description: Grad des Tumors nach WHO Klassifikation der Tumoren des zentralen Nervensystems (ZNS)
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_WHO_Grad_Tumor_ZNS
type: Observation
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
  code:
    mustSupport: true
    index: 2
    elements:
      coding:
        mustSupport: true
        pattern:
          type: Coding
          value: {code: '396921005', system: 'http://snomed.info/sct', display: WHO grade finding for central nervous system tumor}
        index: 3
    required: [coding]
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient', 'https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert']
    index: 4
  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: ['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: 5
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 7
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 8}
  value[x]:
    elements:
      coding:
        mustSupport: true
        index: 9
        slicing:
          rules: closed
          ordered: false
          description: Slice für Klassifikation des Tumors
          discriminator:
          - {path: system, type: value}
          min: 1
          max: 1
          slices:
            SCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                short: WHO-Klassifikation gemäß SNOMED CT
                index: 10
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Grad eines Tumors nach WHO-Klassifikation der Tumoren des zentralen Nervensystems gemäß SNOMED CT}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Grade of a tumor according to the WHO classification of central nervous system tumors as per SNOMED CT}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: WHO-Klassifikation gemäß SNOMED CT}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: WHO Classification according to SNOMED CT}
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 11
                _required: true
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-who-grad-tumor-zns'}
                required: [system]
    required: [coding]
package_version: 2026.0.1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-who-grad-tumor-zns
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.1
required: [value, subject, valueCodeableConcept]