Histologie (Observation)

Dieses Profil beschreibt die Klassifikation (Morphologie), Topographie und die Histopathologische Differenzierung (Grading) der Tumorerkankung innerhalb des nNGM Projektes.

Name: "Profile_nNGM_Observation_Histologie" (Profile - nNGM - Observation - Histologie)

Canonical: http://uk-koeln.de/fhir/StructureDefinition/Observation/nNGM/histologie

Differential

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBindingFixed Value
category1..*CodeableConceptBinding
loincΣ1..*Coding
textΣ0..1string
subjectS Σ I1..1Reference(Profile - nNGM - Patient - Patient Pseudonymisiert)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySiteS0..1CodeableConceptBinding
method0..1CodeableConcept
specimenS I0..1Reference(Profil - nNGM - Specimen - Tumormaterial)
deviceI0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)


Erläuterungen

FHIR-Element-Id EDC-Label Beschreibung
Observation.subject Patient Ein Bezug zum Patienten muss stets gegeben sein
Observation.effective[x]
Observation.value[x] Klassifikation
Observation.bodySite Lokalisation
Observation.specimen Tumormaterial
Observation.component:grading.value[x] Grading
Observation.component:growthPatternInAdenocarcinomaLepidic.value[x] Wachstumsmuster bei Adenokarzinom lepidisch
Observation.component:growthPatternInAdenocarcinomaAcinar.value[x] Wachstumsmuster bei Adenokarzinom azinär
Observation.component:growthPatternInAdenocarcinomaPapillary.value[x] Wachstumsmuster bei Adenokarzinom papillär
Observation.component:growthPatternInAdenocarcinomaMicropapillary.value[x] Wachstumsmuster bei Adenokarzinom mikropapillär
Observation.component:growthPatternInAdenocarcinomaSolid.value[x] Wachstumsmuster bei Adenokarzinom solide
Observation.component:percentageOfSignetRingCellCarcinoma.value[x] Anteil an Siegelringzellkarzinomen

Bindings

FHIR-Element-Id ValueSets
Observation.status Fixed Value - final - (http://hl7.org/fhir/ValueSet/observation-status)
Observation.value[x] ValueSet_nNGM_Klassifikation_Histologie
Observation.bodySite ValueSet_nNGM_Topographie
Observation.component:grading.code.coding.code Fixed Value - 59542-1 - (http://loinc.org)
Observation.component:grading.value[x] ValueSet_nNGM_Grading
Observation.component:growthPatternInAdenocarcinomaLepidic.code.coding.code Fixed Value - 112677002 - (http://snomed.info/sct)
Observation.component:growthPatternInAdenocarcinomaAcinar.code.coding.code Fixed Value - 128703004 - (http://snomed.info/sct)
Observation.component:growthPatternInAdenocarcinomaPapillary.code.coding.code Fixed Value - 4797003 - (http://snomed.info/sct)
Observation.component:growthPatternInAdenocarcinomaMicropapillary.code.coding.code Fixed Value - 450895005 - (http://snomed.info/sct)
Observation.component:growthPatternInAdenocarcinomaSolid.code.coding.code Fixed Value - 81920005 - (http://snomed.info/sct)
Observation.component:percentageOfSignetRingCellCarcinoma.code.coding.code Fixed Value - 87737001 - (http://snomed.info/sct)

Snapshot

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBindingFixed Value
category1..*CodeableConceptBinding
loincΣ1..*Coding
textΣ0..1string
subjectS Σ I1..1Reference(Profile - nNGM - Patient - Patient Pseudonymisiert)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySiteS0..1CodeableConceptBinding
method0..1CodeableConcept
specimenS I0..1Reference(Profil - nNGM - Specimen - Tumormaterial)
deviceI0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1code
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)