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

Logical Model: Therapieziel-Dreieck (logisches Modell) - Detailed Descriptions

Draft as of 2026-08-03

Definitions for the TherapiezielDreieck logical model

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

0. TherapiezielDreieck
Definition

Logisches Modell der drei Kernkonzepte des Leitfadens und ihrer Beziehungen:

  • Behandlungsepisodewer behandelt, in welchem Rahmen (Art, Intention, Zeitraum, verantwortliche Organisation),
  • Therapiezielwas erreicht werden soll (Zielart, messbarer Zielwert, Erreichungsgrad),
  • Versorgungsplanwelche Maßnahmen geplant sind (Tumorboard-Empfehlung bzw. Behandlungsplan mit den geplanten Anforderungen).

Das Ziel geht dem Plan voraus; der Plan verfolgt das Ziel (verfolgtesZiel) und ist seiner Episode zugeordnet (episode). Zwischen Ziel und Episode gibt es keine direkte Referenz — die Zuordnung ergibt sich implizit über den Plan (siehe schematische Darstellung).

ShortTherapieziel-Dreieck (logisches Modell)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. TherapiezielDreieck.patient
Definition

Person, auf die sich Episoden, Ziele und Pläne beziehen (subject aller Ressourcen).

ShortPatientin/Patient
Control1..1
TypeReference
4. TherapiezielDreieck.behandlungsepisode
Definition

Abgegrenzter Versorgungsabschnitt mit eigener Intention: Therapielinie, Diagnostiklinie, Active Surveillance, Watchful Waiting u. a.

ShortBehandlungsepisode — wer behandelt
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. TherapiezielDreieck.behandlungsepisode.id
Definition

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

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
8. TherapiezielDreieck.behandlungsepisode.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on TherapiezielDreieck.behandlungsepisode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 10. TherapiezielDreieck.behandlungsepisode.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. TherapiezielDreieck.behandlungsepisode.art
    Definition

    Therapielinie (systemisch), lokoregionale Behandlungslinie, Diagnostiklinie, Active Surveillance, Watchful Waiting … (offen/extensible).

    ShortArt der Episode
    Control1..1
    TypeCodeableConcept
    14. TherapiezielDreieck.behandlungsepisode.intention
    Definition

    Zweck der Episode: kurativ, neoadjuvant, adjuvant, palliativ, supportiv; bei Diagnostik der Informationsgewinn.

    ShortIntention
    Control1..1
    TypeCodeableConcept
    16. TherapiezielDreieck.behandlungsepisode.zeitraum
    Definition

    Beginn und Ende des Versorgungsabschnitts.

    ShortZeitraum
    Control0..1
    TypePeriod
    18. TherapiezielDreieck.behandlungsepisode.verantwortlich
    Definition

    Organisation bzw. Team, das die Episode führt (z. B. Tumorzentrum, betreuende Praxis).

    ShortVerantwortliche Organisation
    Control0..1
    TypeReference
    20. TherapiezielDreieck.behandlungsepisode.status
    Definition

    Lebenszyklus der Episode: geplant, aktiv, beendet.

    ShortStatus
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    22. TherapiezielDreieck.therapieziel
    Definition

    Eigenständiges, dem Plan vorausgehendes Behandlungsziel; übergeordnet (strategische Intention) oder als Episodenziel.

    ShortTherapieziel — was soll erreicht werden
    Control1..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. TherapiezielDreieck.therapieziel.id
    Definition

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

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    26. TherapiezielDreieck.therapieziel.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on TherapiezielDreieck.therapieziel.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 28. TherapiezielDreieck.therapieziel.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      30. TherapiezielDreieck.therapieziel.ebene
      Definition

      uebergeordnet (genau ein aktives Ziel der Intentions-Ära) oder episodenziel (optional, einem Behandlungsabschnitt zugeordnet).

      ShortZielebene
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      32. TherapiezielDreieck.therapieziel.zielart
      Definition

      Heilung, Lebensverlängerung, Symptomkontrolle, Lebensqualität, Funktionserhalt.

      ShortZielart
      Control1..1
      TypeCodeableConcept
      34. TherapiezielDreieck.therapieziel.beschreibung
      Definition

      Klartext-Beschreibung des angestrebten Ziels.

      ShortZielbeschreibung
      Control1..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      36. TherapiezielDreieck.therapieziel.adressierteErkrankung
      Definition

      Erkrankung, auf die sich das Ziel bezieht (Tumorerkrankung bzw. chronische Grunderkrankung).

      ShortAdressierte Erkrankung
      Control0..*
      TypeReference
      38. TherapiezielDreieck.therapieziel.zielwert
      Definition

      Messbarer angestrebter Zielzustand: woran gemessen wird, welcher Wert als erreicht gilt, bis wann.

      ShortZielwert
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. TherapiezielDreieck.therapieziel.zielwert.id
      Definition

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

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      42. TherapiezielDreieck.therapieziel.zielwert.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on TherapiezielDreieck.therapieziel.zielwert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 44. TherapiezielDreieck.therapieziel.zielwert.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        46. TherapiezielDreieck.therapieziel.zielwert.zielgroesse
        Definition

        Woran die Zielerreichung gemessen wird — codiert (z. B. LOINC) oder als Text (Scores, PROMs).

        ShortZielgröße
        Control1..1
        TypeCodeableConcept
        48. TherapiezielDreieck.therapieziel.zielwert.wert[x]
        Definition

        Welcher Wert bzw. Wertebereich als erreicht gilt.

        ShortZielwert-Ausprägung
        Control0..1
        TypeChoice of: Quantity, Range, CodeableConcept, string
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        50. TherapiezielDreieck.therapieziel.zielwert.frist[x]
        Definition

        Zeitpunkt bzw. Frist, bis zu der das Ziel erreicht sein soll.

        ShortFrist
        Control0..1
        TypeChoice of: date, Duration
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        52. TherapiezielDreieck.therapieziel.ergebnis
        Definition

        Verlaufs-Beobachtungen, die die Zielerreichung evidenzieren; pro Ziel eigen, leer bis zur ersten Beobachtung.

        ShortErgebnis
        Control0..*
        TypeReference
        54. TherapiezielDreieck.therapieziel.lebenszyklusStatus
        Definition

        Warum bzw. ob die Zielverfolgung läuft oder endet: proposed, active, completed (nur bei Erfolg), cancelled …

        ShortLebenszyklus-Status
        Control1..1
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        56. TherapiezielDreieck.therapieziel.erreichungsgrad
        Definition

        in-progress, achieved, not-achieved, not-attainable (keine Trajektorie-Codes).

        ShortErreichungsgrad
        Control0..1
        TypeCodeableConcept
        58. TherapiezielDreieck.therapieziel.beziehung
        Definition

        Beziehung zu anderen Zielen der Behandlungs-Journey.

        ShortZielbeziehung
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. TherapiezielDreieck.therapieziel.beziehung.id
        Definition

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

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        62. TherapiezielDreieck.therapieziel.beziehung.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on TherapiezielDreieck.therapieziel.beziehung.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 64. TherapiezielDreieck.therapieziel.beziehung.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          66. TherapiezielDreieck.therapieziel.beziehung.art
          Definition

          predecessor/successor (zeitliche Journey nach erfolgreichem Abschluss) oder replacement (Intentions-Pivot).

          ShortBeziehungsart
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          68. TherapiezielDreieck.therapieziel.beziehung.ziel
          Definition

          Das in Beziehung stehende Therapieziel.

          ShortBezogenes Ziel
          Control1..1
          TypeReference
          70. TherapiezielDreieck.versorgungsplan
          Definition

          Empfehlungsliste des Tumorboards oder episodenspezifischer Plan tatsächlich erbrachter Versorgung.

          ShortVersorgungsplan — was ist geplant
          Control0..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          72. TherapiezielDreieck.versorgungsplan.id
          Definition

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

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          74. TherapiezielDreieck.versorgungsplan.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on TherapiezielDreieck.versorgungsplan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 76. TherapiezielDreieck.versorgungsplan.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            78. TherapiezielDreieck.versorgungsplan.planart
            Definition

            empfehlung (Tumorboard-Empfehlungsliste) oder behandlung (episodenspezifischer Behandlungsplan).

            ShortPlanart
            Control1..1
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            80. TherapiezielDreieck.versorgungsplan.verfolgtesZiel
            Definition

            Therapieziel(e), die der Plan verfolgt — Verfolgungs-Referenz, kein Besitz; dasselbe Ziel kann von mehreren Plänen verfolgt werden.

            ShortVerfolgtes Ziel
            Control0..*
            TypeReference
            82. TherapiezielDreieck.versorgungsplan.episode
            Definition

            Episode, in deren Rahmen der Plan umgesetzt wird.

            ShortBehandlungsepisode
            Control0..1
            TypeReference
            84. TherapiezielDreieck.versorgungsplan.basiertAuf
            Definition

            Ein Behandlungsplan erfüllt eine Empfehlung (Referenz auf den Empfehlungsplan).

            ShortBasiert auf
            Control0..1
            TypeReference
            86. TherapiezielDreieck.versorgungsplan.massnahme
            Definition

            Einzelne geplante bzw. empfohlene Maßnahme des Plans.

            ShortGeplante Maßnahme
            Control0..*
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            88. TherapiezielDreieck.versorgungsplan.massnahme.id
            Definition

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

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            90. TherapiezielDreieck.versorgungsplan.massnahme.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on TherapiezielDreieck.versorgungsplan.massnahme.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 92. TherapiezielDreieck.versorgungsplan.massnahme.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              94. TherapiezielDreieck.versorgungsplan.massnahme.typ
              Definition

              prozedur (Operation, Bestrahlung, Diagnostik) oder medikation (Systemtherapie).

              ShortMaßnahmentyp
              Control1..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              96. TherapiezielDreieck.versorgungsplan.massnahme.anforderung
              Definition

              Die zugehörige Anforderung (Prozedur- bzw. Medikations-Request).

              ShortAnforderung
              Control1..1
              TypeReference

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

              0. TherapiezielDreieck
              Definition

              Logisches Modell der drei Kernkonzepte des Leitfadens und ihrer Beziehungen:

              • Behandlungsepisodewer behandelt, in welchem Rahmen (Art, Intention, Zeitraum, verantwortliche Organisation),
              • Therapiezielwas erreicht werden soll (Zielart, messbarer Zielwert, Erreichungsgrad),
              • Versorgungsplanwelche Maßnahmen geplant sind (Tumorboard-Empfehlung bzw. Behandlungsplan mit den geplanten Anforderungen).

              Das Ziel geht dem Plan voraus; der Plan verfolgt das Ziel (verfolgtesZiel) und ist seiner Episode zugeordnet (episode). Zwischen Ziel und Episode gibt es keine direkte Referenz — die Zuordnung ergibt sich implizit über den Plan (siehe schematische Darstellung).

              ShortTherapieziel-Dreieck (logisches Modell)
              Logical ModelInstances of this logical model are not marked to be the target of a Reference
              2. TherapiezielDreieck.patient
              Definition

              Person, auf die sich Episoden, Ziele und Pläne beziehen (subject aller Ressourcen).

              ShortPatientin/Patient
              Control1..1
              TypeReference
              4. TherapiezielDreieck.behandlungsepisode
              Definition

              Abgegrenzter Versorgungsabschnitt mit eigener Intention: Therapielinie, Diagnostiklinie, Active Surveillance, Watchful Waiting u. a.

              ShortBehandlungsepisode — wer behandelt
              Control0..*
              TypeBackboneElement
              6. TherapiezielDreieck.behandlungsepisode.art
              Definition

              Therapielinie (systemisch), lokoregionale Behandlungslinie, Diagnostiklinie, Active Surveillance, Watchful Waiting … (offen/extensible).

              ShortArt der Episode
              Control1..1
              TypeCodeableConcept
              8. TherapiezielDreieck.behandlungsepisode.intention
              Definition

              Zweck der Episode: kurativ, neoadjuvant, adjuvant, palliativ, supportiv; bei Diagnostik der Informationsgewinn.

              ShortIntention
              Control1..1
              TypeCodeableConcept
              10. TherapiezielDreieck.behandlungsepisode.zeitraum
              Definition

              Beginn und Ende des Versorgungsabschnitts.

              ShortZeitraum
              Control0..1
              TypePeriod
              12. TherapiezielDreieck.behandlungsepisode.verantwortlich
              Definition

              Organisation bzw. Team, das die Episode führt (z. B. Tumorzentrum, betreuende Praxis).

              ShortVerantwortliche Organisation
              Control0..1
              TypeReference
              14. TherapiezielDreieck.behandlungsepisode.status
              Definition

              Lebenszyklus der Episode: geplant, aktiv, beendet.

              ShortStatus
              Control1..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              16. TherapiezielDreieck.therapieziel
              Definition

              Eigenständiges, dem Plan vorausgehendes Behandlungsziel; übergeordnet (strategische Intention) oder als Episodenziel.

              ShortTherapieziel — was soll erreicht werden
              Control1..*
              TypeBackboneElement
              18. TherapiezielDreieck.therapieziel.ebene
              Definition

              uebergeordnet (genau ein aktives Ziel der Intentions-Ära) oder episodenziel (optional, einem Behandlungsabschnitt zugeordnet).

              ShortZielebene
              Control1..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              20. TherapiezielDreieck.therapieziel.zielart
              Definition

              Heilung, Lebensverlängerung, Symptomkontrolle, Lebensqualität, Funktionserhalt.

              ShortZielart
              Control1..1
              TypeCodeableConcept
              22. TherapiezielDreieck.therapieziel.beschreibung
              Definition

              Klartext-Beschreibung des angestrebten Ziels.

              ShortZielbeschreibung
              Control1..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              24. TherapiezielDreieck.therapieziel.adressierteErkrankung
              Definition

              Erkrankung, auf die sich das Ziel bezieht (Tumorerkrankung bzw. chronische Grunderkrankung).

              ShortAdressierte Erkrankung
              Control0..*
              TypeReference
              26. TherapiezielDreieck.therapieziel.zielwert
              Definition

              Messbarer angestrebter Zielzustand: woran gemessen wird, welcher Wert als erreicht gilt, bis wann.

              ShortZielwert
              Control0..*
              TypeBackboneElement
              28. TherapiezielDreieck.therapieziel.zielwert.zielgroesse
              Definition

              Woran die Zielerreichung gemessen wird — codiert (z. B. LOINC) oder als Text (Scores, PROMs).

              ShortZielgröße
              Control1..1
              TypeCodeableConcept
              30. TherapiezielDreieck.therapieziel.zielwert.wert[x]
              Definition

              Welcher Wert bzw. Wertebereich als erreicht gilt.

              ShortZielwert-Ausprägung
              Control0..1
              TypeChoice of: Quantity, Range, CodeableConcept, string
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              32. TherapiezielDreieck.therapieziel.zielwert.frist[x]
              Definition

              Zeitpunkt bzw. Frist, bis zu der das Ziel erreicht sein soll.

              ShortFrist
              Control0..1
              TypeChoice of: date, Duration
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              34. TherapiezielDreieck.therapieziel.ergebnis
              Definition

              Verlaufs-Beobachtungen, die die Zielerreichung evidenzieren; pro Ziel eigen, leer bis zur ersten Beobachtung.

              ShortErgebnis
              Control0..*
              TypeReference
              36. TherapiezielDreieck.therapieziel.lebenszyklusStatus
              Definition

              Warum bzw. ob die Zielverfolgung läuft oder endet: proposed, active, completed (nur bei Erfolg), cancelled …

              ShortLebenszyklus-Status
              Control1..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              38. TherapiezielDreieck.therapieziel.erreichungsgrad
              Definition

              in-progress, achieved, not-achieved, not-attainable (keine Trajektorie-Codes).

              ShortErreichungsgrad
              Control0..1
              TypeCodeableConcept
              40. TherapiezielDreieck.therapieziel.beziehung
              Definition

              Beziehung zu anderen Zielen der Behandlungs-Journey.

              ShortZielbeziehung
              Control0..*
              TypeBackboneElement
              42. TherapiezielDreieck.therapieziel.beziehung.art
              Definition

              predecessor/successor (zeitliche Journey nach erfolgreichem Abschluss) oder replacement (Intentions-Pivot).

              ShortBeziehungsart
              Control1..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              44. TherapiezielDreieck.therapieziel.beziehung.ziel
              Definition

              Das in Beziehung stehende Therapieziel.

              ShortBezogenes Ziel
              Control1..1
              TypeReference
              46. TherapiezielDreieck.versorgungsplan
              Definition

              Empfehlungsliste des Tumorboards oder episodenspezifischer Plan tatsächlich erbrachter Versorgung.

              ShortVersorgungsplan — was ist geplant
              Control0..*
              TypeBackboneElement
              48. TherapiezielDreieck.versorgungsplan.planart
              Definition

              empfehlung (Tumorboard-Empfehlungsliste) oder behandlung (episodenspezifischer Behandlungsplan).

              ShortPlanart
              Control1..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              50. TherapiezielDreieck.versorgungsplan.verfolgtesZiel
              Definition

              Therapieziel(e), die der Plan verfolgt — Verfolgungs-Referenz, kein Besitz; dasselbe Ziel kann von mehreren Plänen verfolgt werden.

              ShortVerfolgtes Ziel
              Control0..*
              TypeReference
              52. TherapiezielDreieck.versorgungsplan.episode
              Definition

              Episode, in deren Rahmen der Plan umgesetzt wird.

              ShortBehandlungsepisode
              Control0..1
              TypeReference
              54. TherapiezielDreieck.versorgungsplan.basiertAuf
              Definition

              Ein Behandlungsplan erfüllt eine Empfehlung (Referenz auf den Empfehlungsplan).

              ShortBasiert auf
              Control0..1
              TypeReference
              56. TherapiezielDreieck.versorgungsplan.massnahme
              Definition

              Einzelne geplante bzw. empfohlene Maßnahme des Plans.

              ShortGeplante Maßnahme
              Control0..*
              TypeBackboneElement
              58. TherapiezielDreieck.versorgungsplan.massnahme.typ
              Definition

              prozedur (Operation, Bestrahlung, Diagnostik) oder medikation (Systemtherapie).

              ShortMaßnahmentyp
              Control1..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              60. TherapiezielDreieck.versorgungsplan.massnahme.anforderung
              Definition

              Die zugehörige Anforderung (Prozedur- bzw. Medikations-Request).

              ShortAnforderung
              Control1..1
              TypeReference

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

              0. TherapiezielDreieck
              Definition

              Logisches Modell der drei Kernkonzepte des Leitfadens und ihrer Beziehungen:

              • Behandlungsepisodewer behandelt, in welchem Rahmen (Art, Intention, Zeitraum, verantwortliche Organisation),
              • Therapiezielwas erreicht werden soll (Zielart, messbarer Zielwert, Erreichungsgrad),
              • Versorgungsplanwelche Maßnahmen geplant sind (Tumorboard-Empfehlung bzw. Behandlungsplan mit den geplanten Anforderungen).

              Das Ziel geht dem Plan voraus; der Plan verfolgt das Ziel (verfolgtesZiel) und ist seiner Episode zugeordnet (episode). Zwischen Ziel und Episode gibt es keine direkte Referenz — die Zuordnung ergibt sich implizit über den Plan (siehe schematische Darstellung).

              ShortTherapieziel-Dreieck (logisches Modell)
              Control0..*
              Is Modifierfalse
              Logical ModelInstances of this logical model are not marked to be the target of a Reference
              2. TherapiezielDreieck.patient
              Definition

              Person, auf die sich Episoden, Ziele und Pläne beziehen (subject aller Ressourcen).

              ShortPatientin/Patient
              Control1..1
              TypeReference
              4. TherapiezielDreieck.behandlungsepisode
              Definition

              Abgegrenzter Versorgungsabschnitt mit eigener Intention: Therapielinie, Diagnostiklinie, Active Surveillance, Watchful Waiting u. a.

              ShortBehandlungsepisode — wer behandelt
              Control0..*
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              6. TherapiezielDreieck.behandlungsepisode.id
              Definition

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

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              8. TherapiezielDreieck.behandlungsepisode.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on TherapiezielDreieck.behandlungsepisode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 10. TherapiezielDreieck.behandlungsepisode.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                12. TherapiezielDreieck.behandlungsepisode.art
                Definition

                Therapielinie (systemisch), lokoregionale Behandlungslinie, Diagnostiklinie, Active Surveillance, Watchful Waiting … (offen/extensible).

                ShortArt der Episode
                Control1..1
                TypeCodeableConcept
                14. TherapiezielDreieck.behandlungsepisode.intention
                Definition

                Zweck der Episode: kurativ, neoadjuvant, adjuvant, palliativ, supportiv; bei Diagnostik der Informationsgewinn.

                ShortIntention
                Control1..1
                TypeCodeableConcept
                16. TherapiezielDreieck.behandlungsepisode.zeitraum
                Definition

                Beginn und Ende des Versorgungsabschnitts.

                ShortZeitraum
                Control0..1
                TypePeriod
                18. TherapiezielDreieck.behandlungsepisode.verantwortlich
                Definition

                Organisation bzw. Team, das die Episode führt (z. B. Tumorzentrum, betreuende Praxis).

                ShortVerantwortliche Organisation
                Control0..1
                TypeReference
                20. TherapiezielDreieck.behandlungsepisode.status
                Definition

                Lebenszyklus der Episode: geplant, aktiv, beendet.

                ShortStatus
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                22. TherapiezielDreieck.therapieziel
                Definition

                Eigenständiges, dem Plan vorausgehendes Behandlungsziel; übergeordnet (strategische Intention) oder als Episodenziel.

                ShortTherapieziel — was soll erreicht werden
                Control1..*
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                24. TherapiezielDreieck.therapieziel.id
                Definition

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

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                26. TherapiezielDreieck.therapieziel.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on TherapiezielDreieck.therapieziel.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 28. TherapiezielDreieck.therapieziel.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  30. TherapiezielDreieck.therapieziel.ebene
                  Definition

                  uebergeordnet (genau ein aktives Ziel der Intentions-Ära) oder episodenziel (optional, einem Behandlungsabschnitt zugeordnet).

                  ShortZielebene
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  32. TherapiezielDreieck.therapieziel.zielart
                  Definition

                  Heilung, Lebensverlängerung, Symptomkontrolle, Lebensqualität, Funktionserhalt.

                  ShortZielart
                  Control1..1
                  TypeCodeableConcept
                  34. TherapiezielDreieck.therapieziel.beschreibung
                  Definition

                  Klartext-Beschreibung des angestrebten Ziels.

                  ShortZielbeschreibung
                  Control1..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  36. TherapiezielDreieck.therapieziel.adressierteErkrankung
                  Definition

                  Erkrankung, auf die sich das Ziel bezieht (Tumorerkrankung bzw. chronische Grunderkrankung).

                  ShortAdressierte Erkrankung
                  Control0..*
                  TypeReference
                  38. TherapiezielDreieck.therapieziel.zielwert
                  Definition

                  Messbarer angestrebter Zielzustand: woran gemessen wird, welcher Wert als erreicht gilt, bis wann.

                  ShortZielwert
                  Control0..*
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  40. TherapiezielDreieck.therapieziel.zielwert.id
                  Definition

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

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  42. TherapiezielDreieck.therapieziel.zielwert.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on TherapiezielDreieck.therapieziel.zielwert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 44. TherapiezielDreieck.therapieziel.zielwert.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    46. TherapiezielDreieck.therapieziel.zielwert.zielgroesse
                    Definition

                    Woran die Zielerreichung gemessen wird — codiert (z. B. LOINC) oder als Text (Scores, PROMs).

                    ShortZielgröße
                    Control1..1
                    TypeCodeableConcept
                    48. TherapiezielDreieck.therapieziel.zielwert.wert[x]
                    Definition

                    Welcher Wert bzw. Wertebereich als erreicht gilt.

                    ShortZielwert-Ausprägung
                    Control0..1
                    TypeChoice of: Quantity, Range, CodeableConcept, string
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    50. TherapiezielDreieck.therapieziel.zielwert.frist[x]
                    Definition

                    Zeitpunkt bzw. Frist, bis zu der das Ziel erreicht sein soll.

                    ShortFrist
                    Control0..1
                    TypeChoice of: date, Duration
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    52. TherapiezielDreieck.therapieziel.ergebnis
                    Definition

                    Verlaufs-Beobachtungen, die die Zielerreichung evidenzieren; pro Ziel eigen, leer bis zur ersten Beobachtung.

                    ShortErgebnis
                    Control0..*
                    TypeReference
                    54. TherapiezielDreieck.therapieziel.lebenszyklusStatus
                    Definition

                    Warum bzw. ob die Zielverfolgung läuft oder endet: proposed, active, completed (nur bei Erfolg), cancelled …

                    ShortLebenszyklus-Status
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    56. TherapiezielDreieck.therapieziel.erreichungsgrad
                    Definition

                    in-progress, achieved, not-achieved, not-attainable (keine Trajektorie-Codes).

                    ShortErreichungsgrad
                    Control0..1
                    TypeCodeableConcept
                    58. TherapiezielDreieck.therapieziel.beziehung
                    Definition

                    Beziehung zu anderen Zielen der Behandlungs-Journey.

                    ShortZielbeziehung
                    Control0..*
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. TherapiezielDreieck.therapieziel.beziehung.id
                    Definition

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

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    62. TherapiezielDreieck.therapieziel.beziehung.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on TherapiezielDreieck.therapieziel.beziehung.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 64. TherapiezielDreieck.therapieziel.beziehung.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      66. TherapiezielDreieck.therapieziel.beziehung.art
                      Definition

                      predecessor/successor (zeitliche Journey nach erfolgreichem Abschluss) oder replacement (Intentions-Pivot).

                      ShortBeziehungsart
                      Control1..1
                      Typecode
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      68. TherapiezielDreieck.therapieziel.beziehung.ziel
                      Definition

                      Das in Beziehung stehende Therapieziel.

                      ShortBezogenes Ziel
                      Control1..1
                      TypeReference
                      70. TherapiezielDreieck.versorgungsplan
                      Definition

                      Empfehlungsliste des Tumorboards oder episodenspezifischer Plan tatsächlich erbrachter Versorgung.

                      ShortVersorgungsplan — was ist geplant
                      Control0..*
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      72. TherapiezielDreieck.versorgungsplan.id
                      Definition

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

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      74. TherapiezielDreieck.versorgungsplan.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on TherapiezielDreieck.versorgungsplan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 76. TherapiezielDreieck.versorgungsplan.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        78. TherapiezielDreieck.versorgungsplan.planart
                        Definition

                        empfehlung (Tumorboard-Empfehlungsliste) oder behandlung (episodenspezifischer Behandlungsplan).

                        ShortPlanart
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        80. TherapiezielDreieck.versorgungsplan.verfolgtesZiel
                        Definition

                        Therapieziel(e), die der Plan verfolgt — Verfolgungs-Referenz, kein Besitz; dasselbe Ziel kann von mehreren Plänen verfolgt werden.

                        ShortVerfolgtes Ziel
                        Control0..*
                        TypeReference
                        82. TherapiezielDreieck.versorgungsplan.episode
                        Definition

                        Episode, in deren Rahmen der Plan umgesetzt wird.

                        ShortBehandlungsepisode
                        Control0..1
                        TypeReference
                        84. TherapiezielDreieck.versorgungsplan.basiertAuf
                        Definition

                        Ein Behandlungsplan erfüllt eine Empfehlung (Referenz auf den Empfehlungsplan).

                        ShortBasiert auf
                        Control0..1
                        TypeReference
                        86. TherapiezielDreieck.versorgungsplan.massnahme
                        Definition

                        Einzelne geplante bzw. empfohlene Maßnahme des Plans.

                        ShortGeplante Maßnahme
                        Control0..*
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        88. TherapiezielDreieck.versorgungsplan.massnahme.id
                        Definition

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

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        90. TherapiezielDreieck.versorgungsplan.massnahme.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on TherapiezielDreieck.versorgungsplan.massnahme.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 92. TherapiezielDreieck.versorgungsplan.massnahme.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          94. TherapiezielDreieck.versorgungsplan.massnahme.typ
                          Definition

                          prozedur (Operation, Bestrahlung, Diagnostik) oder medikation (Systemtherapie).

                          ShortMaßnahmentyp
                          Control1..1
                          Typecode
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          96. TherapiezielDreieck.versorgungsplan.massnahme.anforderung
                          Definition

                          Die zugehörige Anforderung (Prozedur- bzw. Medikations-Request).

                          ShortAnforderung
                          Control1..1
                          TypeReference