{
  "description": "Response Beurteilung nach DNPM",
  "_filename": "StructureDefinition-mii-pr-mtb-response-befund.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.mtb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_MTB_Response_Befund",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR MTB Response Befund",
  "package_version": "2025.0.0-ballot",
  "status": "draft",
  "id": "08e6269b-dc1f-44f7-8f18-d412615e26d2",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-response-befund",
  "version": "2024.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "Observation.meta",
      "path": "Observation.meta",
      "mustSupport": true
    }, {
      "id": "Observation.partOf",
      "path": "Observation.partOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-therapie", "http://hl7.org/fhir/StructureDefinition/Procedure" ]
      } ],
      "short": "Systemische Therapie",
      "definition": "Daszugehoerige, uebergeordnete Systemische Therapie",
      "mustSupport": true
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "mustSupport": true
    }, {
      "id": "Observation.focus",
      "path": "Observation.focus",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor", "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor" ]
      } ]
    }, {
      "id": "Observation.effective[x]:effectiveDateTime",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt",
      "sliceName": "effectiveDateTime",
      "definition": "Zeitpunkt des Response Befundes"
    }, {
      "id": "Observation.value[x]:valueCodeableConcept",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding",
      "path": "Observation.value[x].coding",
      "slicing": {
        "rules": "open",
        "description": "Slice für die Verwendung der verschiedenen Codesysteme für Beurteilung von Response",
        "discriminator": [ {
          "path": "system",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding:oBDS",
      "max": "*",
      "min": 0,
      "path": "Observation.value[x].coding",
      "short": "Response Beurteilung nach oBDS-Kriterien",
      "sliceName": "oBDS",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding:oBDS.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung"
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding:oBDS.code",
      "path": "Observation.value[x].coding.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-gesamtbeurteilung"
      }
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding:MTB",
      "max": "*",
      "min": 0,
      "path": "Observation.value[x].coding",
      "short": "Response Beurteilung nach Recist oder Rano iM Rahmen des MTB",
      "sliceName": "MTB",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding:MTB.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung"
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding:MTB.code",
      "path": "Observation.value[x].coding.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-response-befund-beurteilung"
      }
    }, {
      "id": "Observation.method",
      "min": 1,
      "path": "Observation.method",
      "short": "Beurteilungsmethode",
      "definition": "Beurteilungsmethode RECIST oder RANO",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf"
}