{
  "description": "TNM-Klassifikation: TNM N-Kategorie. Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.",
  "_filename": "StructureDefinition-mii-pr-onko-tnm-n-kategorie.json",
  "package_name": "rs/de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_TNM_N_Kategorie",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie TNM N-Kategorie",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "1bc64570-2ecd-4cd5-bb26-d8e5a9f2cabd",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Observation.meta.profile",
      "path": "Observation.meta.profile",
      "mustSupport": true
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-n-kategorie"
      },
      "mustSupport": true
    }, {
      "path": "Observation.code.extension",
      "min": 0,
      "definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
      "short": "TNM c/p-Präfix N",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix" ]
      } ],
      "mustSupport": true,
      "sliceName": "cpPraefix",
      "max": "1",
      "id": "Observation.code.extension:cpPraefix",
      "comment": "c oder (leer) = Kategorie wurde durch klinische Angaben festgestellt, bzw. erfüllt die Kriterien für p nicht. p = Feststellung der Kategorie erfolgte durch eine pathohistologische Untersuchung, mit der auch der höchste Grad der jeweiligen Kategorie hätte festgestellt werden können. u (Feststellung mit Ultraschall) ist unter c zu übermitteln."
    }, {
      "id": "Observation.code.extension:cpPraefix.value[x].coding.code",
      "path": "Observation.code.extension.value[x].coding.code",
      "mapping": [ {
        "map": "8.7",
        "comment": "TNM c/p-Präfix N",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "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" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "constraint": [ {
        "key": "tnm-datum",
        "human": "TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.",
        "source": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie",
        "severity": "error",
        "expression": "$this.toString().length() >= 8"
      } ],
      "path": "Observation.effective[x]",
      "definition": "Datum der TNM-Klassifikation nach 8.1 oBDS 2021",
      "short": "TNM-Datum",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Datum der TNM-Klassifikation nach 8.1 oBDS 2021"
          } ]
        } ]
      },
      "mapping": [ {
        "map": "8.1",
        "comment": "TNM Datum",
        "identity": "oBDS"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "TNM-Datum"
          } ]
        } ]
      },
      "id": "Observation.effective[x]"
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-n-kategorie-werte"
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x].extension:itcSuffix",
      "max": "1",
      "min": 0,
      "path": "Observation.value[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix" ]
      } ],
      "short": "isolierte Tumorzellen (ITC) Suffix",
      "sliceName": "itcSuffix",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].extension:snSuffix",
      "max": "1",
      "min": 0,
      "path": "Observation.value[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-sn-suffix" ]
      } ],
      "short": "Schildwächterlymphknoten (Sentinel Lymph Node) Suffix",
      "sliceName": "snSuffix",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding",
      "path": "Observation.value[x].coding",
      "short": "TNM N-Kategorie",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "TNM N-Kategorie"
          } ]
        } ]
      },
      "comment": "Entitätsspezifisch, siehe auch allgemeine Bemerkungen zu TNM.",
      "definition": "Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "TNM Lymphknotenbefall nach 8.11 oBDS 2021"
          } ]
        } ]
      }
    }, {
      "id": "Observation.value[x].coding.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.code",
      "min": 1,
      "path": "Observation.value[x].coding.code",
      "mapping": [ {
        "map": "8.11",
        "comment": "TNM N-Kategorie",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.method",
      "path": "Observation.method",
      "short": "TNM Version",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-version"
      },
      "definition": "Gibt an, nach welcher Version des TNM klassifiziert wurde.",
      "mustSupport": true
    }, {
      "id": "Observation.hasMember",
      "path": "Observation.hasMember",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-anzahl-befallene-lymphknoten", "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-anzahl-untersuchte-lymphknoten", "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-anzahl-befallene-sentinel-lymphknoten", "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-anzahl-untersuchte-sentinel-lymphknoten" ]
      } ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}