FHIR IG analytics| Package | de.medizininformatikinitiative.kerndatensatz.onkologie |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-mii-lm-onko-organspezifische-zusatzmodule.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=de.medizininformatikinitiative.kerndatensatz.onkologie@2026.0.1&canonical=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/OrganspezifischeZusatzmodule |
| URL | https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/OrganspezifischeZusatzmodule |
| Version | 2026.0.1 |
| Status | active |
| Name | MII_LM_Onko_Organspezifische_Zusatzmodule |
| Title | MII LM Onkologie Organspezifische Zusatzmodule |
| Realm | de |
| Description | Logisches Modell für die organspezifischen Zusatzmodule des oBDS |
| Type | https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/OrganspezifischeZusatzmodule |
| Kind | logical |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
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"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/LogicalModel/OrganspezifischeZusatzmodule",
"version": "2026.0.1",
"name": "MII_LM_Onko_Organspezifische_Zusatzmodule",
"title": "MII LM Onkologie Organspezifische Zusatzmodule",
"status": "active",
"publisher": "Medizininformatik Initiative",
"contact": [
{
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}
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}
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{
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{
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"name": "Organspezifische Zusatzmodule LogicalModel oBDS Mapping"
}
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{
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
"short": "Anteil positive Zellen",
"definition": "Quantitative Bestimmung in Prozent.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234804006').valueQuantity"
},
{
"identity": "oBDS",
"map": "M2.1.2",
"comment": "Quantitative Estrogen-Bestimmung in Prozent"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
"short": "Färbeintensität",
"definition": "Qualitative Bewertung der Färbeintensität.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1236874005').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "M2.1.3",
"comment": "Estrogen-Färbeintensität"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron",
"short": "Rezeptorstatus Progesteron",
"definition": "Rezeptorstatus Progesteron",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='85339-0')"
},
{
"identity": "oBDS",
"map": "M2.2",
"comment": "Progesteron-Rezeptorstatus"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.id",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.extension",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.modifierExtension",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"short": "Progesteron-Rezeptorstatus",
"definition": "Kategoriale Bewertung des Progesteron-Rezeptorstatus: positiv/negativ. oBDS M3",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "M2.2.1",
"comment": "Kategoriale Bewertung des Progesteron-Rezeptorstatus"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"short": "Anteil positive Zellen",
"definition": "Quantitative Bestimmung in Prozent.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234803000').valueQuantity"
},
{
"identity": "oBDS",
"map": "M2.2.2",
"comment": "Quantitative Progesteron-Bestimmung in Prozent"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"short": "Färbeintensität",
"definition": "Qualitative Bewertung der Färbeintensität.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1237278006').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "M2.2.3",
"comment": "Progesteron-Färbeintensität"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"short": "Präoperative Markierung",
"definition": "Präoperative Markierung",
"min": 0,
"max": "*",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-praeoperative-markierung'))"
},
{
"identity": "oBDS",
"map": "M5",
"comment": "Präoperative Markierung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.id",
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.extension",
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.modifierExtension",
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"short": "Markierungsmodalität",
"definition": "Art der präoperativen Markierung",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Procedure.usedCode.coding.where(memberOf('mii-vs-onko-mamma-praeoperative-markierung-modalitaet'))"
},
{
"identity": "oBDS",
"map": "M5.1",
"comment": "Modalität der präoperativen Markierung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"short": "Mamma-Operation",
"definition": "Mamma-Operation",
"min": 0,
"max": "*",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-operation'))"
},
{
"identity": "oBDS",
"map": "M4",
"comment": "Mamma-Operationen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.id",
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.extension",
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.modifierExtension",
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"short": "Operationstyp",
"definition": "Art der Mamma-Operation.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Procedure.code"
},
{
"identity": "oBDS",
"map": "M4.1",
"comment": "Art der Mamma-Operation (BET, Mastektomie, Lymphknotenoperation, Rekonstruktion)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"short": "Intraoperatives Imaging",
"definition": "Intraoperatives Imagung und weitere Markierungen und Hilfsmittel während der Operation.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "*",
"base": {
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Procedure.usedCode"
},
{
"identity": "oBDS",
"map": "M4.2",
"comment": "Intraoperative Hilfsmittel und Markierungen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"short": "Kolorektales Karzinom",
"definition": "Kolorektales Karzinom",
"min": 0,
"max": "*",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Bundle/Collection von KRK-spezifischen Ressourcen"
},
{
"identity": "oBDS",
"map": "KRK-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Kolorektales Karzinom basierend auf oBDS-Modul"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.id",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.extension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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')])",
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}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.modifierExtension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
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},
{
"key": "ext-1",
"severity": "error",
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"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
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}
],
"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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"short": "Tumor Lokalisation",
"definition": "Tumor Lokalisation",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
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"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "KRK-spezifische Tumorlokalisation"
},
{
"identity": "oBDS",
"map": "KR1",
"comment": "Tumorlokalisation und anatomische Bezugspunkte"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.id",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.extension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.modifierExtension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"short": "Abstand Anokutanlinie",
"definition": "Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm. oBDS KR1",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33748-5').valueQuantity"
},
{
"identity": "oBDS",
"map": "KR1",
"comment": "Rektum: Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"short": "Bildgebende Verfahren",
"definition": "Bildgebende Verfahren",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "KRK-spezifische bildgebende Verfahren"
},
{
"identity": "oBDS",
"map": "KR5",
"comment": "Bildgebende Verfahren zur präoperativen Beurteilung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.id",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.extension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.modifierExtension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"short": "MRT/CT Mesorektale Faszie",
"definition": "MRT/CT Mesorektale Faszie",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://radlex.org' and code.coding.code='RDE96')"
},
{
"identity": "oBDS",
"map": "KR5",
"comment": "Rektum: MRT oder Dünnschicht-CT durchgeführt mit Angabe Abstand mesorektale Faszie"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.id",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.extension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.modifierExtension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"short": "Abstand Mesorektale Faszie",
"definition": "Abstand des Tumors zur mesorektalen Faszie in mm bei MRT/CT. oBDS KR5",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.valueQuantity"
},
{
"identity": "oBDS",
"map": "KR5",
"comment": "Abstand zur mesorektalen Faszie in mm"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"short": "Grund für fehlende Abstandsmessung",
"definition": "Grund warum der Abstand zur mesorektalen Faszie nicht verfügbar ist (nicht durchgeführt/nicht angegeben/unbekannt).",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "KR5",
"comment": "Status: D/N/U (durchgeführt aber nicht angegeben/nicht durchgeführt/unbekannt)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
"short": "KRK Operation",
"definition": "KRK Operation",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-operation'))"
},
{
"identity": "oBDS",
"map": "KR-Operation",
"comment": "KRK-spezifische operative Verfahren"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.id",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.extension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.modifierExtension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
"short": "Operationstyp",
"definition": "Art der kolorektalen Operation (TME, PME, lokale Exzision, etc.).",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Procedure.code"
},
{
"identity": "oBDS",
"map": "OPS",
"comment": "Art der kolorektalen Operation nach OPS-Katalog"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
"short": "ASA-Klassifikation",
"definition": "American Society of Anesthesiologists Physical Status Classification System. oBDS KR4",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='97816-3').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "KR9",
"comment": "ASA-Klassifikation"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
"short": "Stoma Markierung",
"definition": "Stoma Markierung",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung'))"
},
{
"identity": "oBDS",
"map": "KR7",
"comment": "Rektum: Präoperative Anzeichnung der Stomaposition"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.id",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.extension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.modifierExtension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
"short": "Markierungsstatus",
"definition": "Status der präoperativen Stoma-Markierung.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Procedure.status"
},
{
"identity": "oBDS",
"map": "KR7",
"comment": "Status der präoperativen Stoma-Markierung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"short": "Status Grund",
"definition": "Grund für Markierungsstatus (geplant/nicht geplant/abgelehnt).",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Procedure.statusReason"
},
{
"identity": "oBDS",
"map": "KR7",
"comment": "Grund für Markierungsstatus"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
"short": "Pathologische Bewertung",
"definition": "Pathologische Bewertung",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "KRK-spezifische pathologische Bewertung"
},
{
"identity": "oBDS",
"map": "KR2-KR4",
"comment": "Pathologische Bewertung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.id",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.extension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.modifierExtension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"short": "Resektionsrand aboral",
"definition": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm. oBDS KR2",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81175-2').valueQuantity"
},
{
"identity": "oBDS",
"map": "KR2",
"comment": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"short": "Resektionsrand circumferell",
"definition": "Minimaler Abstand des Tumors zur circumferellen Resektionsebene in mm. oBDS KR3",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81176-0').valueQuantity"
},
{
"identity": "oBDS",
"map": "KR3",
"comment": "Minimaler Abstand des Tumors zur circumferellen Resektionsebene in mm"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
"short": "TME Qualität",
"definition": "Qualität der totalen mesorektalen Exzision (Grad 1-3).",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Specimen.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen')).extension"
},
{
"identity": "oBDS",
"map": "KR4",
"comment": "Rektum: Qualität des TME-Präparats"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
"short": "Postoperative Komplikationen",
"definition": "Postoperative Komplikationen",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "KRK-spezifische postoperative Komplikationen"
},
{
"identity": "oBDS",
"map": "KR8",
"comment": "Postoperative Komplikationen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.id",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.extension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.modifierExtension",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
"short": "Anastomoseninsuffizienz",
"definition": "Bewertung der Anastomoseninsuffizienz nach Grad A/B/C.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='361317002').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "KR8",
"comment": "Rektumkarzinom: Anastomoseninsuffizienz"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata",
"short": "Prostata",
"definition": "Prostata",
"min": 0,
"max": "*",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Bundle/Collection von Prostata-spezifischen Ressourcen"
},
{
"identity": "oBDS",
"map": "Prostata-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Prostatakarzinom basierend auf oBDS-Modul"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.id",
"path": "OrganspezifischeZusatzmodule.Prostata.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.extension",
"path": "OrganspezifischeZusatzmodule.Prostata.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.modifierExtension",
"path": "OrganspezifischeZusatzmodule.Prostata.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
"short": "PSA-Wert",
"definition": "Prostataspezifisches Antigen in ng/ml für Diagnostik und Verlaufskontrolle.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='2857-1').valueQuantity"
},
{
"identity": "oBDS",
"map": "P1",
"comment": "PSA-Wert als Tumormarker für Diagnostik und Verlaufskontrolle"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
"short": "Gleason Pattern",
"definition": "Gleason Pattern",
"min": 0,
"max": "*",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.memberOf('mii-vs-onko-prostata-gleason-primary-secondary-tertiary'))"
},
{
"identity": "oBDS",
"map": "P2",
"comment": "Gleason Pattern (primär, sekundär, tertiär) für histopathologische Klassifikation"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.id",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.extension",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.modifierExtension",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"short": "Pattern Typ",
"definition": "Primäres, sekundäres oder tertiäres Gleason Pattern.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.code"
},
{
"identity": "oBDS",
"map": "P2.1",
"comment": "Art des Gleason Patterns (primär/sekundär/tertiär)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"short": "Pattern Wert",
"definition": "Gleason Pattern Wert (1-5, ab 3 als maligne).",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P2.2",
"comment": "Gleason Pattern Wert (1-5, ab 3 maligne)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
"short": "Gleason Score",
"definition": "Gleason Score",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44642-7')"
},
{
"identity": "oBDS",
"map": "P3",
"comment": "Gleason Score als Summe der Patterns"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.id",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.extension",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.modifierExtension",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"short": "Gleason Score",
"definition": "Summe aus primärem und sekundärem Pattern.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P3.1",
"comment": "Gleason Score Gesamtwert"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"short": "Grade Group",
"definition": "Internationale Standard Grade Group (1-5).",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='79892-6').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P3.2",
"comment": "Internationale Standard Grade Group (1-5)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"short": "Biopsie Ergebnisse",
"definition": "Biopsie Ergebnisse",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Observation Collection"
},
{
"identity": "oBDS",
"map": "P4",
"comment": "Prostatabiopsie-Ergebnisse"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.id",
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.extension",
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.modifierExtension",
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"short": "Anzahl Stanzen",
"definition": "Gesamtanzahl der entnommenen Biopsie-Stanzen.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33747-0').valueQuantity"
},
{
"identity": "oBDS",
"map": "P4.1",
"comment": "Gesamtanzahl entnommener Biopsie-Stanzen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"short": "Anzahl positive Stanzen",
"definition": "Anzahl der tumorpositiven Stanzen.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33746-2').valueQuantity"
},
{
"identity": "oBDS",
"map": "P4.2",
"comment": "Anzahl tumorpositiver Stanzen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"short": "Karzinom-Befall je Stanze",
"definition": "Prozentuale Ausdehnung des Karzinoms in der Stanze.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44637-7').valueQuantity"
},
{
"identity": "oBDS",
"map": "P4.3",
"comment": "Prozentuale Ausdehnung Karzinom je Stanze"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"short": "Chirurgische Komplikationen",
"definition": "Chirurgische Komplikationen",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Observation.where(method.coding.system='http://snomed.info/sct' and method.coding.code='789278003')"
},
{
"identity": "oBDS",
"map": "P5",
"comment": "Postoperative Komplikationen nach Prostatektomie"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.id",
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.extension",
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.modifierExtension",
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"short": "Clavien-Dindo Grad",
"definition": "Graduierung postoperativer Komplikationen nach Clavien-Dindo.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P5.1",
"comment": "Clavien-Dindo Klassifikation postoperativer Komplikationen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"short": "Komplikationsart",
"definition": "Spezifische Art der postoperativen Komplikation.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='LA462-5').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P5.2",
"comment": "Spezifische Art der postoperativen Komplikation"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom",
"short": "Malignes Melanom",
"definition": "Malignes Melanom",
"min": 0,
"max": "*",
"base": {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Bundle/Collection von Melanom-spezifischen Ressourcen"
},
{
"identity": "oBDS",
"map": "Melanom-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Malignes Melanom basierend auf oBDS-Modul"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.id",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.extension",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.modifierExtension",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"short": "Sicherheitsabstand Primärtumor",
"definition": "Minimaler Sicherheitsabstand zum Primärtumor in mm gemäß oBDS MM1",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='396511007').valueQuantity"
},
{
"identity": "oBDS",
"map": "MM1",
"comment": "Minimaler Sicherheitsabstand zum Primärtumor in mm nach definitivem operativem Eingriff"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"short": "Breslow-Tiefe",
"definition": "Breslow-Tumordicke in mm beim Malignen Melanom der Haut",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='106243009').valueQuantity"
},
{
"identity": "oBDS",
"map": "Breslow",
"comment": "Breslow-Tumordicke in mm - vertikale Tumordicke von der Granularschicht der Epidermis bis zur tiefsten Tumorinvasion"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"short": "Ulzeration",
"definition": "Pathologisches Kriterium der Ulzeration beim Malignen Melanom der Haut gemäß oBDS MM4",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='6270001000004106').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "MM4",
"comment": "Ulzeration der Epidermis über dem Melanom (J = Ja, N = Nein, U = Unbekannt)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"short": "Laktatdehydrogenase",
"definition": "Laktatdehydrogenase",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "FHIR",
"map": "Observation.where(code.coding.memberOf('mii-vs-onko-melanom-ldh'))"
},
{
"identity": "oBDS",
"map": "LDH",
"comment": "Laktatdehydrogenase als prognostischer Marker beim metastasierten Melanom"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.id",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.extension",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"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"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.modifierExtension",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"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": 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"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"short": "LDH-Wert",
"definition": "Laktatdehydrogenase Aktivität in U/L als prognostischer Marker",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"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": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "FHIR",
"map": "Observation.valueQuantity"
},
{
"identity": "oBDS",
"map": "LDH",
"comment": "LDH-Wert in U/L"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"short": "LDH-Bewertung",
"definition": "Klinische Bewertung des LDH-Werts (normal/erhöht)",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "1",
"base": {
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "FHIR",
"map": "Observation.interpretation"
},
{
"identity": "oBDS",
"map": "LDH",
"comment": "Bewertung des LDH-Werts (normal/erhöht)"
}
]
}
]
},
"differential": {
"element": [
{
"id": "OrganspezifischeZusatzmodule",
"path": "OrganspezifischeZusatzmodule",
"short": "MII LM Onkologie Organspezifische Zusatzmodule",
"definition": "Logisches Modell für die organspezifischen Zusatzmodule des oBDS"
},
{
"id": "OrganspezifischeZusatzmodule.Mamma",
"path": "OrganspezifischeZusatzmodule.Mamma",
"short": "Mamma",
"definition": "Mamma",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Brustspezifische Datenpunkte"
},
{
"identity": "oBDS",
"map": "Mamma-Zusatzmodul nach oBDS",
"comment": "Basiert auf oBDS Mammakarzinom-Modul: https://www.basisdatensatz.de/module/5/mammakarzinom"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.Menopausenstatus",
"path": "OrganspezifischeZusatzmodule.Mamma.Menopausenstatus",
"short": "Menopausenstatus",
"definition": "Prätherapeutischer Menopausenstatus einer Patientin mit Mamma-Karzinom. oBDS M1",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='161712005').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "M1",
"comment": "Menopausenstatus - oBDS 2021: perimenopausal wird unter prämenopausal subsumiert"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen",
"short": "Rezeptorstatus Estrogen",
"definition": "Rezeptorstatus Estrogen",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='40556-3')"
},
{
"identity": "oBDS",
"map": "M2.1",
"comment": "Estrogen-Rezeptorstatus - Duale Kodierung: oBDS-Definition und S3-Leitlinien-Definition"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
"short": "Estrogen-Rezeptorstatus",
"definition": "Kategoriale Bewertung des Estrogen-Rezeptorstatus: positiv/negativ. oBDS M2",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "M2.1.1",
"comment": "Kategoriale Bewertung des Estrogen-Rezeptorstatus"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
"short": "Anteil positive Zellen",
"definition": "Quantitative Bestimmung in Prozent.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234804006').valueQuantity"
},
{
"identity": "oBDS",
"map": "M2.1.2",
"comment": "Quantitative Estrogen-Bestimmung in Prozent"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
"short": "Färbeintensität",
"definition": "Qualitative Bewertung der Färbeintensität.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1236874005').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "M2.1.3",
"comment": "Estrogen-Färbeintensität"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron",
"short": "Rezeptorstatus Progesteron",
"definition": "Rezeptorstatus Progesteron",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='85339-0')"
},
{
"identity": "oBDS",
"map": "M2.2",
"comment": "Progesteron-Rezeptorstatus"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
"short": "Progesteron-Rezeptorstatus",
"definition": "Kategoriale Bewertung des Progesteron-Rezeptorstatus: positiv/negativ. oBDS M3",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "M2.2.1",
"comment": "Kategoriale Bewertung des Progesteron-Rezeptorstatus"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
"short": "Anteil positive Zellen",
"definition": "Quantitative Bestimmung in Prozent.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234803000').valueQuantity"
},
{
"identity": "oBDS",
"map": "M2.2.2",
"comment": "Quantitative Progesteron-Bestimmung in Prozent"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"path": "OrganspezifischeZusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
"short": "Färbeintensität",
"definition": "Qualitative Bewertung der Färbeintensität.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1237278006').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "M2.2.3",
"comment": "Progesteron-Färbeintensität"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung",
"short": "Präoperative Markierung",
"definition": "Präoperative Markierung",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-praeoperative-markierung'))"
},
{
"identity": "oBDS",
"map": "M5",
"comment": "Präoperative Markierung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"path": "OrganspezifischeZusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
"short": "Markierungsmodalität",
"definition": "Art der präoperativen Markierung",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.usedCode.coding.where(memberOf('mii-vs-onko-mamma-praeoperative-markierung-modalitaet'))"
},
{
"identity": "oBDS",
"map": "M5.1",
"comment": "Modalität der präoperativen Markierung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation",
"short": "Mamma-Operation",
"definition": "Mamma-Operation",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-operation'))"
},
{
"identity": "oBDS",
"map": "M4",
"comment": "Mamma-Operationen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.Operationstyp",
"short": "Operationstyp",
"definition": "Art der Mamma-Operation.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.code"
},
{
"identity": "oBDS",
"map": "M4.1",
"comment": "Art der Mamma-Operation (BET, Mastektomie, Lymphknotenoperation, Rekonstruktion)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"path": "OrganspezifischeZusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
"short": "Intraoperatives Imaging",
"definition": "Intraoperatives Imagung und weitere Markierungen und Hilfsmittel während der Operation.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.usedCode"
},
{
"identity": "oBDS",
"map": "M4.2",
"comment": "Intraoperative Hilfsmittel und Markierungen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom",
"short": "Kolorektales Karzinom",
"definition": "Kolorektales Karzinom",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Bundle/Collection von KRK-spezifischen Ressourcen"
},
{
"identity": "oBDS",
"map": "KRK-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Kolorektales Karzinom basierend auf oBDS-Modul"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation",
"short": "Tumor Lokalisation",
"definition": "Tumor Lokalisation",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "KRK-spezifische Tumorlokalisation"
},
{
"identity": "oBDS",
"map": "KR1",
"comment": "Tumorlokalisation und anatomische Bezugspunkte"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
"short": "Abstand Anokutanlinie",
"definition": "Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm. oBDS KR1",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33748-5').valueQuantity"
},
{
"identity": "oBDS",
"map": "KR1",
"comment": "Rektum: Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
"short": "Bildgebende Verfahren",
"definition": "Bildgebende Verfahren",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "KRK-spezifische bildgebende Verfahren"
},
{
"identity": "oBDS",
"map": "KR5",
"comment": "Bildgebende Verfahren zur präoperativen Beurteilung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
"short": "MRT/CT Mesorektale Faszie",
"definition": "MRT/CT Mesorektale Faszie",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://radlex.org' and code.coding.code='RDE96')"
},
{
"identity": "oBDS",
"map": "KR5",
"comment": "Rektum: MRT oder Dünnschicht-CT durchgeführt mit Angabe Abstand mesorektale Faszie"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
"short": "Abstand Mesorektale Faszie",
"definition": "Abstand des Tumors zur mesorektalen Faszie in mm bei MRT/CT. oBDS KR5",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.valueQuantity"
},
{
"identity": "oBDS",
"map": "KR5",
"comment": "Abstand zur mesorektalen Faszie in mm"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
"short": "Grund für fehlende Abstandsmessung",
"definition": "Grund warum der Abstand zur mesorektalen Faszie nicht verfügbar ist (nicht durchgeführt/nicht angegeben/unbekannt).",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "KR5",
"comment": "Status: D/N/U (durchgeführt aber nicht angegeben/nicht durchgeführt/unbekannt)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation",
"short": "KRK Operation",
"definition": "KRK Operation",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-operation'))"
},
{
"identity": "oBDS",
"map": "KR-Operation",
"comment": "KRK-spezifische operative Verfahren"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
"short": "Operationstyp",
"definition": "Art der kolorektalen Operation (TME, PME, lokale Exzision, etc.).",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.code"
},
{
"identity": "oBDS",
"map": "OPS",
"comment": "Art der kolorektalen Operation nach OPS-Katalog"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
"short": "ASA-Klassifikation",
"definition": "American Society of Anesthesiologists Physical Status Classification System. oBDS KR4",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='97816-3').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "KR9",
"comment": "ASA-Klassifikation"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
"short": "Stoma Markierung",
"definition": "Stoma Markierung",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung'))"
},
{
"identity": "oBDS",
"map": "KR7",
"comment": "Rektum: Präoperative Anzeichnung der Stomaposition"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
"short": "Markierungsstatus",
"definition": "Status der präoperativen Stoma-Markierung.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.status"
},
{
"identity": "oBDS",
"map": "KR7",
"comment": "Status der präoperativen Stoma-Markierung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
"short": "Status Grund",
"definition": "Grund für Markierungsstatus (geplant/nicht geplant/abgelehnt).",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Procedure.statusReason"
},
{
"identity": "oBDS",
"map": "KR7",
"comment": "Grund für Markierungsstatus"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
"short": "Pathologische Bewertung",
"definition": "Pathologische Bewertung",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "KRK-spezifische pathologische Bewertung"
},
{
"identity": "oBDS",
"map": "KR2-KR4",
"comment": "Pathologische Bewertung"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
"short": "Resektionsrand aboral",
"definition": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm. oBDS KR2",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81175-2').valueQuantity"
},
{
"identity": "oBDS",
"map": "KR2",
"comment": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
"short": "Resektionsrand circumferell",
"definition": "Minimaler Abstand des Tumors zur circumferellen Resektionsebene in mm. oBDS KR3",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81176-0').valueQuantity"
},
{
"identity": "oBDS",
"map": "KR3",
"comment": "Minimaler Abstand des Tumors zur circumferellen Resektionsebene in mm"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
"short": "TME Qualität",
"definition": "Qualität der totalen mesorektalen Exzision (Grad 1-3).",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Specimen.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen')).extension"
},
{
"identity": "oBDS",
"map": "KR4",
"comment": "Rektum: Qualität des TME-Präparats"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
"short": "Postoperative Komplikationen",
"definition": "Postoperative Komplikationen",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "KRK-spezifische postoperative Komplikationen"
},
{
"identity": "oBDS",
"map": "KR8",
"comment": "Postoperative Komplikationen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
"path": "OrganspezifischeZusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
"short": "Anastomoseninsuffizienz",
"definition": "Bewertung der Anastomoseninsuffizienz nach Grad A/B/C.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='361317002').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "KR8",
"comment": "Rektumkarzinom: Anastomoseninsuffizienz"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata",
"path": "OrganspezifischeZusatzmodule.Prostata",
"short": "Prostata",
"definition": "Prostata",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Bundle/Collection von Prostata-spezifischen Ressourcen"
},
{
"identity": "oBDS",
"map": "Prostata-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Prostatakarzinom basierend auf oBDS-Modul"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
"path": "OrganspezifischeZusatzmodule.Prostata.PSAWert",
"short": "PSA-Wert",
"definition": "Prostataspezifisches Antigen in ng/ml für Diagnostik und Verlaufskontrolle.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='2857-1').valueQuantity"
},
{
"identity": "oBDS",
"map": "P1",
"comment": "PSA-Wert als Tumormarker für Diagnostik und Verlaufskontrolle"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern",
"short": "Gleason Pattern",
"definition": "Gleason Pattern",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.memberOf('mii-vs-onko-prostata-gleason-primary-secondary-tertiary'))"
},
{
"identity": "oBDS",
"map": "P2",
"comment": "Gleason Pattern (primär, sekundär, tertiär) für histopathologische Klassifikation"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternTyp",
"short": "Pattern Typ",
"definition": "Primäres, sekundäres oder tertiäres Gleason Pattern.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.code"
},
{
"identity": "oBDS",
"map": "P2.1",
"comment": "Art des Gleason Patterns (primär/sekundär/tertiär)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonPattern.PatternWert",
"short": "Pattern Wert",
"definition": "Gleason Pattern Wert (1-5, ab 3 als maligne).",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P2.2",
"comment": "Gleason Pattern Wert (1-5, ab 3 maligne)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore",
"short": "Gleason Score",
"definition": "Gleason Score",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44642-7')"
},
{
"identity": "oBDS",
"map": "P3",
"comment": "Gleason Score als Summe der Patterns"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.Score",
"short": "Gleason Score",
"definition": "Summe aus primärem und sekundärem Pattern.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P3.1",
"comment": "Gleason Score Gesamtwert"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"path": "OrganspezifischeZusatzmodule.Prostata.GleasonScore.GradeGroup",
"short": "Grade Group",
"definition": "Internationale Standard Grade Group (1-5).",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='79892-6').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P3.2",
"comment": "Internationale Standard Grade Group (1-5)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse",
"short": "Biopsie Ergebnisse",
"definition": "Biopsie Ergebnisse",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation Collection"
},
{
"identity": "oBDS",
"map": "P4",
"comment": "Prostatabiopsie-Ergebnisse"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
"short": "Anzahl Stanzen",
"definition": "Gesamtanzahl der entnommenen Biopsie-Stanzen.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33747-0').valueQuantity"
},
{
"identity": "oBDS",
"map": "P4.1",
"comment": "Gesamtanzahl entnommener Biopsie-Stanzen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
"short": "Anzahl positive Stanzen",
"definition": "Anzahl der tumorpositiven Stanzen.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33746-2').valueQuantity"
},
{
"identity": "oBDS",
"map": "P4.2",
"comment": "Anzahl tumorpositiver Stanzen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"path": "OrganspezifischeZusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
"short": "Karzinom-Befall je Stanze",
"definition": "Prozentuale Ausdehnung des Karzinoms in der Stanze.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44637-7').valueQuantity"
},
{
"identity": "oBDS",
"map": "P4.3",
"comment": "Prozentuale Ausdehnung Karzinom je Stanze"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen",
"short": "Chirurgische Komplikationen",
"definition": "Chirurgische Komplikationen",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(method.coding.system='http://snomed.info/sct' and method.coding.code='789278003')"
},
{
"identity": "oBDS",
"map": "P5",
"comment": "Postoperative Komplikationen nach Prostatektomie"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
"short": "Clavien-Dindo Grad",
"definition": "Graduierung postoperativer Komplikationen nach Clavien-Dindo.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P5.1",
"comment": "Clavien-Dindo Klassifikation postoperativer Komplikationen"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"path": "OrganspezifischeZusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
"short": "Komplikationsart",
"definition": "Spezifische Art der postoperativen Komplikation.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='LA462-5').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "P5.2",
"comment": "Spezifische Art der postoperativen Komplikation"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom",
"short": "Malignes Melanom",
"definition": "Malignes Melanom",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Bundle/Collection von Melanom-spezifischen Ressourcen"
},
{
"identity": "oBDS",
"map": "Melanom-Zusatzmodul nach oBDS",
"comment": "Organspezifische Erweiterungen für Malignes Melanom basierend auf oBDS-Modul"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Sicherheitsabstand",
"short": "Sicherheitsabstand Primärtumor",
"definition": "Minimaler Sicherheitsabstand zum Primärtumor in mm gemäß oBDS MM1",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='396511007').valueQuantity"
},
{
"identity": "oBDS",
"map": "MM1",
"comment": "Minimaler Sicherheitsabstand zum Primärtumor in mm nach definitivem operativem Eingriff"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.BreslowTiefe",
"short": "Breslow-Tiefe",
"definition": "Breslow-Tumordicke in mm beim Malignen Melanom der Haut",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='106243009').valueQuantity"
},
{
"identity": "oBDS",
"map": "Breslow",
"comment": "Breslow-Tumordicke in mm - vertikale Tumordicke von der Granularschicht der Epidermis bis zur tiefsten Tumorinvasion"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.Ulzeration",
"short": "Ulzeration",
"definition": "Pathologisches Kriterium der Ulzeration beim Malignen Melanom der Haut gemäß oBDS MM4",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='6270001000004106').valueCodeableConcept"
},
{
"identity": "oBDS",
"map": "MM4",
"comment": "Ulzeration der Epidermis über dem Melanom (J = Ja, N = Nein, U = Unbekannt)"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH",
"short": "Laktatdehydrogenase",
"definition": "Laktatdehydrogenase",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.where(code.coding.memberOf('mii-vs-onko-melanom-ldh'))"
},
{
"identity": "oBDS",
"map": "LDH",
"comment": "Laktatdehydrogenase als prognostischer Marker beim metastasierten Melanom"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Wert",
"short": "LDH-Wert",
"definition": "Laktatdehydrogenase Aktivität in U/L als prognostischer Marker",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.valueQuantity"
},
{
"identity": "oBDS",
"map": "LDH",
"comment": "LDH-Wert in U/L"
}
]
},
{
"id": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"path": "OrganspezifischeZusatzmodule.MalignesMelanom.LDH.Bewertung",
"short": "LDH-Bewertung",
"definition": "Klinische Bewertung des LDH-Werts (normal/erhöht)",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "FHIR",
"map": "Observation.interpretation"
},
{
"identity": "oBDS",
"map": "LDH",
"comment": "Bewertung des LDH-Werts (normal/erhöht)"
}
]
}
]
}
}