<status value="draft"/> <date value="2026-08-03T05:20:25+00:00"/> <publisher value="Berlin Institute of Health at Charité (BIH)"/> <contact> <name value="Berlin Institute of Health at Charité (BIH)"/> <telecom> <system value="url"/> <value value="https://www.bihealth.org"/> </telecom> </contact> <description value="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`."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="DE"/> <display value="Germany"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="EpisodeOfCare"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="EpisodeOfCare"> <path value="EpisodeOfCare"/> <short value="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"/> <definition value="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."/> <alias value="Case Program Problem"/> <min value="0"/> <max value="*"/> <base> <path value="EpisodeOfCare"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="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()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="onko-enlist-1"/> <severity value="error"/> <human value="Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist."/> <expression value="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()"/> <source value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line"/> </constraint> <constraint> <key value="onko-enlist-3"/> <severity value="error"/> <human value="Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode)."/> <expression value="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())"/> <source value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line"/> </constraint> <constraint> <key value="onko-enlist-4"/> <severity value="error"/> <human value="enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen."/> <expression value="(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()"/> <source value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="EpisodeOfCare.id"> <path value="EpisodeOfCare.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="EpisodeOfCare.meta"> <path value="EpisodeOfCare.meta"/> <short value="Metadata about the resource"/> <definition value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="EpisodeOfCare.implicitRules"> <path value="EpisodeOfCare.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="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."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="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"/> <isSummary value="true"/> </element> <element id="EpisodeOfCare.language"> <path value="EpisodeOfCare.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/> </binding> </element> <element id="EpisodeOfCare.text"> <path value="EpisodeOfCare.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="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."/> <comment value="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."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="EpisodeOfCare.contained"> <path value="EpisodeOfCare.contained"/> <short value="Contained, inline Resources"/> <definition value="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."/> <comment value="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."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="EpisodeOfCare.extension"> <path value="EpisodeOfCare.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="1"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="EpisodeOfCare.extension:therapyIntent"> <path value="EpisodeOfCare.extension"/> <sliceName value="therapyIntent"/> <short value="Therapieintention"/> <definition value="Strukturierte Therapieintention der Behandlungslinie – Hauptintention und optionale Behandlungsphase."/> <min value="1"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="EpisodeOfCare.extension:medicationRequest"> <path value="EpisodeOfCare.extension"/> <sliceName value="medicationRequest"/> <short value="Medikationsverordnung"/> <definition value="Referenz auf Medikationsverordnungen, die den Anlass für diese Therapielinie bilden – Ergänzung zu referralRequest, das auf ServiceRequest beschränkt ist."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="EpisodeOfCare.extension:lot"> <path value="EpisodeOfCare.extension"/> <sliceName value="lot"/> <short value="EnLiST-LoT-Designation"/> <definition value="X.Y-Designation je Setting-Achse — eLoT, aLoT oder iLoT — nach EnLiST."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <constraint> <key value="onko-enlist-2"/> <severity value="warning"/> <human value="Die notation (falls vorhanden) muss aus setting, line und modification zusammengesetzt sein (z. B. 'eLoT 1.0')."/> <expression value="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()"/> <source value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="EpisodeOfCare.extension:lineSegment"> <path value="EpisodeOfCare.extension"/> <sliceName value="lineSegment"/> <short value="EnLiST-Linien-Segment"/> <definition value="Segment-Marker einer ausführenden Einrichtung — gemeinsame lineId, keine eigene Designation."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="EpisodeOfCare.extension:countable"> <path value="EpisodeOfCare.extension"/> <sliceName value="countable"/> <short value="EnLiST-Zählstatus"/> <definition value="Zählstatus nach EnLiST — counted oder not-counted."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="EpisodeOfCare.modifierExtension"> <path value="EpisodeOfCare.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="EpisodeOfCare.identifier"> <path value="EpisodeOfCare.identifier"/> <short value="Business Identifier(s) relevant for this EpisodeOfCare"/> <definition value="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."/> <min value="0"/> <max value="*"/> <base> <path value="EpisodeOfCare.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> </element> <element id="EpisodeOfCare.status"> <path value="EpisodeOfCare.status"/> <short value="Status"/> <definition value="Status der Therapielinie – z. B. active, onhold, finished, cancelled."/> <comment value="This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid."/> <min value="1"/> <max value="1"/> <base> <path value="EpisodeOfCare.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="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"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="EpisodeOfCareStatus"/> </extension> <strength value="required"/> <description value="The status of the episode of care."/> <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> </element> <element id="EpisodeOfCare.statusHistory"> <path value="EpisodeOfCare.statusHistory"/> <short value="Statusverlauf"/> <definition value="Historie der Statuswechsel der Therapielinie mit jeweiligem Zeitraum."/> <min value="0"/> <max value="*"/> <base> <path value="EpisodeOfCare.statusHistory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="EpisodeOfCare.statusHistory.id"> <path value="EpisodeOfCare.statusHistory.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="EpisodeOfCare.statusHistory.extension"> <path value="EpisodeOfCare.statusHistory.extension"/> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="EpisodeOfCare.statusHistory.modifierExtension"> <path value="EpisodeOfCare.statusHistory.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="EpisodeOfCare.statusHistory.status"> <path value="EpisodeOfCare.statusHistory.status"/> <short value="planned | waitlist | active | onhold | finished | cancelled | entered-in-error"/> <definition value="planned | waitlist | active | onhold | finished | cancelled."/> <min value="1"/> <max value="1"/> <base> <path value="EpisodeOfCare.statusHistory.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="EpisodeOfCareStatus"/> </extension> <strength value="required"/> <description value="The status of the episode of care."/> <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1"/> </binding> </element> <element id="EpisodeOfCare.statusHistory.period"> <path value="EpisodeOfCare.statusHistory.period"/> <short value="Duration the EpisodeOfCare was in the specified status"/> <definition value="The period during this EpisodeOfCare that the specific status applied."/> <min value="1"/> <max value="1"/> <base> <path value="EpisodeOfCare.statusHistory.period"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="EpisodeOfCare.type"> <path value="EpisodeOfCare.type"/> <short value="Art der Therapielinie"/> <definition value="Behandlungsmodalität der Therapielinie – z. B. ambulante Chemotherapie, Bestrahlung, Immun- oder Hormontherapie."/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="EpisodeOfCare.type"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="extensible"/> <valueSet value="https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-therapy-line-type"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> </element> <element id="EpisodeOfCare.diagnosis"> <path value="EpisodeOfCare.diagnosis"/> <short value="Diagnosebezug"/> <definition value="Der Therapielinie zugrunde liegende Tumordiagnose bzw. Tumordiagnosen."/> <min value="1"/> <max value="*"/> <base> <path value="EpisodeOfCare.diagnosis"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="EpisodeOfCare.diagnosis.id"> <path value="EpisodeOfCare.diagnosis.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="EpisodeOfCare.diagnosis.extension"> <path value="EpisodeOfCare.diagnosis.extension"/> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="EpisodeOfCare.diagnosis.modifierExtension"> <path value="EpisodeOfCare.diagnosis.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="EpisodeOfCare.diagnosis.condition"> <path value="EpisodeOfCare.diagnosis.condition"/> <short value="Diagnose"/> <definition value="Referenz auf die adressierte Tumorerkrankung OnkoCondition."/> <min value="1"/> <max value="1"/> <base> <path value="EpisodeOfCare.diagnosis.condition"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-condition"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.reasonReference"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> </element> <element id="EpisodeOfCare.diagnosis.role"> <path value="EpisodeOfCare.diagnosis.role"/> <short value="Diagnoserolle"/> <definition value="Rolle der Diagnose in dieser Episode – fest auf chief complaint als Hauptbehandlungsgrund."/> <min value="1"/> <max value="1"/> <base> <path value="EpisodeOfCare.diagnosis.role"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/> <code value="CC"/> <display value="Chief complaint"/> </coding> </patternCodeableConcept> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DiagnosisRole"/> </extension> <strength value="preferred"/> <description value="The type of diagnosis this condition represents."/> <valueSet value="http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1"/> </binding> </element> <element id="EpisodeOfCare.diagnosis.rank"> <path value="EpisodeOfCare.diagnosis.rank"/> <short value="Rangfolge"/> <definition value="Rangfolge der Diagnose bei mehreren Diagnosen."/> <min value="0"/> <max value="1"/> <base> <path value="EpisodeOfCare.diagnosis.rank"/> <min value="0"/> <max value="1"/> </base> <type> <code value="positiveInt"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="EpisodeOfCare.patient"> <path value="EpisodeOfCare.patient"/> <short value="Patientin/Patient"/> <definition value="Person, die in dieser Therapielinie behandelt wird."/> <min value="1"/> <max value="1"/> <base> <path value="EpisodeOfCare.patient"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="EpisodeOfCare.managingOrganization"> <path value="EpisodeOfCare.managingOrganization"/> <short value="Behandelnde Organisation"/> <definition value="Organisation, die diese Episode of Care – die Therapielinie – verantwortlich behandelt bzw. steuert."/> <min value="0"/> <max value="1"/> <base> <path value="EpisodeOfCare.managingOrganization"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> </element> <element id="EpisodeOfCare.period"> <path value="EpisodeOfCare.period"/> <short value="Behandlungszeitraum"/> <definition value="Zeitraum der Therapielinie von Beginn bis Ende des Behandlungsabschnitts."/> <min value="1"/> <max value="1"/> <base> <path value="EpisodeOfCare.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.init"/> </mapping> </element> <element id="EpisodeOfCare.referralRequest"> <path value="EpisodeOfCare.referralRequest"/> <short value="Anforderung"/> <definition value="Der Therapielinie zugrunde liegende Anforderung oder Anforderungen, z. B. Überweisung oder Prozedur-Anforderung."/> <min value="0"/> <max value="*"/> <base> <path value="EpisodeOfCare.referralRequest"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> </element> <element id="EpisodeOfCare.careManager"> <path value="EpisodeOfCare.careManager"/> <short value="Fallverantwortliche/r"/> <definition value="Für die Therapielinie fallverantwortliche behandelnde Person."/> <min value="0"/> <max value="1"/> <base> <path value="EpisodeOfCare.careManager"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> </element> <element id="EpisodeOfCare.team"> <path value="EpisodeOfCare.team"/> <short value="Behandlungsteam"/> <definition value="An der Therapielinie beteiligtes Versorgungsteam, z. B. Tumorboard."/> <alias value="CareTeam"/> <min value="0"/> <max value="*"/> <base> <path value="EpisodeOfCare.team"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> </element> <element id="EpisodeOfCare.account"> <path value="EpisodeOfCare.account"/> <short value="The set of accounts that may be used for billing for this EpisodeOfCare"/> <definition value="The set of accounts that may be used for billing for this EpisodeOfCare."/> <comment value="The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules."/> <min value="0"/> <max value="*"/> <base> <path value="EpisodeOfCare.account"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Account|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="EpisodeOfCare"> <path value="EpisodeOfCare"/> <constraint> <key value="onko-enlist-1"/> <severity value="error"/> <human value="Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist."/> <expression value="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()"/> <source value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line"/> </constraint> <constraint> <key value="onko-enlist-3"/> <severity value="error"/> <human value="Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode)."/> <expression value="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())"/> <source value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line"/> </constraint> <constraint> <key value="onko-enlist-4"/> <severity value="error"/> <human value="enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen."/> <expression value="(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()"/> <source value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line"/> </constraint> </element> <element id="EpisodeOfCare.extension"> <path value="EpisodeOfCare.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="1"/> </element> <element id="EpisodeOfCare.extension:therapyIntent"> <path value="EpisodeOfCare.extension"/> <sliceName value="therapyIntent"/> <short value="Therapieintention"/> <definition value="Strukturierte Therapieintention der Behandlungslinie – Hauptintention und optionale Behandlungsphase."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent"/> </type> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.extension:medicationRequest"> <path value="EpisodeOfCare.extension"/> <sliceName value="medicationRequest"/> <short value="Medikationsverordnung"/> <definition value="Referenz auf Medikationsverordnungen, die den Anlass für diese Therapielinie bilden – Ergänzung zu referralRequest, das auf ServiceRequest beschränkt ist."/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request"/> </type> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.extension:lot"> <path value="EpisodeOfCare.extension"/> <sliceName value="lot"/> <short value="EnLiST-LoT-Designation"/> <definition value="X.Y-Designation je Setting-Achse — eLoT, aLoT oder iLoT — nach EnLiST."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot"/> </type> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.extension:lineSegment"> <path value="EpisodeOfCare.extension"/> <sliceName value="lineSegment"/> <short value="EnLiST-Linien-Segment"/> <definition value="Segment-Marker einer ausführenden Einrichtung — gemeinsame lineId, keine eigene Designation."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment"/> </type> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.extension:countable"> <path value="EpisodeOfCare.extension"/> <sliceName value="countable"/> <short value="EnLiST-Zählstatus"/> <definition value="Zählstatus nach EnLiST — counted oder not-counted."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable"/> </type> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.status"> <path value="EpisodeOfCare.status"/> <short value="Status"/> <definition value="Status der Therapielinie – z. B. active, onhold, finished, cancelled."/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.statusHistory"> <path value="EpisodeOfCare.statusHistory"/> <short value="Statusverlauf"/> <definition value="Historie der Statuswechsel der Therapielinie mit jeweiligem Zeitraum."/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.type"> <path value="EpisodeOfCare.type"/> <short value="Art der Therapielinie"/> <definition value="Behandlungsmodalität der Therapielinie – z. B. ambulante Chemotherapie, Bestrahlung, Immun- oder Hormontherapie."/> <mustSupport value="true"/> <binding> <strength value="extensible"/> <valueSet value="https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-therapy-line-type"/> </binding> </element> <element id="EpisodeOfCare.diagnosis"> <path value="EpisodeOfCare.diagnosis"/> <short value="Diagnosebezug"/> <definition value="Der Therapielinie zugrunde liegende Tumordiagnose bzw. Tumordiagnosen."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.diagnosis.condition"> <path value="EpisodeOfCare.diagnosis.condition"/> <short value="Diagnose"/> <definition value="Referenz auf die adressierte Tumorerkrankung OnkoCondition."/> <type> <code value="Reference"/> <targetProfile value="https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-condition"/> </type> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.diagnosis.role"> <path value="EpisodeOfCare.diagnosis.role"/> <short value="Diagnoserolle"/> <definition value="Rolle der Diagnose in dieser Episode – fest auf chief complaint als Hauptbehandlungsgrund."/> <min value="1"/> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/> <code value="CC"/> <display value="Chief complaint"/> </coding> </patternCodeableConcept> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.diagnosis.rank"> <path value="EpisodeOfCare.diagnosis.rank"/> <short value="Rangfolge"/> <definition value="Rangfolge der Diagnose bei mehreren Diagnosen."/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.patient"> <path value="EpisodeOfCare.patient"/> <short value="Patientin/Patient"/> <definition value="Person, die in dieser Therapielinie behandelt wird."/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.managingOrganization"> <path value="EpisodeOfCare.managingOrganization"/> <short value="Behandelnde Organisation"/> <definition value="Organisation, die diese Episode of Care – die Therapielinie – verantwortlich behandelt bzw. steuert."/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.period"> <path value="EpisodeOfCare.period"/> <short value="Behandlungszeitraum"/> <definition value="Zeitraum der Therapielinie von Beginn bis Ende des Behandlungsabschnitts."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.referralRequest"> <path value="EpisodeOfCare.referralRequest"/> <short value="Anforderung"/> <definition value="Der Therapielinie zugrunde liegende Anforderung oder Anforderungen, z. B. Überweisung oder Prozedur-Anforderung."/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.careManager"> <path value="EpisodeOfCare.careManager"/> <short value="Fallverantwortliche/r"/> <definition value="Für die Therapielinie fallverantwortliche behandelnde Person."/> <mustSupport value="true"/> </element> <element id="EpisodeOfCare.team"> <path value="EpisodeOfCare.team"/> <short value="Behandlungsteam"/> <definition value="An der Therapielinie beteiligtes Versorgungsteam, z. B. Tumorboard."/> <mustSupport value="true"/> </element> </differential> </StructureDefinition>

German

Generated Narrative: StructureDefinition onko-therapy-line

Name	Flags	Card.	Type	Description & Constraints
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
type	S	0..*	CodeableConcept	Art der Therapielinie Binding: Onkologische Therapielinie – Art (VS) (extensible)
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
Documentation for this format