{
  "resourceType" : "ValueSet",
  "id" : "onko-service-request-kontext",
  "language" : "de",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ValueSet onko-service-request-kontext</b></p><a name=\"onko-service-request-kontext\"> </a><a name=\"hconko-service-request-kontext\"> </a><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/255470001\">255470001</a></td><td>Local (qualifier value)</td></tr><tr><td><a href=\"http://snomed.info/id/264931009\">264931009</a></td><td>Symptomatic (qualifier value)</td></tr><tr><td><a href=\"http://snomed.info/id/129428001\">129428001</a></td><td>Preventive - procedure intent</td></tr><tr><td><a href=\"http://snomed.info/id/261002007\">261002007</a></td><td>Definitive (qualifier value)</td></tr><tr><td><a href=\"http://snomed.info/id/373847000\">373847000</a></td><td>Neoadjuvant intent</td></tr><tr><td><a href=\"http://snomed.info/id/373846009\">373846009</a></td><td>Adjuvant - intent</td></tr><tr><td><a href=\"http://snomed.info/id/260364009\">260364009</a></td><td>Additive (qualifier value)</td></tr><tr><td><a href=\"http://snomed.info/id/277671009\">277671009</a></td><td>Intraoperative (qualifier value)</td></tr><tr><td><a href=\"http://snomed.info/id/103390000\">103390000</a></td><td>Elective (qualifier value)</td></tr><tr><td><a href=\"http://snomed.info/id/25876001\">25876001</a></td><td>Emergency (qualifier value)</td></tr></table></li></ul></div>"
  },
  "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-service-request-kontext",
  "version" : "1.0.0-ballot",
  "name" : "OnkoServiceRequestKontextVS",
  "title" : "Kontext einer Tumorboard-Empfehlung (VS)",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-10-01T11:27:43+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" : "Zusätzlicher Kontext eines Behandlungsschritts – ergänzend zur Therapieintention – z. B. ob eine\nMaßnahme lokal begrenzt, symptomatisch, präventiv, definitiv, additiv, intraoperativ, elektiv\noder im Notfall erfolgt. Gebunden an die Extension `onko-behandlungs-kontext`.\n\n**Stellung zur Operation:** Die Codes `Neoadjuvant intent`, `Adjuvant - intent`, `Additive` und\n`Intraoperative` decken die Achse ab, die das MII-Modul Onkologie als\n`mii-cs-onko-therapie-stellungzurop` (A/N/I/Z) führt. Sie stehen hier und nicht in der\nIntentions-Liste, weil sie die Intention ergänzen statt sie zu ersetzen.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE",
      "display" : "Germany"
    }]
  }],
  "compose" : {
    "include" : [{
      "system" : "http://snomed.info/sct",
      "concept" : [{
        "code" : "255470001",
        "display" : "Local (qualifier value)"
      },
      {
        "code" : "264931009",
        "display" : "Symptomatic (qualifier value)"
      },
      {
        "code" : "129428001",
        "display" : "Preventive - procedure intent"
      },
      {
        "code" : "261002007",
        "display" : "Definitive (qualifier value)"
      },
      {
        "code" : "373847000",
        "display" : "Neoadjuvant intent"
      },
      {
        "code" : "373846009",
        "display" : "Adjuvant - intent"
      },
      {
        "code" : "260364009",
        "display" : "Additive (qualifier value)"
      },
      {
        "code" : "277671009",
        "display" : "Intraoperative (qualifier value)"
      },
      {
        "code" : "103390000",
        "display" : "Elective (qualifier value)"
      },
      {
        "code" : "25876001",
        "display" : "Emergency (qualifier value)"
      }]
    }]
  }
}