnm-sct-uicc-konsistenz
... meta Σ 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 modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:yPraefix ?!S 0..1 (Complex) TNM y-Präfix (während/nach multimodaler Therapie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: y
.... modifierExtension:rPraefix ?!S 0..1 (Complex) TNM r-Präfix (Rezidiv)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: r
.... modifierExtension:aPraefix ?!S 0..1 (Complex) TNM a-Präfix (Autopsie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: a
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: MII VS Onkologie TNM N Kategorie (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:cpPraefix S 0..1 (Complex) TNM c/p-Präfix N
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: MII VS Onkologie TNM c/p/u Praefix (required)
....... coding Σ 0..* Coding Code defined by a terminology system
........ system SΣ 0..1 uri Identity of the terminology system
........ code SΣ 0..1 code Symbol in syntax defined by the system
.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 0..* Reference(MII PR Onkologie 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
... effective[x] SΣC 0..1 dateTime TNM-Datum
Constraints: tnm-datum
... value[x] SΣC 0..1 CodeableConcept Actual result
.... Slices for extension Content/Rules for all slices
..... extension:itcSuffix S 0..1 CodeableConcept isolierte Tumorzellen (ITC) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix
Binding: MII VS Onkologie TNM ITC Suffix (required)
..... extension:snSuffix S 0..1 CodeableConcept Schildwächterlymphknoten (Sentinel Lymph Node) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-sn-suffix
Binding: MII VS Onkologie TNM SN Suffix (required)
.... Slices for coding Σ 1..* Coding TNM N-Kategorie
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... code Σ 0..1 code Symbol in syntax defined by the system
..... coding:uicc SΣ 1..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.uicc.org/resources/tnm
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:snomed-ct SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte SNOMED CT (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
.... coding SΣ 0..* Coding TNM Version
Binding: MII VS Onkologie TNM Version (required)
... hasMember SΣ 0..* Reference(MII PR Onkologie Anzahl der befallenen Lymphknoten | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Anzahl der befallenen Sentinel-Lymphknoten | MII PR Onkologie Anzahl der untersuchten Sentinel-Lymphknoten) Related resource that belongs to the Observation group

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 preferred MII VS Onkologie TNM N Kategorie 📦2027.0.0-ballot.1 This IG
Observation.code.extension:cpPraefix.​value[x] Base required MII VS Onkologie TNM c/p/u Praefix 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:uicc Base required MII VS Onkologie TNM N Kategorie Werte 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:snomed-ct Base required MII VS Onkologie TNM N Kategorie Werte SNOMED CT 📦2027.0.0-ballot.1 This IG
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.method.coding Base required MII VS Onkologie TNM Version 📦2027.0.0-ballot.1 This IG

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()
tnm-datum error Observation.effective[x] TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben. $this.toString().length() >= 8
tnm-sct-uicc-konsistenz error Observation Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3'). valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Diese Struktur ist abgeleitet von Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: tnm-sct-uicc-konsistenz
... meta
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for modifierExtension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:yPraefix S 0..1 (Complex) TNM y-Präfix (während/nach multimodaler Therapie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
..... value[x]
...... coding
....... code 0..1 code Symbol in syntax defined by the system
.... modifierExtension:rPraefix S 0..1 (Complex) TNM r-Präfix (Rezidiv)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
..... value[x]
...... coding
....... code 0..1 code Symbol in syntax defined by the system
.... modifierExtension:aPraefix S 0..1 (Complex) TNM a-Präfix (Autopsie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
..... value[x]
...... coding
....... code 0..1 code Symbol in syntax defined by the system
... status S 1..1 code registered | preliminary | final | amended +
.... Slices for extension Content/Rules for all slices
..... extension:cpPraefix S 0..1 (Complex) TNM c/p-Präfix N
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
...... value[x]
....... coding
........ code 0..1 code Symbol in syntax defined by the system
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(Patient) Who and/or what the observation is about
... focus S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter S 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SC 0..1 dateTime TNM-Datum
Constraints: tnm-datum
... value[x] S 0..1 CodeableConcept Actual result
.... Slices for extension Content/Rules for all slices
..... extension:itcSuffix S 0..1 CodeableConcept isolierte Tumorzellen (ITC) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix
Binding: MII VS Onkologie TNM ITC Suffix (required)
..... extension:snSuffix S 0..1 CodeableConcept Schildwächterlymphknoten (Sentinel Lymph Node) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-sn-suffix
Binding: MII VS Onkologie TNM SN Suffix (required)
.... Slices for coding 1..* Coding TNM N-Kategorie
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... code 0..1 code Symbol in syntax defined by the system
..... coding:uicc S 1..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte (required)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://www.uicc.org/resources/tnm
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:snomed-ct S 0..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte SNOMED CT (required)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... code S 1..1 code Symbol in syntax defined by the system
... method S 0..1 CodeableConcept How it was done
.... coding S 0..* Coding TNM Version
Binding: MII VS Onkologie TNM Version (required)
... hasMember S 0..* Reference(MII PR Onkologie Anzahl der befallenen Lymphknoten | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Anzahl der befallenen Sentinel-Lymphknoten | MII PR Onkologie Anzahl der untersuchten Sentinel-Lymphknoten) Related resource that belongs to the Observation group

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base preferred MII VS Onkologie TNM N Kategorie 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:uicc Base required MII VS Onkologie TNM N Kategorie Werte 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:snomed-ct Base required MII VS Onkologie TNM N Kategorie Werte SNOMED CT 📦2027.0.0-ballot.1 This IG
Observation.method.coding Base required MII VS Onkologie TNM Version 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
tnm-datum error Observation.effective[x] TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben. $this.toString().length() >= 8
tnm-sct-uicc-konsistenz error Observation Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3'). valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, tnm-sct-uicc-konsistenz
... id Σ 0..1 id Logical id of this artifact
... meta Σ 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
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:yPraefix ?!S 0..1 (Complex) TNM y-Präfix (während/nach multimodaler Therapie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
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
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: y
....... display Σ 0..1 string Representation defined by the system
Fixed Value: y
....... 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
.... modifierExtension:rPraefix ?!S 0..1 (Complex) TNM r-Präfix (Rezidiv)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
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
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: r
....... display Σ 0..1 string Representation defined by the system
Fixed Value: r
....... 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
.... modifierExtension:aPraefix ?!S 0..1 (Complex) TNM a-Präfix (Autopsie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
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
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: a
....... display Σ 0..1 string Representation defined by the system
Fixed Value: a
....... 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
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... 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: MII VS Onkologie TNM N Kategorie (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:cpPraefix S 0..1 (Complex) TNM c/p-Präfix N
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: MII VS Onkologie TNM c/p/u Praefix (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ 0..* Coding Code defined by a terminology system
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system 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
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 0..* Reference(MII PR Onkologie 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
... effective[x] SΣC 0..1 dateTime TNM-Datum
Constraints: tnm-datum
... 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
... value[x] SΣC 0..1 CodeableConcept Actual result
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:itcSuffix S 0..1 CodeableConcept isolierte Tumorzellen (ITC) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix
Binding: MII VS Onkologie TNM ITC Suffix (required)
..... extension:snSuffix S 0..1 CodeableConcept Schildwächterlymphknoten (Sentinel Lymph Node) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-sn-suffix
Binding: MII VS Onkologie TNM SN Suffix (required)
.... Slices for coding Σ 1..* Coding TNM N-Kategorie
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:uicc SΣ 1..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.uicc.org/resources/tnm
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:snomed-ct SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte SNOMED CT (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... 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 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for 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 SΣ 0..* Coding TNM Version
Binding: MII VS Onkologie TNM Version (required)
.... text Σ 0..1 string Plain text representation of the concept
... 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 Anzahl der befallenen Lymphknoten | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Anzahl der befallenen Sentinel-Lymphknoten | MII PR Onkologie Anzahl der untersuchten Sentinel-Lymphknoten) 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
... component Σ 0..* 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.
.... 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

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 preferred MII VS Onkologie TNM N Kategorie 📦2027.0.0-ballot.1 This IG
Observation.code.extension:cpPraefix.​value[x] Base required MII VS Onkologie TNM c/p/u Praefix 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:uicc Base required MII VS Onkologie TNM N Kategorie Werte 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:snomed-ct Base required MII VS Onkologie TNM N Kategorie Werte SNOMED CT 📦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 example Observation Methods 📍4.0.1 FHIR Std.
Observation.method.coding Base required MII VS Onkologie TNM Version 📦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.

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()
tnm-datum error Observation.effective[x] TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben. $this.toString().length() >= 8
tnm-sct-uicc-konsistenz error Observation Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3'). valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Diese Struktur ist abgeleitet von Observation

Summary

Mandatory: 1 element(8 nested mandatory elements)
Must-Support: 25 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.value[x].coding

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, tnm-sct-uicc-konsistenz
... meta Σ 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 modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:yPraefix ?!S 0..1 (Complex) TNM y-Präfix (während/nach multimodaler Therapie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: y
.... modifierExtension:rPraefix ?!S 0..1 (Complex) TNM r-Präfix (Rezidiv)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: r
.... modifierExtension:aPraefix ?!S 0..1 (Complex) TNM a-Präfix (Autopsie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: a
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: MII VS Onkologie TNM N Kategorie (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:cpPraefix S 0..1 (Complex) TNM c/p-Präfix N
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: MII VS Onkologie TNM c/p/u Praefix (required)
....... coding Σ 0..* Coding Code defined by a terminology system
........ system SΣ 0..1 uri Identity of the terminology system
........ code SΣ 0..1 code Symbol in syntax defined by the system
.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 0..* Reference(MII PR Onkologie 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
... effective[x] SΣC 0..1 dateTime TNM-Datum
Constraints: tnm-datum
... value[x] SΣC 0..1 CodeableConcept Actual result
.... Slices for extension Content/Rules for all slices
..... extension:itcSuffix S 0..1 CodeableConcept isolierte Tumorzellen (ITC) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix
Binding: MII VS Onkologie TNM ITC Suffix (required)
..... extension:snSuffix S 0..1 CodeableConcept Schildwächterlymphknoten (Sentinel Lymph Node) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-sn-suffix
Binding: MII VS Onkologie TNM SN Suffix (required)
.... Slices for coding Σ 1..* Coding TNM N-Kategorie
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... code Σ 0..1 code Symbol in syntax defined by the system
..... coding:uicc SΣ 1..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.uicc.org/resources/tnm
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:snomed-ct SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte SNOMED CT (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
.... coding SΣ 0..* Coding TNM Version
Binding: MII VS Onkologie TNM Version (required)
... hasMember SΣ 0..* Reference(MII PR Onkologie Anzahl der befallenen Lymphknoten | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Anzahl der befallenen Sentinel-Lymphknoten | MII PR Onkologie Anzahl der untersuchten Sentinel-Lymphknoten) Related resource that belongs to the Observation group

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 preferred MII VS Onkologie TNM N Kategorie 📦2027.0.0-ballot.1 This IG
Observation.code.extension:cpPraefix.​value[x] Base required MII VS Onkologie TNM c/p/u Praefix 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:uicc Base required MII VS Onkologie TNM N Kategorie Werte 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:snomed-ct Base required MII VS Onkologie TNM N Kategorie Werte SNOMED CT 📦2027.0.0-ballot.1 This IG
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.method.coding Base required MII VS Onkologie TNM Version 📦2027.0.0-ballot.1 This IG

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()
tnm-datum error Observation.effective[x] TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben. $this.toString().length() >= 8
tnm-sct-uicc-konsistenz error Observation Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3'). valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Differential-Ansicht

Diese Struktur ist abgeleitet von Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: tnm-sct-uicc-konsistenz
... meta
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for modifierExtension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:yPraefix S 0..1 (Complex) TNM y-Präfix (während/nach multimodaler Therapie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
..... value[x]
...... coding
....... code 0..1 code Symbol in syntax defined by the system
.... modifierExtension:rPraefix S 0..1 (Complex) TNM r-Präfix (Rezidiv)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
..... value[x]
...... coding
....... code 0..1 code Symbol in syntax defined by the system
.... modifierExtension:aPraefix S 0..1 (Complex) TNM a-Präfix (Autopsie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
..... value[x]
...... coding
....... code 0..1 code Symbol in syntax defined by the system
... status S 1..1 code registered | preliminary | final | amended +
.... Slices for extension Content/Rules for all slices
..... extension:cpPraefix S 0..1 (Complex) TNM c/p-Präfix N
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
...... value[x]
....... coding
........ code 0..1 code Symbol in syntax defined by the system
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(Patient) Who and/or what the observation is about
... focus S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) What the observation is about, when it is not about the subject of record
... encounter S 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SC 0..1 dateTime TNM-Datum
Constraints: tnm-datum
... value[x] S 0..1 CodeableConcept Actual result
.... Slices for extension Content/Rules for all slices
..... extension:itcSuffix S 0..1 CodeableConcept isolierte Tumorzellen (ITC) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix
Binding: MII VS Onkologie TNM ITC Suffix (required)
..... extension:snSuffix S 0..1 CodeableConcept Schildwächterlymphknoten (Sentinel Lymph Node) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-sn-suffix
Binding: MII VS Onkologie TNM SN Suffix (required)
.... Slices for coding 1..* Coding TNM N-Kategorie
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... code 0..1 code Symbol in syntax defined by the system
..... coding:uicc S 1..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte (required)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://www.uicc.org/resources/tnm
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:snomed-ct S 0..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte SNOMED CT (required)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... code S 1..1 code Symbol in syntax defined by the system
... method S 0..1 CodeableConcept How it was done
.... coding S 0..* Coding TNM Version
Binding: MII VS Onkologie TNM Version (required)
... hasMember S 0..* Reference(MII PR Onkologie Anzahl der befallenen Lymphknoten | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Anzahl der befallenen Sentinel-Lymphknoten | MII PR Onkologie Anzahl der untersuchten Sentinel-Lymphknoten) Related resource that belongs to the Observation group

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base preferred MII VS Onkologie TNM N Kategorie 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:uicc Base required MII VS Onkologie TNM N Kategorie Werte 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:snomed-ct Base required MII VS Onkologie TNM N Kategorie Werte SNOMED CT 📦2027.0.0-ballot.1 This IG
Observation.method.coding Base required MII VS Onkologie TNM Version 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
tnm-datum error Observation.effective[x] TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben. $this.toString().length() >= 8
tnm-sct-uicc-konsistenz error Observation Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3'). valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, tnm-sct-uicc-konsistenz
... id Σ 0..1 id Logical id of this artifact
... meta Σ 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
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:yPraefix ?!S 0..1 (Complex) TNM y-Präfix (während/nach multimodaler Therapie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
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
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: y
....... display Σ 0..1 string Representation defined by the system
Fixed Value: y
....... 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
.... modifierExtension:rPraefix ?!S 0..1 (Complex) TNM r-Präfix (Rezidiv)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
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
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: r
....... display Σ 0..1 string Representation defined by the system
Fixed Value: r
....... 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
.... modifierExtension:aPraefix ?!S 0..1 (Complex) TNM a-Präfix (Autopsie)
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix"
..... value[x] 0..1 CodeableConcept Value of extension
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
...... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: https://www.uicc.org/resources/tnm
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: a
....... display Σ 0..1 string Representation defined by the system
Fixed Value: a
....... 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
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... 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: MII VS Onkologie TNM N Kategorie (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:cpPraefix S 0..1 (Complex) TNM c/p-Präfix N
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: MII VS Onkologie TNM c/p/u Praefix (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ 0..* Coding Code defined by a terminology system
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system 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
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus SΣ 0..* Reference(MII PR Onkologie 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
... effective[x] SΣC 0..1 dateTime TNM-Datum
Constraints: tnm-datum
... 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
... value[x] SΣC 0..1 CodeableConcept Actual result
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:itcSuffix S 0..1 CodeableConcept isolierte Tumorzellen (ITC) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix
Binding: MII VS Onkologie TNM ITC Suffix (required)
..... extension:snSuffix S 0..1 CodeableConcept Schildwächterlymphknoten (Sentinel Lymph Node) Suffix
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-sn-suffix
Binding: MII VS Onkologie TNM SN Suffix (required)
.... Slices for coding Σ 1..* Coding TNM N-Kategorie
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:uicc SΣ 1..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.uicc.org/resources/tnm
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:snomed-ct SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Onkologie TNM N Kategorie Werte SNOMED CT (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... 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 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for 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 SΣ 0..* Coding TNM Version
Binding: MII VS Onkologie TNM Version (required)
.... text Σ 0..1 string Plain text representation of the concept
... 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 Anzahl der befallenen Lymphknoten | MII PR Onkologie Anzahl der untersuchten Lymphknoten | MII PR Onkologie Anzahl der befallenen Sentinel-Lymphknoten | MII PR Onkologie Anzahl der untersuchten Sentinel-Lymphknoten) 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
... component Σ 0..* 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.
.... 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

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 preferred MII VS Onkologie TNM N Kategorie 📦2027.0.0-ballot.1 This IG
Observation.code.extension:cpPraefix.​value[x] Base required MII VS Onkologie TNM c/p/u Praefix 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:uicc Base required MII VS Onkologie TNM N Kategorie Werte 📦2027.0.0-ballot.1 This IG
Observation.value[x].​coding:snomed-ct Base required MII VS Onkologie TNM N Kategorie Werte SNOMED CT 📦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 example Observation Methods 📍4.0.1 FHIR Std.
Observation.method.coding Base required MII VS Onkologie TNM Version 📦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.

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()
tnm-datum error Observation.effective[x] TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben. $this.toString().length() >= 8
tnm-sct-uicc-konsistenz error Observation Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3'). valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Diese Struktur ist abgeleitet von Observation

Summary

Mandatory: 1 element(8 nested mandatory elements)
Must-Support: 25 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.value[x].coding

 

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