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

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: MII Concept Map Modellvorhaben Genomsequenzierung Onkologie

Draft as of 2025-04-25

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<ConceptMap xmlns="http://hl7.org/fhir">
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    <div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: ConceptMap mii-cm-onkologie-to-mvgenomseq</b></p><a name="mii-cm-onkologie-to-mvgenomseq"> </a><a name="hcmii-cm-onkologie-to-mvgenomseq"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profiles: <a href="http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-shareableconceptmap.html">CRMI Shareable ConceptMap</a>, <a href="http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-publishableconceptmap.html">CRMI Publishable ConceptMap</a></p></div><p>Mapping from https://www.medizininformatik-initiative.de/fhir/ext/modul-onkologie/ to https://www.bfarm.de/DE/Das-BfArM/Aufgaben/Modellvorhaben-Genomsequenzierung</p><br/><p><b>Group 1 </b>Mapping from <code>https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor|2026.0.3</code> to <code>https://github.com/BfArM-MVH/MVGenomseq_KDK/blob/main/KDK/OncologyCase.json|1.1.1</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Condition.code (Diagnose Primärtumor)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.mainDiagnosis (Haupttumordiagnose)</td><td>Abbildung über ICD-10-GM-Coding Code/System/Version</td></tr><tr><td>Condition.extension:Feststellungsdatum (Feststellungsdatum)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.diagnosisDate (Datum der Diagnose)</td><td>Wenn Tag unbekannt, soll auf 15. gesetzt werden</td></tr><tr><td>Condition.bodySite.coding:icd-o-3.code (ICD-O-3 Topographie)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.topography.code (ICD-O-3 Topographie)</td><td/></tr><tr><td>Condition.bodySite.coding:icd-o-3.version (ICD-O-3 Version)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.topography.version (ICD-O-3 Version)</td><td/></tr><tr><td>Condition.extension:morphology-behavior-icdo3.valueCodeableConcept.coding.code (ICD-O-3 Morphologie-Code)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.histology.code (ICD-O-3 Morphologie)</td><td/></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>https://www.medizininformatik-initiative.de/fhir/ext/modul-diagnose/StructureDefinition/Diagnose|2026.0.3</code> to <code>https://github.com/BfArM-MVH/MVGenomseq_KDK/blob/main/KDK/OncologyCase.json|1.1.1</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Condition.code.coding (Diagnosecode)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-narrower" title="narrower">narrower</a></td><td>diagnosisOD.additionalDiagnoses (Diagnosecode)</td><td>Abbildung über ICD-10-GM/OrphaCode/AlphaID jeweils mit Code/System/Version. Hier hauptsächlich relevante onkologische Begleit- und Vorerkrankungen. Diagnostizierte Keimbahnerkrankungen sind ueber diagnosisOD.germlineDiagnosisCode zu uebermitteln.</td></tr><tr><td>Condition.extension:Feststellungsdatum (Feststellungsdatum)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td><td style="background-color: #efefef">Kein Zielfeld: diagnosisOD.additionalDiagnoses ist im Datenkranz ein reines Coding-Array ohne Datumsattribut. Ein Feststellungsdatum je Nebendiagnose kann nicht uebermittelt werden; diagnosisOD.diagnosisDate bezieht sich auf die Hauptdiagnose.</td></tr><tr><td>Condition.code.coding (Diagnosecode)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-allgemeiner-leistungszustand-ecog|2026.0.3</code> to <code>https://github.com/BfArM-MVH/MVGenomseq_KDK/blob/main/KDK/OncologyCase.json|1.1.1</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>Observation.valueCodeableConcept.coding.code (ECOG-Performance-Status)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.ECOGPerformanceStatusScore (ECOG-Performance-Status)</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-grading|2026.0.3</code> to <code>https://github.com/BfArM-MVH/MVGenomseq_KDK/blob/main/KDK/OncologyCase.json|1.1.1</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>Observation.valueCodeableConcept.coding.code (Histologisches Grading)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.grading (Histologisches Grading)</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-klassifikation|2026.0.3</code> to <code>https://github.com/BfArM-MVH/MVGenomseq_KDK/blob/main/KDK/OncologyCase.json|1.1.1</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Observation.valueCodeableConcept.coding.code (TNM-Klassifikation)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.ECOGPerformanceStatusScore (TNM-KLassifkation)</td><td>für Primärtherapie entscheidendes TNM(auswerterelevanter TNM)</td></tr><tr><td>Observation.valueCodeableConcept.coding.code (TNM-T-Kategorie)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.ECOGPerformanceStatusScore (TNM-KLassifkation)</td><td/></tr><tr><td>Observation.valueCodeableConcept.coding.code (TNM-N-Kategorie)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.ECOGPerformanceStatusScore (TNM-KLassifkation)</td><td/></tr><tr><td>Observation.valueCodeableConcept.coding.code (TNM-M-Kategorie)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>diagnosisOD.ECOGPerformanceStatusScore (TNM-KLassifkation)</td><td/></tr></table></div>
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  <title value="MII Concept Map Modellvorhaben Genomsequenzierung Onkologie"/>
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               value="Mapping der einzelnen MII-Onkologieprofile auf den Klinischen Datenkranz der Modellvorhaben-Genomsequenzierung. ABGRENZUNG: Diese ConceptMap deckt bewusst nur OncologyCase.json ab — die klinischen Falldaten, die im KDS-Modul Onkologie gefuehrt werden. Die uebrigen Schemata des Datenkranzes (OncologyMolecular, OncologyPlan, OncologyFollowUp, Oncology) betreffen die molekulare Diagnostik und die Therapieplanung des Molekularen Tumorboards und werden im KDS-Modul MTB abgebildet, nicht hier. Zielfelder gegen mvgenomseq_schemas/2024-12/OncologyCase.json verifiziert."/>
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  <sourceUri
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            value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor"/>
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    <target
            value="https://github.com/BfArM-MVH/MVGenomseq_KDK/blob/main/KDK/OncologyCase.json"/>
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      <display value="Diagnose Primärtumor"/>
      <target>
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        <display value="Haupttumordiagnose"/>
        <equivalence value="equivalent"/>
        <comment value="Abbildung über ICD-10-GM-Coding Code/System/Version"/>
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      <target>
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        <comment value="Wenn Tag unbekannt, soll auf 15. gesetzt werden"/>
      </target>
    </element>
    <element>
      <code value="Condition.bodySite.coding:icd-o-3.code"/>
      <display value="ICD-O-3 Topographie"/>
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        <display value="ICD-O-3 Topographie"/>
        <equivalence value="equivalent"/>
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        <display value="ICD-O-3 Morphologie"/>
        <equivalence value="equivalent"/>
      </target>
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  <group>
    <source
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    <sourceVersion value="2026.0.3"/>
    <target
            value="https://github.com/BfArM-MVH/MVGenomseq_KDK/blob/main/KDK/OncologyCase.json"/>
    <targetVersion value="1.1.1"/>
    <element>
      <code value="Condition.code.coding"/>
      <display value="Diagnosecode"/>
      <target>
        <code value="diagnosisOD.additionalDiagnoses"/>
        <display value="Diagnosecode"/>
        <equivalence value="narrower"/>
        <comment
                 value="Abbildung über ICD-10-GM/OrphaCode/AlphaID jeweils mit Code/System/Version. Hier hauptsächlich relevante onkologische Begleit- und Vorerkrankungen. Diagnostizierte Keimbahnerkrankungen sind ueber diagnosisOD.germlineDiagnosisCode zu uebermitteln."/>
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    <element>
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      <display value="Histologisches Grading"/>
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