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

Offizielle URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line Version: 1.0.0-ballot
Draft Stand: 2026-08-03 Maschinenlesbarer Name: OnkoTherapyLine

Eine onkologische Therapielinie (Line of Therapy, LoT) auf Basis von EpisodeOfCare, EnLiST-konform. Eine Therapielinie ist ein fachliches Kontinuum mit definierter Intention und Tumorerkrankung, das durch ein klinisches Ereignis (Progress, Toxizität, Patientenwunsch, Studienende, geplanter Wechsel) beendet wird — und das organisatorisch in mehrere Episoden zerfallen kann, da EpisodeOfCare organisationsgebunden ist. Die EnLiST-Designation (enlist-lot) trägt je Linie genau eine führende Episode (main contributor); ausführende Einrichtungen dokumentieren eigene Episoden als Segmente (enlist-line-segment) mit gemeinsamer lineId. Bei gleichem Ort/Sektor fallen Führung und Ausführung in einer einzigen Episode zusammen. Die Verbindung zu einem OnkoCarePlan erfolgt über die Standard-Extension workflow-episodeOfCare.

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare C 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent S 1..1 (Complex) Therapieintention
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:medicationRequest S 0..* Reference(MedicationRequest) Medikationsverordnung
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
.... extension:lot SC 0..1 (Complex) EnLiST-LoT-Designation
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
Constraints: onko-enlist-2
.... extension:lineSegment S 0..1 Identifier EnLiST-Linien-Segment
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
.... extension:countable S 0..1 CodeableConcept EnLiST-Zählstatus
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable
Binding: EnLiST-Zählstatus (ValueSet) (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusHistory S 0..* BackboneElement Statusverlauf
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
.... period 1..1 Period Duration the EpisodeOfCare was in the specified status
... type SΣ 0..* CodeableConcept Art der Therapielinie
Binding: Onkologische Therapielinie – Art (VS) (extensible)
... diagnosis SΣ 1..* BackboneElement Diagnosebezug
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Onkologische Diagnose (Condition)) Diagnose
.... role SΣ 1..1 CodeableConcept Diagnoserolle
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: CC
...... display 1..1 string Representation defined by the system
Fixed Value: Chief complaint
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... rank SΣ 0..1 positiveInt Rangfolge
... patient SΣ 1..1 Reference(Patient) Patientin/Patient
... managingOrganization SΣ 0..1 Reference(Organization) Behandelnde Organisation
... period SΣ 1..1 Period Behandlungszeitraum
... referralRequest S 0..* Reference(ServiceRequest) Anforderung
... careManager S 0..1 Reference(Practitioner | PractitionerRole) Fallverantwortliche/r
... team S 0..* Reference(CareTeam) Behandlungsteam

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.type Base extensible Onkologische Therapielinie – Art (VS) 📦1.0.0-ballot This IG
EpisodeOfCare.diagnosis.​role Base preferred DiagnosisRole 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
onko-enlist-1 error EpisodeOfCare 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-2 warning EpisodeOfCare.extension:lot 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()
onko-enlist-3 error EpisodeOfCare 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 error EpisodeOfCare 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()

Diese Struktur ist abgeleitet von EpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare C 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent S 1..1 (Complex) Therapieintention
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:medicationRequest S 0..* Reference(MedicationRequest) Medikationsverordnung
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
.... extension:lot S 0..1 (Complex) EnLiST-LoT-Designation
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
.... extension:lineSegment S 0..1 Identifier EnLiST-Linien-Segment
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
.... extension:countable S 0..1 CodeableConcept EnLiST-Zählstatus
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable
Binding: EnLiST-Zählstatus (ValueSet) (required)
... status S 1..1 code Status
... statusHistory S 0..* BackboneElement Statusverlauf
... diagnosis S 1..* BackboneElement Diagnosebezug
.... condition S 1..1 Reference(Onkologische Diagnose (Condition)) Diagnose
.... role S 1..1 CodeableConcept Diagnoserolle
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: CC
...... display 1..1 string Representation defined by the system
Fixed Value: Chief complaint
.... rank S 0..1 positiveInt Rangfolge
... patient S 1..1 Reference(Patient) Patientin/Patient
... managingOrganization S 0..1 Reference(Organization) Behandelnde Organisation
... period S 1..1 Period Behandlungszeitraum
... referralRequest S 0..* Reference(ServiceRequest) Anforderung
... careManager S 0..1 Reference(Practitioner | PractitionerRole) Fallverantwortliche/r
... team S 0..* Reference(CareTeam) Behandlungsteam

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
EpisodeOfCare.type Base extensible Onkologische Therapielinie – Art (VS) 📦1.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
onko-enlist-1 error EpisodeOfCare 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 error EpisodeOfCare 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 error EpisodeOfCare 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()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare C 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent S 1..1 (Complex) Therapieintention
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:medicationRequest S 0..* Reference(MedicationRequest) Medikationsverordnung
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
.... extension:lot SC 0..1 (Complex) EnLiST-LoT-Designation
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
Constraints: onko-enlist-2
.... extension:lineSegment S 0..1 Identifier EnLiST-Linien-Segment
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
.... extension:countable S 0..1 CodeableConcept EnLiST-Zählstatus
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable
Binding: EnLiST-Zählstatus (ValueSet) (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
... status ?!SΣ 1..1 code Status
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... statusHistory S 0..* BackboneElement Statusverlauf
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
.... period 1..1 Period Duration the EpisodeOfCare was in the specified status
... type SΣ 0..* CodeableConcept Art der Therapielinie
Binding: Onkologische Therapielinie – Art (VS) (extensible)
... diagnosis SΣ 1..* BackboneElement Diagnosebezug
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Onkologische Diagnose (Condition)) Diagnose
.... role SΣ 1..1 CodeableConcept Diagnoserolle
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: CC
...... display 1..1 string Representation defined by the system
Fixed Value: Chief complaint
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... rank SΣ 0..1 positiveInt Rangfolge
... patient SΣ 1..1 Reference(Patient) Patientin/Patient
... managingOrganization SΣ 0..1 Reference(Organization) Behandelnde Organisation
... period SΣ 1..1 Period Behandlungszeitraum
... referralRequest S 0..* Reference(ServiceRequest) Anforderung
... careManager S 0..1 Reference(Practitioner | PractitionerRole) Fallverantwortliche/r
... team S 0..* Reference(CareTeam) Behandlungsteam
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.language Base preferred Common Languages 📍4.0.1 FHIR Std.
EpisodeOfCare.status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.type Base extensible Onkologische Therapielinie – Art (VS) 📦1.0.0-ballot This IG
EpisodeOfCare.diagnosis.​role Base preferred DiagnosisRole 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
onko-enlist-1 error EpisodeOfCare 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-2 warning EpisodeOfCare.extension:lot 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()
onko-enlist-3 error EpisodeOfCare 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 error EpisodeOfCare 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()

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare C 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent S 1..1 (Complex) Therapieintention
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:medicationRequest S 0..* Reference(MedicationRequest) Medikationsverordnung
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
.... extension:lot SC 0..1 (Complex) EnLiST-LoT-Designation
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
Constraints: onko-enlist-2
.... extension:lineSegment S 0..1 Identifier EnLiST-Linien-Segment
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
.... extension:countable S 0..1 CodeableConcept EnLiST-Zählstatus
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable
Binding: EnLiST-Zählstatus (ValueSet) (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusHistory S 0..* BackboneElement Statusverlauf
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
.... period 1..1 Period Duration the EpisodeOfCare was in the specified status
... type SΣ 0..* CodeableConcept Art der Therapielinie
Binding: Onkologische Therapielinie – Art (VS) (extensible)
... diagnosis SΣ 1..* BackboneElement Diagnosebezug
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Onkologische Diagnose (Condition)) Diagnose
.... role SΣ 1..1 CodeableConcept Diagnoserolle
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: CC
...... display 1..1 string Representation defined by the system
Fixed Value: Chief complaint
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... rank SΣ 0..1 positiveInt Rangfolge
... patient SΣ 1..1 Reference(Patient) Patientin/Patient
... managingOrganization SΣ 0..1 Reference(Organization) Behandelnde Organisation
... period SΣ 1..1 Period Behandlungszeitraum
... referralRequest S 0..* Reference(ServiceRequest) Anforderung
... careManager S 0..1 Reference(Practitioner | PractitionerRole) Fallverantwortliche/r
... team S 0..* Reference(CareTeam) Behandlungsteam

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.type Base extensible Onkologische Therapielinie – Art (VS) 📦1.0.0-ballot This IG
EpisodeOfCare.diagnosis.​role Base preferred DiagnosisRole 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
onko-enlist-1 error EpisodeOfCare 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-2 warning EpisodeOfCare.extension:lot 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()
onko-enlist-3 error EpisodeOfCare 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 error EpisodeOfCare 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()

Differential-Ansicht

Diese Struktur ist abgeleitet von EpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare C 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent S 1..1 (Complex) Therapieintention
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:medicationRequest S 0..* Reference(MedicationRequest) Medikationsverordnung
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
.... extension:lot S 0..1 (Complex) EnLiST-LoT-Designation
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
.... extension:lineSegment S 0..1 Identifier EnLiST-Linien-Segment
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
.... extension:countable S 0..1 CodeableConcept EnLiST-Zählstatus
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable
Binding: EnLiST-Zählstatus (ValueSet) (required)
... status S 1..1 code Status
... statusHistory S 0..* BackboneElement Statusverlauf
... diagnosis S 1..* BackboneElement Diagnosebezug
.... condition S 1..1 Reference(Onkologische Diagnose (Condition)) Diagnose
.... role S 1..1 CodeableConcept Diagnoserolle
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: CC
...... display 1..1 string Representation defined by the system
Fixed Value: Chief complaint
.... rank S 0..1 positiveInt Rangfolge
... patient S 1..1 Reference(Patient) Patientin/Patient
... managingOrganization S 0..1 Reference(Organization) Behandelnde Organisation
... period S 1..1 Period Behandlungszeitraum
... referralRequest S 0..* Reference(ServiceRequest) Anforderung
... careManager S 0..1 Reference(Practitioner | PractitionerRole) Fallverantwortliche/r
... team S 0..* Reference(CareTeam) Behandlungsteam

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
EpisodeOfCare.type Base extensible Onkologische Therapielinie – Art (VS) 📦1.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
onko-enlist-1 error EpisodeOfCare 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 error EpisodeOfCare 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 error EpisodeOfCare 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()

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare C 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent S 1..1 (Complex) Therapieintention
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:medicationRequest S 0..* Reference(MedicationRequest) Medikationsverordnung
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
.... extension:lot SC 0..1 (Complex) EnLiST-LoT-Designation
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
Constraints: onko-enlist-2
.... extension:lineSegment S 0..1 Identifier EnLiST-Linien-Segment
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
.... extension:countable S 0..1 CodeableConcept EnLiST-Zählstatus
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable
Binding: EnLiST-Zählstatus (ValueSet) (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
... status ?!SΣ 1..1 code Status
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... statusHistory S 0..* BackboneElement Statusverlauf
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
.... period 1..1 Period Duration the EpisodeOfCare was in the specified status
... type SΣ 0..* CodeableConcept Art der Therapielinie
Binding: Onkologische Therapielinie – Art (VS) (extensible)
... diagnosis SΣ 1..* BackboneElement Diagnosebezug
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Onkologische Diagnose (Condition)) Diagnose
.... role SΣ 1..1 CodeableConcept Diagnoserolle
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: CC
...... display 1..1 string Representation defined by the system
Fixed Value: Chief complaint
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... rank SΣ 0..1 positiveInt Rangfolge
... patient SΣ 1..1 Reference(Patient) Patientin/Patient
... managingOrganization SΣ 0..1 Reference(Organization) Behandelnde Organisation
... period SΣ 1..1 Period Behandlungszeitraum
... referralRequest S 0..* Reference(ServiceRequest) Anforderung
... careManager S 0..1 Reference(Practitioner | PractitionerRole) Fallverantwortliche/r
... team S 0..* Reference(CareTeam) Behandlungsteam
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.language Base preferred Common Languages 📍4.0.1 FHIR Std.
EpisodeOfCare.status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.type Base extensible Onkologische Therapielinie – Art (VS) 📦1.0.0-ballot This IG
EpisodeOfCare.diagnosis.​role Base preferred DiagnosisRole 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
onko-enlist-1 error EpisodeOfCare 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-2 warning EpisodeOfCare.extension:lot 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()
onko-enlist-3 error EpisodeOfCare 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 error EpisodeOfCare 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()

 

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