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
Extension: Onkologische Therapieintention (Extension)
| Offizielle URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent | Version: 1.0.0-ballot | ||||
| Draft Stand: 2026-08-03 | Maschinenlesbarer Name: OnkoTherapyIntentExt | ||||
Strukturierte Codierung der Therapieintention über zwei Achsen:
hauptintention(Pflicht): die eigentliche Behandlungsintention (kurativ, palliativ, neoadjuvant, adjuvant, supportiv) – SNOMEDProcedure by intent.phase(optional, wiederholbar): die sequenzielle Behandlungsphase / Unter-Intention (Induktionstherapie, Erhaltungstherapie) – ergänzend zur Hauptintention.
So lässt sich z. B. „kurativ + Induktionsphase" gleichzeitig ausdrücken. Verwendet in
OnkoCarePlan, OnkoTherapyGoal und OnkoTherapyLine. Konzeptionell anschlussfähig an mCODE
procedure-intent.
Context of Use
-
Element ID:
CarePlan -
Element ID:
Goal -
Element ID:
EpisodeOfCare
This extension may be used on the following element(s)
Usage info
Usages:
- Use this Extension: Onkologischer CarePlan, Onkologisches Therapieziel and Onkologische Therapielinie
- Examples for this Extension: Bundle/BundleCRCPalliativ, Bundle/BundleMammaNeoadjuvant, CarePlan/CarePlanCRCPalliativ, EpisodeOfCare/TherapielinieCRCErstlinie... Show 7 more
You can also check for usages in the FHIR IG Statistics
Formale Ansichten des Extension-Inhalts
Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.
Diese Struktur ist abgeleitet von Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Onkologische Therapieintention (Extension) | |
  extension |
1..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:hauptintention |
S | 1..1 | Extension | Haupt-Therapieintention |
  extension |
0..0 | Extension | ||
| url |
1..1 | uri | "hauptintention" | |
  value[x] |
0..1 | CodeableConcept | Value of extension Binding: Onkologische Therapieintention (VS) (extensible) | |
 extension:phase |
S | 0..* | Extension | Therapiephase / Unter-Intention |
 extension |
0..0 | Extension | ||
| url |
1..1 | uri | "phase" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Onkologische Therapiephase / Unter-Intention (VS) (extensible) | |
| url |
1..1 | uri | "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" | |
 value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:hauptintention.value[x] | Base | extensible | Onkologische Therapieintention (VS) | 📦1.0.0-ballot | This IG |
| Extension.extension:phase.value[x] | Base | extensible | Onkologische Therapiephase / Unter-Intention (VS) | 📦1.0.0-ballot | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
 Extension |
0..* | Extension | Onkologische Therapieintention (Extension) | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:hauptintention |
S | 1..1 | Extension | Haupt-Therapieintention |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "hauptintention" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Onkologische Therapieintention (VS) (extensible) | |
| extension:phase |
S | 0..* | Extension | Therapiephase / Unter-Intention |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "phase" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Onkologische Therapiephase / Unter-Intention (VS) (extensible) | |
| url |
1..1 | uri | "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:hauptintention.value[x] | Base | extensible | Onkologische Therapieintention (VS) | 📦1.0.0-ballot | This IG |
| Extension.extension:phase.value[x] | Base | extensible | Onkologische Therapiephase / Unter-Intention (VS) | 📦1.0.0-ballot | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
Diese Struktur ist abgeleitet von Extension
Summary
Complex Extension: Strukturierte Codierung der Therapieintention über zwei Achsen:
hauptintention(Pflicht): die eigentliche Behandlungsintention (kurativ, palliativ, neoadjuvant, adjuvant, supportiv) – SNOMEDProcedure by intent.phase(optional, wiederholbar): die sequenzielle Behandlungsphase / Unter-Intention (Induktionstherapie, Erhaltungstherapie) – ergänzend zur Hauptintention.
procedure-intent.- hauptintention: CodeableConcept: Die eigentliche Behandlungsintention (kurativ, palliativ, neoadjuvant, adjuvant, supportiv).
- phase: CodeableConcept: Sequenzielle Behandlungsphase innerhalb des Konzepts (z. B. Induktions-, Erhaltungstherapie).
Differential-AnsichtDifferential View
Diese Struktur ist abgeleitet von Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Onkologische Therapieintention (Extension) | |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:hauptintention |
S | 1..1 | Extension | Haupt-Therapieintention |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "hauptintention" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Onkologische Therapieintention (VS) (extensible) | |
| extension:phase |
S | 0..* | Extension | Therapiephase / Unter-Intention |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "phase" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Onkologische Therapiephase / Unter-Intention (VS) (extensible) | |
| url |
1..1 | uri | "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:hauptintention.value[x] | Base | extensible | Onkologische Therapieintention (VS) | 📦1.0.0-ballot | This IG |
| Extension.extension:phase.value[x] | Base | extensible | Onkologische Therapiephase / Unter-Intention (VS) | 📦1.0.0-ballot | This IG |
Snapshot-Ansicht
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Onkologische Therapieintention (Extension) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:hauptintention |
S | 1..1 | Extension | Haupt-Therapieintention |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "hauptintention" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Onkologische Therapieintention (VS) (extensible) | |
| extension:phase |
S | 0..* | Extension | Therapiephase / Unter-Intention |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "phase" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Onkologische Therapiephase / Unter-Intention (VS) (extensible) | |
| url |
1..1 | uri | "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent" | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:hauptintention.value[x] | Base | extensible | Onkologische Therapieintention (VS) | 📦1.0.0-ballot | This IG |
| Extension.extension:phase.value[x] | Base | extensible | Onkologische Therapiephase / Unter-Intention (VS) | 📦1.0.0-ballot | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
Diese Struktur ist abgeleitet von Extension
Summary
Complex Extension: Strukturierte Codierung der Therapieintention über zwei Achsen:
hauptintention(Pflicht): die eigentliche Behandlungsintention (kurativ, palliativ, neoadjuvant, adjuvant, supportiv) – SNOMEDProcedure by intent.phase(optional, wiederholbar): die sequenzielle Behandlungsphase / Unter-Intention (Induktionstherapie, Erhaltungstherapie) – ergänzend zur Hauptintention.
procedure-intent.- hauptintention: CodeableConcept: Die eigentliche Behandlungsintention (kurativ, palliativ, neoadjuvant, adjuvant, supportiv).
- phase: CodeableConcept: Sequenzielle Behandlungsphase innerhalb des Konzepts (z. B. Induktions-, Erhaltungstherapie).
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