Dieses Profil beschreibt eine Verlaufsbeobachtung im Rahmen der onkologischen Therapie.
Im oBDS ist die Verlaufsmeldung eine von mehreren Meldearten. Die Verlaufsmeldung kann dabei mehrere andere Meldeinhalte enthalten. In der vorliegenden FHIR-Profilierung sind Verlaufs-Beobachtungen neben Tumorkonferenzen eine der zwei entscheidenden Ressourcentypen, die der zeitlichen Modellierung des Behandlungsverlaufs dienen.
Die korrekte Kodierung und Interpretation der Krebsregister-Verlaufsdaten ist nicht trivial - Details sind dem Dokumentationsleitfaden der Plattform §65c zu entnehmen.
https://plattform65c.atlassian.net/wiki/spaces/Dokumentat/pages/75628552/Verlaufsmeldung
focus
einen Verweis auf die Primärdiagnose habenvalue
eine Einschätzung des Krankheitsprogresses (PD, PR, MR etc.) beinhalten, insofern diese vorgenommen wurde und in den Daten vorliegtcomponent
Einschätzungen zum Staging des Tumors, der Lymphknoten und der Fernmetastasen enthalten, insofern diese vorgenommen wurden und diese für das Staging relevant sindName | Status | Version | Canonical | Basis |
---|---|---|---|---|
MII_PR_Onko_Verlauf | draft | 2024.0.0-ballot | https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf | http://hl7.org/fhir/StructureDefinition/Observation |
MII_PR_Onko_Verlauf (Observation) | I | Observation | |
id | Σ | 0..1 | string |
meta | Σ | 0..1 | Meta |
id | 0..1 | string | |
extension | I | 0..* | Extension |
versionId | Σ | 0..1 | id |
lastUpdated | Σ | 0..1 | instant |
source | Σ | 0..1 | uri |
profile | S Σ | 0..* | canonical(StructureDefinition) |
security | Σ | 0..* | CodingBinding |
tag | Σ | 0..* | Coding |
implicitRules | Σ ?! | 0..1 | uri |
language | 0..1 | codeBinding | |
text | 0..1 | Narrative | |
contained | 0..* | Resource | |
extension | I | 0..* | Extension |
modifierExtension | ?! I | 0..* | Extension |
identifier | S Σ | 0..* | Identifier |
basedOn | Σ I | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) |
partOf | Σ I | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) |
status | Σ ?! | 1..1 | codeBinding |
category | 0..* | CodeableConceptBinding | |
code | S Σ | 1..1 | CodeableConcept |
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | CodingPattern |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | Σ | 0..1 | uriPattern |
version | Σ | 0..1 | string |
code | Σ | 0..1 | codePattern |
display | Σ | 0..1 | stringPattern |
userSelected | Σ | 0..1 | boolean |
text | Σ | 0..1 | string |
subject | S Σ I | 1..1 | Reference(Patient) |
focus | S Σ I | 0..* | Reference(MII_PR_Onko_Diagnose) |
encounter | S Σ I | 0..1 | Reference(Encounter) |
effective[x] | Σ | 0..1 | |
(All Slices) | |||
effectivePeriod | Period | ||
effectiveTiming | Timing | ||
effectiveInstant | instant | ||
effectiveDateTime | Σ | 0..1 | dateTime |
issued | Σ | 0..1 | instant |
performer | Σ I | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) |
value[x] | S Σ I | 0..1 | Binding |
valueCodeableConcept | CodeableConcept | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | Coding |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | S Σ | 0..1 | uri |
version | Σ | 0..1 | string |
code | S Σ | 0..1 | code |
display | Σ | 0..1 | string |
userSelected | Σ | 0..1 | boolean |
text | Σ | 0..1 | string |
dataAbsentReason | I | 0..1 | CodeableConceptBinding |
interpretation | 0..* | CodeableConceptBinding | |
note | 0..* | Annotation | |
bodySite | 0..1 | CodeableConcept | |
method | 0..1 | CodeableConcept | |
specimen | I | 0..1 | Reference(Specimen) |
device | I | 0..1 | Reference(Device | DeviceMetric) |
referenceRange | I | 0..* | BackboneElement |
id | 0..1 | string | |
extension | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
low | I | 0..1 | SimpleQuantity |
high | I | 0..1 | SimpleQuantity |
type | 0..1 | CodeableConceptBinding | |
appliesTo | 0..* | CodeableConcept | |
age | I | 0..1 | Range |
text | 0..1 | string | |
hasMember | S Σ I | 0..* | Reference(Observation) |
derivedFrom | Σ I | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) |
component | S Σ | 1..* | BackboneElement |
(All Slices) | |||
id | 0..1 | string | |
extension | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
code | Σ | 1..1 | CodeableConcept |
value[x] | Σ | 0..1 | |
valueQuantity | Quantity | ||
valueCodeableConcept | CodeableConcept | ||
valueString | string | ||
valueBoolean | boolean | ||
valueInteger | integer | ||
valueRange | Range | ||
valueRatio | Ratio | ||
valueSampledData | SampledData | ||
valueTime | time | ||
valueDateTime | dateTime | ||
valuePeriod | Period | ||
dataAbsentReason | I | 0..1 | CodeableConceptBinding |
interpretation | 0..* | CodeableConceptBinding | |
referenceRange | 0..* | see (referenceRange) | |
Tumor_Verlauf | S Σ | 0..1 | BackboneElement |
id | 0..1 | string | |
extension | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
code | Σ | 1..1 | CodeableConcept |
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | CodingPattern |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | Σ | 0..1 | uriPattern |
version | Σ | 0..1 | string |
code | Σ | 0..1 | codePattern |
display | Σ | 0..1 | stringPattern |
userSelected | Σ | 0..1 | boolean |
text | Σ | 0..1 | string |
value[x] | Σ | 0..1 | Binding |
valueCodeableConcept | CodeableConcept | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | Coding |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | S Σ | 0..1 | uri |
version | Σ | 0..1 | string |
code | S Σ | 0..1 | code |
display | Σ | 0..1 | string |
userSelected | Σ | 0..1 | boolean |
text | Σ | 0..1 | string |
dataAbsentReason | I | 0..1 | CodeableConceptBinding |
interpretation | 0..* | CodeableConceptBinding | |
referenceRange | 0..* | see (referenceRange) | |
Lymphknoten_Verlauf | S Σ | 0..1 | BackboneElement |
id | 0..1 | string | |
extension | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
code | Σ | 1..1 | CodeableConcept |
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | CodingPattern |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | Σ | 0..1 | uriPattern |
version | Σ | 0..1 | string |
code | Σ | 0..1 | codePattern |
display | Σ | 0..1 | stringPattern |
userSelected | Σ | 0..1 | boolean |
text | Σ | 0..1 | string |
value[x] | Σ | 0..1 | Binding |
valueCodeableConcept | CodeableConcept | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | Coding |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | S Σ | 0..1 | uri |
version | Σ | 0..1 | string |
code | S Σ | 0..1 | code |
display | Σ | 0..1 | string |
userSelected | Σ | 0..1 | boolean |
text | Σ | 0..1 | string |
dataAbsentReason | I | 0..1 | CodeableConceptBinding |
interpretation | 0..* | CodeableConceptBinding | |
referenceRange | 0..* | see (referenceRange) | |
Fernmetastasen_Verlauf | S Σ | 0..1 | BackboneElement |
id | 0..1 | string | |
extension | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
code | Σ | 1..1 | CodeableConcept |
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | CodingPattern |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | Σ | 0..1 | uriPattern |
version | Σ | 0..1 | string |
code | Σ | 0..1 | codePattern |
display | Σ | 0..1 | stringPattern |
userSelected | Σ | 0..1 | boolean |
text | Σ | 0..1 | string |
value[x] | Σ | 0..1 | Binding |
valueCodeableConcept | CodeableConcept | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | Σ | 0..* | Coding |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | S Σ | 0..1 | uri |
version | Σ | 0..1 | string |
code | S Σ | 0..1 | code |
display | Σ | 0..1 | string |
userSelected | Σ | 0..1 | boolean |
text | Σ | 0..1 | string |
dataAbsentReason | I | 0..1 | CodeableConceptBinding |
interpretation | 0..* | CodeableConceptBinding | |
referenceRange | 0..* | see (referenceRange) |
Dieses Profil beschreibt die Verlaufskontrolle und verweist ggfs. auf andere verlaufsrelevante diagnostische Maßnahmen |
Feldname |
---|
Observation.meta.profile |
Observation.identifier |
Observation.code |
Observation.subject |
Observation.focus |
Observation.encounter |
Observation.value[x] |
Observation.value[x].coding.system |
Observation.value[x].coding.code |
Observation.hasMember |
Observation.component |
Observation.component:Tumor_Verlauf |
Observation.component:Tumor_Verlauf.value[x].coding.system |
Observation.component:Tumor_Verlauf.value[x].coding.code |
Observation.component:Lymphknoten_Verlauf |
Observation.component:Lymphknoten_Verlauf.value[x].coding.system |
Observation.component:Lymphknoten_Verlauf.value[x].coding.code |
Observation.component:Fernmetastasen_Verlauf |
Observation.component:Fernmetastasen_Verlauf.value[x].coding.system |
Observation.component:Fernmetastasen_Verlauf.value[x].coding.code |
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="mii-pr-onko-verlauf" /> <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf" /> <version value="2024.0.0-ballot" /> <name value="MII_PR_Onko_Verlauf" /> <title value="MII PR Onkologie Verlauf" /> <status value="draft" /> <publisher value="Medizininformatik Initiative" /> <contact> <telecom> <system value="url" /> <value value="https://www.medizininformatik-initiative.de" /> </telecom> </contact> <description value="Dieses Profil beschreibt die Verlaufskontrolle und verweist ggfs. auf andere verlaufsrelevante diagnostische Maßnahmen" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="oBDS" /> <name value="Mapping FHIR zu oBDS" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation.meta.profile"> <path value="Observation.meta.profile" /> <mustSupport value="true" /> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="396432002" /> <display value="Status of regression of tumor (observable entity)" /> </patternCoding> </element> <element id="Observation.code.coding.code"> <path value="Observation.code.coding.code" /> <mapping> <identity value="oBDS" /> <map value="17.2" /> <comment value="Gesamtbeurteilung des Tumorstatus" /> </mapping> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> </type> <mustSupport value="true" /> </element> <element id="Observation.focus"> <path value="Observation.focus" /> <type> <code value="Reference" /> <targetProfile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose" /> </type> <mustSupport value="true" /> </element> <element id="Observation.encounter"> <path value="Observation.encounter" /> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effective[x]" /> <sliceName value="effectiveDateTime" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="oBDS" /> <map value="17.1" /> <comment value="Datum, an dem die letzte Untersuchung durchgeführt wurde, die zur Einschätzung des Tumorstatus geführt hat." /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-gesamtbeurteilung" /> </binding> </element> <element id="Observation.value[x].coding.system"> <path value="Observation.value[x].coding.system" /> <mustSupport value="true" /> </element> <element id="Observation.value[x].coding.code"> <path value="Observation.value[x].coding.code" /> <mustSupport value="true" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="pattern" /> <path value="code" /> </discriminator> <description value="Slice based on the component.code pattern" /> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:Tumor_Verlauf"> <path value="Observation.component" /> <sliceName value="Tumor_Verlauf" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:Tumor_Verlauf.code.coding"> <path value="Observation.component.code.coding" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="277062004" /> <display value="Status des Residualtumors" /> </patternCoding> </element> <element id="Observation.component:Tumor_Verlauf.code.coding.code"> <path value="Observation.component.code.coding.code" /> <mapping> <identity value="oBDS" /> <map value="17.3" /> <comment value="Tumorstatus Primärtumor" /> </mapping> </element> <element id="Observation.component:Tumor_Verlauf.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-primaertumor" /> </binding> </element> <element id="Observation.component:Tumor_Verlauf.value[x].coding.system"> <path value="Observation.component.value[x].coding.system" /> <mustSupport value="true" /> </element> <element id="Observation.component:Tumor_Verlauf.value[x].coding.code"> <path value="Observation.component.value[x].coding.code" /> <mustSupport value="true" /> </element> <element id="Observation.component:Lymphknoten_Verlauf"> <path value="Observation.component" /> <sliceName value="Lymphknoten_Verlauf" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:Lymphknoten_Verlauf.code.coding"> <path value="Observation.component.code.coding" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="399656008" /> <display value="Status of tumor metastasis to regional lymph nodes (observable entity)" /> </patternCoding> </element> <element id="Observation.component:Lymphknoten_Verlauf.code.coding.code"> <path value="Observation.component.code.coding.code" /> <mapping> <identity value="oBDS" /> <map value="17.4" /> <comment value="Tumorstatus Lymphknoten" /> </mapping> </element> <element id="Observation.component:Lymphknoten_Verlauf.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-lymphknoten" /> </binding> </element> <element id="Observation.component:Lymphknoten_Verlauf.value[x].coding.system"> <path value="Observation.component.value[x].coding.system" /> <mustSupport value="true" /> </element> <element id="Observation.component:Lymphknoten_Verlauf.value[x].coding.code"> <path value="Observation.component.value[x].coding.code" /> <mustSupport value="true" /> </element> <element id="Observation.component:Fernmetastasen_Verlauf"> <path value="Observation.component" /> <sliceName value="Fernmetastasen_Verlauf" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:Fernmetastasen_Verlauf.code.coding"> <path value="Observation.component.code.coding" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="399608002" /> <display value="Status of distant metastasis (observable entity)" /> </patternCoding> </element> <element id="Observation.component:Fernmetastasen_Verlauf.code.coding.code"> <path value="Observation.component.code.coding.code" /> <mapping> <identity value="oBDS" /> <map value="17.5" /> <comment value="Tumorstatus Fernmetastasen" /> </mapping> </element> <element id="Observation.component:Fernmetastasen_Verlauf.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-fernmetastasen" /> </binding> </element> <element id="Observation.component:Fernmetastasen_Verlauf.value[x].coding.system"> <path value="Observation.component.value[x].coding.system" /> <mustSupport value="true" /> </element> <element id="Observation.component:Fernmetastasen_Verlauf.value[x].coding.code"> <path value="Observation.component.value[x].coding.code" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>
{ "resourceType": "StructureDefinition", "id": "mii-pr-onko-verlauf", "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf", "version": "2024.0.0-ballot", "name": "MII_PR_Onko_Verlauf", "title": "MII PR Onkologie Verlauf", "status": "draft", "publisher": "Medizininformatik Initiative", "contact": [ { "telecom": [ { "system": "url", "value": "https://www.medizininformatik-initiative.de" } ] } ], "description": "Dieses Profil beschreibt die Verlaufskontrolle und verweist ggfs. auf andere verlaufsrelevante diagnostische Maßnahmen", "fhirVersion": "4.0.1", "mapping": [ { "identity": "oBDS", "name": "Mapping FHIR zu oBDS" } ], "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation.meta.profile", "path": "Observation.meta.profile", "mustSupport": true }, { "id": "Observation.identifier", "path": "Observation.identifier", "mustSupport": true }, { "id": "Observation.code", "path": "Observation.code", "mustSupport": true }, { "id": "Observation.code.coding", "path": "Observation.code.coding", "patternCoding": { "code": "396432002", "system": "http://snomed.info/sct", "display": "Status of regression of tumor (observable entity)" } }, { "id": "Observation.code.coding.code", "path": "Observation.code.coding.code", "mapping": [ { "identity": "oBDS", "map": "17.2", "comment": "Gesamtbeurteilung des Tumorstatus" } ] }, { "id": "Observation.subject", "path": "Observation.subject", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "mustSupport": true }, { "id": "Observation.focus", "path": "Observation.focus", "type": [ { "code": "Reference", "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose" ] } ], "mustSupport": true }, { "id": "Observation.encounter", "path": "Observation.encounter", "mustSupport": true }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" } }, { "id": "Observation.effective[x]:effectiveDateTime", "path": "Observation.effective[x]", "sliceName": "effectiveDateTime", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "oBDS", "map": "17.1", "comment": "Datum, an dem die letzte Untersuchung durchgeführt wurde, die zur Einschätzung des Tumorstatus geführt hat." } ] }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "binding": { "strength": "extensible", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-gesamtbeurteilung" } }, { "id": "Observation.value[x].coding.system", "path": "Observation.value[x].coding.system", "mustSupport": true }, { "id": "Observation.value[x].coding.code", "path": "Observation.value[x].coding.code", "mustSupport": true }, { "id": "Observation.hasMember", "path": "Observation.hasMember", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ] } ], "mustSupport": true }, { "id": "Observation.component", "path": "Observation.component", "slicing": { "discriminator": [ { "type": "pattern", "path": "code" } ], "rules": "open", "description": "Slice based on the component.code pattern" }, "min": 1, "mustSupport": true }, { "id": "Observation.component:Tumor_Verlauf", "path": "Observation.component", "sliceName": "Tumor_Verlauf", "min": 0, "max": "1", "mustSupport": true }, { "id": "Observation.component:Tumor_Verlauf.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "277062004", "system": "http://snomed.info/sct", "display": "Status des Residualtumors" } }, { "id": "Observation.component:Tumor_Verlauf.code.coding.code", "path": "Observation.component.code.coding.code", "mapping": [ { "identity": "oBDS", "map": "17.3", "comment": "Tumorstatus Primärtumor" } ] }, { "id": "Observation.component:Tumor_Verlauf.value[x]", "path": "Observation.component.value[x]", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-primaertumor" } }, { "id": "Observation.component:Tumor_Verlauf.value[x].coding.system", "path": "Observation.component.value[x].coding.system", "mustSupport": true }, { "id": "Observation.component:Tumor_Verlauf.value[x].coding.code", "path": "Observation.component.value[x].coding.code", "mustSupport": true }, { "id": "Observation.component:Lymphknoten_Verlauf", "path": "Observation.component", "sliceName": "Lymphknoten_Verlauf", "min": 0, "max": "1", "mustSupport": true }, { "id": "Observation.component:Lymphknoten_Verlauf.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "399656008", "system": "http://snomed.info/sct", "display": "Status of tumor metastasis to regional lymph nodes (observable entity)" } }, { "id": "Observation.component:Lymphknoten_Verlauf.code.coding.code", "path": "Observation.component.code.coding.code", "mapping": [ { "identity": "oBDS", "map": "17.4", "comment": "Tumorstatus Lymphknoten" } ] }, { "id": "Observation.component:Lymphknoten_Verlauf.value[x]", "path": "Observation.component.value[x]", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-lymphknoten" } }, { "id": "Observation.component:Lymphknoten_Verlauf.value[x].coding.system", "path": "Observation.component.value[x].coding.system", "mustSupport": true }, { "id": "Observation.component:Lymphknoten_Verlauf.value[x].coding.code", "path": "Observation.component.value[x].coding.code", "mustSupport": true }, { "id": "Observation.component:Fernmetastasen_Verlauf", "path": "Observation.component", "sliceName": "Fernmetastasen_Verlauf", "min": 0, "max": "1", "mustSupport": true }, { "id": "Observation.component:Fernmetastasen_Verlauf.code.coding", "path": "Observation.component.code.coding", "patternCoding": { "code": "399608002", "system": "http://snomed.info/sct", "display": "Status of distant metastasis (observable entity)" } }, { "id": "Observation.component:Fernmetastasen_Verlauf.code.coding.code", "path": "Observation.component.code.coding.code", "mapping": [ { "identity": "oBDS", "map": "17.5", "comment": "Tumorstatus Fernmetastasen" } ] }, { "id": "Observation.component:Fernmetastasen_Verlauf.value[x]", "path": "Observation.component.value[x]", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-fernmetastasen" } }, { "id": "Observation.component:Fernmetastasen_Verlauf.value[x].coding.system", "path": "Observation.component.value[x].coding.system", "mustSupport": true }, { "id": "Observation.component:Fernmetastasen_Verlauf.value[x].coding.code", "path": "Observation.component.value[x].coding.code", "mustSupport": true } ] } }
Mapping Datensatz zu FHIR
Datensatz | Erklaerung | FHIR |
---|---|---|
Allgemeiner Leistungszustand | Allgemeiner Leistungszustand | |
ECOG oder Karnofsky | ECOG oder Karnofsky | Observation.value[x] |
Mapping Einheitlicher onkologischer Basisdatensatz (oBDS) zu FHIR
Suchparameter
Folgende Suchparameter sind für das Modul Onkologie relevant, auch in Kombination:
Der Suchparameter _id
MUSS unterstützt werden:
Beispiele:
GET [base]/Observation?_id=1234
Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:
Beispiele:
GET [base]/Observation?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-allgemeiner-leistungszustand
Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "identfier" MUSS unterstützt werden:
Beispiele:
GET [base]/Observation?identfier=http://charite.de/labor/labortests|1234
Anwendungshinweise: Weitere Informationen zur Suche nach "identfier" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "code" MUSS unterstützt werden:
Beispiele:
GET [base]/Observation?code=http://fhir.de/CodeSystem/sct|184305005
Anwendungshinweise: Weitere Informationen zur Suche nach "code" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "subject" MUSS unterstützt werden:
Beispiele:
GET [base]/Observation?subject=Patient/example
Anwendungshinweise: Weitere Informationen zur Suche nach "subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "focus" MUSS unterstützt werden:
Beispiele:
GET [base]/Observation?focus=Condition/example
Anwendungshinweise: Weitere Informationen zur Suche nach "focus" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "encounter" MUSS unterstützt werden:
Beispiele:
GET [base]/Observation?encounter=Encounter/example
Anwendungshinweise: Weitere Informationen zur Suche nach "encounter" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "component-code-value-concept" MUSS unterstützt werden:
Beispiele:
GET [base]/Observation?component-code-value-concept=http://loinc.org|12345-6$http://fhir.de/CodeSystem/sct|12345678
Anwendungshinweise: Weitere Informationen zur Suche nach "components" finden sich in der FHIR-Basisspezifikation - Abschnitt "compodsite".
Beispiele
{ "resourceType": "Observation", "id": "mii-exa-onko-verlauf-tumor", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf" ] }, "component": [ { "code": { "coding": [ { "code": "277062004", "system": "http://snomed.info/sct", "display": "Status des Residualtumors" } ] }, "valueCodeableConcept": { "coding": [ { "code": "T", "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-primaertumor", "display": "Tumorreste (Residualtumor)" } ] } }, { "code": { "coding": [ { "code": "399656008", "system": "http://snomed.info/sct", "display": "Status of tumor metastasis to regional lymph nodes (observable entity)" } ] }, "valueCodeableConcept": { "coding": [ { "code": "P", "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-lymphknoten", "display": "bekannter Lymphknotenbefall Progress" } ] } }, { "code": { "coding": [ { "code": "399608002", "system": "http://snomed.info/sct", "display": "Status of distant metastasis (observable entity)" } ] }, "valueCodeableConcept": { "coding": [ { "code": "K", "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-fernmetastasen", "display": "kein Fernmetastasen nachweisbar" } ] } } ], "status": "final", "code": { "coding": [ { "code": "396432002", "system": "http://snomed.info/sct", "display": "Status of regression of tumor (observable entity)" } ] }, "subject": { "reference": "Patient/example" }, "focus": [ { "reference": "Condition/exampleOncologicCondition" } ], "effectiveDateTime": "2024-02-08", "valueCodeableConcept": { "coding": [ { "code": "B", "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung", "display": "klinische Besserung des Zustandes, Teilremissionkriterien jedoch nicht erfüllt (minimal response, MR)" } ] } }