Kerndatensatz Senologie - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: BIH Senologie Follow-Up (Verlaufsmeldung)
| Official URL: https://www.senologie.org/fhir/StructureDefinition/senologie-follow-up | Version: 0.9.0 | |||
| Draft as of 2026-05-04 | Computable Name: Senologie_FollowUp | |||
Verlaufsmeldung mit Meldedatum (M01), Melder (M02), Nachsorge-Art als method (M03), Tumorstatus lokal/LK/FM (M05-M07, geerbt von MII Verlauf), und Zweittumor-Flag (M08). Vitalstatus (M04) wird ueber Patient.deceased abgebildet. Zweittumor-Details (M09-M10) werden als eigene Condition dokumentiert.
Usages:
- Examples for this Profile: Observation/Fall1-Verlauf-6Monate, Observation/Fall1-Verlauf-PostTherapie, Observation/Fall2-Verlauf-Progression, Observation/Fall2-Verlauf-Tod... Show 2 more
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
C | 0..* | MII_PR_Onko_Verlauf | Measurements and simple assertions Constraints: obs-7, obs-6 |
  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 |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| identifier |
SΣ | 0..* | Identifier | Business Identifier for observation |
| status |
?!Σ | 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 |
SΣC | 1..1 | Reference(Patient) | Who and/or what the observation is about Constraints: ref-1 |
| focus |
SΣC | 1..1 | Reference(BIH PR Seno Diagnose Maligne) | Bezugsdiagnose (beurteilte Condition) Constraints: ref-1 |
| encounter |
SΣC | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made Constraints: ref-1 |
 Slices for effective[x] |
SΣ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |
 effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effectiveTiming |
Timing | |||
| effectiveInstant |
instant | |||
  effective[x]:effectiveDateTime |
SΣ | 0..1 | dateTime | Meldedatum / Untersuchungsdatum (M01) |
| performer |
SΣC | 0..* | Reference(Practitioner | Organization) | Melder / Meldende Einrichtung (M02) Constraints: ref-1 |
| Slices for value[x] |
SΣC | 0..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this |
 value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | Gesamtbeurteilung Tumorstatus (D27) Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible) |
 coding |
Σ | 0..* | Coding | Gesamtbeurteilung im Verlauf |
| system |
SΣ | 0..1 | uri | Identity of the terminology system |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| method |
S | 0..1 | CodeableConcept | Art der Nachsorge (M03) Binding: VS Senologie Nachsorge Art (required) |
| hasMember |
SΣC | 0..* | Reference(Observation) | Related resource that belongs to the Observation group Constraints: ref-1 |
| 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. |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:Tumor_Verlauf |
SΣ | 0..1 | BackboneElement | Lokaler Tumorstatus (M05) |
 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 |
 dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:Lymphknoten_Verlauf |
SΣ | 0..1 | BackboneElement | Lymphknoten-Tumorstatus (M06) |
| 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 |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:Fernmetastasen_Verlauf |
SΣ | 0..1 | BackboneElement | Fernmetastasen-Tumorstatus (M07) |
| 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 |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:zweittumor |
SΣ | 0..1 | BackboneElement | Zweittumor diagnostiziert (M08) |
| 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: https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: zweittumor | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| value[x] |
Σ | 0..1 | CodeableConcept | Actual component result Binding: VS Senologie Zweittumor (required) |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | required | VS Senologie Nachsorge Art | 📦0.9.0 | This IG |
| 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: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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| Observation.component:Tumor_Verlauf.dataAbsentReason | Base | extensible | DataAbsentReason | 📦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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| Observation.component:Lymphknoten_Verlauf.dataAbsentReason | Base | extensible | DataAbsentReason | 📦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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| Observation.component:Fernmetastasen_Verlauf.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component:zweittumor.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component:zweittumor.value[x] | Base | required | VS Senologie Zweittumor | 📦0.9.0 | This IG |
| Observation.component:zweittumor.dataAbsentReason | Base | extensible | DataAbsentReason | 📦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-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()
|
| ref-1 | error | Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.hasMember | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
This structure is derived from MII_PR_Onko_Verlauf
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | MII_PR_Onko_Verlauf | Measurements and simple assertions | |
| focus |
1..1 | Reference(BIH PR Seno Diagnose Maligne) | Bezugsdiagnose (beurteilte Condition) | |
| Slices for effective[x] |
Content/Rules for all slices | |||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Meldedatum / Untersuchungsdatum (M01) | |
| performer |
S | 0..* | Reference(Practitioner | Organization) | Melder / Meldende Einrichtung (M02) |
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueCodeableConcept |
S | 0..1 | CodeableConcept | Gesamtbeurteilung Tumorstatus (D27) |
| method |
S | 0..1 | CodeableConcept | Art der Nachsorge (M03) Binding: VS Senologie Nachsorge Art (required) |
| Slices for component |
Content/Rules for all slices | |||
| component:Tumor_Verlauf |
0..1 | BackboneElement | Lokaler Tumorstatus (M05) | |
| component:Lymphknoten_Verlauf |
0..1 | BackboneElement | Lymphknoten-Tumorstatus (M06) | |
| component:Fernmetastasen_Verlauf |
0..1 | BackboneElement | Fernmetastasen-Tumorstatus (M07) | |
| component:zweittumor |
S | 0..1 | BackboneElement | Zweittumor diagnostiziert (M08) |
| code |
||||
| coding |
1..* | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: zweittumor | |
| value[x] |
0..1 | CodeableConcept | Actual component result Binding: VS Senologie Zweittumor (required) | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.method | Base | required | VS Senologie Nachsorge Art | 📦0.9.0 | This IG |
| Observation.component:zweittumor.value[x] | Base | required | VS Senologie Zweittumor | 📦0.9.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | MII_PR_Onko_Verlauf | Measurements and simple assertions Constraints: obs-7, obs-6 | ||||
| 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.
| |||||
| 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 Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
SΣ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
ΣC | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Constraints: ref-1 | ||||
| partOf |
ΣC | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event Constraints: ref-1 | ||||
| status |
?!Σ | 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 |
SΣC | 1..1 | Reference(Patient) | Who and/or what the observation is about Constraints: ref-1 | ||||
| focus |
SΣC | 1..1 | Reference(BIH PR Seno Diagnose Maligne) | Bezugsdiagnose (beurteilte Condition) Constraints: ref-1 | ||||
| encounter |
SΣC | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made Constraints: ref-1 | ||||
| Slices for effective[x] |
SΣ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveTiming |
Timing | |||||||
| effectiveInstant |
instant | |||||||
| effective[x]:effectiveDateTime |
SΣ | 0..1 | dateTime | Meldedatum / Untersuchungsdatum (M01) | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
SΣC | 0..* | Reference(Practitioner | Organization) | Melder / Meldende Einrichtung (M02) Constraints: ref-1 | ||||
| Slices for value[x] |
SΣC | 0..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | Gesamtbeurteilung Tumorstatus (D27) 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 | |||||
| coding |
Σ | 0..* | Coding | Gesamtbeurteilung 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 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 | Art der Nachsorge (M03) Binding: VS Senologie Nachsorge Art (required) | ||||
| specimen |
C | 0..1 | Reference(Specimen) | Specimen used for this observation Constraints: ref-1 | ||||
| device |
C | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant Constraints: qty-3, sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant Constraints: qty-3, sqty-1 | ||||
| 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 |
C | 0..1 | Range | Applicable age range, if relevant Constraints: rng-2 | ||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
SΣC | 0..* | Reference(Observation) | Related resource that belongs to the Observation group Constraints: ref-1 | ||||
| derivedFrom |
ΣC | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 | Lokaler Tumorstatus (M05) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | Lymphknoten-Tumorstatus (M06) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | Fernmetastasen-Tumorstatus (M07) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| component:zweittumor |
SΣ | 0..1 | BackboneElement | Zweittumor diagnostiziert (M08) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: zweittumor | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| value[x] |
Σ | 0..1 | CodeableConcept | Actual component result Binding: VS Senologie Zweittumor (required) | ||||
| 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 | |||||
| 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| 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 | VS Senologie Nachsorge Art | 📦0.9.0 | 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| 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. |
| Observation.component:zweittumor.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component:zweittumor.value[x] | Base | required | VS Senologie Zweittumor | 📦0.9.0 | This IG |
| Observation.component:zweittumor.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component:zweittumor.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()
|
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high |
low.empty() or high.empty() or (low <= high)
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MII_PR_Onko_Verlauf
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | MII_PR_Onko_Verlauf | Measurements and simple assertions Constraints: obs-7, obs-6 |
| 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 |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| identifier |
SΣ | 0..* | Identifier | Business Identifier for observation |
| status |
?!Σ | 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 |
SΣC | 1..1 | Reference(Patient) | Who and/or what the observation is about Constraints: ref-1 |
| focus |
SΣC | 1..1 | Reference(BIH PR Seno Diagnose Maligne) | Bezugsdiagnose (beurteilte Condition) Constraints: ref-1 |
| encounter |
SΣC | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made Constraints: ref-1 |
| Slices for effective[x] |
SΣ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effectiveTiming |
Timing | |||
| effectiveInstant |
instant | |||
| effective[x]:effectiveDateTime |
SΣ | 0..1 | dateTime | Meldedatum / Untersuchungsdatum (M01) |
| performer |
SΣC | 0..* | Reference(Practitioner | Organization) | Melder / Meldende Einrichtung (M02) Constraints: ref-1 |
| Slices for value[x] |
SΣC | 0..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | Gesamtbeurteilung Tumorstatus (D27) Binding: MII VS Onkologie Verlauf Gesamtbeurteilung (extensible) |
| coding |
Σ | 0..* | Coding | Gesamtbeurteilung im Verlauf |
| system |
SΣ | 0..1 | uri | Identity of the terminology system |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| method |
S | 0..1 | CodeableConcept | Art der Nachsorge (M03) Binding: VS Senologie Nachsorge Art (required) |
| hasMember |
SΣC | 0..* | Reference(Observation) | Related resource that belongs to the Observation group Constraints: ref-1 |
| 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. |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:Tumor_Verlauf |
SΣ | 0..1 | BackboneElement | Lokaler Tumorstatus (M05) |
| 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 |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:Lymphknoten_Verlauf |
SΣ | 0..1 | BackboneElement | Lymphknoten-Tumorstatus (M06) |
| 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 |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:Fernmetastasen_Verlauf |
SΣ | 0..1 | BackboneElement | Fernmetastasen-Tumorstatus (M07) |
| 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 |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:zweittumor |
SΣ | 0..1 | BackboneElement | Zweittumor diagnostiziert (M08) |
| 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: https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: zweittumor | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| value[x] |
Σ | 0..1 | CodeableConcept | Actual component result Binding: VS Senologie Zweittumor (required) |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | required | VS Senologie Nachsorge Art | 📦0.9.0 | This IG |
| 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: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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| Observation.component:Tumor_Verlauf.dataAbsentReason | Base | extensible | DataAbsentReason | 📦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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| Observation.component:Lymphknoten_Verlauf.dataAbsentReason | Base | extensible | DataAbsentReason | 📦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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| Observation.component:Fernmetastasen_Verlauf.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component:zweittumor.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component:zweittumor.value[x] | Base | required | VS Senologie Zweittumor | 📦0.9.0 | This IG |
| Observation.component:zweittumor.dataAbsentReason | Base | extensible | DataAbsentReason | 📦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-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()
|
| ref-1 | error | Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.hasMember | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
Differential View
This structure is derived from MII_PR_Onko_Verlauf
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | MII_PR_Onko_Verlauf | Measurements and simple assertions | |
| focus |
1..1 | Reference(BIH PR Seno Diagnose Maligne) | Bezugsdiagnose (beurteilte Condition) | |
| Slices for effective[x] |
Content/Rules for all slices | |||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Meldedatum / Untersuchungsdatum (M01) | |
| performer |
S | 0..* | Reference(Practitioner | Organization) | Melder / Meldende Einrichtung (M02) |
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueCodeableConcept |
S | 0..1 | CodeableConcept | Gesamtbeurteilung Tumorstatus (D27) |
| method |
S | 0..1 | CodeableConcept | Art der Nachsorge (M03) Binding: VS Senologie Nachsorge Art (required) |
| Slices for component |
Content/Rules for all slices | |||
| component:Tumor_Verlauf |
0..1 | BackboneElement | Lokaler Tumorstatus (M05) | |
| component:Lymphknoten_Verlauf |
0..1 | BackboneElement | Lymphknoten-Tumorstatus (M06) | |
| component:Fernmetastasen_Verlauf |
0..1 | BackboneElement | Fernmetastasen-Tumorstatus (M07) | |
| component:zweittumor |
S | 0..1 | BackboneElement | Zweittumor diagnostiziert (M08) |
| code |
||||
| coding |
1..* | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: zweittumor | |
| value[x] |
0..1 | CodeableConcept | Actual component result Binding: VS Senologie Zweittumor (required) | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.method | Base | required | VS Senologie Nachsorge Art | 📦0.9.0 | This IG |
| Observation.component:zweittumor.value[x] | Base | required | VS Senologie Zweittumor | 📦0.9.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | MII_PR_Onko_Verlauf | Measurements and simple assertions Constraints: obs-7, obs-6 | ||||
| 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.
| |||||
| 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 Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
SΣ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
ΣC | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Constraints: ref-1 | ||||
| partOf |
ΣC | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event Constraints: ref-1 | ||||
| status |
?!Σ | 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 |
SΣC | 1..1 | Reference(Patient) | Who and/or what the observation is about Constraints: ref-1 | ||||
| focus |
SΣC | 1..1 | Reference(BIH PR Seno Diagnose Maligne) | Bezugsdiagnose (beurteilte Condition) Constraints: ref-1 | ||||
| encounter |
SΣC | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made Constraints: ref-1 | ||||
| Slices for effective[x] |
SΣ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveTiming |
Timing | |||||||
| effectiveInstant |
instant | |||||||
| effective[x]:effectiveDateTime |
SΣ | 0..1 | dateTime | Meldedatum / Untersuchungsdatum (M01) | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
SΣC | 0..* | Reference(Practitioner | Organization) | Melder / Meldende Einrichtung (M02) Constraints: ref-1 | ||||
| Slices for value[x] |
SΣC | 0..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | Gesamtbeurteilung Tumorstatus (D27) 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 | |||||
| coding |
Σ | 0..* | Coding | Gesamtbeurteilung 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 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 | Art der Nachsorge (M03) Binding: VS Senologie Nachsorge Art (required) | ||||
| specimen |
C | 0..1 | Reference(Specimen) | Specimen used for this observation Constraints: ref-1 | ||||
| device |
C | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant Constraints: qty-3, sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant Constraints: qty-3, sqty-1 | ||||
| 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 |
C | 0..1 | Range | Applicable age range, if relevant Constraints: rng-2 | ||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
SΣC | 0..* | Reference(Observation) | Related resource that belongs to the Observation group Constraints: ref-1 | ||||
| derivedFrom |
ΣC | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 | Lokaler Tumorstatus (M05) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | Lymphknoten-Tumorstatus (M06) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | Fernmetastasen-Tumorstatus (M07) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| component:zweittumor |
SΣ | 0..1 | BackboneElement | Zweittumor diagnostiziert (M08) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://www.senologie.org/fhir/CodeSystem/cs-senologie-follow-up | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: zweittumor | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| value[x] |
Σ | 0..1 | CodeableConcept | Actual component result Binding: VS Senologie Zweittumor (required) | ||||
| 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 | |||||
| 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| 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 | VS Senologie Nachsorge Art | 📦0.9.0 | 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| 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 | 📦2026.0.3 | MII IG Onkologie v2026.0 |
| 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. |
| Observation.component:zweittumor.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component:zweittumor.value[x] | Base | required | VS Senologie Zweittumor | 📦0.9.0 | This IG |
| Observation.component:zweittumor.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component:zweittumor.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()
|
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high |
low.empty() or high.empty() or (low <= high)
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MII_PR_Onko_Verlauf
Other representations of profile: CSV, Excel, Schematron