{ "resourceType" : "StructureDefinition", "id" : "onko-behandlungs-kontext", "language" : "en", "text" : { "status" : "extensions", "div" : "

English

Generated Narrative: StructureDefinition onko-behandlungs-kontext

\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Extension 0..*ExtensionKontext (Extension)
\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\" url 1..1uri"https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-behandlungs-kontext"
\".\"\".\"\".\" value[x] 0..1CodeableConceptContext
Binding: Kontext einer Tumorboard-Empfehlung (VS) (required)

\"doco\" Documentation for this format
" }, "url" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-behandlungs-kontext", "version" : "1.0.0-ballot", "name" : "OnkoBehandlungsKontextExt", "title" : "Context extension", "status" : "draft", "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" : "Additional context of a treatment step that, complementing the therapy intent, indicates for example whether a measure is local, symptomatic, preventive, definitive, additive, intraoperative, elective or an emergency. This field is intended to give individual treatment steps further context beyond the therapy intent. The extension can be used on ServiceRequest, Procedure, MedicationRequest and MedicationAdministration.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "DE", "display" : "Germany" }] }], "fhirVersion" : "4.0.1", "mapping" : [{ "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }], "kind" : "complex-type", "abstract" : false, "context" : [{ "type" : "element", "expression" : "ServiceRequest" }, { "type" : "element", "expression" : "Procedure" }, { "type" : "element", "expression" : "MedicationRequest" }, { "type" : "element", "expression" : "MedicationAdministration" }], "type" : "Extension", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" }], "element" : [{ "id" : "Extension", "path" : "Extension", "short" : "Kontext (Extension)", "definition" : "Zusätzlicher Kontext eines Behandlungsschritts, der – ergänzend zur Therapieintention – z. B.\nkennzeichnet, ob eine Maßnahme lokal begrenzt, symptomatisch, präventiv, definitiv, additiv,\nintraoperativ, elektiv oder im Notfall erfolgt.\n\nDieses Feld soll dazu dienen, neben der Therapieintention einzelnen Behandlungsschritten\nweiteren Kontext zu geben. Die Extension kann an ServiceRequest, Procedure, MedicationRequest\nund MedicationAdministration verwendet werden.", "min" : 0, "max" : "*", "base" : { "path" : "Extension", "min" : 0, "max" : "*" }, "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" }], "isModifier" : false }, { "id" : "Extension.id", "path" : "Extension.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" : "Extension.extension", "path" : "Extension.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "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 }, { "id" : "Extension.url", "path" : "Extension.url", "representation" : ["xmlAttr"], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedUri" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-behandlungs-kontext", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.value[x]", "path" : "Extension.value[x]", "short" : "Context", "definition" : "This field is intended to give individual treatment steps further context beyond the therapy intent.", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "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" }], "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "required", "valueSet" : "https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-service-request-kontext" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }] }, "differential" : { "element" : [{ "id" : "Extension", "path" : "Extension", "short" : "Kontext (Extension)", "definition" : "Zusätzlicher Kontext eines Behandlungsschritts, der – ergänzend zur Therapieintention – z. B.\nkennzeichnet, ob eine Maßnahme lokal begrenzt, symptomatisch, präventiv, definitiv, additiv,\nintraoperativ, elektiv oder im Notfall erfolgt.\n\nDieses Feld soll dazu dienen, neben der Therapieintention einzelnen Behandlungsschritten\nweiteren Kontext zu geben. Die Extension kann an ServiceRequest, Procedure, MedicationRequest\nund MedicationAdministration verwendet werden." }, { "id" : "Extension.extension", "path" : "Extension.extension", "max" : "0" }, { "id" : "Extension.url", "path" : "Extension.url", "fixedUri" : "https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-behandlungs-kontext" }, { "id" : "Extension.value[x]", "path" : "Extension.value[x]", "short" : "Context", "definition" : "This field is intended to give individual treatment steps further context beyond the therapy intent.", "type" : [{ "code" : "CodeableConcept" }], "binding" : { "strength" : "required", "valueSet" : "https://bih-cei.de/fhir/therapieziele-onkologie/ValueSet/onko-service-request-kontext" } }] } }