German Oncological Data Standard (GOLD)
0.1.0 - CI Build
German Oncological Data Standard (GOLD) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor-disorder | Version: 0.1.0 | |||
Draft as of 2023-12-13 | Computable Name: TumorDisorder | |||
Copyright/Legal: CC-BY-SA-4.0 |
Profile for a tumor disorder
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ISiKDiagnose
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | ISiKDiagnose | |||
code | ||||
coding:icd-o-3-m | S | 0..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3 | |
diagnosesicherung | S | 0..1 | CodeableConcept | Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required) |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system |
text | S | 0..1 | string | Plain text representation of the concept |
bodySite | S | 0..* | CodeableConcept | Anatomical location, if relevant |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
coding:snomed-ct | S | 0..1 | Coding | Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required) |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system |
display | S | 0..1 | string | Representation defined by the system |
coding:icdo3-t | S | 1..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required) |
system | S | 1..1 | uri | Identity of the terminology system |
version | S | 1..1 | string | Version of the system - if relevant |
code | S | 1..1 | code | Symbol in syntax defined by the system |
display | S | 0..1 | string | Representation defined by the system |
onset[x] | S | 0..1 | dateTime, Period | Estimated or actual date, date-time, or age |
abatement[x] | S | 0..1 | dateTime | When in resolution/remission |
Slices for stage | S | 0..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type |
stage:staging | 0..* | BackboneElement | Stage/grade, usually assessed formally | |
assessment | S | 0..* | Reference(Profile UICC TNM) | Formal record of assessment |
type | S | 1..1 | CodeableConcept | Kind of staging Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258234001 | |
stage:grading | S | 0..* | BackboneElement | Stage/grade, usually assessed formally |
assessment | S | 0..* | Reference(Profile Histopathological Tumor Grading WHO) | Formal record of assessment |
type | S | 1..1 | CodeableConcept | Kind of staging Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258244004 | |
evidence | S | 0..* | BackboneElement | Supporting evidence |
detail | S | 0..* | Reference(Resource) | Supporting information found elsewhere |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.code.coding:icd-o-3-m | required | Pattern: null |
Condition.bodySite.coding:snomed-ct | required | ValueSetSCTBodyStructures |
Condition.bodySite.coding:icdo3-t | required | http://fhir.de/onkologie/ValueSet/icd-o-3-topologie |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | ISiKDiagnose | Detailed information about conditions, problems or diagnoses |
id | SΣ | 0..1 | id | Logical id of this artifact |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | SN | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
related | SN | 0..1 | Reference(Condition) | Conditions associated with this condition URL: http://hl7.org/fhir/StructureDefinition/condition-related |
modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
code | SΣC | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. |
Slices for coding | SΣN | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:ICD-10-GM | SΣN | 0..1 | CodingICD10GM | A reference to a code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm | |
Mehrfachcodierungs-Kennzeichen | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: MehrfachkodierungsKennzeichen (required) |
Seitenlokalisation | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
Diagnosesicherheit | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) |
system | ΣN | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm |
version | ΣN | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
code | ΣCN | 1..1 | code | Der ICD-10-Code Example Einfacher ICD-Code: F17.4 |
coding:Alpha-ID | SΣN | 0..1 | Coding | Code defined by a terminology system Binding: AlphaId (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/alpha-id | |
system | SΣN | 1..1 | uri | Identity of the terminology system |
code | SΣN | 1..1 | code | Symbol in syntax defined by the system |
coding:SNOMED-CT | SΣN | 0..1 | Coding | Code defined by a terminology system Binding: DiagnosesSCT (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
system | SΣN | 1..1 | uri | Identity of the terminology system |
code | SΣN | 1..1 | code | Symbol in syntax defined by the system |
coding:Orphanet | SΣN | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.orpha.net | |
system | SΣN | 1..1 | uri | Identity of the terminology system |
code | ΣN | 1..1 | code | Symbol in syntax defined by the system |
coding:icd-o-3-m | SΣ | 0..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3 | |
diagnosesicherung | S | 0..1 | CodeableConcept | Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required) |
system | SΣ | 1..1 | uri | Identity of the terminology system |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
bodySite | SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:snomed-ct | SΣ | 0..1 | Coding | Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required) |
system | SΣ | 1..1 | uri | Identity of the terminology system |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
display | SΣ | 0..1 | string | Representation defined by the system |
coding:icdo3-t | SΣ | 1..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required) |
system | SΣ | 1..1 | uri | Identity of the terminology system |
version | SΣ | 1..1 | string | Version of the system - if relevant |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
display | SΣ | 0..1 | string | Representation defined by the system |
subject | SΣC | 1..1 | Reference(Patient | Group) | Who has the condition? |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
encounter | SΣC | 0..1 | Reference(Encounter) | Encounter created as part of |
Slices for onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this | |
onsetDateTime | dateTime | |||
onsetPeriod | Period | |||
onset[x]:onsetPeriod | Σ | 0..1 | Period | Estimated or actual date, date-time, or age |
start | ΣC | 0..1 | dateTime | Starting time with inclusive boundary |
Lebensphase-Start | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase |
end | ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
Lebensphase-Ende | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase |
onset[x]:onsetDateTime | Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age |
abatement[x] | SC | 0..1 | dateTime | When in resolution/remission |
recordedDate | SΣ | 1..1 | dateTime | Date record was first recorded |
Slices for stage | SC | 0..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type |
stage:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). |
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment |
stage:staging | C | 0..* | BackboneElement | Stage/grade, usually assessed formally |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). |
assessment | SC | 0..* | Reference(Profile UICC TNM) | Formal record of assessment |
type | S | 1..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258234001 | |
stage:grading | SC | 0..* | BackboneElement | Stage/grade, usually assessed formally |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). |
assessment | SC | 0..* | Reference(Profile Histopathological Tumor Grading WHO) | Formal record of assessment |
type | S | 1..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258244004 | |
evidence | SC | 0..* | BackboneElement | Supporting evidence |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. |
detail | SΣC | 0..* | Reference(Resource) | Supporting information found elsewhere |
note | S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.code | example | Condition/Problem/DiagnosisCodes |
Condition.code.coding:Alpha-ID | required | Pattern: null |
Condition.code.coding:SNOMED-CT | required | Pattern: SNOMED CT code null |
Condition.code.coding:icd-o-3-m | required | Pattern: null |
Condition.bodySite | example | SNOMEDCTBodyStructures |
Condition.bodySite.coding:snomed-ct | required | ValueSetSCTBodyStructures |
Condition.bodySite.coding:icdo3-t | required | http://fhir.de/onkologie/ValueSet/icd-o-3-topologie |
Condition.stage.summary | example | ConditionStage |
Condition.stage:staging.summary | example | ConditionStage |
Condition.stage:staging.type | example | Pattern: SNOMED CT code 258234001 |
Condition.stage:grading.summary | example | ConditionStage |
Condition.stage:grading.type | example | Pattern: SNOMED CT code 258244004 |
Condition.evidence.code | example | ManifestationAndSymptomCodes |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage, Condition.stage:staging, Condition.stage:grading | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** elements | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
icd-regex | warning | Condition.code.coding:ICD-10-GM.code | In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$') | |
icd-text-1 | error | Condition.code | Entweder MUSS eine kodierte Diagnose vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. : coding.exists().not() implies text.exists() | |
isik-con1 | error | Condition | Falls eine kodierte Diagnose vorliegt muss angegeben werden durch welchen Kontakt diese Dokumentation erfolgte. : code.coding.exists() implies encounter.exists() | |
ref-1 | error | Condition.subject, Condition.encounter, Condition.stage.assessment, Condition.stage:staging.assessment, Condition.stage:grading.assessment, Condition.evidence.detail | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | ISiKDiagnose | Detailed information about conditions, problems or diagnoses | ||||
id | SΣ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | SN | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
related | SN | 0..1 | Reference(Condition) | Conditions associated with this condition URL: http://hl7.org/fhir/StructureDefinition/condition-related | ||||
modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
identifier | Σ | 0..* | Identifier | External Ids for this condition | ||||
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
code | SΣC | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
Slices for coding | SΣN | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
coding:ICD-10-GM | SΣN | 0..1 | CodingICD10GM | A reference to a code defined by a terminology system Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
Mehrfachcodierungs-Kennzeichen | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: MehrfachkodierungsKennzeichen (required) | ||||
Seitenlokalisation | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
Diagnosesicherheit | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) | ||||
system | ΣN | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm | ||||
version | ΣN | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
code | ΣCN | 1..1 | code | Der ICD-10-Code Example Einfacher ICD-Code: F17.4 | ||||
display | ΣN | 0..1 | string | Representation defined by the system | ||||
userSelected | ΣN | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:Alpha-ID | SΣN | 0..1 | Coding | Code defined by a terminology system Binding: AlphaId (required) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/alpha-id | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
system | SΣN | 1..1 | uri | Identity of the terminology system | ||||
version | ΣN | 0..1 | string | Version of the system - if relevant | ||||
code | SΣN | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣN | 0..1 | string | Representation defined by the system | ||||
userSelected | ΣN | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:SNOMED-CT | SΣN | 0..1 | Coding | Code defined by a terminology system Binding: DiagnosesSCT (required) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
system | SΣN | 1..1 | uri | Identity of the terminology system | ||||
version | ΣN | 0..1 | string | Version of the system - if relevant | ||||
code | SΣN | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣN | 0..1 | string | Representation defined by the system | ||||
userSelected | ΣN | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:Orphanet | SΣN | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.orpha.net | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
system | SΣN | 1..1 | uri | Identity of the terminology system | ||||
version | ΣN | 0..1 | string | Version of the system - if relevant | ||||
code | ΣN | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣN | 0..1 | string | Representation defined by the system | ||||
userSelected | ΣN | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:icd-o-3-m | SΣ | 0..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3 | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
diagnosesicherung | S | 0..1 | CodeableConcept | Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required) | ||||
system | SΣ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
bodySite | SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
coding:snomed-ct | SΣ | 0..1 | Coding | Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | SΣ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:icdo3-t | SΣ | 1..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | Identity of the terminology system | ||||
version | SΣ | 1..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | SΣ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣC | 1..1 | Reference(Patient | Group) | Who has the condition? | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | SΣC | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
Slices for onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this | |||||
onsetDateTime | dateTime | |||||||
onsetPeriod | Period | |||||||
onset[x]:onsetPeriod | Σ | 0..1 | Period | Estimated or actual date, date-time, or age | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
start | ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
Lebensphase-Start | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase | ||||
value | 0..1 | dateTime | Primitive value for dateTime | |||||
end | ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
Lebensphase-Ende | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase | ||||
value | 0..1 | dateTime | Primitive value for dateTime | |||||
onset[x]:onsetDateTime | Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age | ||||
abatement[x] | SC | 0..1 | dateTime | When in resolution/remission | ||||
recordedDate | SΣ | 1..1 | dateTime | Date record was first recorded | ||||
recorder | ΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
asserter | ΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
Slices for stage | SC | 0..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type | ||||
stage:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
type | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
stage:staging | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
assessment | SC | 0..* | Reference(Profile UICC TNM) | Formal record of assessment | ||||
type | S | 1..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258234001 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
stage:grading | SC | 0..* | BackboneElement | Stage/grade, usually assessed formally | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
assessment | SC | 0..* | Reference(Profile Histopathological Tumor Grading WHO) | Formal record of assessment | ||||
type | S | 1..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258244004 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
evidence | SC | 0..* | BackboneElement | Supporting evidence | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
detail | SΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
note | S | 0..* | Annotation | Additional information about the Condition | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Condition.language | preferred | CommonLanguages
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | example | Condition/Problem/DiagnosisCodes | ||||
Condition.code.coding:Alpha-ID | required | Pattern: null | ||||
Condition.code.coding:SNOMED-CT | required | Pattern: SNOMED CT code null | ||||
Condition.code.coding:icd-o-3-m | required | Pattern: null | ||||
Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
Condition.bodySite.coding:snomed-ct | required | ValueSetSCTBodyStructures | ||||
Condition.bodySite.coding:icdo3-t | required | http://fhir.de/onkologie/ValueSet/icd-o-3-topologie | ||||
Condition.subject.type | extensible | ResourceType | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.stage:staging.summary | example | ConditionStage | ||||
Condition.stage:staging.type | example | Pattern: SNOMED CT code 258234001 | ||||
Condition.stage:grading.summary | example | ConditionStage | ||||
Condition.stage:grading.type | example | Pattern: SNOMED CT code 258244004 | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodes |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage, Condition.stage:staging, Condition.stage:grading | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** elements | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
icd-regex | warning | Condition.code.coding:ICD-10-GM.code | In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$') | |
icd-text-1 | error | Condition.code | Entweder MUSS eine kodierte Diagnose vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. : coding.exists().not() implies text.exists() | |
isik-con1 | error | Condition | Falls eine kodierte Diagnose vorliegt muss angegeben werden durch welchen Kontakt diese Dokumentation erfolgte. : code.coding.exists() implies encounter.exists() | |
ref-1 | error | Condition.subject, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.stage:staging.assessment, Condition.stage:grading.assessment, Condition.evidence.detail | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
This structure is derived from ISiKDiagnose
Summary
Mandatory: 0 element (11 nested mandatory elements)
Must-Support: 25 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ISiKDiagnose
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | ISiKDiagnose | |||
code | ||||
coding:icd-o-3-m | S | 0..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3 | |
diagnosesicherung | S | 0..1 | CodeableConcept | Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required) |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system |
text | S | 0..1 | string | Plain text representation of the concept |
bodySite | S | 0..* | CodeableConcept | Anatomical location, if relevant |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
coding:snomed-ct | S | 0..1 | Coding | Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required) |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system |
display | S | 0..1 | string | Representation defined by the system |
coding:icdo3-t | S | 1..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required) |
system | S | 1..1 | uri | Identity of the terminology system |
version | S | 1..1 | string | Version of the system - if relevant |
code | S | 1..1 | code | Symbol in syntax defined by the system |
display | S | 0..1 | string | Representation defined by the system |
onset[x] | S | 0..1 | dateTime, Period | Estimated or actual date, date-time, or age |
abatement[x] | S | 0..1 | dateTime | When in resolution/remission |
Slices for stage | S | 0..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type |
stage:staging | 0..* | BackboneElement | Stage/grade, usually assessed formally | |
assessment | S | 0..* | Reference(Profile UICC TNM) | Formal record of assessment |
type | S | 1..1 | CodeableConcept | Kind of staging Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258234001 | |
stage:grading | S | 0..* | BackboneElement | Stage/grade, usually assessed formally |
assessment | S | 0..* | Reference(Profile Histopathological Tumor Grading WHO) | Formal record of assessment |
type | S | 1..1 | CodeableConcept | Kind of staging Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258244004 | |
evidence | S | 0..* | BackboneElement | Supporting evidence |
detail | S | 0..* | Reference(Resource) | Supporting information found elsewhere |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.code.coding:icd-o-3-m | required | Pattern: null |
Condition.bodySite.coding:snomed-ct | required | ValueSetSCTBodyStructures |
Condition.bodySite.coding:icdo3-t | required | http://fhir.de/onkologie/ValueSet/icd-o-3-topologie |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | ISiKDiagnose | Detailed information about conditions, problems or diagnoses |
id | SΣ | 0..1 | id | Logical id of this artifact |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | SN | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
related | SN | 0..1 | Reference(Condition) | Conditions associated with this condition URL: http://hl7.org/fhir/StructureDefinition/condition-related |
modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
code | SΣC | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. |
Slices for coding | SΣN | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:ICD-10-GM | SΣN | 0..1 | CodingICD10GM | A reference to a code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm | |
Mehrfachcodierungs-Kennzeichen | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: MehrfachkodierungsKennzeichen (required) |
Seitenlokalisation | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
Diagnosesicherheit | SN | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) |
system | ΣN | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm |
version | ΣN | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
code | ΣCN | 1..1 | code | Der ICD-10-Code Example Einfacher ICD-Code: F17.4 |
coding:Alpha-ID | SΣN | 0..1 | Coding | Code defined by a terminology system Binding: AlphaId (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/alpha-id | |
system | SΣN | 1..1 | uri | Identity of the terminology system |
code | SΣN | 1..1 | code | Symbol in syntax defined by the system |
coding:SNOMED-CT | SΣN | 0..1 | Coding | Code defined by a terminology system Binding: DiagnosesSCT (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
system | SΣN | 1..1 | uri | Identity of the terminology system |
code | SΣN | 1..1 | code | Symbol in syntax defined by the system |
coding:Orphanet | SΣN | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.orpha.net | |
system | SΣN | 1..1 | uri | Identity of the terminology system |
code | ΣN | 1..1 | code | Symbol in syntax defined by the system |
coding:icd-o-3-m | SΣ | 0..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3 | |
diagnosesicherung | S | 0..1 | CodeableConcept | Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required) |
system | SΣ | 1..1 | uri | Identity of the terminology system |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
bodySite | SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:snomed-ct | SΣ | 0..1 | Coding | Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required) |
system | SΣ | 1..1 | uri | Identity of the terminology system |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
display | SΣ | 0..1 | string | Representation defined by the system |
coding:icdo3-t | SΣ | 1..1 | Coding | Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required) |
system | SΣ | 1..1 | uri | Identity of the terminology system |
version | SΣ | 1..1 | string | Version of the system - if relevant |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
display | SΣ | 0..1 | string | Representation defined by the system |
subject | SΣC | 1..1 | Reference(Patient | Group) | Who has the condition? |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
encounter | SΣC | 0..1 | Reference(Encounter) | Encounter created as part of |
Slices for onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this | |
onsetDateTime | dateTime | |||
onsetPeriod | Period | |||
onset[x]:onsetPeriod | Σ | 0..1 | Period | Estimated or actual date, date-time, or age |
start | ΣC | 0..1 | dateTime | Starting time with inclusive boundary |
Lebensphase-Start | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase |
end | ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
Lebensphase-Ende | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase |
onset[x]:onsetDateTime | Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age |
abatement[x] | SC | 0..1 | dateTime | When in resolution/remission |
recordedDate | SΣ | 1..1 | dateTime | Date record was first recorded |
Slices for stage | SC | 0..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type |
stage:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). |
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment |
stage:staging | C | 0..* | BackboneElement | Stage/grade, usually assessed formally |
modifierExtension | ?! |