description: Grad des Tumors nach MSKCC Oncotree Klassifikation
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Oncotree
type: Observation
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '371469007', system: 'http://snomed.info/sct', display: Histologic grade of neoplasm (observable entity)}
    index: 2
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient', 'https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert']
    index: 3
  encounter:
    short: Gesundheitseinrichtungskontakt
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Kontakt zur Gesundheitseinrichtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Encounter with the healthcare facility}
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung']
    type: Reference
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Gesundheitseinrichtungskontakt}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Healthcare Facility Encounter}
    index: 4
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 6
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 7}
  value[x]:
    elements:
      coding:
        mustSupport: true
        index: 8
        elements:
          system:
            pattern: {type: Uri, value: 'http://data.mskcc.org/ontologies/oncotree'}
            mustSupport: true
            index: 9
          code: {mustSupport: true, index: 10}
        required: [system, code]
    required: [coding]
package_version: 2026.0.0
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-oncotree
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.0
required: [value, subject, valueCodeableConcept]