0.4.0 - ci-build

ONCOnnectTumorboardIG - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Primary Diagnosis (Profile)

Official URL: https://tumorboards-ig.app.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-primary-diagnosis Version: 0.4.0
Draft as of 2026-05-28 Computable Name: ONCOnnect_PR_TB_PrimaryDiagnosis

Captures the primary diagnosis of a patient, including clinical status, verification status, associated codes and staging. If the primary diagnosis is a recidive, the original primary diagnosis should be captured in the previous tumors list.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* MII_PR_Onko_Diagnose_Primaertumor(2026.0.1) Detailed information about conditions, problems or diagnoses
Constraints: con-5, con-4, con-3
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 1..1 dateTime Asserted date
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
.... extension:morphology-behavior-icdo3 S 0..1 (Complex) ICD-O-Morphologie
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie ICD-O-3 Morphologie (required)
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:occurredFollowing S 0..* (Complex) Frühere Tumorerkrankungen
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Frühere Tumorerkrankung(2026.0.1)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... clinicalStatus ?!SΣC 1..1 CodeableConcept Clinical status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 1..1 CodeableConcept Verification status
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:condition-ver-status SΣ 0..1 Coding Code defined by a terminology system
Binding: ConditionVerificationStatus (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/condition-ver-status
...... 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
..... coding:primaertumorDiagnosesicherung SΣ 0..1 Coding Diagnosesicherung gemäß oBDS
Binding: MII VS Onkologie Primärtumor Diagnosesicherung (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
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung
...... code SΣ 1..1 code Symbol in syntax defined by the system
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:icd10-gm SΣ 1..1 CodingICD10GM ICD-10-GM code
Binding: MII VS Diagnose ICD-10-GM (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
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alpha-id SΣ 0..1 CodingAlphaID Alpha-ID code
Binding: MII VS Diagnose Alpha-ID (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
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version Σ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
..... coding:sct SΣ 0..1 Coding SNOMED CT code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (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
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (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
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:oncotree SΣ 0..1 Coding Code defined by a terminology system
Binding: ONCOnnect OncoTree (ValueSet) (required)
... bodySite SΣ 0..* CodeableConcept Body site
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:primaertumorSeitenlokalisation SΣ 0..1 Coding Seitenlokalisation des Primärtumors gemäß oBDS
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:icd-o-3 SΣ 0..1 Coding ICD-O-Topographie
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
...... code SΣ 1..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie ICD-O-3 Topographie (required)
... subject SΣC 1..1 Reference(Patient) Who has the condition?
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Encounter
Constraints: ref-1
... Slices for onset[x] SΣ 0..1 Onset
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod SΣ 0..1 Period Beginn Zeitraum
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
...... Slices for extension Content/Rules for all slices
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... system Σ 1..1 uri Identity of the terminology system
.......... code Σ 1..1 code Symbol in syntax defined by the system
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... Slices for extension Content/Rules for all slices
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... system Σ 1..1 uri Identity of the terminology system
.......... code Σ 1..1 code Symbol in syntax defined by the system
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... system ΣC 0..1 uri System that defines coded unit form
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Recorded date
... Slices for stage C 1..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type
Constraints: con-1
.... 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
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
.... stage:stagingTnm C 0..1 BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
..... 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(TNM Staging (Profile)) Formal record of assessment
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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: 399588009
....... display 1..1 string Representation defined by the system
Fixed Value: Pathologic TNM stage grouping
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... stage:therapyConcept C 1..1 BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
..... 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(Therapy Concept (Profile)) Formal record of assessment
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104803-2
....... display 1..1 string Representation defined by the system
Fixed Value: Therapeutic intent [Interpretation] Narrative
....... 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..1 BackboneElement Supporting evidence
Constraints: con-2
.... 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(MII PR Onkologie Evidenz Diagnose Primärtumor(2026.0.1)) Evidenz für Erstdiagnose
Constraints: ref-1
... note S 0..* Annotation Note

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.extension:morphology-behavior-icdo3.​value[x] Base required MII VS Onkologie ICD-O-3 Morphologie 📦2026.0.1 MII IG Onkologie v2026.0
Condition.extension:occurredFollowing.​value[x] Base example Condition Predecessor Codes 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:condition-ver-status Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.verificationStatus.​coding:primaertumorDiagnosesicherung Base required MII VS Onkologie Primärtumor Diagnosesicherung 📦2026.0.1 MII IG Onkologie v2026.0
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:oncotree Base required ONCOnnect OncoTree (ValueSet) 📦0.4.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.bodySite.coding:primaertumorSeitenlokalisation Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2026.0.1 MII IG Onkologie v2026.0
Condition.bodySite.coding:icd-o-3.​code Base required MII VS Onkologie ICD-O-3 Topographie 📦2026.0.1 MII IG Onkologie v2026.0
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.stage:stagingTnm.​summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage:stagingTnm.​type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.stage:therapyConcept.​summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage:therapyConcept.​type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage, Condition.stage:stagingTnm, Condition.stage:therapyConcept 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** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Condition.code.coding:icd10-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})?$')
ref-1 error Condition.subject, Condition.encounter, Condition.stage.assessment, Condition.stage:stagingTnm.assessment, Condition.stage:therapyConcept.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 MII_PR_Onko_Diagnose_Primaertumor

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* MII_PR_Onko_Diagnose_Primaertumor(2026.0.1) Detailed information about conditions, problems or diagnoses
... clinicalStatus 1..1 CodeableConcept Clinical status
... verificationStatus 1..1 CodeableConcept Verification status
... code
.... Slices for coding Content/Rules for all slices
..... coding:icd10-gm 1..1 CodingICD10GM ICD-10-GM code
..... coding:oncotree 0..1 Coding Code defined by a terminology system
Binding: ONCOnnect OncoTree (ValueSet) (required)
.... stage:All Slices Content/Rules for all slices
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
.... stage:stagingTnm 0..1 BackboneElement Stage/grade, usually assessed formally
..... assessment 0..* Reference(TNM Staging (Profile)) Formal record of assessment
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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: 399588009
....... display 1..1 string Representation defined by the system
Fixed Value: Pathologic TNM stage grouping
.... stage:therapyConcept 1..1 BackboneElement Stage/grade, usually assessed formally
..... assessment 0..* Reference(Therapy Concept (Profile)) Formal record of assessment
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104803-2
....... display 1..1 string Representation defined by the system
Fixed Value: Therapeutic intent [Interpretation] Narrative

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code.coding:oncotree Base required ONCOnnect OncoTree (ValueSet) 📦0.4.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* MII_PR_Onko_Diagnose_Primaertumor(2026.0.1) Detailed information about conditions, problems or diagnoses
Constraints: con-5, con-4, con-3
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 1..1 dateTime Asserted date
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
.... extension:morphology-behavior-icdo3 S 0..1 (Complex) ICD-O-Morphologie
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie ICD-O-3 Morphologie (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
...... coding Σ 0..* Coding Code defined by a terminology system
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 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
.... extension:occurredFollowing S 0..* (Complex) Frühere Tumorerkrankungen
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Frühere Tumorerkrankung(2026.0.1)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 1..1 CodeableConcept Clinical status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 1..1 CodeableConcept Verification status
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:condition-ver-status SΣ 0..1 Coding Code defined by a terminology system
Binding: ConditionVerificationStatus (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/condition-ver-status
...... 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
..... coding:primaertumorDiagnosesicherung SΣ 0..1 Coding Diagnosesicherung gemäß oBDS
Binding: MII VS Onkologie Primärtumor Diagnosesicherung (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung
...... 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 Σ 0..1 string Plain text representation of the concept
... 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 SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... 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 SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:icd10-gm SΣ 1..1 CodingICD10GM ICD-10-GM code
Binding: MII VS Diagnose ICD-10-GM (required)

Required Pattern: At least the following
...... 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
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alpha-id SΣ 0..1 CodingAlphaID Alpha-ID code
Binding: MII VS Diagnose Alpha-ID (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version Σ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct SΣ 0..1 Coding SNOMED CT code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 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
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... 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
..... coding:oncotree SΣ 0..1 Coding Code defined by a terminology system
Binding: ONCOnnect OncoTree (ValueSet) (required)
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣ 0..* CodeableConcept Body site
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 SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT code
Binding: MII VS Diagnose BodyStructure SNOMED (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
Required Pattern: http://snomed.info/sct
...... version SΣ 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
..... coding:primaertumorSeitenlokalisation SΣ 0..1 Coding Seitenlokalisation des Primärtumors gemäß oBDS
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (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
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation
...... 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
..... coding:icd-o-3 SΣ 0..1 Coding ICD-O-Topographie
...... 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
Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie ICD-O-3 Topographie (required)
...... 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 Σ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(Patient) Who has the condition?
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Encounter
Constraints: ref-1
... Slices for onset[x] SΣ 0..1 Onset
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod SΣ 0..1 Period Beginn Zeitraum
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
...... 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
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... 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 Σ 1..1 uri Identity of the terminology system
.......... version Σ 0..1 string Version of the system - if relevant
.......... code Σ 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 Σ 0..1 string Plain text representation of the concept
...... value 0..1 dateTime Primitive value for dateTime
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... 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
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... 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 Σ 1..1 uri Identity of the terminology system
.......... version Σ 0..1 string Version of the system - if relevant
.......... code Σ 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 Σ 0..1 string Plain text representation of the concept
...... value 0..1 dateTime Primitive value for dateTime
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... 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
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Recorded date
... recorder ΣC 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
Constraints: ref-1
... asserter ΣC 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
Constraints: ref-1
... Slices for stage C 1..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type
Constraints: con-1
.... stage:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 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
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
.... stage:stagingTnm C 0..1 BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 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(TNM Staging (Profile)) Formal record of assessment
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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: 399588009
....... display 1..1 string Representation defined by the system
Fixed Value: Pathologic TNM stage grouping
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... stage:therapyConcept C 1..1 BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 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(Therapy Concept (Profile)) Formal record of assessment
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104803-2
....... display 1..1 string Representation defined by the system
Fixed Value: Therapeutic intent [Interpretation] Narrative
....... 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..1 BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 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(MII PR Onkologie Evidenz Diagnose Primärtumor(2026.0.1)) Evidenz für Erstdiagnose
Constraints: ref-1
... note S 0..* Annotation Note

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📦4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📦4.0.1 FHIR Std.
Condition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Condition.extension:morphology-behavior-icdo3.​value[x] Base required MII VS Onkologie ICD-O-3 Morphologie 📦2026.0.1 MII IG Onkologie v2026.0
Condition.extension:occurredFollowing.​value[x] Base example Condition Predecessor Codes 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:condition-ver-status Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.verificationStatus.​coding:primaertumorDiagnosesicherung Base required MII VS Onkologie Primärtumor Diagnosesicherung 📦2026.0.1 MII IG Onkologie v2026.0
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:oncotree Base required ONCOnnect OncoTree (ValueSet) 📦0.4.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.bodySite.coding:primaertumorSeitenlokalisation Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2026.0.1 MII IG Onkologie v2026.0
Condition.bodySite.coding:icd-o-3.​code Base required MII VS Onkologie ICD-O-3 Topographie 📦2026.0.1 MII IG Onkologie v2026.0
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.stage:stagingTnm.​summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage:stagingTnm.​type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.stage:therapyConcept.​summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage:therapyConcept.​type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage, Condition.stage:stagingTnm, Condition.stage:therapyConcept 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** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Condition.code.coding:icd10-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})?$')
ref-1 error Condition.subject, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.stage:stagingTnm.assessment, Condition.stage:therapyConcept.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 MII_PR_Onko_Diagnose_Primaertumor

Summary

Mandatory: 6 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.stage

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* MII_PR_Onko_Diagnose_Primaertumor(2026.0.1) Detailed information about conditions, problems or diagnoses
Constraints: con-5, con-4, con-3
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 1..1 dateTime Asserted date
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
.... extension:morphology-behavior-icdo3 S 0..1 (Complex) ICD-O-Morphologie
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie ICD-O-3 Morphologie (required)
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:occurredFollowing S 0..* (Complex) Frühere Tumorerkrankungen
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Frühere Tumorerkrankung(2026.0.1)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... clinicalStatus ?!SΣC 1..1 CodeableConcept Clinical status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 1..1 CodeableConcept Verification status
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:condition-ver-status SΣ 0..1 Coding Code defined by a terminology system
Binding: ConditionVerificationStatus (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/condition-ver-status
...... 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
..... coding:primaertumorDiagnosesicherung SΣ 0..1 Coding Diagnosesicherung gemäß oBDS
Binding: MII VS Onkologie Primärtumor Diagnosesicherung (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
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung
...... code SΣ 1..1 code Symbol in syntax defined by the system
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:icd10-gm SΣ 1..1 CodingICD10GM ICD-10-GM code
Binding: MII VS Diagnose ICD-10-GM (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
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alpha-id SΣ 0..1 CodingAlphaID Alpha-ID code
Binding: MII VS Diagnose Alpha-ID (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
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version Σ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
..... coding:sct SΣ 0..1 Coding SNOMED CT code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (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
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (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
...... version 0..1 string Version of the system - if relevant
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:oncotree SΣ 0..1 Coding Code defined by a terminology system
Binding: ONCOnnect OncoTree (ValueSet) (required)
... bodySite SΣ 0..* CodeableConcept Body site
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:primaertumorSeitenlokalisation SΣ 0..1 Coding Seitenlokalisation des Primärtumors gemäß oBDS
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:icd-o-3 SΣ 0..1 Coding ICD-O-Topographie
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
...... code SΣ 1..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie ICD-O-3 Topographie (required)
... subject SΣC 1..1 Reference(Patient) Who has the condition?
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Encounter
Constraints: ref-1
... Slices for onset[x] SΣ 0..1 Onset
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod SΣ 0..1 Period Beginn Zeitraum
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
...... Slices for extension Content/Rules for all slices
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... system Σ 1..1 uri Identity of the terminology system
.......... code Σ 1..1 code Symbol in syntax defined by the system
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... Slices for extension Content/Rules for all slices
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... system Σ 1..1 uri Identity of the terminology system
.......... code Σ 1..1 code Symbol in syntax defined by the system
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... system ΣC 0..1 uri System that defines coded unit form
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Recorded date
... Slices for stage C 1..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type
Constraints: con-1
.... 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
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
.... stage:stagingTnm C 0..1 BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
..... 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(TNM Staging (Profile)) Formal record of assessment
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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: 399588009
....... display 1..1 string Representation defined by the system
Fixed Value: Pathologic TNM stage grouping
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... stage:therapyConcept C 1..1 BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
..... 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(Therapy Concept (Profile)) Formal record of assessment
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104803-2
....... display 1..1 string Representation defined by the system
Fixed Value: Therapeutic intent [Interpretation] Narrative
....... 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..1 BackboneElement Supporting evidence
Constraints: con-2
.... 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(MII PR Onkologie Evidenz Diagnose Primärtumor(2026.0.1)) Evidenz für Erstdiagnose
Constraints: ref-1
... note S 0..* Annotation Note

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.extension:morphology-behavior-icdo3.​value[x] Base required MII VS Onkologie ICD-O-3 Morphologie 📦2026.0.1 MII IG Onkologie v2026.0
Condition.extension:occurredFollowing.​value[x] Base example Condition Predecessor Codes 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:condition-ver-status Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.verificationStatus.​coding:primaertumorDiagnosesicherung Base required MII VS Onkologie Primärtumor Diagnosesicherung 📦2026.0.1 MII IG Onkologie v2026.0
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:oncotree Base required ONCOnnect OncoTree (ValueSet) 📦0.4.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.bodySite.coding:primaertumorSeitenlokalisation Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2026.0.1 MII IG Onkologie v2026.0
Condition.bodySite.coding:icd-o-3.​code Base required MII VS Onkologie ICD-O-3 Topographie 📦2026.0.1 MII IG Onkologie v2026.0
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.stage:stagingTnm.​summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage:stagingTnm.​type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.stage:therapyConcept.​summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage:therapyConcept.​type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage, Condition.stage:stagingTnm, Condition.stage:therapyConcept 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** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Condition.code.coding:icd10-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})?$')
ref-1 error Condition.subject, Condition.encounter, Condition.stage.assessment, Condition.stage:stagingTnm.assessment, Condition.stage:therapyConcept.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'))

Differential View

This structure is derived from MII_PR_Onko_Diagnose_Primaertumor

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* MII_PR_Onko_Diagnose_Primaertumor(2026.0.1) Detailed information about conditions, problems or diagnoses
... clinicalStatus 1..1 CodeableConcept Clinical status
... verificationStatus 1..1 CodeableConcept Verification status
... code
.... Slices for coding Content/Rules for all slices
..... coding:icd10-gm 1..1 CodingICD10GM ICD-10-GM code
..... coding:oncotree 0..1 Coding Code defined by a terminology system
Binding: ONCOnnect OncoTree (ValueSet) (required)
.... stage:All Slices Content/Rules for all slices
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
.... stage:stagingTnm 0..1 BackboneElement Stage/grade, usually assessed formally
..... assessment 0..* Reference(TNM Staging (Profile)) Formal record of assessment
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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: 399588009
....... display 1..1 string Representation defined by the system
Fixed Value: Pathologic TNM stage grouping
.... stage:therapyConcept 1..1 BackboneElement Stage/grade, usually assessed formally
..... assessment 0..* Reference(Therapy Concept (Profile)) Formal record of assessment
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104803-2
....... display 1..1 string Representation defined by the system
Fixed Value: Therapeutic intent [Interpretation] Narrative

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code.coding:oncotree Base required ONCOnnect OncoTree (ValueSet) 📦0.4.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* MII_PR_Onko_Diagnose_Primaertumor(2026.0.1) Detailed information about conditions, problems or diagnoses
Constraints: con-5, con-4, con-3
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 1..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 1..1 dateTime Asserted date
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
.... extension:morphology-behavior-icdo3 S 0..1 (Complex) ICD-O-Morphologie
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie ICD-O-3 Morphologie (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
...... coding Σ 0..* Coding Code defined by a terminology system
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 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
.... extension:occurredFollowing S 0..* (Complex) Frühere Tumorerkrankungen
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
...... valueCodeableConcept CodeableConcept
...... valueReference Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
...... value[x]:valueReference 0..1 Reference(MII PR Onkologie Frühere Tumorerkrankung(2026.0.1)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 1..1 CodeableConcept Clinical status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 1..1 CodeableConcept Verification status
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:condition-ver-status SΣ 0..1 Coding Code defined by a terminology system
Binding: ConditionVerificationStatus (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/condition-ver-status
...... 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
..... coding:primaertumorDiagnosesicherung SΣ 0..1 Coding Diagnosesicherung gemäß oBDS
Binding: MII VS Onkologie Primärtumor Diagnosesicherung (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung
...... 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 Σ 0..1 string Plain text representation of the concept
... 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 SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... 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 SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:icd10-gm SΣ 1..1 CodingICD10GM ICD-10-GM code
Binding: MII VS Diagnose ICD-10-GM (required)

Required Pattern: At least the following
...... 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
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alpha-id SΣ 0..1 CodingAlphaID Alpha-ID code
Binding: MII VS Diagnose Alpha-ID (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version Σ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct SΣ 0..1 Coding SNOMED CT code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 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
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... 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
..... coding:oncotree SΣ 0..1 Coding Code defined by a terminology system
Binding: ONCOnnect OncoTree (ValueSet) (required)
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣ 0..* CodeableConcept Body site
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 SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT code
Binding: MII VS Diagnose BodyStructure SNOMED (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
Required Pattern: http://snomed.info/sct
...... version SΣ 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
..... coding:primaertumorSeitenlokalisation SΣ 0..1 Coding Seitenlokalisation des Primärtumors gemäß oBDS
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (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
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation
...... 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
..... coding:icd-o-3 SΣ 0..1 Coding ICD-O-Topographie
...... 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
Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Binding: MII VS Onkologie ICD-O-3 Topographie (required)
...... 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 Σ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(Patient) Who has the condition?
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Encounter
Constraints: ref-1
... Slices for onset[x] SΣ 0..1 Onset
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod SΣ 0..1 Period Beginn Zeitraum
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
...... 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
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... 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 Σ 1..1 uri Identity of the terminology system
.......... version Σ 0..1 string Version of the system - if relevant
.......... code Σ 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 Σ 0..1 string Plain text representation of the concept
...... value 0..1 dateTime Primitive value for dateTime
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... 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
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... 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 Σ 1..1 uri Identity of the terminology system
.......... version Σ 0..1 string Version of the system - if relevant
.......... code Σ 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 Σ 0..1 string Plain text representation of the concept
...... value 0..1 dateTime Primitive value for dateTime
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... 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
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Recorded date
... recorder ΣC 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
Constraints: ref-1
... asserter ΣC 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
Constraints: ref-1
... Slices for stage C 1..* BackboneElement Stage/grade, usually assessed formally
Slice: Unordered, Open by value:type
Constraints: con-1
.... stage:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 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
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
.... stage:stagingTnm C 0..1 BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 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(TNM Staging (Profile)) Formal record of assessment
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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: 399588009
....... display 1..1 string Representation defined by the system
Fixed Value: Pathologic TNM stage grouping
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... stage:therapyConcept C 1..1 BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 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(Therapy Concept (Profile)) Formal record of assessment
Constraints: ref-1
..... type 1..1 CodeableConcept Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.
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://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104803-2
....... display 1..1 string Representation defined by the system
Fixed Value: Therapeutic intent [Interpretation] Narrative
....... 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..1 BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 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(MII PR Onkologie Evidenz Diagnose Primärtumor(2026.0.1)) Evidenz für Erstdiagnose
Constraints: ref-1
... note S 0..* Annotation Note

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📦4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📦4.0.1 FHIR Std.
Condition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Condition.extension:morphology-behavior-icdo3.​value[x] Base required MII VS Onkologie ICD-O-3 Morphologie 📦2026.0.1 MII IG Onkologie v2026.0
Condition.extension:occurredFollowing.​value[x] Base example Condition Predecessor Codes 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:condition-ver-status Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.verificationStatus.​coding:primaertumorDiagnosesicherung Base required MII VS Onkologie Primärtumor Diagnosesicherung 📦2026.0.1 MII IG Onkologie v2026.0
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.code.coding:oncotree Base required ONCOnnect OncoTree (ValueSet) 📦0.4.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 MII IG Core Dataset Base v2026.0
Condition.bodySite.coding:primaertumorSeitenlokalisation Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2026.0.1 MII IG Onkologie v2026.0
Condition.bodySite.coding:icd-o-3.​code Base required MII VS Onkologie ICD-O-3 Topographie 📦2026.0.1 MII IG Onkologie v2026.0
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.stage:stagingTnm.​summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage:stagingTnm.​type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.stage:therapyConcept.​summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage:therapyConcept.​type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage, Condition.stage:stagingTnm, Condition.stage:therapyConcept 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** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Condition.code.coding:icd10-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})?$')
ref-1 error Condition.subject, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.stage:stagingTnm.assessment, Condition.stage:therapyConcept.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 MII_PR_Onko_Diagnose_Primaertumor

Summary

Mandatory: 6 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.stage

 

Other representations of profile: CSV, Excel, Schematron