{
  "description": "Staging von Tumorerkrankungen nach der TNM-Klassifikation (pathologisch) gemäß der aktuellen Ausgabe  AJCC",
  "_filename": "StructureDefinition-onco-core-Observation-TNMp.json",
  "package_name": "de.dktk.oncology",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.0",
  "name": "TNMp",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.7.0",
  "status": "active",
  "id": "1033da04-f6c3-4a7c-8dbd-7bcc6030a668",
  "kind": "resource",
  "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMp",
  "version": "0.9.0",
  "differential": {
    "element": [ {
      "id": "Observation.status",
      "path": "Observation.status",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "fixedUri": "http://hl7.org/fhir/observation-category"
    }, {
      "id": "Observation.category.coding.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "fixedCode": "laboratory"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "21902-2"
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.focus",
      "path": "Observation.focus",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall" ]
      } ]
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Datum der TNM-Dokumentation/Datum Befund",
      "mapping": [ {
        "map": "TNM:TNM_Datum",
        "comment": "TNM:TNM_Datum",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:2:3",
        "comment": "urn:dktk:dataelement:2:3",
        "identity": "ISO-11179"
      } ],
      "definition": "Es handelt sich sinngemäß um das Datum, an welchem der Datensatz zum TNM angelegt wurde und welches auch als auswertungsrelevant anzusehen ist. Es ist i.d.R. mit dem Diagnosedatum identisch bzw. liegt nah zu diesem Datum."
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/UiccstadiumVS",
        "description": "Gibt das Stadium des Tumors (nach \"Union internationale contre le cancer\") an"
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.version",
      "min": 1,
      "path": "Observation.value[x].coding.version",
      "short": "TNM-Version",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMVersionVS",
        "description": "Katalogversion des TNM"
      },
      "mapping": [ {
        "map": "TNM:TNM_Version",
        "comment": "TNM:TNM_Version",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:18:2",
        "comment": "urn:dktk:dataelement:18:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Katalogversion des TNM"
    }, {
      "id": "Observation.value[x].coding.code",
      "min": 1,
      "path": "Observation.value[x].coding.code",
      "short": "UICC Stadium",
      "mapping": [ {
        "map": "TNM.TNM_T, TNM.TNM_N,  TNM.TNM_M",
        "comment": "Berechnet aus 3 TNM Elementen",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:89:1",
        "comment": "urn:dktk:dataelement:89:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Gibt das Stadium des Tumors (nach \"Union internationale contre le cancer\") an"
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
      "slicing": {
        "id": "394",
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "code.coding.code",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.component:TNM-T",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-T",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-T.extension",
      "path": "Observation.component.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.component:TNM-T.extension:TNM-cpu-Praefix",
      "path": "Observation.component.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix" ]
      } ],
      "sliceName": "TNM-cpu-Praefix"
    }, {
      "id": "Observation.component:TNM-T.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-T.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "21899-0"
    }, {
      "id": "Observation.component:TNM-T.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-T",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMTVS",
        "description": "TNM-T"
      },
      "mapping": [ {
        "map": "TNM:TNM_T",
        "comment": "TNM:TNM_T",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:100:1",
        "comment": "urn:dktk:dataelement:100:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Gibt die Ausdehnung (Ort und Größe) des Primärtumors an",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-N",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-N",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-N.extension",
      "path": "Observation.component.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.component:TNM-N.extension:TNM-cpu-Praefix",
      "path": "Observation.component.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix" ]
      } ],
      "sliceName": "TNM-cpu-Praefix"
    }, {
      "id": "Observation.component:TNM-N.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-N.code.coding.code",
      "path": "Observation.component.code.coding.code",
      "fixedCode": "21900-6"
    }, {
      "id": "Observation.component:TNM-N.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-N",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMNVS",
        "description": "TNM-N"
      },
      "mapping": [ {
        "map": "TNM:TNM_N",
        "comment": "TNM:TNM_N",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:101:1",
        "comment": "urn:dktk:dataelement:101:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Gibt an, ob Lymphknoten befallen sind",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-M",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-M",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-M.extension",
      "path": "Observation.component.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.component:TNM-M.extension:TNM-cpu-Praefix",
      "max": "1",
      "path": "Observation.component.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix" ]
      } ],
      "sliceName": "TNM-cpu-Praefix",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-M.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-M.code.coding.code",
      "path": "Observation.component.code.coding.code",
      "fixedCode": "21901-4"
    }, {
      "id": "Observation.component:TNM-M.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-M",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMMVS",
        "description": "TNM-M"
      },
      "mapping": [ {
        "map": "TNM:TNM_M",
        "comment": "TNM:TNM_M",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:99:1",
        "comment": "urn:dktk:dataelement:99:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Gibt an, ob Metastasen vorliegen",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-y-Symbol",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-y-Symbol",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-y-Symbol.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-y-Symbol.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "59479-6"
    }, {
      "id": "Observation.component:TNM-y-Symbol.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-y-Symbol",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMySymbolVS",
        "description": "TNM y-Symbol"
      },
      "mapping": [ {
        "map": "TNM:TNM_y_Symbol",
        "comment": "TNM:TNM_y_Symbol",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:82:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Gibt an, wann im Fall multimodaler Therapien mit vielfältigen Behandlungsansätzen die Klassifikation während oder nach diesen Therapien erfolgte"
    }, {
      "id": "Observation.component:TNM-y-Symbol.value[x].coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code"
    }, {
      "id": "Observation.component:TNM-r-Symbol",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-r-Symbol",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-r-Symbol.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-r-Symbol.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "21983-2"
    }, {
      "id": "Observation.component:TNM-r-Symbol.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-r-Symbol",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMrSymbolVS",
        "description": "TNM r-Symbol"
      },
      "mapping": [ {
        "map": "TNM:TNM_r_Symbol",
        "comment": "TNM:TNM_r_Symbol",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:81:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Gibt an, ob es sich bei dem Tumor um ein beurteiltes Rezidiv handelt"
    }, {
      "id": "Observation.component:TNM-r-Symbol.value[x].coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code"
    }, {
      "id": "Observation.component:TNM-m-Symbol",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-m-Symbol",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-m-Symbol.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-m-Symbol.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "42030-7"
    }, {
      "id": "Observation.component:TNM-m-Symbol.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-m-Symbol",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMmSymbolVS",
        "description": "TNM m-Symbol"
      },
      "mapping": [ {
        "map": "TNM:TNM_m_Symbol",
        "comment": "TNM:TNM_m_Symbol",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:10:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Gibt an, ob multiple Primärtumoren in einem Bezirk vorliegen"
    }, {
      "id": "Observation.component:TNM-m-Symbol.value[x].coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code"
    }, {
      "id": "Observation.component:TNM-L-Kategorie",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-L-Kategorie",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-L-Kategorie.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-L-Kategorie.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "33739-4"
    }, {
      "id": "Observation.component:TNM-L-Kategorie.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-L-Kategorie",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMLKategorieVS",
        "description": "TNM-L-Kategorie"
      },
      "mapping": [ {
        "map": "TNM:TNM-L-Kategorie",
        "comment": "TNM:TNM-L-Kategorie",
        "identity": "ADT-GEKID"
      } ],
      "definition": "Lymphgefäßinvasion"
    }, {
      "id": "Observation.component:TNM-L-Kategorie.value[x].coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code"
    }, {
      "id": "Observation.component:TNM-V-Kategorie",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-V-Kategorie",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-V-Kategorie.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-V-Kategorie.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "33740-2"
    }, {
      "id": "Observation.component:TNM-V-Kategorie.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-V-Kategorie",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMVKategorieVS",
        "description": "TNM-V-Kategorie"
      },
      "mapping": [ {
        "map": "TNM:TNM-V-Kategorie",
        "comment": "TNM:TNM-V-Kategorie",
        "identity": "ADT-GEKID"
      } ],
      "definition": "Veneninvasion"
    }, {
      "id": "Observation.component:TNM-V-Kategorie.value[x].coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code"
    }, {
      "id": "Observation.component:TNM-Pn-Kategorie",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-Pn-Kategorie",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-Pn-Kategorie.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-Pn-Kategorie.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "92837-4"
    }, {
      "id": "Observation.component:TNM-Pn-Kategorie.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-Pn-Kategorie",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMPnKategorieVS",
        "description": "TNM-Pn-Kategorie"
      },
      "mapping": [ {
        "map": "TNM:TNM-Pn-Kategorie",
        "comment": "TNM:TNM-Pn-Kategorie",
        "identity": "ADT-GEKID"
      } ],
      "definition": "Perineuralinvasion"
    }, {
      "id": "Observation.component:TNM-Pn-Kategorie.value[x].coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code"
    }, {
      "id": "Observation.component:TNM-S-Kategorie",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "TNM-S-Kategorie",
      "mustSupport": true
    }, {
      "id": "Observation.component:TNM-S-Kategorie.code.coding.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:TNM-S-Kategorie.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "21924-6"
    }, {
      "id": "Observation.component:TNM-S-Kategorie.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "TNM-S-Kategorie",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMSKategorieVS",
        "description": "TNM-S-Kategorie"
      },
      "mapping": [ {
        "map": "TNM:TNM-S-Kategorie",
        "comment": "TNM:TNM-S-Kategorie",
        "identity": "ADT-GEKID"
      } ],
      "definition": "Serumtumormarker"
    }, {
      "id": "Observation.component:TNM-S-Kategorie.value[x].coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}