Implementierungsleitfaden Therapieziele Onkologie
1.0.0-ballot - Ballot Germany

Implementierungsleitfaden Therapieziele Onkologie - Local Development build (v1.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Official URL: https://bih-cei.de/fhir/therapieziele-onkologie/ImplementationGuide/bih-cei-therapieziele-onkologie Version: 1.0.0-ballot
Draft as of 2026-10-01 Computable Name: TherapiezieleOnkologie

This page includes translations from the original source language in which the guide was authored. Information on these translations and instructions on how to provide feedback on the translations can be found here.

Therapy Goals in Oncology

This Implementation Guide defines FHIR profiles for documenting oncological therapy goals (German: Therapieziele) — the goals patients and clinicians agree on when planning cancer treatment (e.g. curative intent, life prolongation, symptom control, quality of life).

It is part of the BIH-CEI / Gematik Onkologie collaboration and is published in German with an English translation.

Profiles and course of care at a glance

Oncology Therapy Goals — Profiles and Progress Process diagram in the style of the original graphic: from the diagnosis via define therapy goal, create care episode, create care plan to assess progress; decision goal achieved or line switch. Green cycles for line switch and strategy change with a new overarching goal. FHIR resources as data objects, red dashed outcomeReference from the Observation to the Goal. Lateral value domains: on the left the goal type with six values — cure, life prolongation, symptom control, quality of life, function preservation and diagnostic; on the right three blocks — intent curative, palliative, supportive; context in the sense of the position relative to surgery neoadjuvant and adjuvant; and the phase with induction, consolidation and maintenance. Oncology Therapy Goals — Profiles and Progress CarePlan · Goal · EpisodeOfCare — BIH-CEI · Layer 3 (fallback path) OnkoCarePlan.goal → OnkoTherapyGoal · Extension workflow-episodeOfCare → OnkoTherapyLine · instantiatesCanonical → PlanDefinition Goal OnkoTherapyGoal EpisodeOfCare OnkoTherapyLine CarePlan OnkoCarePlan PlanDef. CPG-on-FHIR (optional) instantiatesCanonical Diagnosis (Condition) Define therapy goal Create care episode Create care plan Assess progress Goal achieved / line switch? achieved Goal closure completed + achieved Switch → new line Pivot → new overarching goal (replacement) Observation Outcome / progress Goal.target.measure = Observation.code outcome- Reference GOAL TYPE Cure Life prolongation Symptom control Quality of life Function preservation Diagnostic Goal.category onko-therapy-goal-type INTENT curative palliative supportive Relative to surgery: neoadjuvant adjuvant Phase (2nd axis): Induction · Consolidation · Maintenance onko-therapy-intent CarePlan · Goal · EpisodeOfCare LEGEND Process step FHIR resource Decision Value domain Start / End Cycle Data object