description: Angabe zur Tumorausbreitung
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Tumorausbreitung
type: Observation
elements:
  category:
    mustSupport: true
    index: 2
    elements:
      coding:
        mustSupport: true
        index: 3
        slicing:
          rules: open
          ordered: false
          description: Slice für Coding
          discriminator:
          - {path: $this, type: value}
          min: 1
          slices:
            ErstdiagnoseZeitpunkt:
              match: {code: '473302008', system: 'http://snomed.info/sct', display: Aware of diagnosis}
              schema:
                pattern:
                  type: Coding
                  value: {code: '473302008', system: 'http://snomed.info/sct', display: Aware of diagnosis}
                mustSupport: true
                index: 4
              min: 0
              max: 1
            MolekularesTumorboardZeitpunkt:
              match: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
              schema:
                pattern:
                  type: Coding
                  value: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
                mustSupport: true
                index: 5
              min: 0
              max: 1
    required: [coding]
  value[x]:
    elements:
      coding:
        mustSupport: true
        index: 16
        slicing:
          rules: open
          ordered: false
          description: Slice für Tumorausbreitung
          discriminator:
          - {path: system, type: value}
          min: 1
          slices:
            Tumorausbreitung:
              match: {system: 'http://snomed.info/sct'}
              schema:
                short: Tumorausbreitung
                index: 17
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Angabe zur Tumorausbreitung}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Information on tumor spread}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Tumorausbreitung}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Tumor Spread}
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 18
                _required: true
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-tumorausbreitung'}
                required: [system]
    required: [coding]
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
  encounter:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung']
    index: 9
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 14
  effectiveDateTime:
    short: Zeitpunkt Tumorausbreitung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zeitpunkt der Feststellung der Tumorausbreitung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Date of tumor spread assessment}
    type: dateTime
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zeitpunkt Tumorausbreitung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Tumor Spread Date}
    choiceOf: effective
    index: 12
  effective:
    short: Zeitpunkt Tumorausbreitung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zeitpunkt der Feststellung der Tumorausbreitung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Date of tumor spread assessment}
    mustSupport: true
    choices: [effectiveDateTime]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zeitpunkt Tumorausbreitung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Tumor Spread Date}
    index: 11
  code:
    mustSupport: true
    index: 6
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '371508000', system: 'http://snomed.info/sct', display: Tumor stage}
        mustSupport: true
        index: 7
    required: [coding]
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 15}
  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: 8
package_version: 2026.0.1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.1
required: [effectiveDateTime, value, subject, valueCodeableConcept, category, effective]