Implementierungsleitfaden Therapieziele Onkologie
1.0.0-ballot - Ballot
Germany
Implementierungsleitfaden Therapieziele Onkologie - Local Development build (v1.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft Stand: 2026-08-03 |
Definitionen für das TherapiezielDreieck logisches modell
Guidance on how to interpret the contents of this table can be foundhere
| 0. TherapiezielDreieck | |
| Definition | Logisches Modell der drei Kernkonzepte des Leitfadens und ihrer Beziehungen:
Das Ziel geht dem Plan voraus; der Plan verfolgt das Ziel ( |
| Short | Therapieziel-Dreieck (logisches Modell) |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. TherapiezielDreieck.patient | |
| Definition | Person, auf die sich Episoden, Ziele und Pläne beziehen (subject aller Ressourcen). |
| Short | Patientin/Patient |
| Control | 1..1 |
| Type | Reference |
| 4. TherapiezielDreieck.behandlungsepisode | |
| Definition | Abgegrenzter Versorgungsabschnitt mit eigener Intention: Therapielinie, Diagnostiklinie, Active Surveillance, Watchful Waiting u. a. |
| Short | Behandlungsepisode — wer behandelt |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 6. TherapiezielDreieck.behandlungsepisode.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 8. TherapiezielDreieck.behandlungsepisode.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.behandlungsepisode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 10. TherapiezielDreieck.behandlungsepisode.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 12. TherapiezielDreieck.behandlungsepisode.art | |
| Definition | Therapielinie (systemisch), lokoregionale Behandlungslinie, Diagnostiklinie, Active Surveillance, Watchful Waiting … (offen/extensible). |
| Short | Art der Episode |
| Control | 1..1 |
| Type | CodeableConcept |
| 14. TherapiezielDreieck.behandlungsepisode.intention | |
| Definition | Zweck der Episode: kurativ, neoadjuvant, adjuvant, palliativ, supportiv; bei Diagnostik der Informationsgewinn. |
| Short | Intention |
| Control | 1..1 |
| Type | CodeableConcept |
| 16. TherapiezielDreieck.behandlungsepisode.zeitraum | |
| Definition | Beginn und Ende des Versorgungsabschnitts. |
| Short | Zeitraum |
| Control | 0..1 |
| Type | Period |
| 18. TherapiezielDreieck.behandlungsepisode.verantwortlich | |
| Definition | Organisation bzw. Team, das die Episode führt (z. B. Tumorzentrum, betreuende Praxis). |
| Short | Verantwortliche Organisation |
| Control | 0..1 |
| Type | Reference |
| 20. TherapiezielDreieck.behandlungsepisode.status | |
| Definition | Lebenszyklus der Episode: geplant, aktiv, beendet. |
| Short | Status |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 22. TherapiezielDreieck.therapieziel | |
| Definition | Eigenständiges, dem Plan vorausgehendes Behandlungsziel; übergeordnet (strategische Intention) oder als Episodenziel. |
| Short | Therapieziel — was soll erreicht werden |
| Control | 1..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. TherapiezielDreieck.therapieziel.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 26. TherapiezielDreieck.therapieziel.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.therapieziel.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 28. TherapiezielDreieck.therapieziel.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 30. TherapiezielDreieck.therapieziel.ebene | |
| Definition | uebergeordnet (genau ein aktives Ziel der Intentions-Ära) oder episodenziel (optional, einem Behandlungsabschnitt zugeordnet). |
| Short | Zielebene |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 32. TherapiezielDreieck.therapieziel.zielart | |
| Definition | Heilung, Lebensverlängerung, Symptomkontrolle, Lebensqualität, Funktionserhalt. |
| Short | Zielart |
| Control | 1..1 |
| Type | CodeableConcept |
| 34. TherapiezielDreieck.therapieziel.beschreibung | |
| Definition | Klartext-Beschreibung des angestrebten Ziels. |
| Short | Zielbeschreibung |
| Control | 1..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. TherapiezielDreieck.therapieziel.adressierteErkrankung | |
| Definition | Erkrankung, auf die sich das Ziel bezieht (Tumorerkrankung bzw. chronische Grunderkrankung). |
| Short | Adressierte Erkrankung |
| Control | 0..* |
| Type | Reference |
| 38. TherapiezielDreieck.therapieziel.zielwert | |
| Definition | Messbarer angestrebter Zielzustand: woran gemessen wird, welcher Wert als erreicht gilt, bis wann. |
| Short | Zielwert |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 40. TherapiezielDreieck.therapieziel.zielwert.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 42. TherapiezielDreieck.therapieziel.zielwert.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.therapieziel.zielwert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 44. TherapiezielDreieck.therapieziel.zielwert.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 46. TherapiezielDreieck.therapieziel.zielwert.zielgroesse | |
| Definition | Woran die Zielerreichung gemessen wird — codiert (z. B. LOINC) oder als Text (Scores, PROMs). |
| Short | Zielgröße |
| Control | 1..1 |
| Type | CodeableConcept |
| 48. TherapiezielDreieck.therapieziel.zielwert.wert[x] | |
| Definition | Welcher Wert bzw. Wertebereich als erreicht gilt. |
| Short | Zielwert-Ausprägung |
| Control | 0..1 |
| Type | Choice of: Quantity, Range, CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 50. TherapiezielDreieck.therapieziel.zielwert.frist[x] | |
| Definition | Zeitpunkt bzw. Frist, bis zu der das Ziel erreicht sein soll. |
| Short | Frist |
| Control | 0..1 |
| Type | Choice of: date, Duration |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 52. TherapiezielDreieck.therapieziel.ergebnis | |
| Definition | Verlaufs-Beobachtungen, die die Zielerreichung evidenzieren; pro Ziel eigen, leer bis zur ersten Beobachtung. |
| Short | Ergebnis |
| Control | 0..* |
| Type | Reference |
| 54. TherapiezielDreieck.therapieziel.lebenszyklusStatus | |
| Definition | Warum bzw. ob die Zielverfolgung läuft oder endet: proposed, active, completed (nur bei Erfolg), cancelled … |
| Short | Lebenszyklus-Status |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. TherapiezielDreieck.therapieziel.erreichungsgrad | |
| Definition | in-progress, achieved, not-achieved, not-attainable (keine Trajektorie-Codes). |
| Short | Erreichungsgrad |
| Control | 0..1 |
| Type | CodeableConcept |
| 58. TherapiezielDreieck.therapieziel.beziehung | |
| Definition | Beziehung zu anderen Zielen der Behandlungs-Journey. |
| Short | Zielbeziehung |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 60. TherapiezielDreieck.therapieziel.beziehung.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 62. TherapiezielDreieck.therapieziel.beziehung.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.therapieziel.beziehung.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 64. TherapiezielDreieck.therapieziel.beziehung.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 66. TherapiezielDreieck.therapieziel.beziehung.art | |
| Definition | predecessor/successor (zeitliche Journey nach erfolgreichem Abschluss) oder replacement (Intentions-Pivot). |
| Short | Beziehungsart |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 68. TherapiezielDreieck.therapieziel.beziehung.ziel | |
| Definition | Das in Beziehung stehende Therapieziel. |
| Short | Bezogenes Ziel |
| Control | 1..1 |
| Type | Reference |
| 70. TherapiezielDreieck.versorgungsplan | |
| Definition | Empfehlungsliste des Tumorboards oder episodenspezifischer Plan tatsächlich erbrachter Versorgung. |
| Short | Versorgungsplan — was ist geplant |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 72. TherapiezielDreieck.versorgungsplan.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 74. TherapiezielDreieck.versorgungsplan.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.versorgungsplan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 76. TherapiezielDreieck.versorgungsplan.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 78. TherapiezielDreieck.versorgungsplan.planart | |
| Definition | empfehlung (Tumorboard-Empfehlungsliste) oder behandlung (episodenspezifischer Behandlungsplan). |
| Short | Planart |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 80. TherapiezielDreieck.versorgungsplan.verfolgtesZiel | |
| Definition | Therapieziel(e), die der Plan verfolgt — Verfolgungs-Referenz, kein Besitz; dasselbe Ziel kann von mehreren Plänen verfolgt werden. |
| Short | Verfolgtes Ziel |
| Control | 0..* |
| Type | Reference |
| 82. TherapiezielDreieck.versorgungsplan.episode | |
| Definition | Episode, in deren Rahmen der Plan umgesetzt wird. |
| Short | Behandlungsepisode |
| Control | 0..1 |
| Type | Reference |
| 84. TherapiezielDreieck.versorgungsplan.basiertAuf | |
| Definition | Ein Behandlungsplan erfüllt eine Empfehlung (Referenz auf den Empfehlungsplan). |
| Short | Basiert auf |
| Control | 0..1 |
| Type | Reference |
| 86. TherapiezielDreieck.versorgungsplan.massnahme | |
| Definition | Einzelne geplante bzw. empfohlene Maßnahme des Plans. |
| Short | Geplante Maßnahme |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 88. TherapiezielDreieck.versorgungsplan.massnahme.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 90. TherapiezielDreieck.versorgungsplan.massnahme.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.versorgungsplan.massnahme.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 92. TherapiezielDreieck.versorgungsplan.massnahme.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 94. TherapiezielDreieck.versorgungsplan.massnahme.typ | |
| Definition | prozedur (Operation, Bestrahlung, Diagnostik) oder medikation (Systemtherapie). |
| Short | Maßnahmentyp |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 96. TherapiezielDreieck.versorgungsplan.massnahme.anforderung | |
| Definition | Die zugehörige Anforderung (Prozedur- bzw. Medikations-Request). |
| Short | Anforderung |
| Control | 1..1 |
| Type | Reference |
Guidance on how to interpret the contents of this table can be foundhere
| 0. TherapiezielDreieck | |
| Definition | Logisches Modell der drei Kernkonzepte des Leitfadens und ihrer Beziehungen:
Das Ziel geht dem Plan voraus; der Plan verfolgt das Ziel ( |
| Short | Therapieziel-Dreieck (logisches Modell) |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. TherapiezielDreieck.patient | |
| Definition | Person, auf die sich Episoden, Ziele und Pläne beziehen (subject aller Ressourcen). |
| Short | Patientin/Patient |
| Control | 1..1 |
| Type | Reference |
| 4. TherapiezielDreieck.behandlungsepisode | |
| Definition | Abgegrenzter Versorgungsabschnitt mit eigener Intention: Therapielinie, Diagnostiklinie, Active Surveillance, Watchful Waiting u. a. |
| Short | Behandlungsepisode — wer behandelt |
| Control | 0..* |
| Type | BackboneElement |
| 6. TherapiezielDreieck.behandlungsepisode.art | |
| Definition | Therapielinie (systemisch), lokoregionale Behandlungslinie, Diagnostiklinie, Active Surveillance, Watchful Waiting … (offen/extensible). |
| Short | Art der Episode |
| Control | 1..1 |
| Type | CodeableConcept |
| 8. TherapiezielDreieck.behandlungsepisode.intention | |
| Definition | Zweck der Episode: kurativ, neoadjuvant, adjuvant, palliativ, supportiv; bei Diagnostik der Informationsgewinn. |
| Short | Intention |
| Control | 1..1 |
| Type | CodeableConcept |
| 10. TherapiezielDreieck.behandlungsepisode.zeitraum | |
| Definition | Beginn und Ende des Versorgungsabschnitts. |
| Short | Zeitraum |
| Control | 0..1 |
| Type | Period |
| 12. TherapiezielDreieck.behandlungsepisode.verantwortlich | |
| Definition | Organisation bzw. Team, das die Episode führt (z. B. Tumorzentrum, betreuende Praxis). |
| Short | Verantwortliche Organisation |
| Control | 0..1 |
| Type | Reference |
| 14. TherapiezielDreieck.behandlungsepisode.status | |
| Definition | Lebenszyklus der Episode: geplant, aktiv, beendet. |
| Short | Status |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. TherapiezielDreieck.therapieziel | |
| Definition | Eigenständiges, dem Plan vorausgehendes Behandlungsziel; übergeordnet (strategische Intention) oder als Episodenziel. |
| Short | Therapieziel — was soll erreicht werden |
| Control | 1..* |
| Type | BackboneElement |
| 18. TherapiezielDreieck.therapieziel.ebene | |
| Definition | uebergeordnet (genau ein aktives Ziel der Intentions-Ära) oder episodenziel (optional, einem Behandlungsabschnitt zugeordnet). |
| Short | Zielebene |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. TherapiezielDreieck.therapieziel.zielart | |
| Definition | Heilung, Lebensverlängerung, Symptomkontrolle, Lebensqualität, Funktionserhalt. |
| Short | Zielart |
| Control | 1..1 |
| Type | CodeableConcept |
| 22. TherapiezielDreieck.therapieziel.beschreibung | |
| Definition | Klartext-Beschreibung des angestrebten Ziels. |
| Short | Zielbeschreibung |
| Control | 1..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 24. TherapiezielDreieck.therapieziel.adressierteErkrankung | |
| Definition | Erkrankung, auf die sich das Ziel bezieht (Tumorerkrankung bzw. chronische Grunderkrankung). |
| Short | Adressierte Erkrankung |
| Control | 0..* |
| Type | Reference |
| 26. TherapiezielDreieck.therapieziel.zielwert | |
| Definition | Messbarer angestrebter Zielzustand: woran gemessen wird, welcher Wert als erreicht gilt, bis wann. |
| Short | Zielwert |
| Control | 0..* |
| Type | BackboneElement |
| 28. TherapiezielDreieck.therapieziel.zielwert.zielgroesse | |
| Definition | Woran die Zielerreichung gemessen wird — codiert (z. B. LOINC) oder als Text (Scores, PROMs). |
| Short | Zielgröße |
| Control | 1..1 |
| Type | CodeableConcept |
| 30. TherapiezielDreieck.therapieziel.zielwert.wert[x] | |
| Definition | Welcher Wert bzw. Wertebereich als erreicht gilt. |
| Short | Zielwert-Ausprägung |
| Control | 0..1 |
| Type | Choice of: Quantity, Range, CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 32. TherapiezielDreieck.therapieziel.zielwert.frist[x] | |
| Definition | Zeitpunkt bzw. Frist, bis zu der das Ziel erreicht sein soll. |
| Short | Frist |
| Control | 0..1 |
| Type | Choice of: date, Duration |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 34. TherapiezielDreieck.therapieziel.ergebnis | |
| Definition | Verlaufs-Beobachtungen, die die Zielerreichung evidenzieren; pro Ziel eigen, leer bis zur ersten Beobachtung. |
| Short | Ergebnis |
| Control | 0..* |
| Type | Reference |
| 36. TherapiezielDreieck.therapieziel.lebenszyklusStatus | |
| Definition | Warum bzw. ob die Zielverfolgung läuft oder endet: proposed, active, completed (nur bei Erfolg), cancelled … |
| Short | Lebenszyklus-Status |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 38. TherapiezielDreieck.therapieziel.erreichungsgrad | |
| Definition | in-progress, achieved, not-achieved, not-attainable (keine Trajektorie-Codes). |
| Short | Erreichungsgrad |
| Control | 0..1 |
| Type | CodeableConcept |
| 40. TherapiezielDreieck.therapieziel.beziehung | |
| Definition | Beziehung zu anderen Zielen der Behandlungs-Journey. |
| Short | Zielbeziehung |
| Control | 0..* |
| Type | BackboneElement |
| 42. TherapiezielDreieck.therapieziel.beziehung.art | |
| Definition | predecessor/successor (zeitliche Journey nach erfolgreichem Abschluss) oder replacement (Intentions-Pivot). |
| Short | Beziehungsart |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 44. TherapiezielDreieck.therapieziel.beziehung.ziel | |
| Definition | Das in Beziehung stehende Therapieziel. |
| Short | Bezogenes Ziel |
| Control | 1..1 |
| Type | Reference |
| 46. TherapiezielDreieck.versorgungsplan | |
| Definition | Empfehlungsliste des Tumorboards oder episodenspezifischer Plan tatsächlich erbrachter Versorgung. |
| Short | Versorgungsplan — was ist geplant |
| Control | 0..* |
| Type | BackboneElement |
| 48. TherapiezielDreieck.versorgungsplan.planart | |
| Definition | empfehlung (Tumorboard-Empfehlungsliste) oder behandlung (episodenspezifischer Behandlungsplan). |
| Short | Planart |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 50. TherapiezielDreieck.versorgungsplan.verfolgtesZiel | |
| Definition | Therapieziel(e), die der Plan verfolgt — Verfolgungs-Referenz, kein Besitz; dasselbe Ziel kann von mehreren Plänen verfolgt werden. |
| Short | Verfolgtes Ziel |
| Control | 0..* |
| Type | Reference |
| 52. TherapiezielDreieck.versorgungsplan.episode | |
| Definition | Episode, in deren Rahmen der Plan umgesetzt wird. |
| Short | Behandlungsepisode |
| Control | 0..1 |
| Type | Reference |
| 54. TherapiezielDreieck.versorgungsplan.basiertAuf | |
| Definition | Ein Behandlungsplan erfüllt eine Empfehlung (Referenz auf den Empfehlungsplan). |
| Short | Basiert auf |
| Control | 0..1 |
| Type | Reference |
| 56. TherapiezielDreieck.versorgungsplan.massnahme | |
| Definition | Einzelne geplante bzw. empfohlene Maßnahme des Plans. |
| Short | Geplante Maßnahme |
| Control | 0..* |
| Type | BackboneElement |
| 58. TherapiezielDreieck.versorgungsplan.massnahme.typ | |
| Definition | prozedur (Operation, Bestrahlung, Diagnostik) oder medikation (Systemtherapie). |
| Short | Maßnahmentyp |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 60. TherapiezielDreieck.versorgungsplan.massnahme.anforderung | |
| Definition | Die zugehörige Anforderung (Prozedur- bzw. Medikations-Request). |
| Short | Anforderung |
| Control | 1..1 |
| Type | Reference |
Guidance on how to interpret the contents of this table can be foundhere
| 0. TherapiezielDreieck | |
| Definition | Logisches Modell der drei Kernkonzepte des Leitfadens und ihrer Beziehungen:
Das Ziel geht dem Plan voraus; der Plan verfolgt das Ziel ( |
| Short | Therapieziel-Dreieck (logisches Modell) |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. TherapiezielDreieck.patient | |
| Definition | Person, auf die sich Episoden, Ziele und Pläne beziehen (subject aller Ressourcen). |
| Short | Patientin/Patient |
| Control | 1..1 |
| Type | Reference |
| 4. TherapiezielDreieck.behandlungsepisode | |
| Definition | Abgegrenzter Versorgungsabschnitt mit eigener Intention: Therapielinie, Diagnostiklinie, Active Surveillance, Watchful Waiting u. a. |
| Short | Behandlungsepisode — wer behandelt |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 6. TherapiezielDreieck.behandlungsepisode.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 8. TherapiezielDreieck.behandlungsepisode.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.behandlungsepisode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 10. TherapiezielDreieck.behandlungsepisode.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 12. TherapiezielDreieck.behandlungsepisode.art | |
| Definition | Therapielinie (systemisch), lokoregionale Behandlungslinie, Diagnostiklinie, Active Surveillance, Watchful Waiting … (offen/extensible). |
| Short | Art der Episode |
| Control | 1..1 |
| Type | CodeableConcept |
| 14. TherapiezielDreieck.behandlungsepisode.intention | |
| Definition | Zweck der Episode: kurativ, neoadjuvant, adjuvant, palliativ, supportiv; bei Diagnostik der Informationsgewinn. |
| Short | Intention |
| Control | 1..1 |
| Type | CodeableConcept |
| 16. TherapiezielDreieck.behandlungsepisode.zeitraum | |
| Definition | Beginn und Ende des Versorgungsabschnitts. |
| Short | Zeitraum |
| Control | 0..1 |
| Type | Period |
| 18. TherapiezielDreieck.behandlungsepisode.verantwortlich | |
| Definition | Organisation bzw. Team, das die Episode führt (z. B. Tumorzentrum, betreuende Praxis). |
| Short | Verantwortliche Organisation |
| Control | 0..1 |
| Type | Reference |
| 20. TherapiezielDreieck.behandlungsepisode.status | |
| Definition | Lebenszyklus der Episode: geplant, aktiv, beendet. |
| Short | Status |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 22. TherapiezielDreieck.therapieziel | |
| Definition | Eigenständiges, dem Plan vorausgehendes Behandlungsziel; übergeordnet (strategische Intention) oder als Episodenziel. |
| Short | Therapieziel — was soll erreicht werden |
| Control | 1..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. TherapiezielDreieck.therapieziel.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 26. TherapiezielDreieck.therapieziel.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.therapieziel.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 28. TherapiezielDreieck.therapieziel.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 30. TherapiezielDreieck.therapieziel.ebene | |
| Definition | uebergeordnet (genau ein aktives Ziel der Intentions-Ära) oder episodenziel (optional, einem Behandlungsabschnitt zugeordnet). |
| Short | Zielebene |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 32. TherapiezielDreieck.therapieziel.zielart | |
| Definition | Heilung, Lebensverlängerung, Symptomkontrolle, Lebensqualität, Funktionserhalt. |
| Short | Zielart |
| Control | 1..1 |
| Type | CodeableConcept |
| 34. TherapiezielDreieck.therapieziel.beschreibung | |
| Definition | Klartext-Beschreibung des angestrebten Ziels. |
| Short | Zielbeschreibung |
| Control | 1..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. TherapiezielDreieck.therapieziel.adressierteErkrankung | |
| Definition | Erkrankung, auf die sich das Ziel bezieht (Tumorerkrankung bzw. chronische Grunderkrankung). |
| Short | Adressierte Erkrankung |
| Control | 0..* |
| Type | Reference |
| 38. TherapiezielDreieck.therapieziel.zielwert | |
| Definition | Messbarer angestrebter Zielzustand: woran gemessen wird, welcher Wert als erreicht gilt, bis wann. |
| Short | Zielwert |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 40. TherapiezielDreieck.therapieziel.zielwert.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 42. TherapiezielDreieck.therapieziel.zielwert.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.therapieziel.zielwert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 44. TherapiezielDreieck.therapieziel.zielwert.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 46. TherapiezielDreieck.therapieziel.zielwert.zielgroesse | |
| Definition | Woran die Zielerreichung gemessen wird — codiert (z. B. LOINC) oder als Text (Scores, PROMs). |
| Short | Zielgröße |
| Control | 1..1 |
| Type | CodeableConcept |
| 48. TherapiezielDreieck.therapieziel.zielwert.wert[x] | |
| Definition | Welcher Wert bzw. Wertebereich als erreicht gilt. |
| Short | Zielwert-Ausprägung |
| Control | 0..1 |
| Type | Choice of: Quantity, Range, CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 50. TherapiezielDreieck.therapieziel.zielwert.frist[x] | |
| Definition | Zeitpunkt bzw. Frist, bis zu der das Ziel erreicht sein soll. |
| Short | Frist |
| Control | 0..1 |
| Type | Choice of: date, Duration |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 52. TherapiezielDreieck.therapieziel.ergebnis | |
| Definition | Verlaufs-Beobachtungen, die die Zielerreichung evidenzieren; pro Ziel eigen, leer bis zur ersten Beobachtung. |
| Short | Ergebnis |
| Control | 0..* |
| Type | Reference |
| 54. TherapiezielDreieck.therapieziel.lebenszyklusStatus | |
| Definition | Warum bzw. ob die Zielverfolgung läuft oder endet: proposed, active, completed (nur bei Erfolg), cancelled … |
| Short | Lebenszyklus-Status |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. TherapiezielDreieck.therapieziel.erreichungsgrad | |
| Definition | in-progress, achieved, not-achieved, not-attainable (keine Trajektorie-Codes). |
| Short | Erreichungsgrad |
| Control | 0..1 |
| Type | CodeableConcept |
| 58. TherapiezielDreieck.therapieziel.beziehung | |
| Definition | Beziehung zu anderen Zielen der Behandlungs-Journey. |
| Short | Zielbeziehung |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 60. TherapiezielDreieck.therapieziel.beziehung.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 62. TherapiezielDreieck.therapieziel.beziehung.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.therapieziel.beziehung.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 64. TherapiezielDreieck.therapieziel.beziehung.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 66. TherapiezielDreieck.therapieziel.beziehung.art | |
| Definition | predecessor/successor (zeitliche Journey nach erfolgreichem Abschluss) oder replacement (Intentions-Pivot). |
| Short | Beziehungsart |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 68. TherapiezielDreieck.therapieziel.beziehung.ziel | |
| Definition | Das in Beziehung stehende Therapieziel. |
| Short | Bezogenes Ziel |
| Control | 1..1 |
| Type | Reference |
| 70. TherapiezielDreieck.versorgungsplan | |
| Definition | Empfehlungsliste des Tumorboards oder episodenspezifischer Plan tatsächlich erbrachter Versorgung. |
| Short | Versorgungsplan — was ist geplant |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 72. TherapiezielDreieck.versorgungsplan.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 74. TherapiezielDreieck.versorgungsplan.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.versorgungsplan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 76. TherapiezielDreieck.versorgungsplan.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 78. TherapiezielDreieck.versorgungsplan.planart | |
| Definition | empfehlung (Tumorboard-Empfehlungsliste) oder behandlung (episodenspezifischer Behandlungsplan). |
| Short | Planart |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 80. TherapiezielDreieck.versorgungsplan.verfolgtesZiel | |
| Definition | Therapieziel(e), die der Plan verfolgt — Verfolgungs-Referenz, kein Besitz; dasselbe Ziel kann von mehreren Plänen verfolgt werden. |
| Short | Verfolgtes Ziel |
| Control | 0..* |
| Type | Reference |
| 82. TherapiezielDreieck.versorgungsplan.episode | |
| Definition | Episode, in deren Rahmen der Plan umgesetzt wird. |
| Short | Behandlungsepisode |
| Control | 0..1 |
| Type | Reference |
| 84. TherapiezielDreieck.versorgungsplan.basiertAuf | |
| Definition | Ein Behandlungsplan erfüllt eine Empfehlung (Referenz auf den Empfehlungsplan). |
| Short | Basiert auf |
| Control | 0..1 |
| Type | Reference |
| 86. TherapiezielDreieck.versorgungsplan.massnahme | |
| Definition | Einzelne geplante bzw. empfohlene Maßnahme des Plans. |
| Short | Geplante Maßnahme |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 88. TherapiezielDreieck.versorgungsplan.massnahme.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 90. TherapiezielDreieck.versorgungsplan.massnahme.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on TherapiezielDreieck.versorgungsplan.massnahme.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 92. TherapiezielDreieck.versorgungsplan.massnahme.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 94. TherapiezielDreieck.versorgungsplan.massnahme.typ | |
| Definition | prozedur (Operation, Bestrahlung, Diagnostik) oder medikation (Systemtherapie). |
| Short | Maßnahmentyp |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 96. TherapiezielDreieck.versorgungsplan.massnahme.anforderung | |
| Definition | Die zugehörige Anforderung (Prozedur- bzw. Medikations-Request). |
| Short | Anforderung |
| Control | 1..1 |
| Type | Reference |