description: 'Histologie: Tumor Grading. Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an.'
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Grading
type: Observation
elements:
  category:
    mustSupport: true
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        laboratory:
          match:
            coding:
            - {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            array: true
            min: 1
            _required: true
            index: 2
          min: 1
  value[x]:
    elements:
      coding:
        short: Histologisches Grading
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Histologisches Grading}
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Histologisches Grading nach 6.6 oBDS 2021}
        index: 20
        elements:
          system: {mustSupport: true, index: 21}
          code: {mustSupport: true, index: 22}
        required: [system, code]
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 13}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 18
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 16}
  effective:
    mustSupport: true
    choices: [effectiveDateTime]
    index: 15
  code:
    mustSupport: true
    index: 3
    elements:
      coding:
        mustSupport: true
        index: 4
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: 1
          slices:
            loinc:
              match: {code: 33732-9, system: 'http://loinc.org'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {code: 33732-9, system: 'http://loinc.org'}
                array: true
                min: 1
                _required: true
                index: 5
                elements:
                  system: {mustSupport: true, index: 6}
                  code: {mustSupport: true, index: 7}
                required: [system, code]
            snomed:
              match: {code: '371469007', system: 'http://snomed.info/sct'}
              schema:
                pattern:
                  type: Coding
                  value: {code: '371469007', system: 'http://snomed.info/sct'}
                array: true
                index: 8
                elements:
                  system: {index: 9}
                  code: {index: 10}
                required: [system, code]
    required: [coding]
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 19}
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 12
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 11
package_version: 2025.0.0
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-grading
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2025.0.0
required: [effectiveDateTime, value, subject, valueCodeableConcept, category, effective]