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Packagede.medizininformatikinitiative.kerndatensatz.onkologie
Resource TypeStructureDefinition
IdStructureDefinition-mii-lm-onko.json
FHIR VersionR4
Sourcehttps://medizininformatik-initiative.github.io/kerndatensatzmodul-onkologie/2027.0.0-ballot.1/StructureDefinition-mii-lm-onko.html
URLhttps://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-lm-onko
Version2027.0.0-ballot.1
Statusactive
Date2026-09-15T06:26:59+00:00
NameMII_LM_Onko
TitleMII LM Onkologie
Realmde
DescriptionMII LogicalModel Modul Onkologie
Typehttps://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-lm-onko
Kindlogical

Resources that use this resource

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Narrative

Note: links and images are rebased to the (stated) source

English

Generated Narrative: StructureDefinition mii-lm-onko

NameFlagsCard.TypeDescription & Constraintsdoco
.. mii-lm-onko 0..*ElementMII LM Onkologie

Elements defined in Ancestors:@id, extension
... Diagnose 0..*BackboneElementDiagnose
.... PrimaertumorTumordiagnoseICDCode 0..1codePrimärtumor Tumordiagnose ICD Code
.... PrimaertumorTumordiagnoseICDVersion 0..1stringPrimärtumor Tumordiagnose ICD-Version
.... PrimaertumorTumordiagnoseText 0..1stringPrimärtumor Tumordiagnose Text
.... PrimaertumorTopographieICDO 0..1codePrimärtumor Topographie ICD-O
.... PrimaertumorTopographieICDOVersion 0..1stringPrimärtumor Topographie ICD-O-Version
.... PrimaertumorDiagnosedatum 0..1dateTimePrimärtumor Diagnosedatum
.... PrimaertumorDiagnosesicherung 0..1codePrimärtumor Diagnosesicherung
.... PrimaertumorSeitenlokalisation 0..1codePrimärtumor Seitenlokalisation
.... FruehereTumorerkrankungen 0..*ConditionFrühere Tumorerkrankungen
... Histologie 0..*BackboneElementHistologie
.... TumorHistologiedatum 0..1dateTimeTumor Histologiedatum
.... HistologieEinsendenummer 0..1stringHistologie-Einsendenummer
.... MorphologieCode 0..1codeMorphologie-Code
.... MorphologieICDOBlueBookVersion 0..1stringMorphologie ICD-O/Blue Book Version
.... MorphologieFreitext 0..1stringMorphologie-Freitext
.... Grading 0..*codeGrading
.... AnzahlUntersuchteLymphknoten 0..*decimalAnzahl der untersuchten Lymphknoten
.... AnzahlBefalleneLymphknoten 0..*decimalAnzahl der befallenen Lymphknoten
.... AnzahlUntersuchteSentinelLymphknoten 0..*decimalAnzahl der untersuchten Sentinel-Lymphknoten
.... AnzahlBefalleneSentinelLymphknoten 0..*decimalAnzahl der befallenen Sentinel-Lymphknoten
.... Befund 0..*stringBefund
... TNMKlassifikation 0..*BackboneElementTNM-Klassifikation
.... TNMDatum 1..1dateTimeTNM Datum
.... TNMVersion 1..1codeTNM Version
.... TNMySymbol 0..1codeTNM y-Symbol
.... TNMrSymbol 0..1codeTNM r-Symbol
.... TNMaSymbol 0..1codeTNM a-Symbol
.... TNMcpuPraefixT 0..1codeTNM c/p-Präfix T
.... TNMcpuPraefixN 0..1codeTNM c/p-Präfix N
.... TNMcpuPraefixM 0..1codeTNM c/p-Präfix M
.... TNMTKategorie 0..1codeTNM T-Kategorie
.... TNMmSymbol 0..1codeTNM m-Symbol
.... TNMMKategorie 0..1codeTNM M-Kategorie
.... TNMNKategorie 0..1codeTNM N-Kategorie
.... TNMLKategorie 0..1codeTNM L-Kategorie
.... TNMVKategorie 0..1codeTNM V-Kategorie
.... TNMPnKategorie 0..1codeTNM Pn-Kategorie
.... TNMSKategorie 0..1codeTNM S-Kategorie
.... UICCStadium 0..1codeUICC Stadium
... WeitereKlassifikationen 0..*BackboneElement
.... WeitereKlassifikationDatum 1..1dateHämatoonkologische und sonstige Klassifikationen Datum
.... WeitereKlassifikationName 1..1stringHämatoonkologische und sonstige Klassifikationen Name
.... WeitereKlassifikationEinstufung 1..1codeHämatoonkologische und sonstige Klassifikationen Einstufung
... Residualstatus 0..*BackboneElementResidualstatus
.... LokalerResidualstatus 0..1codeBeurteilung des lokalen Residualstatus nach Abschluss der Operation
.... GlobalerResidualstatus 0..1codeGesamtbeurteilung des Residualstatus
... Fernmetastasen 0..*BackboneElementFernmetastasen
.... LokalisationFernmetastase 1..1codeLokalisation von Fernmetastase(n)
.... DatumFernmetase 1..1dateDatum der diagnostischen Sicherung von Fernmetastasen
... AllgemeinerLeistungszustand 0..*BackboneElementAllgemeiner Leistungszustand
.... ECOGKarnofsky 1..1codeECOG oder Karnofsky
... Operation 0..*BackboneElementOperation
.... OPIntention 1..1codeIntention
.... OPDatum 1..1codeOP Datum
.... OPSCode 1..*codeOPS Code
.... OPSVersion 1..1codeOPS Version
.... OPKomplikation 0..*codeOP Komplikationen
... Strahlentherapie 0..*BackboneElementStrahlentherapie
.... StrahlentherapieIntention 1..1codeIntention der Strahlentherapie
.... StrahlentherapieStellung 1..1codeStrahlentherapie Stellung zu operativer Therapie
.... StrahlentherapieEndeGrund 0..1codeStrahlentherapie Ende Grund
.... StrahlentherapieBestrahlung 1..*BackboneElementBestrahlung
..... StrahlentherapieZielgebiet 1..*codeStrahlentherapie Zielgebiet
..... StrahlentherapieSeiteZielgebiet 0..*codeStrahlentherapie Seite Zielgebiet
..... StrahlentherapieBeginn 1..1dateStrahlentherapie Beginn
..... StrahlentherapieEnde 0..1dateStrahlentherapie Ende
..... StrahlentherapieApplikationsart 1..1codeStrahlentherapie Applikationsart
..... StrahlentherapieStrahlenart 1..1codeStrahlenart
..... StrahlentherapieGesamtdosis 0..1codeStrahlentherapie Gesamtdosis
..... StrahlentherapieEinzeldosis 0..1codeStrahlentherapie Einzeldosis
..... StrahlentherapieEinheit 0..1codeStrahlentherapie Einheit
..... StrahlentherapieBoost 0..1codeBoost
... SystemischeTherapie 0..*BackboneElementSystemische Therapie
.... SystemischeTherapieIntention 1..1codeIntention der systemischen Therapie
.... SystemischeTherapieStellung 1..1codeSystemische Therapie Stellung zu operativer Therapie
.... SystemischeTherapieArtTherapie 1..1codeArt der systemischen oder abwartenden Therapie
.... SystemischeTherapieProtokoll 0..1stringSystemische Therapie Protokoll
.... SystemischeTherapieSubstanz 0..*codeSystemische Therapie Substanz
.... SystemischeTherapieBeginn 0..1dateSystemische Therapie Beginn
.... SystemischeTherapieEnde 0..1dateSystemische Therapie Ende Grund
.... SystemischeTherapieEndeGrund 0..1codeSystemische Therapie Ende
... Nebenwirkungen 0..*BackboneElementNebenwirkungen
.... NebenwirkungenCTCAEGrad 1..1codeNebenwirkungen nach CTCAE-Grad
.... NebenwirkungenCTCAEArt 1..1codeNebenwirkungen nach CTCAE Art
.... NebenwirkungenCTCAEVersion 1..1stringNebenwirkungen nach CTCAE Version
... Verlauf 0..*BackboneElementVerlauf
.... VerlaufDatum 0..*dateUntersuchungsdatum Verlauf
.... VerlaufBeurteilungTumorstatus 0..*codeGesamtbeurteilung des Tumorstatus
.... VerlaufTumorstatusPrimaertumor 0..*codeTumorstatus Primärtumor
.... VerlaufTumorstatusLymphknoten 0..*codeTumorstatus Lymphknoten
.... VerlaufTumorstatusMetastasen 0..*codeTumorstatus Fernmetastasen
... Tumorkonferenz 0..*BackboneElementTumorkonferenz und Therapieempfehlung
.... TumorkonferenzTherapieplanungDatum 1..1dateTumorkonferenz Therapieplanung Datum
.... TumorkonferenzTherapieplanungTyp 1..1codeTumorkonferenz Therapieplanung Typ
.... TumorkonferenzTherapieempfehlungTyp 1..*codeTumorkonferenz Therapieempfehlung Typ
.... TumorkonferenzTherapieempfehlungProtokoll 0..*codeTumorkonferenz Therapieempfehlung Protokoll
.... TumorkonferenzTherapieempfehlungMedikation 0..*codeTumorkonferenz Therapieempfehlung Medikation
.... TumorkonferenzTherapieAbweichungPatientenwunsch 1..*codeTumorkonferenz/Therapieempfehlung Therapieabweichung auf Wunsch des Patienten
... Tod 0..1BackboneElementTod
.... Sterbedatum 0..1dateSterbedatum
.... TodTumorbedingt 0..1codeTod tumorbedingt
.... TodesursacheICD 0..*codeTodesursache ICD
.... TodesursacheICDVersion 0..*stringTodesursache ICD Version
... GenetischeVariante 0..*BackboneElementGenetische Variante
.... GenetischeVarianteName 0..1stringGenetische Variante Name
.... GenetischeVarianteAuspraegung 0..1codeGenetische Variante Ausprägung
... Studienteilnahme 0..*BackboneElementStudienteilnahme
.... StudienteilnahmeStatus 0..1codeStudienteilnahme Status
.... StudienteilnahmeDatum 0..1codeStudienteilnahme Datum
.... StudienteilnahmeStudienreferenz 0..1Reference()Studienteilnahme Studienreferenz

doco Documentation for this format

German

Generated Narrative: StructureDefinition mii-lm-onko

NameFlagsCard.TypeDescription & Constraintsdoco
.. mii-lm-onko 0..*ElementMII LM Onkologie

Elements defined in Ancestors:@id, extension
... Diagnose 0..*BackboneElementDiagnose
.... PrimaertumorTumordiagnoseICDCode 0..1codePrimärtumor Tumordiagnose ICD Code
.... PrimaertumorTumordiagnoseICDVersion 0..1stringPrimärtumor Tumordiagnose ICD-Version
.... PrimaertumorTumordiagnoseText 0..1stringPrimärtumor Tumordiagnose Text
.... PrimaertumorTopographieICDO 0..1codePrimärtumor Topographie ICD-O
.... PrimaertumorTopographieICDOVersion 0..1stringPrimärtumor Topographie ICD-O-Version
.... PrimaertumorDiagnosedatum 0..1dateTimePrimärtumor Diagnosedatum
.... PrimaertumorDiagnosesicherung 0..1codePrimärtumor Diagnosesicherung
.... PrimaertumorSeitenlokalisation 0..1codePrimärtumor Seitenlokalisation
.... FruehereTumorerkrankungen 0..*ConditionFrühere Tumorerkrankungen
... Histologie 0..*BackboneElementHistologie
.... TumorHistologiedatum 0..1dateTimeTumor Histologiedatum
.... HistologieEinsendenummer 0..1stringHistologie-Einsendenummer
.... MorphologieCode 0..1codeMorphologie-Code
.... MorphologieICDOBlueBookVersion 0..1stringMorphologie ICD-O/Blue Book Version
.... MorphologieFreitext 0..1stringMorphologie-Freitext
.... Grading 0..*codeGrading
.... AnzahlUntersuchteLymphknoten 0..*decimalAnzahl der untersuchten Lymphknoten
.... AnzahlBefalleneLymphknoten 0..*decimalAnzahl der befallenen Lymphknoten
.... AnzahlUntersuchteSentinelLymphknoten 0..*decimalAnzahl der untersuchten Sentinel-Lymphknoten
.... AnzahlBefalleneSentinelLymphknoten 0..*decimalAnzahl der befallenen Sentinel-Lymphknoten
.... Befund 0..*stringBefund
... TNMKlassifikation 0..*BackboneElementTNM-Klassifikation
.... TNMDatum 1..1dateTimeTNM Datum
.... TNMVersion 1..1codeTNM Version
.... TNMySymbol 0..1codeTNM y-Symbol
.... TNMrSymbol 0..1codeTNM r-Symbol
.... TNMaSymbol 0..1codeTNM a-Symbol
.... TNMcpuPraefixT 0..1codeTNM c/p-Präfix T
.... TNMcpuPraefixN 0..1codeTNM c/p-Präfix N
.... TNMcpuPraefixM 0..1codeTNM c/p-Präfix M
.... TNMTKategorie 0..1codeTNM T-Kategorie
.... TNMmSymbol 0..1codeTNM m-Symbol
.... TNMMKategorie 0..1codeTNM M-Kategorie
.... TNMNKategorie 0..1codeTNM N-Kategorie
.... TNMLKategorie 0..1codeTNM L-Kategorie
.... TNMVKategorie 0..1codeTNM V-Kategorie
.... TNMPnKategorie 0..1codeTNM Pn-Kategorie
.... TNMSKategorie 0..1codeTNM S-Kategorie
.... UICCStadium 0..1codeUICC Stadium
... WeitereKlassifikationen 0..*BackboneElement
.... WeitereKlassifikationDatum 1..1dateHämatoonkologische und sonstige Klassifikationen Datum
.... WeitereKlassifikationName 1..1stringHämatoonkologische und sonstige Klassifikationen Name
.... WeitereKlassifikationEinstufung 1..1codeHämatoonkologische und sonstige Klassifikationen Einstufung
... Residualstatus 0..*BackboneElementResidualstatus
.... LokalerResidualstatus 0..1codeBeurteilung des lokalen Residualstatus nach Abschluss der Operation
.... GlobalerResidualstatus 0..1codeGesamtbeurteilung des Residualstatus
... Fernmetastasen 0..*BackboneElementFernmetastasen
.... LokalisationFernmetastase 1..1codeLokalisation von Fernmetastase(n)
.... DatumFernmetase 1..1dateDatum der diagnostischen Sicherung von Fernmetastasen
... AllgemeinerLeistungszustand 0..*BackboneElementAllgemeiner Leistungszustand
.... ECOGKarnofsky 1..1codeECOG oder Karnofsky
... Operation 0..*BackboneElementOperation
.... OPIntention 1..1codeIntention
.... OPDatum 1..1codeOP Datum
.... OPSCode 1..*codeOPS Code
.... OPSVersion 1..1codeOPS Version
.... OPKomplikation 0..*codeOP Komplikationen
... Strahlentherapie 0..*BackboneElementStrahlentherapie
.... StrahlentherapieIntention 1..1codeIntention der Strahlentherapie
.... StrahlentherapieStellung 1..1codeStrahlentherapie Stellung zu operativer Therapie
.... StrahlentherapieEndeGrund 0..1codeStrahlentherapie Ende Grund
.... StrahlentherapieBestrahlung 1..*BackboneElementBestrahlung
..... StrahlentherapieZielgebiet 1..*codeStrahlentherapie Zielgebiet
..... StrahlentherapieSeiteZielgebiet 0..*codeStrahlentherapie Seite Zielgebiet
..... StrahlentherapieBeginn 1..1dateStrahlentherapie Beginn
..... StrahlentherapieEnde 0..1dateStrahlentherapie Ende
..... StrahlentherapieApplikationsart 1..1codeStrahlentherapie Applikationsart
..... StrahlentherapieStrahlenart 1..1codeStrahlenart
..... StrahlentherapieGesamtdosis 0..1codeStrahlentherapie Gesamtdosis
..... StrahlentherapieEinzeldosis 0..1codeStrahlentherapie Einzeldosis
..... StrahlentherapieEinheit 0..1codeStrahlentherapie Einheit
..... StrahlentherapieBoost 0..1codeBoost
... SystemischeTherapie 0..*BackboneElementSystemische Therapie
.... SystemischeTherapieIntention 1..1codeIntention der systemischen Therapie
.... SystemischeTherapieStellung 1..1codeSystemische Therapie Stellung zu operativer Therapie
.... SystemischeTherapieArtTherapie 1..1codeArt der systemischen oder abwartenden Therapie
.... SystemischeTherapieProtokoll 0..1stringSystemische Therapie Protokoll
.... SystemischeTherapieSubstanz 0..*codeSystemische Therapie Substanz
.... SystemischeTherapieBeginn 0..1dateSystemische Therapie Beginn
.... SystemischeTherapieEnde 0..1dateSystemische Therapie Ende Grund
.... SystemischeTherapieEndeGrund 0..1codeSystemische Therapie Ende
... Nebenwirkungen 0..*BackboneElementNebenwirkungen
.... NebenwirkungenCTCAEGrad 1..1codeNebenwirkungen nach CTCAE-Grad
.... NebenwirkungenCTCAEArt 1..1codeNebenwirkungen nach CTCAE Art
.... NebenwirkungenCTCAEVersion 1..1stringNebenwirkungen nach CTCAE Version
... Verlauf 0..*BackboneElementVerlauf
.... VerlaufDatum 0..*dateUntersuchungsdatum Verlauf
.... VerlaufBeurteilungTumorstatus 0..*codeGesamtbeurteilung des Tumorstatus
.... VerlaufTumorstatusPrimaertumor 0..*codeTumorstatus Primärtumor
.... VerlaufTumorstatusLymphknoten 0..*codeTumorstatus Lymphknoten
.... VerlaufTumorstatusMetastasen 0..*codeTumorstatus Fernmetastasen
... Tumorkonferenz 0..*BackboneElementTumorkonferenz und Therapieempfehlung
.... TumorkonferenzTherapieplanungDatum 1..1dateTumorkonferenz Therapieplanung Datum
.... TumorkonferenzTherapieplanungTyp 1..1codeTumorkonferenz Therapieplanung Typ
.... TumorkonferenzTherapieempfehlungTyp 1..*codeTumorkonferenz Therapieempfehlung Typ
.... TumorkonferenzTherapieempfehlungProtokoll 0..*codeTumorkonferenz Therapieempfehlung Protokoll
.... TumorkonferenzTherapieempfehlungMedikation 0..*codeTumorkonferenz Therapieempfehlung Medikation
.... TumorkonferenzTherapieAbweichungPatientenwunsch 1..*codeTumorkonferenz/Therapieempfehlung Therapieabweichung auf Wunsch des Patienten
... Tod 0..1BackboneElementTod
.... Sterbedatum 0..1dateSterbedatum
.... TodTumorbedingt 0..1codeTod tumorbedingt
.... TodesursacheICD 0..*codeTodesursache ICD
.... TodesursacheICDVersion 0..*stringTodesursache ICD Version
... GenetischeVariante 0..*BackboneElementGenetische Variante
.... GenetischeVarianteName 0..1stringGenetische Variante Name
.... GenetischeVarianteAuspraegung 0..1codeGenetische Variante Ausprägung
... Studienteilnahme 0..*BackboneElementStudienteilnahme
.... StudienteilnahmeStatus 0..1codeStudienteilnahme Status
.... StudienteilnahmeDatum 0..1codeStudienteilnahme Datum
.... StudienteilnahmeStudienreferenz 0..1Reference()Studienteilnahme Studienreferenz

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "mii-lm-onko",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
        "valueCode": "CC-BY-4.0"
      },
      {
        "extension": [
          {
            "url": "packageId",
            "valueId": "de.medizininformatikinitiative.kerndatensatz.onkologie"
          },
          {
            "url": "version",
            "valueString": "2027.0.0-ballot.1"
          },
          {
            "url": "uri",
            "valueUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/package-source"
      }
    ],
    "profile": [
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "shareable"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "publishable"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-usage",
      "valueMarkdown": "Use this logical model as the module-specific information model for the Medical Informatics Initiative core dataset. The model describes clinically or administratively relevant information in a domain-oriented form and provides a bridge between the conceptual content specification and the corresponding technical FHIR profiles. It is a pattern for describing the intended content model and is not intended to be exchanged as a concrete FHIR resource instance. Implementers should use it to understand the scope, semantics, and structure of the module before applying the related FHIR profiles and mappings."
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
            "code": "package",
            "display": "Package"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
      "valueDate": "2026-09-15"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-topic",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
            "code": "C3262"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-author",
      "valueContactDetail": {
        "telecom": [
          {
            "system": "email",
            "value": "thomas.debertshaeuser@charite.de"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-editor",
      "valueContactDetail": {
        "name": "Taskforce Core Data Set"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
      "valueCoding": {
        "system": "http://hl7.org/fhir/version-algorithm",
        "code": "semver",
        "display": "SemVer"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2027"
      }
    }
  ],
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-lm-onko",
  "version": "2027.0.0-ballot.1",
  "name": "MII_LM_Onko",
  "title": "MII LM Onkologie",
  "status": "active",
  "experimental": false,
  "date": "2026-09-15T06:26:59+00:00",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "name": "Medizininformatik Initiative",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de/"
        }
      ]
    }
  ],
  "description": "MII LogicalModel Modul Onkologie",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "DE",
          "display": "Germany"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "FHIR",
      "name": "Onkologie LogicalModel FHIR Mapping"
    },
    {
      "identity": "oBDS",
      "name": "Onkologie LogicalModel oBDS Mapping"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-lm-onko",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "mii-lm-onko",
        "path": "mii-lm-onko",
        "short": "MII LM Onkologie",
        "definition": "MII LogicalModel Modul Onkologie",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.id",
        "path": "mii-lm-onko.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.extension",
        "path": "mii-lm-onko.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose",
        "path": "mii-lm-onko.Diagnose",
        "short": "Diagnose",
        "definition": "Diagnose",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Diagnose",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "FHIR",
            "map": "Condition"
          },
          {
            "identity": "oBDS",
            "map": "5",
            "comment": "Diagnose - oBDS Kapitel 5. Amtlicher Feldkatalog: https://basisdatensatz.de"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.id",
        "path": "mii-lm-onko.Diagnose.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.extension",
        "path": "mii-lm-onko.Diagnose.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.modifierExtension",
        "path": "mii-lm-onko.Diagnose.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDCode",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDCode",
        "short": "Primärtumor Tumordiagnose ICD Code",
        "definition": "Kodierung einer meldepflichtigen Erkrankung nach der aktuellen ICD-GM Version.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code"
          },
          {
            "identity": "oBDS",
            "map": "5.1",
            "comment": "Primärtumor Tumordiagnose ICD Code - Kodierung nach aktueller ICD-10-GM"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDVersion",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDVersion",
        "short": "Primärtumor Tumordiagnose ICD-Version",
        "definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM Version.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').version"
          },
          {
            "identity": "oBDS",
            "map": "5.2",
            "comment": "Primärtumor Tumordiagnose ICD-Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseText",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseText",
        "short": "Primärtumor Tumordiagnose Text",
        "definition": "Bezeichnung einer meldepflichtigen Erkrankung.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseText",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.code.text"
          },
          {
            "identity": "oBDS",
            "map": "5.3",
            "comment": "Primärtumor Tumordiagnose Text - Klartextbezeichnung der meldepflichtigen Erkrankung"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDO",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDO",
        "short": "Primärtumor Topographie ICD-O",
        "definition": "Bezeichnung der Topographie einer Erkrankung nach der aktuellen ICD-O Version.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDO",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.bodySite.coding.where(system='http://terminology.hl7.org/CodeSystem/icd-o-3').code"
          },
          {
            "identity": "oBDS",
            "map": "5.4",
            "comment": "Primärtumor Topographie ICD-O"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDOVersion",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDOVersion",
        "short": "Primärtumor Topographie ICD-O-Version",
        "definition": "Bezeichnung der zur Kodierung verwendeten ICD-O Version.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDOVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.bodySite.coding.where(system='http://terminology.hl7.org/CodeSystem/icd-o-3').version"
          },
          {
            "identity": "oBDS",
            "map": "5.5",
            "comment": "Primärtumor Topographie ICD-O-Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorDiagnosedatum",
        "path": "mii-lm-onko.Diagnose.PrimaertumorDiagnosedatum",
        "short": "Primärtumor Diagnosedatum",
        "definition": "Datum, angegeben in Tag, Monat und Jahr, an dem die meldepflichtige Diagnose erstmals durch einen Arzt klinisch oder mikroskopisch diagnostiziert wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Diagnose.PrimaertumorDiagnosedatum",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.assertedDate"
          },
          {
            "identity": "oBDS",
            "map": "5.6",
            "comment": "Primärtumor Diagnosedatum - Datum der Erstdiagnose"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorDiagnosesicherung",
        "path": "mii-lm-onko.Diagnose.PrimaertumorDiagnosesicherung",
        "short": "Primärtumor Diagnosesicherung",
        "definition": "Höchste erreichte Diagnosesicherheit der Diagnose.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Diagnose.PrimaertumorDiagnosesicherung",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.verificationStatus.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung').code"
          },
          {
            "identity": "oBDS",
            "map": "5.7",
            "comment": "Primärtumor Diagnosesicherung - höchste erreichte Diagnosesicherheit"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorSeitenlokalisation",
        "path": "mii-lm-onko.Diagnose.PrimaertumorSeitenlokalisation",
        "short": "Primärtumor Seitenlokalisation",
        "definition": "Organspezifische Angabe der betroffenen Seite.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Diagnose.PrimaertumorSeitenlokalisation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.bodySite.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-seitenlokalisation').code"
          },
          {
            "identity": "oBDS",
            "map": "5.8",
            "comment": "Primärtumor Seitenlokalisation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.FruehereTumorerkrankungen",
        "path": "mii-lm-onko.Diagnose.FruehereTumorerkrankungen",
        "short": "Frühere Tumorerkrankungen",
        "definition": "Tumorerkrankungen, die in der Anamnese zu einem früheren Zeitpunkt diagnostiziert/behandelt wurden.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Diagnose.FruehereTumorerkrankungen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Condition"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition"
          },
          {
            "identity": "oBDS",
            "map": "5.9",
            "comment": "Frühere Tumorerkrankungen - eigenständig kodierte Vordiagnosen; im Profil MII_PR_Onko_Fruehere_Tumorerkrankung sind alle Detailangaben ebenfalls unter 5.9 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie",
        "path": "mii-lm-onko.Histologie",
        "short": "Histologie",
        "definition": "Histologie",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Histologie",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "6",
            "comment": "Histologie - oBDS Kapitel 6"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.id",
        "path": "mii-lm-onko.Histologie.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.extension",
        "path": "mii-lm-onko.Histologie.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.modifierExtension",
        "path": "mii-lm-onko.Histologie.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.TumorHistologiedatum",
        "path": "mii-lm-onko.Histologie.TumorHistologiedatum",
        "short": "Tumor Histologiedatum",
        "definition": "Datum, an dem die Gewebeprobe entnommen wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Histologie.TumorHistologiedatum",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Specimen.collection.collectedDateTime"
          },
          {
            "identity": "oBDS",
            "map": "6.1",
            "comment": "Tumor Histologiedatum - Datum der Probenentnahme"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.HistologieEinsendenummer",
        "path": "mii-lm-onko.Histologie.HistologieEinsendenummer",
        "short": "Histologie-Einsendenummer",
        "definition": "Die Histologie-Einsendenummer/Auftragsnummer wird vom Pathologischen Institut beim Eingang des Präparates vergeben.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Histologie.HistologieEinsendenummer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Specimen.accessionIdentifier"
          },
          {
            "identity": "oBDS",
            "map": "6.2",
            "comment": "Histologie-Einsendenummer bzw. Auftragsnummer des Pathologischen Instituts"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.MorphologieCode",
        "path": "mii-lm-onko.Histologie.MorphologieCode",
        "short": "Morphologie-Code",
        "definition": "Gibt an, welche Histologie der Tumor aufweist.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Histologie.MorphologieCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3').valueCodeableConcept.code"
          },
          {
            "identity": "oBDS",
            "map": "6.3",
            "comment": "Morphologie-Code nach ICD-O-3"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.MorphologieICDOBlueBookVersion",
        "path": "mii-lm-onko.Histologie.MorphologieICDOBlueBookVersion",
        "short": "Morphologie ICD-O/Blue Book Version",
        "definition": "Bezeichnung der zur Kodierung verwendeten ICD-O/Blue Book Version.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Histologie.MorphologieICDOBlueBookVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3').valueCodeableConcept.version"
          },
          {
            "identity": "oBDS",
            "map": "6.4",
            "comment": "Morphologie ICD-O/Blue Book Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.MorphologieFreitext",
        "path": "mii-lm-onko.Histologie.MorphologieFreitext",
        "short": "Morphologie-Freitext",
        "definition": "Gibt die Originalbezeichnung der morphologischen Diagnose an.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Histologie.MorphologieFreitext",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.code.text"
          },
          {
            "identity": "oBDS",
            "map": "6.5",
            "comment": "Morphologie-Freitext - Originalbezeichnung der morphologischen Diagnose"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.Grading",
        "path": "mii-lm-onko.Histologie.Grading",
        "short": "Grading",
        "definition": "Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Histologie.Grading",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading').code"
          },
          {
            "identity": "oBDS",
            "map": "6.6",
            "comment": "Grading - Differenzierungsgrad nach aktueller TNM-Auflage"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.AnzahlUntersuchteLymphknoten",
        "path": "mii-lm-onko.Histologie.AnzahlUntersuchteLymphknoten",
        "short": "Anzahl der untersuchten Lymphknoten",
        "definition": "Gibt an, wie viele Lymphknoten untersucht wurden (einschließlich Sentinel).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Histologie.AnzahlUntersuchteLymphknoten",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "decimal"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.coding.where(system='http://loinc.org' and code='2708-6').select(%resource.valueQuantity.value)"
          },
          {
            "identity": "oBDS",
            "map": "6.7",
            "comment": "Anzahl der untersuchten Lymphknoten einschließlich Sentinel"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.AnzahlBefalleneLymphknoten",
        "path": "mii-lm-onko.Histologie.AnzahlBefalleneLymphknoten",
        "short": "Anzahl der befallenen Lymphknoten",
        "definition": "Gibt an, wie viele Lymphknoten befallen sind (einschließlich Sentinel).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Histologie.AnzahlBefalleneLymphknoten",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "decimal"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.coding.where(system='http://loinc.org' and code='21893-3').select(%resource.valueQuantity.value)"
          },
          {
            "identity": "oBDS",
            "map": "6.8",
            "comment": "Anzahl der befallenen Lymphknoten einschließlich Sentinel"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.AnzahlUntersuchteSentinelLymphknoten",
        "path": "mii-lm-onko.Histologie.AnzahlUntersuchteSentinelLymphknoten",
        "short": "Anzahl der untersuchten Sentinel-Lymphknoten",
        "definition": "Gibt an, wie viele Sentinel-Lymphknoten untersucht wurden.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Histologie.AnzahlUntersuchteSentinelLymphknoten",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "decimal"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.coding.where(system='http://loinc.org' and code='85347-3').select(%resource.valueQuantity.value)"
          },
          {
            "identity": "oBDS",
            "map": "6.9",
            "comment": "Anzahl der untersuchten Sentinel-Lymphknoten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.AnzahlBefalleneSentinelLymphknoten",
        "path": "mii-lm-onko.Histologie.AnzahlBefalleneSentinelLymphknoten",
        "short": "Anzahl der befallenen Sentinel-Lymphknoten",
        "definition": "Gibt an, wie viele Sentinel-Lymphknoten befallen sind.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Histologie.AnzahlBefalleneSentinelLymphknoten",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "decimal"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.coding.where(system='http://loinc.org' and code='92832-5').select(%resource.valueQuantity.value)"
          },
          {
            "identity": "oBDS",
            "map": "6.10",
            "comment": "Anzahl der befallenen Sentinel-Lymphknoten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.Befund",
        "path": "mii-lm-onko.Histologie.Befund",
        "short": "Befund",
        "definition": "Vollständiger Befundbericht des Pathologen.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Histologie.Befund",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "DiagnosticReport.code.coding.where(system='http://loinc.org' and code='60568-3').select(%resource.conclusion)"
          },
          {
            "identity": "oBDS",
            "map": "6.11",
            "comment": "Befund - vollständiger Befundbericht des Pathologen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation",
        "path": "mii-lm-onko.TNMKlassifikation",
        "short": "TNM-Klassifikation",
        "definition": "TNM-Klassifikation",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "8",
            "comment": "TNM-Klassifikation - oBDS Kapitel 8"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.id",
        "path": "mii-lm-onko.TNMKlassifikation.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.extension",
        "path": "mii-lm-onko.TNMKlassifikation.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.modifierExtension",
        "path": "mii-lm-onko.TNMKlassifikation.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMDatum",
        "path": "mii-lm-onko.TNMKlassifikation.TNMDatum",
        "short": "TNM Datum",
        "definition": "Gibt an, auf welches Datum sich die TNM-Klassifikation bezieht.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMDatum",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "8.1",
            "comment": "TNM Datum - Bezugsdatum der Klassifikation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMVersion",
        "path": "mii-lm-onko.TNMKlassifikation.TNMVersion",
        "short": "TNM Version",
        "definition": "Gibt an, nach welcher Version des TNM klassifiziert wurde.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMVersion",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.method"
          },
          {
            "identity": "oBDS",
            "map": "8.2",
            "comment": "TNM Version - verwendete TNM-Auflage"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMySymbol",
        "path": "mii-lm-onko.TNMKlassifikation.TNMySymbol",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "101658-3",
            "display": "Cancer staging after multimodality therapy"
          }
        ],
        "short": "TNM y-Symbol",
        "definition": "Gibt an, ob die Klassifikation während oder nach initialer multimodaler Therapie erfolgte.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMySymbol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.3",
            "comment": "TNM y-Symbol - Klassifikation während oder nach initialer multimodaler Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMrSymbol",
        "path": "mii-lm-onko.TNMKlassifikation.TNMrSymbol",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "101659-1",
            "display": "Cancer staging after tumor recurrence"
          }
        ],
        "short": "TNM r-Symbol",
        "definition": "Gibt an, ob die Klassifikation ein Rezidiv beurteilt.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMrSymbol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.4",
            "comment": "TNM r-Symbol - Klassifikation eines Rezidivs"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMaSymbol",
        "path": "mii-lm-onko.TNMKlassifikation.TNMaSymbol",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "101660-9",
            "display": "Cancer staging during autopsy"
          }
        ],
        "short": "TNM a-Symbol",
        "definition": "Gibt an, ob die Klassifikation aus Anlass einer Autopsie erfolgte.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMaSymbol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.5",
            "comment": "TNM a-Symbol - Klassifikation aus Anlass einer Autopsie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixT",
        "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixT",
        "short": "TNM c/p-Präfix T",
        "definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixT",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.6",
            "comment": "TNM c/p-Präfix T"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixN",
        "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixN",
        "short": "TNM c/p-Präfix N",
        "definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixN",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.7",
            "comment": "TNM c/p-Präfix N"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixM",
        "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixM",
        "short": "TNM c/p-Präfix M",
        "definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixM",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.8",
            "comment": "TNM c/p-Präfix M"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMTKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMTKategorie",
        "short": "TNM T-Kategorie",
        "definition": "Ausbreitung des Primärtumors, erfolgt gemäß Tumorentität nach TNM.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMTKategorie",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.9",
            "comment": "TNM T-Kategorie - Ausbreitung des Primärtumors"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMmSymbol",
        "path": "mii-lm-onko.TNMKlassifikation.TNMmSymbol",
        "short": "TNM m-Symbol",
        "definition": "Kennzeichnet Vorhandensein multipler Primärtumoren in einem anatomischen Bezirk.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMmSymbol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.10",
            "comment": "TNM m-Symbol - multiple Primärtumoren in einem anatomischen Bezirk"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMMKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMMKategorie",
        "short": "TNM M-Kategorie",
        "definition": "Fehlen oder Vorhandensein von Fernmetastasen, gemäß Tumorentität nach TNM.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMMKategorie",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.12",
            "comment": "TNM M-Kategorie - Fehlen oder Vorhandensein von Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMNKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMNKategorie",
        "short": "TNM N-Kategorie",
        "definition": "Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMNKategorie",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.11",
            "comment": "TNM N-Kategorie - regionäre Lymphknotenmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMLKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMLKategorie",
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "395715009",
            "display": "Status of lymphatic (small vessel) invasion by tumor (observable entity)"
          }
        ],
        "short": "TNM L-Kategorie",
        "definition": "Lymphgefäßinvasion.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMLKategorie",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.13",
            "comment": "TNM L-Kategorie - Lymphgefäßinvasion"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMVKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMVKategorie",
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "371493002",
            "display": "Status of venous (large vessel) invasion by tumor (observable entity)"
          }
        ],
        "short": "TNM V-Kategorie",
        "definition": "Veneninvasion.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMVKategorie",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.14",
            "comment": "TNM V-Kategorie - Veneninvasion"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMPnKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMPnKategorie",
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "371513001",
            "display": "Presence of direct invasion by primary malignant neoplasm to nerve (observable entity)"
          }
        ],
        "short": "TNM Pn-Kategorie",
        "definition": "Perineuralinvasion.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMPnKategorie",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.15",
            "comment": "TNM Pn-Kategorie - Perineuralinvasion"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMSKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMSKategorie",
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "399424006",
            "display": "Serum tumor marker category (observable entity)"
          }
        ],
        "short": "TNM S-Kategorie",
        "definition": "Serumtumormarker.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.TNMSKategorie",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.16",
            "comment": "TNM S-Kategorie - Serumtumormarker"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.UICCStadium",
        "path": "mii-lm-onko.TNMKlassifikation.UICCStadium",
        "short": "UICC Stadium",
        "definition": "Stadium nach aktuell gültiger TNM-Klassifikation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.TNMKlassifikation.UICCStadium",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.17",
            "comment": "UICC Stadium nach aktuell gültiger TNM-Klassifikation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen",
        "path": "mii-lm-onko.WeitereKlassifikationen",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.WeitereKlassifikationen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "FHIR",
            "map": "Observation"
          },
          {
            "identity": "oBDS",
            "map": "9",
            "comment": "Weitere Klassifikationen - oBDS Kapitel 9; in den Profilen zweistellig als 09 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.id",
        "path": "mii-lm-onko.WeitereKlassifikationen.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.extension",
        "path": "mii-lm-onko.WeitereKlassifikationen.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.modifierExtension",
        "path": "mii-lm-onko.WeitereKlassifikationen.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationDatum",
        "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationDatum",
        "short": "Hämatoonkologische und sonstige Klassifikationen Datum",
        "definition": "Gibt an, auf welches Datum sich die Klassifikation bezieht.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationDatum",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "9.1",
            "comment": "Hämatoonkologische und sonstige Klassifikationen Datum - im Profil als 09.1 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationName",
        "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationName",
        "short": "Hämatoonkologische und sonstige Klassifikationen Name",
        "definition": "Name der hämatologischen oder sonstigen Klassifikation. Art der Klassifikation.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationName",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.text"
          },
          {
            "identity": "oBDS",
            "map": "9.2",
            "comment": "Hämatoonkologische und sonstige Klassifikationen Name - im Profil als 09.2 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
        "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
        "short": "Hämatoonkologische und sonstige Klassifikationen Einstufung",
        "definition": "Einstufung gemäß der verwendeten hämatoonkologischen oder sonstigen Klassifikationen.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.value[x]"
          },
          {
            "identity": "oBDS",
            "map": "9.3",
            "comment": "Hämatoonkologische und sonstige Klassifikationen Einstufung - im Profil als 09.3 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus",
        "path": "mii-lm-onko.Residualstatus",
        "short": "Residualstatus",
        "definition": "Residualstatus",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Residualstatus",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "10",
            "comment": "Residualstatus - oBDS Kapitel 10"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus.id",
        "path": "mii-lm-onko.Residualstatus.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus.extension",
        "path": "mii-lm-onko.Residualstatus.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus.modifierExtension",
        "path": "mii-lm-onko.Residualstatus.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus.LokalerResidualstatus",
        "path": "mii-lm-onko.Residualstatus.LokalerResidualstatus",
        "short": "Beurteilung des lokalen Residualstatus nach Abschluss der Operation",
        "definition": "Lokale Beurteilung der Residualklassifikation nach Resektion, bezieht sich auf das, was reseziert wurde, meist Primärtumor, aber z. B. auch Lebermetastasen.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Residualstatus.LokalerResidualstatus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.outcome"
          },
          {
            "identity": "oBDS",
            "map": "10.1",
            "comment": "Beurteilung des lokalen Residualstatus nach Abschluss der Operation - im Profil MII_PR_Onko_Operation als Procedure.outcome geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus.GlobalerResidualstatus",
        "path": "mii-lm-onko.Residualstatus.GlobalerResidualstatus",
        "short": "Gesamtbeurteilung des Residualstatus",
        "definition": "Gesamtbeurteilung der Residualklassifikation der Erkrankung einschließlich etwaiger Fernmetastasen.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Residualstatus.GlobalerResidualstatus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "10.2",
            "comment": "Gesamtbeurteilung des Residualstatus einschließlich etwaiger Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen",
        "path": "mii-lm-onko.Fernmetastasen",
        "short": "Fernmetastasen",
        "definition": "Fernmetastasen",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Fernmetastasen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "11",
            "comment": "Fernmetastasen - oBDS Kapitel 11"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen.id",
        "path": "mii-lm-onko.Fernmetastasen.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen.extension",
        "path": "mii-lm-onko.Fernmetastasen.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen.modifierExtension",
        "path": "mii-lm-onko.Fernmetastasen.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen.LokalisationFernmetastase",
        "path": "mii-lm-onko.Fernmetastasen.LokalisationFernmetastase",
        "short": "Lokalisation von Fernmetastase(n)",
        "definition": "Lokalisation der Fernmetastase(n).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Fernmetastasen.LokalisationFernmetastase",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.bodySite"
          },
          {
            "identity": "oBDS",
            "map": "11.1",
            "comment": "Lokalisation von Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen.DatumFernmetase",
        "path": "mii-lm-onko.Fernmetastasen.DatumFernmetase",
        "short": "Datum der diagnostischen Sicherung von Fernmetastasen",
        "definition": "Gibt an, wann die Fernmetastase festgestellt wurde.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Fernmetastasen.DatumFernmetase",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "11.2",
            "comment": "Datum der diagnostischen Sicherung von Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.AllgemeinerLeistungszustand",
        "path": "mii-lm-onko.AllgemeinerLeistungszustand",
        "short": "Allgemeiner Leistungszustand",
        "definition": "Allgemeiner Leistungszustand",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.AllgemeinerLeistungszustand",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "12",
            "comment": "Allgemeiner Leistungszustand - oBDS Kapitel 12"
          }
        ]
      },
      {
        "id": "mii-lm-onko.AllgemeinerLeistungszustand.id",
        "path": "mii-lm-onko.AllgemeinerLeistungszustand.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.AllgemeinerLeistungszustand.extension",
        "path": "mii-lm-onko.AllgemeinerLeistungszustand.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.AllgemeinerLeistungszustand.modifierExtension",
        "path": "mii-lm-onko.AllgemeinerLeistungszustand.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.AllgemeinerLeistungszustand.ECOGKarnofsky",
        "path": "mii-lm-onko.AllgemeinerLeistungszustand.ECOGKarnofsky",
        "short": "ECOG oder Karnofsky",
        "definition": "ECOG oder Karnofsky",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.AllgemeinerLeistungszustand.ECOGKarnofsky",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.value[x]"
          },
          {
            "identity": "oBDS",
            "map": "12.1",
            "comment": "Allgemeiner Leistungszustand nach ECOG oder Karnofsky - oBDS führt beide Skalen unter derselben Feldnummer"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation",
        "path": "mii-lm-onko.Operation",
        "short": "Operation",
        "definition": "Operation",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Operation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "13",
            "comment": "Operation - oBDS Kapitel 13"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.id",
        "path": "mii-lm-onko.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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.extension",
        "path": "mii-lm-onko.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.modifierExtension",
        "path": "mii-lm-onko.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPIntention",
        "path": "mii-lm-onko.Operation.OPIntention",
        "short": "Intention",
        "definition": "Gibt an, mit welchem Ziel die Operation geplant wurde",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Operation.OPIntention",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "13.1",
            "comment": "Intention der Operation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPDatum",
        "path": "mii-lm-onko.Operation.OPDatum",
        "short": "OP Datum",
        "definition": "Datum der OP",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Operation.OPDatum",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedDateTime"
          },
          {
            "identity": "oBDS",
            "map": "13.2",
            "comment": "OP Datum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPSCode",
        "path": "mii-lm-onko.Operation.OPSCode",
        "short": "OPS Code",
        "definition": "Gibt an, welche Operation durchgeführ wurde. OPS (5-*), so genau wie möglich. Bei paaringen Organen mit Seitenangabe",
        "min": 1,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Operation.OPSCode",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "13.3",
            "comment": "OPS - Operationen- und Prozedurenschlüssel"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPSVersion",
        "path": "mii-lm-onko.Operation.OPSVersion",
        "short": "OPS Version",
        "definition": "Gibt an, nach welcher Version (Jahr) des OPS klassifiziert wurde (Gültige Bezeichnung nach BfArM)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Operation.OPSVersion",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code.coding.version"
          },
          {
            "identity": "oBDS",
            "map": "13.4",
            "comment": "OPS Version - Jahresversion nach BfArM"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPKomplikation",
        "path": "mii-lm-onko.Operation.OPKomplikation",
        "short": "OP Komplikationen",
        "definition": "Gibt an, ob eine oder keine Komplikation aufgetreten ist, bzw. wenn eine aufgetreten ist welche.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Operation.OPKomplikation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.complication.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "13.5",
            "comment": "OP Komplikationen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie",
        "path": "mii-lm-onko.Strahlentherapie",
        "short": "Strahlentherapie",
        "definition": "Strahlentherapie",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "14",
            "comment": "Strahlentherapie - oBDS Kapitel 14"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.id",
        "path": "mii-lm-onko.Strahlentherapie.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.extension",
        "path": "mii-lm-onko.Strahlentherapie.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.modifierExtension",
        "path": "mii-lm-onko.Strahlentherapie.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieIntention",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieIntention",
        "short": "Intention der Strahlentherapie",
        "definition": "Gibt an, mit welcher Intention die Strahlentherapie geplant wurde.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieIntention",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Intention].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.1",
            "comment": "Intention der Strahlentherapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieStellung",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieStellung",
        "short": "Strahlentherapie Stellung zu operativer Therapie",
        "definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die Bestrahlung steht.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieStellung",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Stellung].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.2",
            "comment": "Strahlentherapie Stellung zu operativer Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieEndeGrund",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieEndeGrund",
        "short": "Strahlentherapie Ende Grund",
        "definition": "Gibt den Grund an, warum die Strahlentherapie beendet wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieEndeGrund",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.outcome.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.13",
            "comment": "Strahlentherapie Ende Grund"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung",
        "short": "Bestrahlung",
        "definition": "Dieser Abschnitt entspricht einer Bestrahlung mit spezifischem Zielgebiet, Methodik und Dosis",
        "min": 1,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "FHIR",
            "map": "Procedure.extension[Bestrahlung]"
          },
          {
            "identity": "oBDS",
            "map": "14.3-14.12",
            "comment": "Bestrahlung - eine Bestrahlung mit spezifischem Zielgebiet Methodik und Dosis; im oBDS keine eigene Feldnummer sondern Gruppierung der Felder 14.3 bis 14.12"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.id",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.extension",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.modifierExtension",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
        "short": "Strahlentherapie Zielgebiet",
        "definition": "Gibt an, an welcher anatomischen Region die Bestrahlung durchgeführt wurde.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Zielgebiet].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.3",
            "comment": "Strahlentherapie Zielgebiet"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
        "short": "Strahlentherapie Seite Zielgebiet",
        "definition": "Bei Zielgebieten, die durch \"(r, l)\" gekennzeichnet sind, ist eine Seitenangabe Pflicht.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Zielgebiet_Lateralitaet].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.4",
            "comment": "Strahlentherapie Seite Zielgebiet - Pflichtangabe bei mit r/l gekennzeichneten Zielgebieten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
        "short": "Strahlentherapie Beginn",
        "definition": "Gibt an, wann die Strahlentherapie begonnen wurde.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedPeriod.start"
          },
          {
            "identity": "oBDS",
            "map": "14.5",
            "comment": "Strahlentherapie Beginn"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
        "short": "Strahlentherapie Ende",
        "definition": "Gibt an, wann die Strahlentherapie beendet wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedPeriod.end"
          },
          {
            "identity": "oBDS",
            "map": "14.6",
            "comment": "Strahlentherapie Ende"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
        "short": "Strahlentherapie Applikationsart",
        "definition": "Gibt an, mit welcher Technik die Strahlentherapie durchgeführt wurde.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Applikationsart].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.7",
            "comment": "Strahlentherapie Applikationsart"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
        "short": "Strahlenart",
        "definition": "Angewandte Strahlenart (Strahlung oder metabolische Nuklide)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Strahlenart].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.8",
            "comment": "Strahlentherapie Strahlenart"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
        "short": "Strahlentherapie Gesamtdosis",
        "definition": "Gibt an, mit welcher Gesamtdosis das Zielgebiet bestrahlt wurde (inklusive Boost).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Gesamtdosis].valueQuantity.value"
          },
          {
            "identity": "oBDS",
            "map": "14.9",
            "comment": "Strahlentherapie Gesamtdosis inklusive Boost"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
        "short": "Strahlentherapie Einzeldosis",
        "definition": "Strahlentherapie Einzeldosis pro Tag (Dosis)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Einzeldosis].valueQuantity.value"
          },
          {
            "identity": "oBDS",
            "map": "14.10",
            "comment": "Strahlentherapie Einzeldosis pro Tag"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
        "short": "Strahlentherapie Einheit",
        "definition": "Gibt die Einheit zu der Einzel- oder Gesamtdosis an, mit welcher das Zielgebiet bestrahlt wurde, bzw. bei metabolischer Therapie die Aktivität des verwendeten Radionuklids.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Einheit].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.11",
            "comment": "Strahlentherapie Einheit zu Einzel- und Gesamtdosis - in den Profilen als Quantity.unit an 14.9 und 14.10 abgebildet"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
        "short": "Boost",
        "definition": "Angabe, ob ein Boost und falls ja, welche Art von Boost appliziert wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Boost].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.12",
            "comment": "Strahlentherapie Boost"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie",
        "path": "mii-lm-onko.SystemischeTherapie",
        "short": "Systemische Therapie",
        "definition": "Systemische Therapie",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "16",
            "comment": "Systemische Therapie - oBDS Kapitel 16"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.id",
        "path": "mii-lm-onko.SystemischeTherapie.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.extension",
        "path": "mii-lm-onko.SystemischeTherapie.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.modifierExtension",
        "path": "mii-lm-onko.SystemischeTherapie.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieIntention",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieIntention",
        "short": "Intention der systemischen Therapie",
        "definition": "Intention der systemischen Therapie",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieIntention",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Intention].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.1",
            "comment": "Intention der systemischen Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieStellung",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieStellung",
        "short": "Systemische Therapie Stellung zu operativer Therapie",
        "definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die systemische Therapie steht.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieStellung",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Stellung].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.2",
            "comment": "Systemische Therapie Stellung zu operativer Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieArtTherapie",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieArtTherapie",
        "short": "Art der systemischen oder abwartenden Therapie",
        "definition": "Gibt an, welche Art der Therapie bzw. abwartende Strategie durchgeführt wurde.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieArtTherapie",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.3",
            "comment": "Art der systemischen oder abwartenden Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieProtokoll",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieProtokoll",
        "short": "Systemische Therapie Protokoll",
        "definition": "Gibt an, nach welchem Protokoll die Systemtherapie durchgeführt wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieProtokoll",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "MedicationStatement.medicationCodeableConcept.text"
          },
          {
            "identity": "oBDS",
            "map": "16.4",
            "comment": "Systemische Therapie Protokoll"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieSubstanz",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieSubstanz",
        "short": "Systemische Therapie Substanz",
        "definition": "Gibt an, mit welcher Substanz die Systemtherapie durchgeführt wurde. Nach Möglichkeit ATC kodiert. Mehrere Substanzen sind jeweils einzeln zu kodieren.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieSubstanz",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "MedicationStatement.medicationCodeableConcept[atcClassDe].coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.6",
            "comment": "Systemische Therapie Substanz - nach Möglichkeit ATC-kodiert"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieBeginn",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieBeginn",
        "short": "Systemische Therapie Beginn",
        "definition": "Gibt an, wann die systemische Therapie begonnen wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieBeginn",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedPeriod.start"
          },
          {
            "identity": "oBDS",
            "map": "16.5",
            "comment": "Systemische Therapie Beginn"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEnde",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEnde",
        "short": "Systemische Therapie Ende Grund",
        "definition": "Gibt den Grund an, warum die Systemtherapie beendet wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEnde",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedPeriod.end"
          },
          {
            "identity": "oBDS",
            "map": "16.8",
            "comment": "Systemische Therapie Ende - Enddatum; die Kurzbeschreibung im LM ist mit der von SystemischeTherapieEndeGrund vertauscht"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEndeGrund",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEndeGrund",
        "short": "Systemische Therapie Ende",
        "definition": "Gibt an, wann die systemische Therapie beendet wurde.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEndeGrund",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.outcome.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.7",
            "comment": "Systemische Therapie Ende Grund; die Kurzbeschreibung im LM ist mit der von SystemischeTherapieEnde vertauscht"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen",
        "path": "mii-lm-onko.Nebenwirkungen",
        "short": "Nebenwirkungen",
        "definition": "Nebenwirkungen",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Nebenwirkungen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "15",
            "comment": "Nebenwirkungen der Strahlentherapie und systemischen Therapie - oBDS Kapitel 15"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.id",
        "path": "mii-lm-onko.Nebenwirkungen.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.extension",
        "path": "mii-lm-onko.Nebenwirkungen.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.modifierExtension",
        "path": "mii-lm-onko.Nebenwirkungen.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEGrad",
        "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEGrad",
        "short": "Nebenwirkungen nach CTCAE-Grad",
        "definition": "Gibt an, zu welchem Schweregrad von Nebenwirkungen es bei der Bestrahlung oder der systemischen Therapie gekommen ist.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEGrad",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "AdverseEvent.seriousness.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "15.1",
            "comment": "Nebenwirkungen nach CTCAE-Grad"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEArt",
        "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEArt",
        "short": "Nebenwirkungen nach CTCAE Art",
        "definition": "Gibt an, zu welcher Nebenwirkung es bei der Bestrahlung oder der systemischen Therapie gekommen ist. Bei der Bestrahlung sind sogenannte akute Nebenwirkungen bis zum 90. Tag nach Bestrahlungsbeginn gemeint.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEArt",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "AdverseEvent.event.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "15.2",
            "comment": "Nebenwirkungen nach CTCAE Art"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEVersion",
        "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEVersion",
        "short": "Nebenwirkungen nach CTCAE Version",
        "definition": "Für den medizinischen Katalog gültige Versionsbezeichnungen (4, 4.03, 5.0, Sonstige). Gemeint ist die Version des CTCAE-Katalogs, nicht die des MedDRA-Katalogs, aus dem die Codes stammen — CTCAE v4.03 basiert auf MedDRA v12.0.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEVersion",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "AdverseEvent.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-nebenwirkung-ctcae-version').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "15.3",
            "comment": "Nebenwirkungen nach CTCAE Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf",
        "path": "mii-lm-onko.Verlauf",
        "short": "Verlauf",
        "definition": "Verlauf",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Verlauf",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "17",
            "comment": "Verlauf - oBDS Kapitel 17"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.id",
        "path": "mii-lm-onko.Verlauf.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.extension",
        "path": "mii-lm-onko.Verlauf.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.modifierExtension",
        "path": "mii-lm-onko.Verlauf.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufDatum",
        "path": "mii-lm-onko.Verlauf.VerlaufDatum",
        "short": "Untersuchungsdatum Verlauf",
        "definition": "Datum, an dem die letzte Untersuchung durchgeführt wurde, die zur Einschätzung des Tumorstatus geführt hat.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Verlauf.VerlaufDatum",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.1",
            "comment": "Untersuchungsdatum Verlauf"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufBeurteilungTumorstatus",
        "path": "mii-lm-onko.Verlauf.VerlaufBeurteilungTumorstatus",
        "short": "Gesamtbeurteilung des Tumorstatus",
        "definition": "Gesamtbeurteilung der Erkrankung unter Berücksichtigung aller Manifestationen.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Verlauf.VerlaufBeurteilungTumorstatus",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.2",
            "comment": "Gesamtbeurteilung des Tumorstatus"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufTumorstatusPrimaertumor",
        "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusPrimaertumor",
        "short": "Tumorstatus Primärtumor",
        "definition": "Beurteilung der Situation im Primärtumorbereich.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusPrimaertumor",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.3",
            "comment": "Tumorstatus Primärtumor"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufTumorstatusLymphknoten",
        "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusLymphknoten",
        "short": "Tumorstatus Lymphknoten",
        "definition": "Beurteilung der Situation im Bereich der regionären Lymphknoten.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusLymphknoten",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.4",
            "comment": "Tumorstatus Lymphknoten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufTumorstatusMetastasen",
        "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusMetastasen",
        "short": "Tumorstatus Fernmetastasen",
        "definition": "Beurteilung der Situation im Bereich der Fernmetastasen.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusMetastasen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.5",
            "comment": "Tumorstatus Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz",
        "path": "mii-lm-onko.Tumorkonferenz",
        "short": "Tumorkonferenz und Therapieempfehlung",
        "definition": "Tumorkonferenz und Therapieempfehlung",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Tumorkonferenz",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "18, 19",
            "comment": "Tumorkonferenz oBDS Kapitel 18 und Therapieempfehlung oBDS Kapitel 19"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.id",
        "path": "mii-lm-onko.Tumorkonferenz.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.extension",
        "path": "mii-lm-onko.Tumorkonferenz.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.modifierExtension",
        "path": "mii-lm-onko.Tumorkonferenz.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
        "short": "Tumorkonferenz Therapieplanung Datum",
        "definition": "Datum der Durchführung der Tumorkonferenz bzw. der sonstigen Therapieplanung.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "CarePlan.created"
          },
          {
            "identity": "oBDS",
            "map": "18.1",
            "comment": "Tumorkonferenz Therapieplanung Datum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
        "short": "Tumorkonferenz Therapieplanung Typ",
        "definition": "Typ der Tumorkonferenz bzw. der sonstigen Therapieplanung.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "CarePlan.category"
          },
          {
            "identity": "oBDS",
            "map": "18.2",
            "comment": "Tumorkonferenz Therapieplanung Typ"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
        "short": "Tumorkonferenz Therapieempfehlung Typ",
        "definition": "Typ der Therapieempfehlung der Tumorkonferenz (z.B. CH, OP, ST).",
        "min": 1,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "RequestGroup.code (Therapy type: CH, OP, ST, etc.)"
          },
          {
            "identity": "oBDS",
            "map": "19.1",
            "comment": "Tumorkonferenz Therapieempfehlung Typ - z.B. CH OP ST"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
        "short": "Tumorkonferenz Therapieempfehlung Protokoll",
        "definition": "Empfohlenes Therapieprotokoll bei systemischer Therapie (z.B. FOLFOX4, R-CHOP, AC). Optional, insbesondere bei Kombinationstherapien.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "RequestGroup.action.code (Protocol: FOLFOX4, R-CHOP, etc.)"
          },
          {
            "identity": "oBDS",
            "map": "19.1 (Erweiterung)",
            "comment": "Empfohlenes Therapieprotokoll - MII-Erweiterung zu 19.1; der oBDS erfasst in 19.1 nur den Therapietyp ohne Protokollangabe"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
        "short": "Tumorkonferenz Therapieempfehlung Medikation",
        "definition": "Einzelne empfohlene Medikamente/Substanzen der Therapie (z.B. ATC-kodiert). Bei Kombinationstherapien werden mehrere Medikamente angegeben.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "MedicationRequest.medicationCodeableConcept (referenced from RequestGroup.action.action.resource)"
          },
          {
            "identity": "oBDS",
            "map": "19.1 (Erweiterung)",
            "comment": "Einzelne empfohlene Substanzen - MII-Erweiterung zu 19.1; der oBDS erfasst in 19.1 nur den Therapietyp ohne Substanzangabe"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
        "short": "Tumorkonferenz/Therapieempfehlung Therapieabweichung auf Wunsch des Patienten",
        "definition": "Abweichung auf Wunsch des Patienten.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "CarePlan.activity.detail.status & statusReason"
          },
          {
            "identity": "oBDS",
            "map": "19.2",
            "comment": "Tumorkonferenz bzw. Therapieempfehlung Therapieabweichung auf Wunsch des Patienten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod",
        "path": "mii-lm-onko.Tod",
        "short": "Tod",
        "definition": "Tod",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Tod",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "oBDS",
            "map": "20",
            "comment": "Tod - oBDS Kapitel 20"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.id",
        "path": "mii-lm-onko.Tod.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.extension",
        "path": "mii-lm-onko.Tod.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.modifierExtension",
        "path": "mii-lm-onko.Tod.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.Sterbedatum",
        "path": "mii-lm-onko.Tod.Sterbedatum",
        "short": "Sterbedatum",
        "definition": "Datum des Todes",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Tod.Sterbedatum",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "20.1",
            "comment": "Sterbedatum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.TodTumorbedingt",
        "path": "mii-lm-onko.Tod.TodTumorbedingt",
        "short": "Tod tumorbedingt",
        "definition": "Krebs-Tod-Relation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Tod.TodTumorbedingt",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.interpretation.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "20.2",
            "comment": "Tod tumorbedingt - Krebs-Tod-Relation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.TodesursacheICD",
        "path": "mii-lm-onko.Tod.TodesursacheICD",
        "short": "Todesursache ICD",
        "definition": "Todesursache im Sinne des Grundleidens",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Tod.TodesursacheICD",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "20.3",
            "comment": "Todesursache ICD im Sinne des Grundleidens"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.TodesursacheICDVersion",
        "path": "mii-lm-onko.Tod.TodesursacheICDVersion",
        "short": "Todesursache ICD Version",
        "definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM-Version",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Tod.TodesursacheICDVersion",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.version"
          },
          {
            "identity": "oBDS",
            "map": "20.4",
            "comment": "Todesursache ICD-Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante",
        "path": "mii-lm-onko.GenetischeVariante",
        "short": "Genetische Variante",
        "definition": "Genetische Variante",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.GenetischeVariante",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "FHIR",
            "map": "Observation"
          },
          {
            "identity": "oBDS",
            "map": "23",
            "comment": "Genetische Variante - oBDS Kapitel 23"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante.id",
        "path": "mii-lm-onko.GenetischeVariante.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante.extension",
        "path": "mii-lm-onko.GenetischeVariante.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante.modifierExtension",
        "path": "mii-lm-onko.GenetischeVariante.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante.GenetischeVarianteName",
        "path": "mii-lm-onko.GenetischeVariante.GenetischeVarianteName",
        "short": "Genetische Variante Name",
        "definition": "Name der genetischen Variante (z.B. K-ras, BRAFV600, NRAS, C-KIT)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.GenetischeVariante.GenetischeVarianteName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.note"
          },
          {
            "identity": "oBDS",
            "map": "23.1",
            "comment": "Genetische Variante Name - z.B. K-ras BRAFV600 NRAS C-KIT"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante.GenetischeVarianteAuspraegung",
        "path": "mii-lm-onko.GenetischeVariante.GenetischeVarianteAuspraegung",
        "short": "Genetische Variante Ausprägung",
        "definition": "Ausprägung der genetischen Variante nach oBDS",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.GenetischeVariante.GenetischeVarianteAuspraegung",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.interpretation"
          },
          {
            "identity": "oBDS",
            "map": "23.2",
            "comment": "Genetische Variante Ausprägung"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme",
        "path": "mii-lm-onko.Studienteilnahme",
        "short": "Studienteilnahme",
        "definition": "Studienteilnahme",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko.Studienteilnahme",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "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": "FHIR",
            "map": "Observation"
          },
          {
            "identity": "oBDS",
            "map": "24",
            "comment": "Studienteilnahme - oBDS Kapitel 24"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.id",
        "path": "mii-lm-onko.Studienteilnahme.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.extension",
        "path": "mii-lm-onko.Studienteilnahme.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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.modifierExtension",
        "path": "mii-lm-onko.Studienteilnahme.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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": 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"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStatus",
        "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStatus",
        "short": "Studienteilnahme Status",
        "definition": "Einschluss in eine Studie mit Ethikvotum",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStatus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "24.1",
            "comment": "Studienteilnahme Status - Einschluss in eine Studie mit Ethikvotum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.StudienteilnahmeDatum",
        "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeDatum",
        "short": "Studienteilnahme Datum",
        "definition": "Erstes Einschlussdatum einer Studie mit Ethikvotum",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeDatum",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "24.2",
            "comment": "Studienteilnahme Datum - erstes Einschlussdatum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStudienreferenz",
        "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStudienreferenz",
        "short": "Studienteilnahme Studienreferenz",
        "definition": "Referenz zur konkreten Studie (ResearchStudy)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStudienreferenz",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.focus.where(resolve() is ResearchStudy)"
          },
          {
            "identity": "oBDS",
            "map": "kein oBDS-Feld",
            "comment": "Referenz auf die konkrete Studie als ResearchStudy - MII-Ergänzung; der oBDS benennt Studien nur im pädiatrischen Zusatzmodul DKKR/GPOH mit Studienname und Studiennummer nicht in Kapitel 24"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "mii-lm-onko",
        "path": "mii-lm-onko",
        "short": "MII LM Onkologie",
        "definition": "MII LogicalModel Modul Onkologie"
      },
      {
        "id": "mii-lm-onko.Diagnose",
        "path": "mii-lm-onko.Diagnose",
        "short": "Diagnose",
        "definition": "Diagnose",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition"
          },
          {
            "identity": "oBDS",
            "map": "5",
            "comment": "Diagnose - oBDS Kapitel 5. Amtlicher Feldkatalog: https://basisdatensatz.de"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDCode",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDCode",
        "short": "Primärtumor Tumordiagnose ICD Code",
        "definition": "Kodierung einer meldepflichtigen Erkrankung nach der aktuellen ICD-GM Version.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code"
          },
          {
            "identity": "oBDS",
            "map": "5.1",
            "comment": "Primärtumor Tumordiagnose ICD Code - Kodierung nach aktueller ICD-10-GM"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDVersion",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseICDVersion",
        "short": "Primärtumor Tumordiagnose ICD-Version",
        "definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM Version.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').version"
          },
          {
            "identity": "oBDS",
            "map": "5.2",
            "comment": "Primärtumor Tumordiagnose ICD-Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseText",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTumordiagnoseText",
        "short": "Primärtumor Tumordiagnose Text",
        "definition": "Bezeichnung einer meldepflichtigen Erkrankung.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.code.text"
          },
          {
            "identity": "oBDS",
            "map": "5.3",
            "comment": "Primärtumor Tumordiagnose Text - Klartextbezeichnung der meldepflichtigen Erkrankung"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDO",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDO",
        "short": "Primärtumor Topographie ICD-O",
        "definition": "Bezeichnung der Topographie einer Erkrankung nach der aktuellen ICD-O Version.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.bodySite.coding.where(system='http://terminology.hl7.org/CodeSystem/icd-o-3').code"
          },
          {
            "identity": "oBDS",
            "map": "5.4",
            "comment": "Primärtumor Topographie ICD-O"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDOVersion",
        "path": "mii-lm-onko.Diagnose.PrimaertumorTopographieICDOVersion",
        "short": "Primärtumor Topographie ICD-O-Version",
        "definition": "Bezeichnung der zur Kodierung verwendeten ICD-O Version.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.bodySite.coding.where(system='http://terminology.hl7.org/CodeSystem/icd-o-3').version"
          },
          {
            "identity": "oBDS",
            "map": "5.5",
            "comment": "Primärtumor Topographie ICD-O-Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorDiagnosedatum",
        "path": "mii-lm-onko.Diagnose.PrimaertumorDiagnosedatum",
        "short": "Primärtumor Diagnosedatum",
        "definition": "Datum, angegeben in Tag, Monat und Jahr, an dem die meldepflichtige Diagnose erstmals durch einen Arzt klinisch oder mikroskopisch diagnostiziert wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.assertedDate"
          },
          {
            "identity": "oBDS",
            "map": "5.6",
            "comment": "Primärtumor Diagnosedatum - Datum der Erstdiagnose"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorDiagnosesicherung",
        "path": "mii-lm-onko.Diagnose.PrimaertumorDiagnosesicherung",
        "short": "Primärtumor Diagnosesicherung",
        "definition": "Höchste erreichte Diagnosesicherheit der Diagnose.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.verificationStatus.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung').code"
          },
          {
            "identity": "oBDS",
            "map": "5.7",
            "comment": "Primärtumor Diagnosesicherung - höchste erreichte Diagnosesicherheit"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.PrimaertumorSeitenlokalisation",
        "path": "mii-lm-onko.Diagnose.PrimaertumorSeitenlokalisation",
        "short": "Primärtumor Seitenlokalisation",
        "definition": "Organspezifische Angabe der betroffenen Seite.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.bodySite.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-seitenlokalisation').code"
          },
          {
            "identity": "oBDS",
            "map": "5.8",
            "comment": "Primärtumor Seitenlokalisation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Diagnose.FruehereTumorerkrankungen",
        "path": "mii-lm-onko.Diagnose.FruehereTumorerkrankungen",
        "short": "Frühere Tumorerkrankungen",
        "definition": "Tumorerkrankungen, die in der Anamnese zu einem früheren Zeitpunkt diagnostiziert/behandelt wurden.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Condition"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition"
          },
          {
            "identity": "oBDS",
            "map": "5.9",
            "comment": "Frühere Tumorerkrankungen - eigenständig kodierte Vordiagnosen; im Profil MII_PR_Onko_Fruehere_Tumorerkrankung sind alle Detailangaben ebenfalls unter 5.9 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie",
        "path": "mii-lm-onko.Histologie",
        "short": "Histologie",
        "definition": "Histologie",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "6",
            "comment": "Histologie - oBDS Kapitel 6"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.TumorHistologiedatum",
        "path": "mii-lm-onko.Histologie.TumorHistologiedatum",
        "short": "Tumor Histologiedatum",
        "definition": "Datum, an dem die Gewebeprobe entnommen wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Specimen.collection.collectedDateTime"
          },
          {
            "identity": "oBDS",
            "map": "6.1",
            "comment": "Tumor Histologiedatum - Datum der Probenentnahme"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.HistologieEinsendenummer",
        "path": "mii-lm-onko.Histologie.HistologieEinsendenummer",
        "short": "Histologie-Einsendenummer",
        "definition": "Die Histologie-Einsendenummer/Auftragsnummer wird vom Pathologischen Institut beim Eingang des Präparates vergeben.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Specimen.accessionIdentifier"
          },
          {
            "identity": "oBDS",
            "map": "6.2",
            "comment": "Histologie-Einsendenummer bzw. Auftragsnummer des Pathologischen Instituts"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.MorphologieCode",
        "path": "mii-lm-onko.Histologie.MorphologieCode",
        "short": "Morphologie-Code",
        "definition": "Gibt an, welche Histologie der Tumor aufweist.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3').valueCodeableConcept.code"
          },
          {
            "identity": "oBDS",
            "map": "6.3",
            "comment": "Morphologie-Code nach ICD-O-3"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.MorphologieICDOBlueBookVersion",
        "path": "mii-lm-onko.Histologie.MorphologieICDOBlueBookVersion",
        "short": "Morphologie ICD-O/Blue Book Version",
        "definition": "Bezeichnung der zur Kodierung verwendeten ICD-O/Blue Book Version.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3').valueCodeableConcept.version"
          },
          {
            "identity": "oBDS",
            "map": "6.4",
            "comment": "Morphologie ICD-O/Blue Book Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.MorphologieFreitext",
        "path": "mii-lm-onko.Histologie.MorphologieFreitext",
        "short": "Morphologie-Freitext",
        "definition": "Gibt die Originalbezeichnung der morphologischen Diagnose an.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Condition.code.text"
          },
          {
            "identity": "oBDS",
            "map": "6.5",
            "comment": "Morphologie-Freitext - Originalbezeichnung der morphologischen Diagnose"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.Grading",
        "path": "mii-lm-onko.Histologie.Grading",
        "short": "Grading",
        "definition": "Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.where(system='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading').code"
          },
          {
            "identity": "oBDS",
            "map": "6.6",
            "comment": "Grading - Differenzierungsgrad nach aktueller TNM-Auflage"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.AnzahlUntersuchteLymphknoten",
        "path": "mii-lm-onko.Histologie.AnzahlUntersuchteLymphknoten",
        "short": "Anzahl der untersuchten Lymphknoten",
        "definition": "Gibt an, wie viele Lymphknoten untersucht wurden (einschließlich Sentinel).",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "decimal"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.coding.where(system='http://loinc.org' and code='2708-6').select(%resource.valueQuantity.value)"
          },
          {
            "identity": "oBDS",
            "map": "6.7",
            "comment": "Anzahl der untersuchten Lymphknoten einschließlich Sentinel"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.AnzahlBefalleneLymphknoten",
        "path": "mii-lm-onko.Histologie.AnzahlBefalleneLymphknoten",
        "short": "Anzahl der befallenen Lymphknoten",
        "definition": "Gibt an, wie viele Lymphknoten befallen sind (einschließlich Sentinel).",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "decimal"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.coding.where(system='http://loinc.org' and code='21893-3').select(%resource.valueQuantity.value)"
          },
          {
            "identity": "oBDS",
            "map": "6.8",
            "comment": "Anzahl der befallenen Lymphknoten einschließlich Sentinel"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.AnzahlUntersuchteSentinelLymphknoten",
        "path": "mii-lm-onko.Histologie.AnzahlUntersuchteSentinelLymphknoten",
        "short": "Anzahl der untersuchten Sentinel-Lymphknoten",
        "definition": "Gibt an, wie viele Sentinel-Lymphknoten untersucht wurden.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "decimal"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.coding.where(system='http://loinc.org' and code='85347-3').select(%resource.valueQuantity.value)"
          },
          {
            "identity": "oBDS",
            "map": "6.9",
            "comment": "Anzahl der untersuchten Sentinel-Lymphknoten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.AnzahlBefalleneSentinelLymphknoten",
        "path": "mii-lm-onko.Histologie.AnzahlBefalleneSentinelLymphknoten",
        "short": "Anzahl der befallenen Sentinel-Lymphknoten",
        "definition": "Gibt an, wie viele Sentinel-Lymphknoten befallen sind.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "decimal"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.coding.where(system='http://loinc.org' and code='92832-5').select(%resource.valueQuantity.value)"
          },
          {
            "identity": "oBDS",
            "map": "6.10",
            "comment": "Anzahl der befallenen Sentinel-Lymphknoten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Histologie.Befund",
        "path": "mii-lm-onko.Histologie.Befund",
        "short": "Befund",
        "definition": "Vollständiger Befundbericht des Pathologen.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "DiagnosticReport.code.coding.where(system='http://loinc.org' and code='60568-3').select(%resource.conclusion)"
          },
          {
            "identity": "oBDS",
            "map": "6.11",
            "comment": "Befund - vollständiger Befundbericht des Pathologen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation",
        "path": "mii-lm-onko.TNMKlassifikation",
        "short": "TNM-Klassifikation",
        "definition": "TNM-Klassifikation",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "8",
            "comment": "TNM-Klassifikation - oBDS Kapitel 8"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMDatum",
        "path": "mii-lm-onko.TNMKlassifikation.TNMDatum",
        "short": "TNM Datum",
        "definition": "Gibt an, auf welches Datum sich die TNM-Klassifikation bezieht.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "8.1",
            "comment": "TNM Datum - Bezugsdatum der Klassifikation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMVersion",
        "path": "mii-lm-onko.TNMKlassifikation.TNMVersion",
        "short": "TNM Version",
        "definition": "Gibt an, nach welcher Version des TNM klassifiziert wurde.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.method"
          },
          {
            "identity": "oBDS",
            "map": "8.2",
            "comment": "TNM Version - verwendete TNM-Auflage"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMySymbol",
        "path": "mii-lm-onko.TNMKlassifikation.TNMySymbol",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "101658-3",
            "display": "Cancer staging after multimodality therapy"
          }
        ],
        "short": "TNM y-Symbol",
        "definition": "Gibt an, ob die Klassifikation während oder nach initialer multimodaler Therapie erfolgte.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.3",
            "comment": "TNM y-Symbol - Klassifikation während oder nach initialer multimodaler Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMrSymbol",
        "path": "mii-lm-onko.TNMKlassifikation.TNMrSymbol",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "101659-1",
            "display": "Cancer staging after tumor recurrence"
          }
        ],
        "short": "TNM r-Symbol",
        "definition": "Gibt an, ob die Klassifikation ein Rezidiv beurteilt.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.4",
            "comment": "TNM r-Symbol - Klassifikation eines Rezidivs"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMaSymbol",
        "path": "mii-lm-onko.TNMKlassifikation.TNMaSymbol",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "101660-9",
            "display": "Cancer staging during autopsy"
          }
        ],
        "short": "TNM a-Symbol",
        "definition": "Gibt an, ob die Klassifikation aus Anlass einer Autopsie erfolgte.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.5",
            "comment": "TNM a-Symbol - Klassifikation aus Anlass einer Autopsie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixT",
        "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixT",
        "short": "TNM c/p-Präfix T",
        "definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.6",
            "comment": "TNM c/p-Präfix T"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixN",
        "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixN",
        "short": "TNM c/p-Präfix N",
        "definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.7",
            "comment": "TNM c/p-Präfix N"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixM",
        "path": "mii-lm-onko.TNMKlassifikation.TNMcpuPraefixM",
        "short": "TNM c/p-Präfix M",
        "definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.8",
            "comment": "TNM c/p-Präfix M"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMTKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMTKategorie",
        "short": "TNM T-Kategorie",
        "definition": "Ausbreitung des Primärtumors, erfolgt gemäß Tumorentität nach TNM.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.9",
            "comment": "TNM T-Kategorie - Ausbreitung des Primärtumors"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMmSymbol",
        "path": "mii-lm-onko.TNMKlassifikation.TNMmSymbol",
        "short": "TNM m-Symbol",
        "definition": "Kennzeichnet Vorhandensein multipler Primärtumoren in einem anatomischen Bezirk.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.10",
            "comment": "TNM m-Symbol - multiple Primärtumoren in einem anatomischen Bezirk"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMMKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMMKategorie",
        "short": "TNM M-Kategorie",
        "definition": "Fehlen oder Vorhandensein von Fernmetastasen, gemäß Tumorentität nach TNM.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.12",
            "comment": "TNM M-Kategorie - Fehlen oder Vorhandensein von Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMNKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMNKategorie",
        "short": "TNM N-Kategorie",
        "definition": "Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.11",
            "comment": "TNM N-Kategorie - regionäre Lymphknotenmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMLKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMLKategorie",
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "395715009",
            "display": "Status of lymphatic (small vessel) invasion by tumor (observable entity)"
          }
        ],
        "short": "TNM L-Kategorie",
        "definition": "Lymphgefäßinvasion.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.13",
            "comment": "TNM L-Kategorie - Lymphgefäßinvasion"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMVKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMVKategorie",
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "371493002",
            "display": "Status of venous (large vessel) invasion by tumor (observable entity)"
          }
        ],
        "short": "TNM V-Kategorie",
        "definition": "Veneninvasion.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.14",
            "comment": "TNM V-Kategorie - Veneninvasion"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMPnKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMPnKategorie",
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "371513001",
            "display": "Presence of direct invasion by primary malignant neoplasm to nerve (observable entity)"
          }
        ],
        "short": "TNM Pn-Kategorie",
        "definition": "Perineuralinvasion.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.15",
            "comment": "TNM Pn-Kategorie - Perineuralinvasion"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.TNMSKategorie",
        "path": "mii-lm-onko.TNMKlassifikation.TNMSKategorie",
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "399424006",
            "display": "Serum tumor marker category (observable entity)"
          }
        ],
        "short": "TNM S-Kategorie",
        "definition": "Serumtumormarker.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.16",
            "comment": "TNM S-Kategorie - Serumtumormarker"
          }
        ]
      },
      {
        "id": "mii-lm-onko.TNMKlassifikation.UICCStadium",
        "path": "mii-lm-onko.TNMKlassifikation.UICCStadium",
        "short": "UICC Stadium",
        "definition": "Stadium nach aktuell gültiger TNM-Klassifikation.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "8.17",
            "comment": "UICC Stadium nach aktuell gültiger TNM-Klassifikation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen",
        "path": "mii-lm-onko.WeitereKlassifikationen",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation"
          },
          {
            "identity": "oBDS",
            "map": "9",
            "comment": "Weitere Klassifikationen - oBDS Kapitel 9; in den Profilen zweistellig als 09 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationDatum",
        "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationDatum",
        "short": "Hämatoonkologische und sonstige Klassifikationen Datum",
        "definition": "Gibt an, auf welches Datum sich die Klassifikation bezieht.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "9.1",
            "comment": "Hämatoonkologische und sonstige Klassifikationen Datum - im Profil als 09.1 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationName",
        "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationName",
        "short": "Hämatoonkologische und sonstige Klassifikationen Name",
        "definition": "Name der hämatologischen oder sonstigen Klassifikation. Art der Klassifikation.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code.text"
          },
          {
            "identity": "oBDS",
            "map": "9.2",
            "comment": "Hämatoonkologische und sonstige Klassifikationen Name - im Profil als 09.2 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
        "path": "mii-lm-onko.WeitereKlassifikationen.WeitereKlassifikationEinstufung",
        "short": "Hämatoonkologische und sonstige Klassifikationen Einstufung",
        "definition": "Einstufung gemäß der verwendeten hämatoonkologischen oder sonstigen Klassifikationen.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.value[x]"
          },
          {
            "identity": "oBDS",
            "map": "9.3",
            "comment": "Hämatoonkologische und sonstige Klassifikationen Einstufung - im Profil als 09.3 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus",
        "path": "mii-lm-onko.Residualstatus",
        "short": "Residualstatus",
        "definition": "Residualstatus",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "10",
            "comment": "Residualstatus - oBDS Kapitel 10"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus.LokalerResidualstatus",
        "path": "mii-lm-onko.Residualstatus.LokalerResidualstatus",
        "short": "Beurteilung des lokalen Residualstatus nach Abschluss der Operation",
        "definition": "Lokale Beurteilung der Residualklassifikation nach Resektion, bezieht sich auf das, was reseziert wurde, meist Primärtumor, aber z. B. auch Lebermetastasen.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.outcome"
          },
          {
            "identity": "oBDS",
            "map": "10.1",
            "comment": "Beurteilung des lokalen Residualstatus nach Abschluss der Operation - im Profil MII_PR_Onko_Operation als Procedure.outcome geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Residualstatus.GlobalerResidualstatus",
        "path": "mii-lm-onko.Residualstatus.GlobalerResidualstatus",
        "short": "Gesamtbeurteilung des Residualstatus",
        "definition": "Gesamtbeurteilung der Residualklassifikation der Erkrankung einschließlich etwaiger Fernmetastasen.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "10.2",
            "comment": "Gesamtbeurteilung des Residualstatus einschließlich etwaiger Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen",
        "path": "mii-lm-onko.Fernmetastasen",
        "short": "Fernmetastasen",
        "definition": "Fernmetastasen",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "11",
            "comment": "Fernmetastasen - oBDS Kapitel 11"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen.LokalisationFernmetastase",
        "path": "mii-lm-onko.Fernmetastasen.LokalisationFernmetastase",
        "short": "Lokalisation von Fernmetastase(n)",
        "definition": "Lokalisation der Fernmetastase(n).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.bodySite"
          },
          {
            "identity": "oBDS",
            "map": "11.1",
            "comment": "Lokalisation von Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Fernmetastasen.DatumFernmetase",
        "path": "mii-lm-onko.Fernmetastasen.DatumFernmetase",
        "short": "Datum der diagnostischen Sicherung von Fernmetastasen",
        "definition": "Gibt an, wann die Fernmetastase festgestellt wurde.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "11.2",
            "comment": "Datum der diagnostischen Sicherung von Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.AllgemeinerLeistungszustand",
        "path": "mii-lm-onko.AllgemeinerLeistungszustand",
        "short": "Allgemeiner Leistungszustand",
        "definition": "Allgemeiner Leistungszustand",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "12",
            "comment": "Allgemeiner Leistungszustand - oBDS Kapitel 12"
          }
        ]
      },
      {
        "id": "mii-lm-onko.AllgemeinerLeistungszustand.ECOGKarnofsky",
        "path": "mii-lm-onko.AllgemeinerLeistungszustand.ECOGKarnofsky",
        "short": "ECOG oder Karnofsky",
        "definition": "ECOG oder Karnofsky",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.value[x]"
          },
          {
            "identity": "oBDS",
            "map": "12.1",
            "comment": "Allgemeiner Leistungszustand nach ECOG oder Karnofsky - oBDS führt beide Skalen unter derselben Feldnummer"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation",
        "path": "mii-lm-onko.Operation",
        "short": "Operation",
        "definition": "Operation",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "13",
            "comment": "Operation - oBDS Kapitel 13"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPIntention",
        "path": "mii-lm-onko.Operation.OPIntention",
        "short": "Intention",
        "definition": "Gibt an, mit welchem Ziel die Operation geplant wurde",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "13.1",
            "comment": "Intention der Operation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPDatum",
        "path": "mii-lm-onko.Operation.OPDatum",
        "short": "OP Datum",
        "definition": "Datum der OP",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedDateTime"
          },
          {
            "identity": "oBDS",
            "map": "13.2",
            "comment": "OP Datum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPSCode",
        "path": "mii-lm-onko.Operation.OPSCode",
        "short": "OPS Code",
        "definition": "Gibt an, welche Operation durchgeführ wurde. OPS (5-*), so genau wie möglich. Bei paaringen Organen mit Seitenangabe",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "13.3",
            "comment": "OPS - Operationen- und Prozedurenschlüssel"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPSVersion",
        "path": "mii-lm-onko.Operation.OPSVersion",
        "short": "OPS Version",
        "definition": "Gibt an, nach welcher Version (Jahr) des OPS klassifiziert wurde (Gültige Bezeichnung nach BfArM)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code.coding.version"
          },
          {
            "identity": "oBDS",
            "map": "13.4",
            "comment": "OPS Version - Jahresversion nach BfArM"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Operation.OPKomplikation",
        "path": "mii-lm-onko.Operation.OPKomplikation",
        "short": "OP Komplikationen",
        "definition": "Gibt an, ob eine oder keine Komplikation aufgetreten ist, bzw. wenn eine aufgetreten ist welche.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.complication.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "13.5",
            "comment": "OP Komplikationen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie",
        "path": "mii-lm-onko.Strahlentherapie",
        "short": "Strahlentherapie",
        "definition": "Strahlentherapie",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "14",
            "comment": "Strahlentherapie - oBDS Kapitel 14"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieIntention",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieIntention",
        "short": "Intention der Strahlentherapie",
        "definition": "Gibt an, mit welcher Intention die Strahlentherapie geplant wurde.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Intention].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.1",
            "comment": "Intention der Strahlentherapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieStellung",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieStellung",
        "short": "Strahlentherapie Stellung zu operativer Therapie",
        "definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die Bestrahlung steht.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Stellung].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.2",
            "comment": "Strahlentherapie Stellung zu operativer Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieEndeGrund",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieEndeGrund",
        "short": "Strahlentherapie Ende Grund",
        "definition": "Gibt den Grund an, warum die Strahlentherapie beendet wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.outcome.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.13",
            "comment": "Strahlentherapie Ende Grund"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung",
        "short": "Bestrahlung",
        "definition": "Dieser Abschnitt entspricht einer Bestrahlung mit spezifischem Zielgebiet, Methodik und Dosis ",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung]"
          },
          {
            "identity": "oBDS",
            "map": "14.3-14.12",
            "comment": "Bestrahlung - eine Bestrahlung mit spezifischem Zielgebiet Methodik und Dosis; im oBDS keine eigene Feldnummer sondern Gruppierung der Felder 14.3 bis 14.12"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieZielgebiet",
        "short": "Strahlentherapie Zielgebiet",
        "definition": "Gibt an, an welcher anatomischen Region die Bestrahlung durchgeführt wurde.",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Zielgebiet].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.3",
            "comment": "Strahlentherapie Zielgebiet"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieSeiteZielgebiet",
        "short": "Strahlentherapie Seite Zielgebiet",
        "definition": "Bei Zielgebieten, die durch \"(r, l)\" gekennzeichnet sind, ist eine Seitenangabe Pflicht.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Zielgebiet_Lateralitaet].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.4",
            "comment": "Strahlentherapie Seite Zielgebiet - Pflichtangabe bei mit r/l gekennzeichneten Zielgebieten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBeginn",
        "short": "Strahlentherapie Beginn",
        "definition": "Gibt an, wann die Strahlentherapie begonnen wurde.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedPeriod.start"
          },
          {
            "identity": "oBDS",
            "map": "14.5",
            "comment": "Strahlentherapie Beginn"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEnde",
        "short": "Strahlentherapie Ende",
        "definition": "Gibt an, wann die Strahlentherapie beendet wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedPeriod.end"
          },
          {
            "identity": "oBDS",
            "map": "14.6",
            "comment": "Strahlentherapie Ende"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieApplikationsart",
        "short": "Strahlentherapie Applikationsart",
        "definition": "Gibt an, mit welcher Technik die Strahlentherapie durchgeführt wurde.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Applikationsart].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.7",
            "comment": "Strahlentherapie Applikationsart"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieStrahlenart",
        "short": "Strahlenart",
        "definition": "Angewandte Strahlenart (Strahlung oder metabolische Nuklide)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Strahlenart].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.8",
            "comment": "Strahlentherapie Strahlenart"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieGesamtdosis",
        "short": "Strahlentherapie Gesamtdosis",
        "definition": "Gibt an, mit welcher Gesamtdosis das Zielgebiet bestrahlt wurde (inklusive Boost).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Gesamtdosis].valueQuantity.value"
          },
          {
            "identity": "oBDS",
            "map": "14.9",
            "comment": "Strahlentherapie Gesamtdosis inklusive Boost"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinzeldosis",
        "short": "Strahlentherapie Einzeldosis",
        "definition": "Strahlentherapie Einzeldosis pro Tag (Dosis)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Einzeldosis].valueQuantity.value"
          },
          {
            "identity": "oBDS",
            "map": "14.10",
            "comment": "Strahlentherapie Einzeldosis pro Tag"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieEinheit",
        "short": "Strahlentherapie Einheit",
        "definition": "Gibt die Einheit zu der Einzel- oder Gesamtdosis an, mit welcher das Zielgebiet bestrahlt wurde, bzw. bei metabolischer Therapie die Aktivität des verwendeten Radionuklids.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Einheit].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.11",
            "comment": "Strahlentherapie Einheit zu Einzel- und Gesamtdosis - in den Profilen als Quantity.unit an 14.9 und 14.10 abgebildet"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
        "path": "mii-lm-onko.Strahlentherapie.StrahlentherapieBestrahlung.StrahlentherapieBoost",
        "short": "Boost",
        "definition": "Angabe, ob ein Boost und falls ja, welche Art von Boost appliziert wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Bestrahlung].extension[Boost].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "14.12",
            "comment": "Strahlentherapie Boost"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie",
        "path": "mii-lm-onko.SystemischeTherapie",
        "short": "Systemische Therapie",
        "definition": "Systemische Therapie",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "16",
            "comment": "Systemische Therapie - oBDS Kapitel 16"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieIntention",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieIntention",
        "short": "Intention der systemischen Therapie",
        "definition": "Intention der systemischen Therapie",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Intention].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.1",
            "comment": "Intention der systemischen Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieStellung",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieStellung",
        "short": "Systemische Therapie Stellung zu operativer Therapie",
        "definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die systemische Therapie steht.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.extension[Stellung].valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.2",
            "comment": "Systemische Therapie Stellung zu operativer Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieArtTherapie",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieArtTherapie",
        "short": "Art der systemischen oder abwartenden Therapie",
        "definition": "Gibt an, welche Art der Therapie bzw. abwartende Strategie durchgeführt wurde.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.3",
            "comment": "Art der systemischen oder abwartenden Therapie"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieProtokoll",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieProtokoll",
        "short": "Systemische Therapie Protokoll",
        "definition": "Gibt an, nach welchem Protokoll die Systemtherapie durchgeführt wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "MedicationStatement.medicationCodeableConcept.text "
          },
          {
            "identity": "oBDS",
            "map": "16.4",
            "comment": "Systemische Therapie Protokoll"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieSubstanz",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieSubstanz",
        "short": "Systemische Therapie Substanz",
        "definition": "Gibt an, mit welcher Substanz die Systemtherapie durchgeführt wurde. Nach Möglichkeit ATC kodiert. Mehrere Substanzen sind jeweils einzeln zu kodieren. ",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "MedicationStatement.medicationCodeableConcept[atcClassDe].coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.6",
            "comment": "Systemische Therapie Substanz - nach Möglichkeit ATC-kodiert"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieBeginn",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieBeginn",
        "short": "Systemische Therapie Beginn",
        "definition": "Gibt an, wann die systemische Therapie begonnen wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedPeriod.start"
          },
          {
            "identity": "oBDS",
            "map": "16.5",
            "comment": "Systemische Therapie Beginn"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEnde",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEnde",
        "short": "Systemische Therapie Ende Grund",
        "definition": "Gibt den Grund an, warum die Systemtherapie beendet wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.performedPeriod.end"
          },
          {
            "identity": "oBDS",
            "map": "16.8",
            "comment": "Systemische Therapie Ende - Enddatum; die Kurzbeschreibung im LM ist mit der von SystemischeTherapieEndeGrund vertauscht"
          }
        ]
      },
      {
        "id": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEndeGrund",
        "path": "mii-lm-onko.SystemischeTherapie.SystemischeTherapieEndeGrund",
        "short": "Systemische Therapie Ende",
        "definition": "Gibt an, wann die systemische Therapie beendet wurde.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.outcome.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "16.7",
            "comment": "Systemische Therapie Ende Grund; die Kurzbeschreibung im LM ist mit der von SystemischeTherapieEnde vertauscht"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen",
        "path": "mii-lm-onko.Nebenwirkungen",
        "short": "Nebenwirkungen",
        "definition": "Nebenwirkungen",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "15",
            "comment": "Nebenwirkungen der Strahlentherapie und systemischen Therapie - oBDS Kapitel 15"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEGrad",
        "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEGrad",
        "short": "Nebenwirkungen nach CTCAE-Grad",
        "definition": "Gibt an, zu welchem Schweregrad von Nebenwirkungen es bei der Bestrahlung oder der systemischen Therapie gekommen ist.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "AdverseEvent.seriousness.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "15.1",
            "comment": "Nebenwirkungen nach CTCAE-Grad"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEArt",
        "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEArt",
        "short": "Nebenwirkungen nach CTCAE Art",
        "definition": "Gibt an, zu welcher Nebenwirkung es bei der Bestrahlung oder der systemischen Therapie gekommen ist. Bei der Bestrahlung sind sogenannte akute Nebenwirkungen bis zum 90. Tag nach Bestrahlungsbeginn gemeint.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "AdverseEvent.event.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "15.2",
            "comment": "Nebenwirkungen nach CTCAE Art"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEVersion",
        "path": "mii-lm-onko.Nebenwirkungen.NebenwirkungenCTCAEVersion",
        "short": "Nebenwirkungen nach CTCAE Version",
        "definition": "Für den medizinischen Katalog gültige Versionsbezeichnungen (4, 4.03, 5.0, Sonstige). Gemeint ist die Version des CTCAE-Katalogs, nicht die des MedDRA-Katalogs, aus dem die Codes stammen — CTCAE v4.03 basiert auf MedDRA v12.0.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "AdverseEvent.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-nebenwirkung-ctcae-version').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "15.3",
            "comment": "Nebenwirkungen nach CTCAE Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf",
        "path": "mii-lm-onko.Verlauf",
        "short": "Verlauf",
        "definition": "Verlauf",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17",
            "comment": "Verlauf - oBDS Kapitel 17"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufDatum",
        "path": "mii-lm-onko.Verlauf.VerlaufDatum",
        "short": "Untersuchungsdatum Verlauf",
        "definition": "Datum, an dem die letzte Untersuchung durchgeführt wurde, die zur Einschätzung des Tumorstatus geführt hat.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.1",
            "comment": "Untersuchungsdatum Verlauf"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufBeurteilungTumorstatus",
        "path": "mii-lm-onko.Verlauf.VerlaufBeurteilungTumorstatus",
        "short": "Gesamtbeurteilung des Tumorstatus",
        "definition": "Gesamtbeurteilung der Erkrankung unter Berücksichtigung aller Manifestationen.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.2",
            "comment": "Gesamtbeurteilung des Tumorstatus"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufTumorstatusPrimaertumor",
        "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusPrimaertumor",
        "short": "Tumorstatus Primärtumor",
        "definition": "Beurteilung der Situation im Primärtumorbereich.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.3",
            "comment": "Tumorstatus Primärtumor"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufTumorstatusLymphknoten",
        "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusLymphknoten",
        "short": "Tumorstatus Lymphknoten",
        "definition": "Beurteilung der Situation im Bereich der regionären Lymphknoten.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.4",
            "comment": "Tumorstatus Lymphknoten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Verlauf.VerlaufTumorstatusMetastasen",
        "path": "mii-lm-onko.Verlauf.VerlaufTumorstatusMetastasen",
        "short": "Tumorstatus Fernmetastasen",
        "definition": "Beurteilung der Situation im Bereich der Fernmetastasen.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "17.5",
            "comment": "Tumorstatus Fernmetastasen"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz",
        "path": "mii-lm-onko.Tumorkonferenz",
        "short": "Tumorkonferenz und Therapieempfehlung",
        "definition": "Tumorkonferenz und Therapieempfehlung",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "18, 19",
            "comment": "Tumorkonferenz oBDS Kapitel 18 und Therapieempfehlung oBDS Kapitel 19"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungDatum",
        "short": "Tumorkonferenz Therapieplanung Datum",
        "definition": "Datum der Durchführung der Tumorkonferenz bzw. der sonstigen Therapieplanung.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "CarePlan.created"
          },
          {
            "identity": "oBDS",
            "map": "18.1",
            "comment": "Tumorkonferenz Therapieplanung Datum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieplanungTyp",
        "short": "Tumorkonferenz Therapieplanung Typ",
        "definition": "Typ der Tumorkonferenz bzw. der sonstigen Therapieplanung.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "CarePlan.category"
          },
          {
            "identity": "oBDS",
            "map": "18.2",
            "comment": "Tumorkonferenz Therapieplanung Typ"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungTyp",
        "short": "Tumorkonferenz Therapieempfehlung Typ",
        "definition": "Typ der Therapieempfehlung der Tumorkonferenz (z.B. CH, OP, ST).",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "RequestGroup.code (Therapy type: CH, OP, ST, etc.)"
          },
          {
            "identity": "oBDS",
            "map": "19.1",
            "comment": "Tumorkonferenz Therapieempfehlung Typ - z.B. CH OP ST"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungProtokoll",
        "short": "Tumorkonferenz Therapieempfehlung Protokoll",
        "definition": "Empfohlenes Therapieprotokoll bei systemischer Therapie (z.B. FOLFOX4, R-CHOP, AC). Optional, insbesondere bei Kombinationstherapien.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "RequestGroup.action.code (Protocol: FOLFOX4, R-CHOP, etc.)"
          },
          {
            "identity": "oBDS",
            "map": "19.1 (Erweiterung)",
            "comment": "Empfohlenes Therapieprotokoll - MII-Erweiterung zu 19.1; der oBDS erfasst in 19.1 nur den Therapietyp ohne Protokollangabe"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieempfehlungMedikation",
        "short": "Tumorkonferenz Therapieempfehlung Medikation",
        "definition": "Einzelne empfohlene Medikamente/Substanzen der Therapie (z.B. ATC-kodiert). Bei Kombinationstherapien werden mehrere Medikamente angegeben.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "MedicationRequest.medicationCodeableConcept (referenced from RequestGroup.action.action.resource)"
          },
          {
            "identity": "oBDS",
            "map": "19.1 (Erweiterung)",
            "comment": "Einzelne empfohlene Substanzen - MII-Erweiterung zu 19.1; der oBDS erfasst in 19.1 nur den Therapietyp ohne Substanzangabe"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
        "path": "mii-lm-onko.Tumorkonferenz.TumorkonferenzTherapieAbweichungPatientenwunsch",
        "short": "Tumorkonferenz/Therapieempfehlung Therapieabweichung auf Wunsch des Patienten",
        "definition": "Abweichung auf Wunsch des Patienten.",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "CarePlan.activity.detail.status & statusReason"
          },
          {
            "identity": "oBDS",
            "map": "19.2",
            "comment": "Tumorkonferenz bzw. Therapieempfehlung Therapieabweichung auf Wunsch des Patienten"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod",
        "path": "mii-lm-onko.Tod",
        "short": "Tod",
        "definition": "Tod",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "oBDS",
            "map": "20",
            "comment": "Tod - oBDS Kapitel 20"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.Sterbedatum",
        "path": "mii-lm-onko.Tod.Sterbedatum",
        "short": "Sterbedatum",
        "definition": "Datum des Todes",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "20.1",
            "comment": "Sterbedatum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.TodTumorbedingt",
        "path": "mii-lm-onko.Tod.TodTumorbedingt",
        "short": "Tod tumorbedingt",
        "definition": "Krebs-Tod-Relation",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.interpretation.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "20.2",
            "comment": "Tod tumorbedingt - Krebs-Tod-Relation"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.TodesursacheICD",
        "path": "mii-lm-onko.Tod.TodesursacheICD",
        "short": "Todesursache ICD",
        "definition": "Todesursache im Sinne des Grundleidens",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "20.3",
            "comment": "Todesursache ICD im Sinne des Grundleidens"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Tod.TodesursacheICDVersion",
        "path": "mii-lm-onko.Tod.TodesursacheICDVersion",
        "short": "Todesursache ICD Version",
        "definition": "Bezeichnung der zur Kodierung verwendeten ICD-GM-Version",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.version"
          },
          {
            "identity": "oBDS",
            "map": "20.4",
            "comment": "Todesursache ICD-Version"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante",
        "path": "mii-lm-onko.GenetischeVariante",
        "short": "Genetische Variante",
        "definition": "Genetische Variante",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation"
          },
          {
            "identity": "oBDS",
            "map": "23",
            "comment": "Genetische Variante - oBDS Kapitel 23"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante.GenetischeVarianteName",
        "path": "mii-lm-onko.GenetischeVariante.GenetischeVarianteName",
        "short": "Genetische Variante Name",
        "definition": "Name der genetischen Variante (z.B. K-ras, BRAFV600, NRAS, C-KIT)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.note"
          },
          {
            "identity": "oBDS",
            "map": "23.1",
            "comment": "Genetische Variante Name - z.B. K-ras BRAFV600 NRAS C-KIT"
          }
        ]
      },
      {
        "id": "mii-lm-onko.GenetischeVariante.GenetischeVarianteAuspraegung",
        "path": "mii-lm-onko.GenetischeVariante.GenetischeVarianteAuspraegung",
        "short": "Genetische Variante Ausprägung",
        "definition": "Ausprägung der genetischen Variante nach oBDS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.interpretation"
          },
          {
            "identity": "oBDS",
            "map": "23.2",
            "comment": "Genetische Variante Ausprägung"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme",
        "path": "mii-lm-onko.Studienteilnahme",
        "short": "Studienteilnahme",
        "definition": "Studienteilnahme",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation"
          },
          {
            "identity": "oBDS",
            "map": "24",
            "comment": "Studienteilnahme - oBDS Kapitel 24"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStatus",
        "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStatus",
        "short": "Studienteilnahme Status",
        "definition": "Einschluss in eine Studie mit Ethikvotum",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept.coding.code"
          },
          {
            "identity": "oBDS",
            "map": "24.1",
            "comment": "Studienteilnahme Status - Einschluss in eine Studie mit Ethikvotum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.StudienteilnahmeDatum",
        "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeDatum",
        "short": "Studienteilnahme Datum",
        "definition": "Erstes Einschlussdatum einer Studie mit Ethikvotum",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "24.2",
            "comment": "Studienteilnahme Datum - erstes Einschlussdatum"
          }
        ]
      },
      {
        "id": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStudienreferenz",
        "path": "mii-lm-onko.Studienteilnahme.StudienteilnahmeStudienreferenz",
        "short": "Studienteilnahme Studienreferenz",
        "definition": "Referenz zur konkreten Studie (ResearchStudy)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.focus.where(resolve() is ResearchStudy)"
          },
          {
            "identity": "oBDS",
            "map": "kein oBDS-Feld",
            "comment": "Referenz auf die konkrete Studie als ResearchStudy - MII-Ergänzung; der oBDS benennt Studien nur im pädiatrischen Zusatzmodul DKKR/GPOH mit Studienname und Studiennummer nicht in Kapitel 24"
          }
        ]
      }
    ]
  }
}