description: Response Beurteilung nach DNPM
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Response_Befund
type: Observation
elements:
  value[x]:
    elements:
      coding:
        index: 10
        slicing:
          rules: open
          description: Slice für die Verwendung der verschiedenen Codesysteme für Beurteilung von Response
          discriminator:
          - {path: system, type: pattern}
          min: null
          slices:
            oBDS:
              match: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung'}
              schema:
                short: Response Beurteilung nach oBDS-Kriterien
                mustSupport: true
                array: true
                index: 11
                elements:
                  system:
                    pattern: {type: uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-verlauf-gesamtbeurteilung'}
                    type: uri
                    index: 12
                  code:
                    binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-gesamtbeurteilung'}
                    index: 13
                required: [system]
            MTB:
              match: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung'}
              schema:
                short: Response Beurteilung nach Recist oder Rano iM Rahmen des MTB
                mustSupport: true
                array: true
                index: 14
                elements:
                  system:
                    pattern: {type: uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-response-befund-beurteilung'}
                    type: uri
                    index: 15
                  code:
                    binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-response-befund-beurteilung'}
                    index: 16
                required: [system]
  meta: {mustSupport: true, index: 0}
  method: {short: Beurteilungsmethode, mustSupport: true, index: 17}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 8
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema:
            mustSupport: true
            choices: [valueCodeableConcept]
            index: 8
  effectiveDateTime:
    type: dateTime
    short: Zeitpunkt
    choiceOf: effective
    index: 6
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, short: Zeitpunkt, choiceOf: effective, index: 6}
  status: {mustSupport: true, index: 2}
  effective:
    short: Zeitpunkt
    choices: [effectiveDateTime]
    index: 5
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema:
            short: Zeitpunkt
            choices: [effectiveDateTime]
            index: 5
  valueCodeableConcept:
    type: CodeableConcept
    mustSupport: true
    choiceOf: value
    index: 9
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 9}
  focus:
    type: Reference
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 3
  partOf:
    type: Reference
    short: Systemische Therapie
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-therapie']
    index: 1
package_version: 2025.0.0-ballot
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-response-befund
base: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf
version: 2024.0.0-ballot
required: [method]