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

Ressourcenprofil: Onkologische Therapielinie - Detaillierte Beschreibungen

Draft Stand: 2026-08-03

Definitionen für das onko-therapy-line ressourcenprofil

Guidance on how to interpret the contents of this table can be foundhere

0. EpisodeOfCare
Definition

An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.

ShortAn association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesCase Program Problem
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
onko-enlist-1: Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist. (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() implies extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists())
onko-enlist-3: Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode). (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists() implies (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment').exists()))
onko-enlist-4: enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen. ((extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() and extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment').exists()).not())
2. EpisodeOfCare.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. EpisodeOfCare.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. 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.

ShortExtensionAdditional 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.

Control10..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on EpisodeOfCare.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. EpisodeOfCare.extension:therapyIntent
    Slice NametherapyIntent
    Definition

    Strukturierte Therapieintention der Behandlungslinie – Hauptintention und optionale Behandlungsphase.

    ShortTherapieintention
    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Onkologische Therapieintention (Extension)) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-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())
    8. EpisodeOfCare.extension:medicationRequest
    Slice NamemedicationRequest
    Definition

    Referenz auf Medikationsverordnungen, die den Anlass für diese Therapielinie bilden – Ergänzung zu referralRequest, das auf ServiceRequest beschränkt ist.

    ShortMedikationsverordnung
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(Therapielinie – Medikationsverordnung (Extension)) (Extension Type: Reference(MedicationRequest))
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-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())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. EpisodeOfCare.extension:lot
    Slice Namelot
    Definition

    X.Y-Designation je Setting-Achse — eLoT, aLoT oder iLoT — nach EnLiST.

    ShortEnLiST-LoT-Designation
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(EnLiST-LoT-Designation (Extension)) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-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())
    onko-enlist-2: Die notation (falls vorhanden) muss aus setting, line und modification zusammengesetzt sein (z. B. 'eLoT 1.0'). (extension.where(url = 'notation').exists() implies extension.where(url = 'notation').value = extension.where(url = 'setting').value.ofType(CodeableConcept).coding.first().code + ' ' + extension.where(url = 'line').value.toString() + '.' + extension.where(url = 'modification').value.toString())
    12. EpisodeOfCare.extension:lineSegment
    Slice NamelineSegment
    Definition

    Segment-Marker einer ausführenden Einrichtung — gemeinsame lineId, keine eigene Designation.

    ShortEnLiST-Linien-Segment
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(EnLiST-Linien-Segment (Extension)) (Extension Type: Identifier)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-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())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. EpisodeOfCare.extension:countable
    Slice Namecountable
    Definition

    Zählstatus nach EnLiST — counted oder not-counted.

    ShortEnLiST-Zählstatus
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(EnLiST-Zählstatus (Extension)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-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())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. EpisodeOfCare.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to 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).

    ShortExtensions that cannot be ignored
    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    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 Namesextensions, user content
    Invariantsele-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())
    18. EpisodeOfCare.status
    Definition

    Status der Therapielinie – z. B. active, onhold, finished, cancelled.


    planned | waitlist | active | onhold | finished | cancelled.

    ShortStatusplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
    Comments

    This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.

    Control1..1
    BindingThe codes SHALL be taken from EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1)

    The status of the episode of care.

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. EpisodeOfCare.statusHistory
    Definition

    Historie der Statuswechsel der Therapielinie mit jeweiligem Zeitraum.


    The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).

    ShortStatusverlaufPast list of status codes (the current status may be included to cover the start date of the status)
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. EpisodeOfCare.statusHistory.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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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())
    24. EpisodeOfCare.statusHistory.status
    Definition

    planned | waitlist | active | onhold | finished | cancelled.

    Shortplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
    Control1..1
    BindingThe codes SHALL be taken from EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1)

    The status of the episode of care.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. EpisodeOfCare.statusHistory.period
    Definition

    The period during this EpisodeOfCare that the specific status applied.

    ShortDuration the EpisodeOfCare was in the specified status
    Control1..1
    TypePeriod
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. EpisodeOfCare.type
    Definition

    Behandlungsmodalität der Therapielinie – z. B. ambulante Chemotherapie, Bestrahlung, Immun- oder Hormontherapie.


    A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.

    ShortArt der TherapielinieType/class - e.g. specialist referral, disease management
    Comments

    The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.

    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see Onkologische Therapielinie – Art (VS)http://hl7.org/fhir/ValueSet/episodeofcare-type|4.0.1
    (extensible to https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-therapy-line-type)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. EpisodeOfCare.diagnosis
    Definition

    Der Therapielinie zugrunde liegende Tumordiagnose bzw. Tumordiagnosen.


    The list of diagnosis relevant to this episode of care.

    ShortDiagnosebezugThe list of diagnosis relevant to this episode of care
    Control10..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. EpisodeOfCare.diagnosis.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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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())
    34. EpisodeOfCare.diagnosis.condition
    Definition

    Referenz auf die adressierte Tumorerkrankung OnkoCondition.


    A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.

    ShortDiagnoseConditions/problems/diagnoses this episode of care is for
    Control1..1
    TypeReference(Onkologische Diagnose (Condition), Condition)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. EpisodeOfCare.diagnosis.role
    Definition

    Rolle der Diagnose in dieser Episode – fest auf chief complaint als Hauptbehandlungsgrund.


    Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).

    ShortDiagnoserolleRole that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
    Control10..1
    BindingThe codes SHOULD be taken from DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1
    (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1)

    The type of diagnosis this condition represents.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Pattern Value{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
        "code" : "CC",
        "display" : "Chief complaint"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. EpisodeOfCare.diagnosis.rank
    Definition

    Rangfolge der Diagnose bei mehreren Diagnosen.


    Ranking of the diagnosis (for each role type).

    ShortRangfolgeRanking of the diagnosis (for each role type)
    Control0..1
    TypepositiveInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. EpisodeOfCare.patient
    Definition

    Person, die in dieser Therapielinie behandelt wird.


    The patient who is the focus of this episode of care.

    ShortPatientin/PatientThe patient who is the focus of this episode of care
    Control1..1
    TypeReference(Patient)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. EpisodeOfCare.managingOrganization
    Definition

    Organisation, die diese Episode of Care – die Therapielinie – verantwortlich behandelt bzw. steuert.


    The organization that has assumed the specific responsibilities for the specified duration.

    ShortBehandelnde OrganisationOrganization that assumes care
    Control0..1
    TypeReference(Organization)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. EpisodeOfCare.period
    Definition

    Zeitraum der Therapielinie von Beginn bis Ende des Behandlungsabschnitts.


    The interval during which the managing organization assumes the defined responsibility.

    ShortBehandlungszeitraumInterval during responsibility is assumed
    Control10..1
    TypePeriod
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. EpisodeOfCare.referralRequest
    Definition

    Der Therapielinie zugrunde liegende Anforderung oder Anforderungen, z. B. Überweisung oder Prozedur-Anforderung.


    Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.

    ShortAnforderungOriginating Referral Request(s)
    Control0..*
    TypeReference(ServiceRequest)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. EpisodeOfCare.careManager
    Definition

    Für die Therapielinie fallverantwortliche behandelnde Person.


    The practitioner that is the care manager/care coordinator for this patient.

    ShortFallverantwortliche/rCare manager/care coordinator for the patient
    Control0..1
    TypeReference(Practitioner, PractitionerRole)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. EpisodeOfCare.team
    Definition

    An der Therapielinie beteiligtes Versorgungsteam, z. B. Tumorboard.


    The list of practitioners that may be facilitating this episode of care for specific purposes.

    ShortBehandlungsteamOther practitioners facilitating this episode of care
    Control0..*
    TypeReference(CareTeam)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Alternate NamesCareTeam
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. EpisodeOfCare
    Invariantsonko-enlist-1: Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist. (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() implies extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists())
    onko-enlist-3: Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode). (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists() implies (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment').exists()))
    onko-enlist-4: enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen. ((extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() and extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment').exists()).not())
    2. EpisodeOfCare.extension
    Control1..?
    SlicingThis element introduces a set of slices on EpisodeOfCare.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. EpisodeOfCare.extension:therapyIntent
      Slice NametherapyIntent
      Definition

      Strukturierte Therapieintention der Behandlungslinie – Hauptintention und optionale Behandlungsphase.

      ShortTherapieintention
      Control1..1
      TypeExtension(Onkologische Therapieintention (Extension)) (Complex Extension)
      Must Supporttrue
      6. EpisodeOfCare.extension:medicationRequest
      Slice NamemedicationRequest
      Definition

      Referenz auf Medikationsverordnungen, die den Anlass für diese Therapielinie bilden – Ergänzung zu referralRequest, das auf ServiceRequest beschränkt ist.

      ShortMedikationsverordnung
      Control0..*
      TypeExtension(Therapielinie – Medikationsverordnung (Extension)) (Extension Type: Reference(MedicationRequest))
      Must Supporttrue
      8. EpisodeOfCare.extension:lot
      Slice Namelot
      Definition

      X.Y-Designation je Setting-Achse — eLoT, aLoT oder iLoT — nach EnLiST.

      ShortEnLiST-LoT-Designation
      Control0..1
      TypeExtension(EnLiST-LoT-Designation (Extension)) (Complex Extension)
      Must Supporttrue
      10. EpisodeOfCare.extension:lineSegment
      Slice NamelineSegment
      Definition

      Segment-Marker einer ausführenden Einrichtung — gemeinsame lineId, keine eigene Designation.

      ShortEnLiST-Linien-Segment
      Control0..1
      TypeExtension(EnLiST-Linien-Segment (Extension)) (Extension Type: Identifier)
      Must Supporttrue
      12. EpisodeOfCare.extension:countable
      Slice Namecountable
      Definition

      Zählstatus nach EnLiST — counted oder not-counted.

      ShortEnLiST-Zählstatus
      Control0..1
      TypeExtension(EnLiST-Zählstatus (Extension)) (Extension Type: CodeableConcept)
      Must Supporttrue
      14. EpisodeOfCare.status
      Definition

      Status der Therapielinie – z. B. active, onhold, finished, cancelled.

      ShortStatus
      Must Supporttrue
      16. EpisodeOfCare.statusHistory
      Definition

      Historie der Statuswechsel der Therapielinie mit jeweiligem Zeitraum.

      ShortStatusverlauf
      Must Supporttrue
      18. EpisodeOfCare.type
      Definition

      Behandlungsmodalität der Therapielinie – z. B. ambulante Chemotherapie, Bestrahlung, Immun- oder Hormontherapie.

      ShortArt der Therapielinie
      BindingUnless not suitable, these codes SHALL be taken from Onkologische Therapielinie – Art (VS)
      (extensible to https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-therapy-line-type)
      Must Supporttrue
      20. EpisodeOfCare.diagnosis
      Definition

      Der Therapielinie zugrunde liegende Tumordiagnose bzw. Tumordiagnosen.

      ShortDiagnosebezug
      Control1..?
      Must Supporttrue
      22. EpisodeOfCare.diagnosis.condition
      Definition

      Referenz auf die adressierte Tumorerkrankung OnkoCondition.

      ShortDiagnose
      TypeReference(Onkologische Diagnose (Condition))
      Must Supporttrue
      24. EpisodeOfCare.diagnosis.role
      Definition

      Rolle der Diagnose in dieser Episode – fest auf chief complaint als Hauptbehandlungsgrund.

      ShortDiagnoserolle
      Control1..?
      Must Supporttrue
      Pattern Value{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code" : "CC",
          "display" : "Chief complaint"
        }]
      }
      26. EpisodeOfCare.diagnosis.rank
      Definition

      Rangfolge der Diagnose bei mehreren Diagnosen.

      ShortRangfolge
      Must Supporttrue
      28. EpisodeOfCare.patient
      Definition

      Person, die in dieser Therapielinie behandelt wird.

      ShortPatientin/Patient
      Must Supporttrue
      30. EpisodeOfCare.managingOrganization
      Definition

      Organisation, die diese Episode of Care – die Therapielinie – verantwortlich behandelt bzw. steuert.

      ShortBehandelnde Organisation
      Must Supporttrue
      32. EpisodeOfCare.period
      Definition

      Zeitraum der Therapielinie von Beginn bis Ende des Behandlungsabschnitts.

      ShortBehandlungszeitraum
      Control1..?
      Must Supporttrue
      34. EpisodeOfCare.referralRequest
      Definition

      Der Therapielinie zugrunde liegende Anforderung oder Anforderungen, z. B. Überweisung oder Prozedur-Anforderung.

      ShortAnforderung
      Must Supporttrue
      36. EpisodeOfCare.careManager
      Definition

      Für die Therapielinie fallverantwortliche behandelnde Person.

      ShortFallverantwortliche/r
      Must Supporttrue
      38. EpisodeOfCare.team
      Definition

      An der Therapielinie beteiligtes Versorgungsteam, z. B. Tumorboard.

      ShortBehandlungsteam
      Must Supporttrue

      Guidance on how to interpret the contents of this table can be foundhere

      0. EpisodeOfCare
      Definition

      An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.

      ShortAn association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate NamesCase Program Problem
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      onko-enlist-1: Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist. (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() implies extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists())
      onko-enlist-3: Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode). (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists() implies (extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment').exists()))
      onko-enlist-4: enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen. ((extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot').exists() and extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment').exists()).not())
      2. EpisodeOfCare.id
      Definition

      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      ShortLogical id of this artifact
      Comments

      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

      Control0..1
      Typeid
      Is Modifierfalse
      Summarytrue
      4. EpisodeOfCare.meta
      Definition

      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. EpisodeOfCare.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. EpisodeOfCare.language
      Definition

      The base language in which the resource is written.

      ShortLanguage of the resource content
      Comments

      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. EpisodeOfCare.text
      Definition

      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      ShortText summary of the resource, for human interpretation
      Comments

      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. EpisodeOfCare.contained
      Definition

      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

      ShortContained, inline Resources
      Comments

      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

      Control0..*
      TypeResource
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      14. EpisodeOfCare.extension
      Definition

      An Extension

      ShortExtension
      Control1..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-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())
      SlicingThis element introduces a set of slices on EpisodeOfCare.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. EpisodeOfCare.extension:therapyIntent
        Slice NametherapyIntent
        Definition

        Strukturierte Therapieintention der Behandlungslinie – Hauptintention und optionale Behandlungsphase.

        ShortTherapieintention
        Control1..1
        This element is affected by the following invariants: ele-1
        TypeExtension(Onkologische Therapieintention (Extension)) (Complex Extension)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-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())
        18. EpisodeOfCare.extension:medicationRequest
        Slice NamemedicationRequest
        Definition

        Referenz auf Medikationsverordnungen, die den Anlass für diese Therapielinie bilden – Ergänzung zu referralRequest, das auf ServiceRequest beschränkt ist.

        ShortMedikationsverordnung
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(Therapielinie – Medikationsverordnung (Extension)) (Extension Type: Reference(MedicationRequest))
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-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())
        20. EpisodeOfCare.extension:lot
        Slice Namelot
        Definition

        X.Y-Designation je Setting-Achse — eLoT, aLoT oder iLoT — nach EnLiST.

        ShortEnLiST-LoT-Designation
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(EnLiST-LoT-Designation (Extension)) (Complex Extension)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-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())
        onko-enlist-2: Die notation (falls vorhanden) muss aus setting, line und modification zusammengesetzt sein (z. B. 'eLoT 1.0'). (extension.where(url = 'notation').exists() implies extension.where(url = 'notation').value = extension.where(url = 'setting').value.ofType(CodeableConcept).coding.first().code + ' ' + extension.where(url = 'line').value.toString() + '.' + extension.where(url = 'modification').value.toString())
        22. EpisodeOfCare.extension:lineSegment
        Slice NamelineSegment
        Definition

        Segment-Marker einer ausführenden Einrichtung — gemeinsame lineId, keine eigene Designation.

        ShortEnLiST-Linien-Segment
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(EnLiST-Linien-Segment (Extension)) (Extension Type: Identifier)
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-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())
        24. EpisodeOfCare.extension:countable
        Slice Namecountable
        Definition

        Zählstatus nach EnLiST — counted oder not-counted.

        ShortEnLiST-Zählstatus
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(EnLiST-Zählstatus (Extension)) (Extension Type: CodeableConcept)
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-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())
        26. EpisodeOfCare.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to 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).

        ShortExtensions that cannot be ignored
        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        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 Namesextensions, user content
        Invariantsele-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())
        28. EpisodeOfCare.identifier
        Definition

        The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.

        ShortBusiness Identifier(s) relevant for this EpisodeOfCare
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        TypeIdentifier
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. EpisodeOfCare.status
        Definition

        Status der Therapielinie – z. B. active, onhold, finished, cancelled.

        ShortStatus
        Comments

        This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.

        Control1..1
        BindingThe codes SHALL be taken from EpisodeOfCareStatus
        (required to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1)

        The status of the episode of care.

        Typecode
        Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. EpisodeOfCare.statusHistory
        Definition

        Historie der Statuswechsel der Therapielinie mit jeweiligem Zeitraum.

        ShortStatusverlauf
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. EpisodeOfCare.statusHistory.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        36. EpisodeOfCare.statusHistory.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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        38. EpisodeOfCare.statusHistory.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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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())
        40. EpisodeOfCare.statusHistory.status
        Definition

        planned | waitlist | active | onhold | finished | cancelled.

        Shortplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
        Control1..1
        BindingThe codes SHALL be taken from EpisodeOfCareStatus
        (required to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1)

        The status of the episode of care.

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        42. EpisodeOfCare.statusHistory.period
        Definition

        The period during this EpisodeOfCare that the specific status applied.

        ShortDuration the EpisodeOfCare was in the specified status
        Control1..1
        TypePeriod
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. EpisodeOfCare.type
        Definition

        Behandlungsmodalität der Therapielinie – z. B. ambulante Chemotherapie, Bestrahlung, Immun- oder Hormontherapie.

        ShortArt der Therapielinie
        Comments

        The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.

        Control0..*
        BindingUnless not suitable, these codes SHALL be taken from Onkologische Therapielinie – Art (VS)
        (extensible to https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-therapy-line-type)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. EpisodeOfCare.diagnosis
        Definition

        Der Therapielinie zugrunde liegende Tumordiagnose bzw. Tumordiagnosen.

        ShortDiagnosebezug
        Control1..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. EpisodeOfCare.diagnosis.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        50. EpisodeOfCare.diagnosis.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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        52. EpisodeOfCare.diagnosis.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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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())
        54. EpisodeOfCare.diagnosis.condition
        Definition

        Referenz auf die adressierte Tumorerkrankung OnkoCondition.

        ShortDiagnose
        Control1..1
        TypeReference(Onkologische Diagnose (Condition))
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. EpisodeOfCare.diagnosis.role
        Definition

        Rolle der Diagnose in dieser Episode – fest auf chief complaint als Hauptbehandlungsgrund.

        ShortDiagnoserolle
        Control1..1
        BindingThe codes SHOULD be taken from DiagnosisRole
        (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1)

        The type of diagnosis this condition represents.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
            "code" : "CC",
            "display" : "Chief complaint"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. EpisodeOfCare.diagnosis.rank
        Definition

        Rangfolge der Diagnose bei mehreren Diagnosen.

        ShortRangfolge
        Control0..1
        TypepositiveInt
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. EpisodeOfCare.patient
        Definition

        Person, die in dieser Therapielinie behandelt wird.

        ShortPatientin/Patient
        Control1..1
        TypeReference(Patient)
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. EpisodeOfCare.managingOrganization
        Definition

        Organisation, die diese Episode of Care – die Therapielinie – verantwortlich behandelt bzw. steuert.

        ShortBehandelnde Organisation
        Control0..1
        TypeReference(Organization)
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. EpisodeOfCare.period
        Definition

        Zeitraum der Therapielinie von Beginn bis Ende des Behandlungsabschnitts.

        ShortBehandlungszeitraum
        Control1..1
        TypePeriod
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. EpisodeOfCare.referralRequest
        Definition

        Der Therapielinie zugrunde liegende Anforderung oder Anforderungen, z. B. Überweisung oder Prozedur-Anforderung.

        ShortAnforderung
        Control0..*
        TypeReference(ServiceRequest)
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. EpisodeOfCare.careManager
        Definition

        Für die Therapielinie fallverantwortliche behandelnde Person.

        ShortFallverantwortliche/r
        Control0..1
        TypeReference(Practitioner, PractitionerRole)
        Is Modifierfalse
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. EpisodeOfCare.team
        Definition

        An der Therapielinie beteiligtes Versorgungsteam, z. B. Tumorboard.

        ShortBehandlungsteam
        Control0..*
        TypeReference(CareTeam)
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Alternate NamesCareTeam
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        72. EpisodeOfCare.account
        Definition

        The set of accounts that may be used for billing for this EpisodeOfCare.

        ShortThe set of accounts that may be used for billing for this EpisodeOfCare
        Comments

        The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.

        Control0..*
        TypeReference(Account)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))