Bestes Ansprechen - Observation

Dieses Profil beschreibt die Beurteilung des Ansprechens einer Systemischen Therapie innerhalb des nNGM-Projektes.

Name: "Profile_nNGM_Observation_BestResponse Therapie" (Simplifier Link)

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

Differential

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfS Σ I1..1Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBindingFixed Value
category0..*CodeableConceptBinding
ncitΣ1..*Coding
textΣ0..1string
subjectS Σ I1..1Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueCodeableConceptS Σ I1..1CodeableConceptBinding
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
methodS1..1CodeableConceptBinding
specimenI0..1Reference(Specimen)
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)


Erläuterungen

FHIR-Element Erklärung
Observation.partOf Verweis auf die dazugehörige MedicationAdministration (Systemische Therapie)
Procedure.subject Ein Bezug zum Patienten muss stets gegeben sein



Mapping Logischer Datensatz

FHIR-Element Logischer Datensatz
Observation.valueCodeableConcept SystemischeTherapie.Response.BestesAnsprechen
Observation.method SystemischeTherapie.Response.BeurteilungNach



Bindings

FHIR Element ValueSets / NamingSystems
Observation.status Fixed Value - ObservationStatus
Observation.code.coding:ncit Fixed Value - NCIT
Observation.valueCodeableConcept ValueSet_nNGM_SystemischeTherapie_BestesAnsprechen
Observation.method ValueSet_nNGM_SystemischeTherapie_BeurteilungNach

Snapshot

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfS Σ I1..1Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBindingFixed Value
category0..*CodeableConceptBinding
ncitΣ1..*Coding
textΣ0..1string
subjectS Σ I1..1Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueCodeableConceptS Σ I1..1CodeableConceptBinding
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
methodS1..1CodeableConceptBinding
specimenI0..1Reference(Specimen)
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)


Abgleich der Kompabilität

  • Die Basisprofile Onkologie - HL7 Deutschland enthalten kein Profil für das Datenobjekt "Bestes Ansprechen"

Die FHIR-Profile des DKTK enthalten kein Profil für das Datenobjekt "Bestes Ansprechen"


Beispiel

{
    "resourceType": "Observation",
    "id": "ExampleObservationBestResponse",
    "meta": {
        "profile":  [
            "http://uk-koeln.de/fhir/StructureDefinition/Observation/nNGM/BestResponse"
        ]
    },
    "partOf": {
        "reference": "MedicationAdministration/ExampleMedicationAdministration"
    },
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
                "code": "C94536",
                "display": "Best Overall Response"
            }
        ]
    },
    "subject": {
        "reference": "Patient/ExamplePatientPatient"
    },
    "effectiveDateTime": "2021-01-01",
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/SystemischeTherapieRECIST",
                "code": "CR",
                "display": "Complete Remission"
            }
        ]
    },
    "method": {
        "coding":  [
            {
                "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/SystemischeTherapieBeurteilungNach",
                "code": "RECIST"
            }
        ]
    }
}