{ "resourceType" : "StructureDefinition", "id" : "onko-therapy-line", "language" : "en", "text" : { "status" : "extensions", "div" : "

English

Generated Narrative: StructureDefinition onko-therapy-line

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" EpisodeOfCare C0..*EpisodeOfCareAn 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..*ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\" extension:therapyIntent S1..1(Complex)Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\" extension:medicationRequest S0..*Reference(MedicationRequest)Medication request
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\" extension:lot S0..1(Complex)EnLiST LoT designation
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\" extension:lineSegment S0..1IdentifierEnLiST line segment
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\" extension:countable S0..1CodeableConceptEnLiST countability
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable
Binding: EnLiST-Zählstatus (ValueSet) (required)
\".\"\".\"\".\" status S1..1codeStatus
\".\"\".\"\".\" statusHistory S0..*BackboneElementStatus history
\".\"\".\"\".\" type S0..*CodeableConceptType of line of therapy
Binding: Onkologische Therapielinie – Art (VS) (extensible)
\".\"\".\"\".\" diagnosis S1..*BackboneElementDiagnosis
\".\"\".\"\".\"\".\" condition S1..1Reference(Onkologische Diagnose (Condition))Condition
\".\"\".\"\".\"\".\" role S1..1CodeableConceptDiagnosis role
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (Complex)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: CC
\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Chief complaint
\".\"\".\"\".\"\".\" rank S0..1positiveIntRank
\".\"\".\"\".\" patient S1..1Reference(Patient)Patient
\".\"\".\"\".\" managingOrganization S0..1Reference(Organization)Managing organization
\".\"\".\"\".\" period S1..1PeriodTreatment period
\".\"\".\"\".\" referralRequest S0..*Reference(ServiceRequest)Referral request
\".\"\".\"\".\" careManager S0..1Reference(Practitioner | PractitionerRole)Care manager
\".\"\".\"\".\" team S0..*Reference(CareTeam)Care team

\"doco\" Documentation for this format
" }, "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line", "version" : "1.0.0-ballot", "name" : "OnkoTherapyLine", "title" : "Oncological line of therapy", "status" : "draft", "date" : "2026-08-03T05:20:25+00:00", "publisher" : "Berlin Institute of Health at Charité (BIH)", "contact" : [{ "name" : "Berlin Institute of Health at Charité (BIH)", "telecom" : [{ "system" : "url", "value" : "https://www.bihealth.org" }] }], "description" : "An oncological line of therapy based on EpisodeOfCare, EnLiST-conformant. A line of therapy is a treatment segment with a defined intent and a defined tumor condition, ended by a clinical event such as progression, toxicity, patient wish, end of study or planned switch.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "DE", "display" : "Germany" }] }], "fhirVersion" : "4.0.1", "mapping" : [{ "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }], "kind" : "resource", "abstract" : false, "type" : "EpisodeOfCare", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" }], "element" : [{ "id" : "EpisodeOfCare", "path" : "EpisodeOfCare", "short" : "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" : "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" : ["Case Program Problem"], "min" : 0, "max" : "*", "base" : { "path" : "EpisodeOfCare", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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" : "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" : "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" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:security))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "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." }], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "xpath" : "exists(f:text/h:div)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "onko-enlist-1", "severity" : "error", "human" : "Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist.", "expression" : "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" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line" }, { "key" : "onko-enlist-3", "severity" : "error", "human" : "Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode).", "expression" : "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" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line" }, { "key" : "onko-enlist-4", "severity" : "error", "human" : "enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen.", "expression" : "(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" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Event" }, { "identity" : "rim", "map" : "n/a" }] }, { "id" : "EpisodeOfCare.id", "path" : "EpisodeOfCare.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "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" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : true }, { "id" : "EpisodeOfCare.meta", "path" : "EpisodeOfCare.meta", "short" : "Metadata about the resource", "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "EpisodeOfCare.implicitRules", "path" : "EpisodeOfCare.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment" : "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" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "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" : true }, { "id" : "EpisodeOfCare.language", "path" : "EpisodeOfCare.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "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" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "preferred", "description" : "A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|4.0.1" } }, { "id" : "EpisodeOfCare.text", "path" : "EpisodeOfCare.text", "short" : "Text summary of the resource, for human interpretation", "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment" : "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" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "EpisodeOfCare.contained", "path" : "EpisodeOfCare.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment" : "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" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "EpisodeOfCare.extension", "path" : "EpisodeOfCare.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "ordered" : false, "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 1, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "EpisodeOfCare.extension:therapyIntent", "path" : "EpisodeOfCare.extension", "sliceName" : "therapyIntent", "short" : "Therapy intent", "definition" : "Structured therapy intent of the line of therapy – main intent and optional treatment phase.", "min" : 1, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "EpisodeOfCare.extension:medicationRequest", "path" : "EpisodeOfCare.extension", "sliceName" : "medicationRequest", "short" : "Medication request", "definition" : "Reference to the medication requests giving rise to this line of therapy – complements referralRequest, which is restricted to ServiceRequest.", "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "EpisodeOfCare.extension:lot", "path" : "EpisodeOfCare.extension", "sliceName" : "lot", "short" : "EnLiST LoT designation", "definition" : "X.Y designation per setting axis — eLoT, aLoT or iLoT — per EnLiST.", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key" : "onko-enlist-2", "severity" : "warning", "human" : "Die notation (falls vorhanden) muss aus setting, line und modification zusammengesetzt sein (z. B. 'eLoT 1.0').", "expression" : "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" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "EpisodeOfCare.extension:lineSegment", "path" : "EpisodeOfCare.extension", "sliceName" : "lineSegment", "short" : "EnLiST line segment", "definition" : "Segment marker of an executing organisation — shared lineId, no designation of its own.", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "EpisodeOfCare.extension:countable", "path" : "EpisodeOfCare.extension", "sliceName" : "countable", "short" : "EnLiST countability", "definition" : "EnLiST countability — counted or not-counted.", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "EpisodeOfCare.modifierExtension", "path" : "EpisodeOfCare.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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" : "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" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "EpisodeOfCare.identifier", "path" : "EpisodeOfCare.identifier", "short" : "Business Identifier(s) relevant for this EpisodeOfCare", "definition" : "The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.", "min" : 0, "max" : "*", "base" : { "path" : "EpisodeOfCare.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }] }, { "id" : "EpisodeOfCare.status", "path" : "EpisodeOfCare.status", "short" : "Status", "definition" : "Status of the line of therapy – e.g. active, onhold, finished, cancelled.", "comment" : "This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.", "min" : 1, "max" : "1", "base" : { "path" : "EpisodeOfCare.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : true, "isModifierReason" : "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" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "EpisodeOfCareStatus" }], "strength" : "required", "description" : "The status of the episode of care.", "valueSet" : "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }] }, { "id" : "EpisodeOfCare.statusHistory", "path" : "EpisodeOfCare.statusHistory", "short" : "Status history", "definition" : "History of status changes of the line of therapy, each with its period.", "min" : 0, "max" : "*", "base" : { "path" : "EpisodeOfCare.statusHistory", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "EpisodeOfCare.statusHistory.id", "path" : "EpisodeOfCare.statusHistory.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "EpisodeOfCare.statusHistory.extension", "path" : "EpisodeOfCare.statusHistory.extension", "short" : "Additional content defined by implementations", "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.", "comment" : "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" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "EpisodeOfCare.statusHistory.modifierExtension", "path" : "EpisodeOfCare.statusHistory.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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" : "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" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "EpisodeOfCare.statusHistory.status", "path" : "EpisodeOfCare.statusHistory.status", "short" : "planned | waitlist | active | onhold | finished | cancelled | entered-in-error", "definition" : "planned | waitlist | active | onhold | finished | cancelled.", "min" : 1, "max" : "1", "base" : { "path" : "EpisodeOfCare.statusHistory.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "EpisodeOfCareStatus" }], "strength" : "required", "description" : "The status of the episode of care.", "valueSet" : "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1" } }, { "id" : "EpisodeOfCare.statusHistory.period", "path" : "EpisodeOfCare.statusHistory.period", "short" : "Duration the EpisodeOfCare was in the specified status", "definition" : "The period during this EpisodeOfCare that the specific status applied.", "min" : 1, "max" : "1", "base" : { "path" : "EpisodeOfCare.statusHistory.period", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false }, { "id" : "EpisodeOfCare.type", "path" : "EpisodeOfCare.type", "short" : "Type of line of therapy", "definition" : "Treatment modality of the line of therapy – e.g. ambulatory chemotherapy, radiation therapy, immunotherapy or hormone therapy.", "comment" : "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" : 0, "max" : "*", "base" : { "path" : "EpisodeOfCare.type", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "extensible", "valueSet" : "https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-therapy-line-type" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.code" }, { "identity" : "w5", "map" : "FiveWs.class" }] }, { "id" : "EpisodeOfCare.diagnosis", "path" : "EpisodeOfCare.diagnosis", "short" : "Diagnosis", "definition" : "Tumor diagnosis or diagnoses underlying the line of therapy.", "min" : 1, "max" : "*", "base" : { "path" : "EpisodeOfCare.diagnosis", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true }, { "id" : "EpisodeOfCare.diagnosis.id", "path" : "EpisodeOfCare.diagnosis.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "EpisodeOfCare.diagnosis.extension", "path" : "EpisodeOfCare.diagnosis.extension", "short" : "Additional content defined by implementations", "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.", "comment" : "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" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "EpisodeOfCare.diagnosis.modifierExtension", "path" : "EpisodeOfCare.diagnosis.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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" : "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" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "EpisodeOfCare.diagnosis.condition", "path" : "EpisodeOfCare.diagnosis.condition", "short" : "Condition", "definition" : "Reference to the addressed tumor condition OnkoCondition.", "min" : 1, "max" : "1", "base" : { "path" : "EpisodeOfCare.diagnosis.condition", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-condition"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.reasonReference" }, { "identity" : "w5", "map" : "FiveWs.what[x]" }] }, { "id" : "EpisodeOfCare.diagnosis.role", "path" : "EpisodeOfCare.diagnosis.role", "short" : "Diagnosis role", "definition" : "Role of the diagnosis in this episode – fixed to chief complaint.", "min" : 1, "max" : "1", "base" : { "path" : "EpisodeOfCare.diagnosis.role", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "patternCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code" : "CC", "display" : "Chief complaint" }] }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DiagnosisRole" }], "strength" : "preferred", "description" : "The type of diagnosis this condition represents.", "valueSet" : "http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1" } }, { "id" : "EpisodeOfCare.diagnosis.rank", "path" : "EpisodeOfCare.diagnosis.rank", "short" : "Rank", "definition" : "Rank of the diagnosis when several diagnoses are present.", "min" : 0, "max" : "1", "base" : { "path" : "EpisodeOfCare.diagnosis.rank", "min" : 0, "max" : "1" }, "type" : [{ "code" : "positiveInt" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true }, { "id" : "EpisodeOfCare.patient", "path" : "EpisodeOfCare.patient", "short" : "Patient", "definition" : "The person treated within this line of therapy.", "min" : 1, "max" : "1", "base" : { "path" : "EpisodeOfCare.patient", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.subject" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "w5", "map" : "FiveWs.subject" }] }, { "id" : "EpisodeOfCare.managingOrganization", "path" : "EpisodeOfCare.managingOrganization", "short" : "Managing organization", "definition" : "Organization responsible for treating or managing this episode of care.", "min" : 0, "max" : "1", "base" : { "path" : "EpisodeOfCare.managingOrganization", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.actor" }] }, { "id" : "EpisodeOfCare.period", "path" : "EpisodeOfCare.period", "short" : "Treatment period", "definition" : "Period of the line of therapy from start to end of the treatment segment.", "min" : 1, "max" : "1", "base" : { "path" : "EpisodeOfCare.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.occurrence[x]" }, { "identity" : "w5", "map" : "FiveWs.init" }] }, { "id" : "EpisodeOfCare.referralRequest", "path" : "EpisodeOfCare.referralRequest", "short" : "Referral request", "definition" : "Requests giving rise to this line of therapy, e.g. a referral or procedure request.", "min" : 0, "max" : "*", "base" : { "path" : "EpisodeOfCare.referralRequest", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.basedOn" }] }, { "id" : "EpisodeOfCare.careManager", "path" : "EpisodeOfCare.careManager", "short" : "Care manager", "definition" : "Practitioner responsible for managing the line of therapy.", "min" : 0, "max" : "1", "base" : { "path" : "EpisodeOfCare.careManager", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.actor" }] }, { "id" : "EpisodeOfCare.team", "path" : "EpisodeOfCare.team", "short" : "Care team", "definition" : "Care team involved in the line of therapy, e.g. tumor board.", "alias" : ["CareTeam"], "min" : 0, "max" : "*", "base" : { "path" : "EpisodeOfCare.team", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.actor" }] }, { "id" : "EpisodeOfCare.account", "path" : "EpisodeOfCare.account", "short" : "The set of accounts that may be used for billing for this EpisodeOfCare", "definition" : "The set of accounts that may be used for billing for this EpisodeOfCare.", "comment" : "The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.", "min" : 0, "max" : "*", "base" : { "path" : "EpisodeOfCare.account", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false }] }, "differential" : { "element" : [{ "id" : "EpisodeOfCare", "path" : "EpisodeOfCare", "constraint" : [{ "key" : "onko-enlist-1", "severity" : "error", "human" : "Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist.", "expression" : "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" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line" }, { "key" : "onko-enlist-3", "severity" : "error", "human" : "Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode).", "expression" : "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" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line" }, { "key" : "onko-enlist-4", "severity" : "error", "human" : "enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen.", "expression" : "(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" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line" }] }, { "id" : "EpisodeOfCare.extension", "path" : "EpisodeOfCare.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "ordered" : false, "rules" : "open" }, "min" : 1 }, { "id" : "EpisodeOfCare.extension:therapyIntent", "path" : "EpisodeOfCare.extension", "sliceName" : "therapyIntent", "short" : "Therapy intent", "definition" : "Structured therapy intent of the line of therapy – main intent and optional treatment phase.", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent"] }], "mustSupport" : true }, { "id" : "EpisodeOfCare.extension:medicationRequest", "path" : "EpisodeOfCare.extension", "sliceName" : "medicationRequest", "short" : "Medication request", "definition" : "Reference to the medication requests giving rise to this line of therapy – complements referralRequest, which is restricted to ServiceRequest.", "min" : 0, "max" : "*", "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request"] }], "mustSupport" : true }, { "id" : "EpisodeOfCare.extension:lot", "path" : "EpisodeOfCare.extension", "sliceName" : "lot", "short" : "EnLiST LoT designation", "definition" : "X.Y designation per setting axis — eLoT, aLoT or iLoT — per EnLiST.", "min" : 0, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot"] }], "mustSupport" : true }, { "id" : "EpisodeOfCare.extension:lineSegment", "path" : "EpisodeOfCare.extension", "sliceName" : "lineSegment", "short" : "EnLiST line segment", "definition" : "Segment marker of an executing organisation — shared lineId, no designation of its own.", "min" : 0, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment"] }], "mustSupport" : true }, { "id" : "EpisodeOfCare.extension:countable", "path" : "EpisodeOfCare.extension", "sliceName" : "countable", "short" : "EnLiST countability", "definition" : "EnLiST countability — counted or not-counted.", "min" : 0, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable"] }], "mustSupport" : true }, { "id" : "EpisodeOfCare.status", "path" : "EpisodeOfCare.status", "short" : "Status", "definition" : "Status of the line of therapy – e.g. active, onhold, finished, cancelled.", "mustSupport" : true }, { "id" : "EpisodeOfCare.statusHistory", "path" : "EpisodeOfCare.statusHistory", "short" : "Status history", "definition" : "History of status changes of the line of therapy, each with its period.", "mustSupport" : true }, { "id" : "EpisodeOfCare.type", "path" : "EpisodeOfCare.type", "short" : "Type of line of therapy", "definition" : "Treatment modality of the line of therapy – e.g. ambulatory chemotherapy, radiation therapy, immunotherapy or hormone therapy.", "mustSupport" : true, "binding" : { "strength" : "extensible", "valueSet" : "https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-therapy-line-type" } }, { "id" : "EpisodeOfCare.diagnosis", "path" : "EpisodeOfCare.diagnosis", "short" : "Diagnosis", "definition" : "Tumor diagnosis or diagnoses underlying the line of therapy.", "min" : 1, "mustSupport" : true }, { "id" : "EpisodeOfCare.diagnosis.condition", "path" : "EpisodeOfCare.diagnosis.condition", "short" : "Condition", "definition" : "Reference to the addressed tumor condition OnkoCondition.", "type" : [{ "code" : "Reference", "targetProfile" : ["https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-condition"] }], "mustSupport" : true }, { "id" : "EpisodeOfCare.diagnosis.role", "path" : "EpisodeOfCare.diagnosis.role", "short" : "Diagnosis role", "definition" : "Role of the diagnosis in this episode – fixed to chief complaint.", "min" : 1, "patternCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code" : "CC", "display" : "Chief complaint" }] }, "mustSupport" : true }, { "id" : "EpisodeOfCare.diagnosis.rank", "path" : "EpisodeOfCare.diagnosis.rank", "short" : "Rank", "definition" : "Rank of the diagnosis when several diagnoses are present.", "mustSupport" : true }, { "id" : "EpisodeOfCare.patient", "path" : "EpisodeOfCare.patient", "short" : "Patient", "definition" : "The person treated within this line of therapy.", "mustSupport" : true }, { "id" : "EpisodeOfCare.managingOrganization", "path" : "EpisodeOfCare.managingOrganization", "short" : "Managing organization", "definition" : "Organization responsible for treating or managing this episode of care.", "mustSupport" : true }, { "id" : "EpisodeOfCare.period", "path" : "EpisodeOfCare.period", "short" : "Treatment period", "definition" : "Period of the line of therapy from start to end of the treatment segment.", "min" : 1, "mustSupport" : true }, { "id" : "EpisodeOfCare.referralRequest", "path" : "EpisodeOfCare.referralRequest", "short" : "Referral request", "definition" : "Requests giving rise to this line of therapy, e.g. a referral or procedure request.", "mustSupport" : true }, { "id" : "EpisodeOfCare.careManager", "path" : "EpisodeOfCare.careManager", "short" : "Care manager", "definition" : "Practitioner responsible for managing the line of therapy.", "mustSupport" : true }, { "id" : "EpisodeOfCare.team", "path" : "EpisodeOfCare.team", "short" : "Care team", "definition" : "Care team involved in the line of therapy, e.g. tumor board.", "mustSupport" : true }] } }