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

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Resource Profile: Onkologische Behandlungsepisode ( Experimental )

A delimited oncological care segment with its own intent based on EpisodeOfCare — the episode type distinguishes systemic line of therapy, locoregional treatment line, diagnostic line, active surveillance and watchful waiting; the treatment modality is a characteristic of its own. A systemic line of therapy is a clinical continuum that may span multiple organisation-bound episodes; the EnLiST designation is carried by exactly one leading episode per line, executing organisations document their episodes as segments with a shared lineId.

Usages:

• Examples for this Profile: EpisodeOfCare/TherapielinieCRCErstlinie, EpisodeOfCare/TherapielinieChemo, EpisodeOfCare/TherapielinieOperation and EpisodeOfCare/TherapieliniePembroAdjuvant

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4, onko-episode-1, onko-episode-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyIntent	S	1..1	(Complex)	Intent URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
extension:modalitaet	S	0..*	CodeableConcept	Treatment modality URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-modalitaet Binding: Behandlungsmodalität (VS) (example)
extension:medicationRequest	S	0..*	Reference(MedicationRequest)	Medication request URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
extension:lot	SC	0..1	(Complex)	EnLiST LoT designation URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot Constraints: onko-enlist-2
extension:lineSegment	S	0..1	Identifier	EnLiST line segment URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
extension:countable	S	0..1	CodeableConcept	EnLiST countability URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable Binding: EnLiST-Zählstatus (ValueSet) (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	Status Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory	S	0..*	BackboneElement	Status history
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	SΣ	1..1	CodeableConcept	Episode type Binding: Episodenart (ValueSet) (extensible)
diagnosis	SΣ	0..*	BackboneElement	Diagnosis
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(MII PR Onkologie Diagnose Primärtumor)	Condition
role	SΣ	1..1	CodeableConcept	Diagnosis role Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CC
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
rank	SΣ	0..1	positiveInt	Rank
patient	SΣ	1..1	Reference(Patient)	Patient
managingOrganization	SΣ	0..1	Reference(Organization)	Managing organization
period	SΣ	1..1	Period	Period
referralRequest	S	0..*	Reference(ServiceRequest)	Referral request
careManager	S	0..1	Reference(Practitioner | PractitionerRole)	Care manager
team	S	0..*	Reference(CareTeam)	Care team
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	extensible	Episode type value set	📦1.0.0-ballot	This IG
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EpisodeOfCare	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	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()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
onko-enlist-1	error	EpisodeOfCare	Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist.	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()
onko-enlist-2	warning	EpisodeOfCare.extension:lot	Die notation (falls vorhanden) muss aus setting, line und modification zusammengesetzt sein (z. B. 'eLoT 1.0').	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()
onko-enlist-3	error	EpisodeOfCare	Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode).	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())
onko-enlist-4	error	EpisodeOfCare	enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen.	(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()
onko-episode-1	error	EpisodeOfCare	Therapeutische Episodenarten (systemische Therapielinie, lokoregionale Behandlungslinie) erfordern mindestens einen Diagnosebezug.	type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and (code = 'systemische-therapielinie' or code = 'lokoregionale-behandlungslinie')).exists() implies diagnosis.exists()
onko-episode-2	error	EpisodeOfCare	EnLiST-Designation (enlist-lot), Segment-Marker (enlist-line-segment) und Zählstatus 'counted' sind nur bei Episodenart 'systemische Therapielinie' zulässig.	(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() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists()) implies type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and code = 'systemische-therapielinie').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4, onko-episode-1, onko-episode-2
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyIntent	S	1..1	(Complex)	Intent URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
extension:modalitaet	S	0..*	CodeableConcept	Treatment modality URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-modalitaet Binding: Behandlungsmodalität (VS) (example)
extension:medicationRequest	S	0..*	Reference(MedicationRequest)	Medication request URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
extension:lot	S	0..1	(Complex)	EnLiST LoT designation URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
extension:lineSegment	S	0..1	Identifier	EnLiST line segment URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
extension:countable	S	0..1	CodeableConcept	EnLiST countability URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable Binding: EnLiST-Zählstatus (ValueSet) (required)
status	S	1..1	code	Status
statusHistory	S	0..*	BackboneElement	Status history
type	S	1..1	CodeableConcept	Episode type Binding: Episodenart (ValueSet) (extensible)
diagnosis	S	0..*	BackboneElement	Diagnosis
condition	S	1..1	Reference(MII PR Onkologie Diagnose Primärtumor)	Condition
role	S	1..1	CodeableConcept	Diagnosis role Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CC
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint
rank	S	0..1	positiveInt	Rank
patient	S	1..1	Reference(Patient)	Patient
managingOrganization	S	0..1	Reference(Organization)	Managing organization
period	S	1..1	Period	Period
referralRequest	S	0..*	Reference(ServiceRequest)	Referral request
careManager	S	0..1	Reference(Practitioner | PractitionerRole)	Care manager
team	S	0..*	Reference(CareTeam)	Care team
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.type	Base	extensible	Episode type value set	📦1.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
onko-enlist-1	error	EpisodeOfCare	Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist.	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()
onko-enlist-3	error	EpisodeOfCare	Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode).	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())
onko-enlist-4	error	EpisodeOfCare	enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen.	(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()
onko-episode-1	error	EpisodeOfCare	Therapeutische Episodenarten (systemische Therapielinie, lokoregionale Behandlungslinie) erfordern mindestens einen Diagnosebezug.	type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and (code = 'systemische-therapielinie' or code = 'lokoregionale-behandlungslinie')).exists() implies diagnosis.exists()
onko-episode-2	error	EpisodeOfCare	EnLiST-Designation (enlist-lot), Segment-Marker (enlist-line-segment) und Zählstatus 'counted' sind nur bei Episodenart 'systemische Therapielinie' zulässig.	(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() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists()) implies type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and code = 'systemische-therapielinie').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4, onko-episode-1, onko-episode-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyIntent	S	1..1	(Complex)	Intent URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
extension:modalitaet	S	0..*	CodeableConcept	Treatment modality URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-modalitaet Binding: Behandlungsmodalität (VS) (example)
extension:medicationRequest	S	0..*	Reference(MedicationRequest)	Medication request URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
extension:lot	SC	0..1	(Complex)	EnLiST LoT designation URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot Constraints: onko-enlist-2
extension:lineSegment	S	0..1	Identifier	EnLiST line segment URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
extension:countable	S	0..1	CodeableConcept	EnLiST countability URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable Binding: EnLiST-Zählstatus (ValueSet) (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!SΣ	1..1	code	Status Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory	S	0..*	BackboneElement	Status history
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	SΣ	1..1	CodeableConcept	Episode type Binding: Episodenart (ValueSet) (extensible)
diagnosis	SΣ	0..*	BackboneElement	Diagnosis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(MII PR Onkologie Diagnose Primärtumor)	Condition
role	SΣ	1..1	CodeableConcept	Diagnosis role Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CC
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
rank	SΣ	0..1	positiveInt	Rank
patient	SΣ	1..1	Reference(Patient)	Patient
managingOrganization	SΣ	0..1	Reference(Organization)	Managing organization
period	SΣ	1..1	Period	Period
referralRequest	S	0..*	Reference(ServiceRequest)	Referral request
careManager	S	0..1	Reference(Practitioner | PractitionerRole)	Care manager
team	S	0..*	Reference(CareTeam)	Care team
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	extensible	Episode type value set	📦1.0.0-ballot	This IG
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EpisodeOfCare	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	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()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
onko-enlist-1	error	EpisodeOfCare	Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist.	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()
onko-enlist-2	warning	EpisodeOfCare.extension:lot	Die notation (falls vorhanden) muss aus setting, line und modification zusammengesetzt sein (z. B. 'eLoT 1.0').	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()
onko-enlist-3	error	EpisodeOfCare	Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode).	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())
onko-enlist-4	error	EpisodeOfCare	enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen.	(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()
onko-episode-1	error	EpisodeOfCare	Therapeutische Episodenarten (systemische Therapielinie, lokoregionale Behandlungslinie) erfordern mindestens einen Diagnosebezug.	type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and (code = 'systemische-therapielinie' or code = 'lokoregionale-behandlungslinie')).exists() implies diagnosis.exists()
onko-episode-2	error	EpisodeOfCare	EnLiST-Designation (enlist-lot), Segment-Marker (enlist-line-segment) und Zählstatus 'counted' sind nur bei Episodenart 'systemische Therapielinie' zulässig.	(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() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists()) implies type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and code = 'systemische-therapielinie').exists()

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• MII PR Onkologie Diagnose Primärtumor (https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor)

Extensions

This structure refers to these extensions:

• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-modalitaet
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4, onko-episode-1, onko-episode-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyIntent	S	1..1	(Complex)	Intent URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
extension:modalitaet	S	0..*	CodeableConcept	Treatment modality URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-modalitaet Binding: Behandlungsmodalität (VS) (example)
extension:medicationRequest	S	0..*	Reference(MedicationRequest)	Medication request URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
extension:lot	SC	0..1	(Complex)	EnLiST LoT designation URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot Constraints: onko-enlist-2
extension:lineSegment	S	0..1	Identifier	EnLiST line segment URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
extension:countable	S	0..1	CodeableConcept	EnLiST countability URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable Binding: EnLiST-Zählstatus (ValueSet) (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	Status Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory	S	0..*	BackboneElement	Status history
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	SΣ	1..1	CodeableConcept	Episode type Binding: Episodenart (ValueSet) (extensible)
diagnosis	SΣ	0..*	BackboneElement	Diagnosis
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(MII PR Onkologie Diagnose Primärtumor)	Condition
role	SΣ	1..1	CodeableConcept	Diagnosis role Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CC
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
rank	SΣ	0..1	positiveInt	Rank
patient	SΣ	1..1	Reference(Patient)	Patient
managingOrganization	SΣ	0..1	Reference(Organization)	Managing organization
period	SΣ	1..1	Period	Period
referralRequest	S	0..*	Reference(ServiceRequest)	Referral request
careManager	S	0..1	Reference(Practitioner | PractitionerRole)	Care manager
team	S	0..*	Reference(CareTeam)	Care team
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	extensible	Episode type value set	📦1.0.0-ballot	This IG
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EpisodeOfCare	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	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()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
onko-enlist-1	error	EpisodeOfCare	Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist.	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()
onko-enlist-2	warning	EpisodeOfCare.extension:lot	Die notation (falls vorhanden) muss aus setting, line und modification zusammengesetzt sein (z. B. 'eLoT 1.0').	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()
onko-enlist-3	error	EpisodeOfCare	Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode).	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())
onko-enlist-4	error	EpisodeOfCare	enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen.	(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()
onko-episode-1	error	EpisodeOfCare	Therapeutische Episodenarten (systemische Therapielinie, lokoregionale Behandlungslinie) erfordern mindestens einen Diagnosebezug.	type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and (code = 'systemische-therapielinie' or code = 'lokoregionale-behandlungslinie')).exists() implies diagnosis.exists()
onko-episode-2	error	EpisodeOfCare	EnLiST-Designation (enlist-lot), Segment-Marker (enlist-line-segment) und Zählstatus 'counted' sind nur bei Episodenart 'systemische Therapielinie' zulässig.	(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() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists()) implies type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and code = 'systemische-therapielinie').exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4, onko-episode-1, onko-episode-2
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyIntent	S	1..1	(Complex)	Intent URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
extension:modalitaet	S	0..*	CodeableConcept	Treatment modality URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-modalitaet Binding: Behandlungsmodalität (VS) (example)
extension:medicationRequest	S	0..*	Reference(MedicationRequest)	Medication request URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
extension:lot	S	0..1	(Complex)	EnLiST LoT designation URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
extension:lineSegment	S	0..1	Identifier	EnLiST line segment URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
extension:countable	S	0..1	CodeableConcept	EnLiST countability URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable Binding: EnLiST-Zählstatus (ValueSet) (required)
status	S	1..1	code	Status
statusHistory	S	0..*	BackboneElement	Status history
type	S	1..1	CodeableConcept	Episode type Binding: Episodenart (ValueSet) (extensible)
diagnosis	S	0..*	BackboneElement	Diagnosis
condition	S	1..1	Reference(MII PR Onkologie Diagnose Primärtumor)	Condition
role	S	1..1	CodeableConcept	Diagnosis role Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CC
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint
rank	S	0..1	positiveInt	Rank
patient	S	1..1	Reference(Patient)	Patient
managingOrganization	S	0..1	Reference(Organization)	Managing organization
period	S	1..1	Period	Period
referralRequest	S	0..*	Reference(ServiceRequest)	Referral request
careManager	S	0..1	Reference(Practitioner | PractitionerRole)	Care manager
team	S	0..*	Reference(CareTeam)	Care team
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.type	Base	extensible	Episode type value set	📦1.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
onko-enlist-1	error	EpisodeOfCare	Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist.	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()
onko-enlist-3	error	EpisodeOfCare	Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode).	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())
onko-enlist-4	error	EpisodeOfCare	enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen.	(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()
onko-episode-1	error	EpisodeOfCare	Therapeutische Episodenarten (systemische Therapielinie, lokoregionale Behandlungslinie) erfordern mindestens einen Diagnosebezug.	type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and (code = 'systemische-therapielinie' or code = 'lokoregionale-behandlungslinie')).exists() implies diagnosis.exists()
onko-episode-2	error	EpisodeOfCare	EnLiST-Designation (enlist-lot), Segment-Marker (enlist-line-segment) und Zählstatus 'counted' sind nur bei Episodenart 'systemische Therapielinie' zulässig.	(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() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists()) implies type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and code = 'systemische-therapielinie').exists()

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: onko-enlist-1, onko-enlist-3, onko-enlist-4, onko-episode-1, onko-episode-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyIntent	S	1..1	(Complex)	Intent URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
extension:modalitaet	S	0..*	CodeableConcept	Treatment modality URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-modalitaet Binding: Behandlungsmodalität (VS) (example)
extension:medicationRequest	S	0..*	Reference(MedicationRequest)	Medication request URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
extension:lot	SC	0..1	(Complex)	EnLiST LoT designation URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot Constraints: onko-enlist-2
extension:lineSegment	S	0..1	Identifier	EnLiST line segment URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
extension:countable	S	0..1	CodeableConcept	EnLiST countability URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable Binding: EnLiST-Zählstatus (ValueSet) (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!SΣ	1..1	code	Status Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory	S	0..*	BackboneElement	Status history
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	SΣ	1..1	CodeableConcept	Episode type Binding: Episodenart (ValueSet) (extensible)
diagnosis	SΣ	0..*	BackboneElement	Diagnosis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(MII PR Onkologie Diagnose Primärtumor)	Condition
role	SΣ	1..1	CodeableConcept	Diagnosis role Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/diagnosis-role
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CC
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
rank	SΣ	0..1	positiveInt	Rank
patient	SΣ	1..1	Reference(Patient)	Patient
managingOrganization	SΣ	0..1	Reference(Organization)	Managing organization
period	SΣ	1..1	Period	Period
referralRequest	S	0..*	Reference(ServiceRequest)	Referral request
careManager	S	0..1	Reference(Practitioner | PractitionerRole)	Care manager
team	S	0..*	Reference(CareTeam)	Care team
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	extensible	Episode type value set	📦1.0.0-ballot	This IG
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EpisodeOfCare	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	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()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
onko-enlist-1	error	EpisodeOfCare	Eine EnLiST-LoT-Designation (enlist-lot) darf nur vorliegen, wenn der Zählstatus (enlist-countable) 'counted' ist.	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()
onko-enlist-2	warning	EpisodeOfCare.extension:lot	Die notation (falls vorhanden) muss aus setting, line und modification zusammengesetzt sein (z. B. 'eLoT 1.0').	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()
onko-enlist-3	error	EpisodeOfCare	Zählstatus 'counted' erfordert eine EnLiST-Designation (enlist-lot, führende Episode) oder einen Segment-Marker (enlist-line-segment, ausführende Episode).	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())
onko-enlist-4	error	EpisodeOfCare	enlist-lot (führende Episode) und enlist-line-segment (ausführendes Segment) dürfen nicht an derselben Episode vorliegen.	(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()
onko-episode-1	error	EpisodeOfCare	Therapeutische Episodenarten (systemische Therapielinie, lokoregionale Behandlungslinie) erfordern mindestens einen Diagnosebezug.	type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and (code = 'systemische-therapielinie' or code = 'lokoregionale-behandlungslinie')).exists() implies diagnosis.exists()
onko-episode-2	error	EpisodeOfCare	EnLiST-Designation (enlist-lot), Segment-Marker (enlist-line-segment) und Zählstatus 'counted' sind nur bei Episodenart 'systemische Therapielinie' zulässig.	(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() or extension.where(url = 'https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable').value.ofType(CodeableConcept).coding.where(code = 'counted').exists()) implies type.coding.where(system = 'https://bih-cei.de/fhir/therapieziele-onkologie/CodeSystem/episodenart' and code = 'systemische-therapielinie').exists()

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• MII PR Onkologie Diagnose Primärtumor (https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor)

Extensions

This structure refers to these extensions:

• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-modalitaet
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-line-medication-request
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-lot
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-line-segment
• https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/enlist-countable

Other representations of profile: CSV, Excel, Schematron