{
  "description": "Todesursache (kompatibel zu [MII PR Onkologie Tod](https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tod) )",
  "_filename": "StructureDefinition-StfTodesursache.json",
  "package_name": "de.gematik.sterbefall",
  "date": "2025-12-05",
  "derivation": "constraint",
  "publisher": "ELFA Maßnahme Interoperabilität",
  "fhirVersion": "4.0.1",
  "name": "StfTodesursache",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "STF Todesursache",
  "package_version": "1.0.0",
  "status": "active",
  "id": "279e5fc5-00ef-4caf-90c4-faeb15536cac",
  "kind": "resource",
  "url": "http://gematik.de/fhir/oegd/stf/StructureDefinition/StfTodesursache",
  "version": "1.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "Observation.code.coding",
      "min": 1,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Observation.code.coding:SCT",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "sliceName": "SCT",
      "mustSupport": true,
      "patternCoding": {
        "code": "184305005",
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ]
    }, {
      "id": "Observation.effective[x]:effectiveDateTime",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "comment": "Beginn der Krankheit",
      "sliceName": "effectiveDateTime"
    }, {
      "id": "Observation.performer",
      "path": "Observation.performer",
      "comment": "Referenz auf den oder die ausstellende Arztin",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ]
    }, {
      "id": "Observation.value[x].coding.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "patternUri": "http://hl7.org/fhir/sid/icd-10",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.version",
      "min": 1,
      "path": "Observation.value[x].coding.version",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.code",
      "min": 1,
      "path": "Observation.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.display",
      "path": "Observation.value[x].coding.display",
      "comment": "Im Display sind nur die offiziell in ICD-10 gelisteten Bezeichnungen zu verwenden. Freitexte sind im Text-Element zu hinterlegen.",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].text",
      "path": "Observation.value[x].text",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
      "comment": "Todesart ungeklärt\nWenn Todesart = ungeklärt ODER\n= schwebende Ermittlung\ndann j\nsonst n",
      "mustSupport": true
    }, {
      "id": "Observation.note",
      "path": "Observation.note",
      "comment": "Nähere Angaben zur Todesursache und zu Begleiterkrankung (Epikrise)"
    }, {
      "id": "Observation.hasMember",
      "path": "Observation.hasMember",
      "comment": "Verknüpfung von nachgelagerten Todesursachen. Alle weiteren Todesursachen, die zur Haupttodesursache geführt haben, werden über hasMember referenziert. Die weiteren Todesursachen selber dürfen keine hasMember Referenzen enthalten."
    }, {
      "id": "Observation.hasMember.reference",
      "path": "Observation.hasMember.reference",
      "mustSupport": true
    }, {
      "id": "Observation.component",
      "min": 1,
      "path": "Observation.component",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.code",
      "path": "Observation.component.code",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes"
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.value[x]",
      "path": "Observation.component.value[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.value[x]:valueCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Observation.component:Todesursachensequenz",
      "max": "1",
      "min": 1,
      "path": "Observation.component",
      "comment": "Hier ist abgebildet, an welcher Stelle der Sequenz diese Todesursache kommt. (Ia, Ib, Ic, II)",
      "sliceName": "Todesursachensequenz",
      "mustSupport": true
    }, {
      "id": "Observation.component:Todesursachensequenz.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "82791-5",
          "system": "http://loinc.org"
        } ]
      }
    }, {
      "id": "Observation.component:Todesursachensequenz.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ]
    }, {
      "id": "Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.coding",
      "min": 1,
      "path": "Observation.component.value[x].coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfTodesursachensequenzVS"
      },
      "mustSupport": true
    }, {
      "id": "Observation.component:NichtNatuerlicherTod",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "comment": "Anhaltspunkte für einen nicht-natürlichen Tod\n\nWenn Todesart = natürlich, \ndann 'ja' (Y)\n\nWenn Todesart =  nicht natürlich ODER \n= Tötung ODER \n= Selbsttötung ODER \n= Unfall ODER\n= Komplikationen medizinischer Behandlungen ODER\n= Ereignis, dessen nähere Umstände unbestimmt dann 'nein' (N) \n\nWenn Todesart = leer, \ndann unbekannt (unknown);",
      "sliceName": "NichtNatuerlicherTod",
      "mustSupport": true
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "nichtNatuerlicherTod",
          "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS"
        } ]
      }
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ]
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.coding",
      "path": "Observation.component.value[x].coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfJaNeinUnbekanntVS"
      }
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.text",
      "path": "Observation.component.value[x].text",
      "mustSupport": true
    }, {
      "id": "Observation.component:WeitereAngaben",
      "max": "*",
      "min": 0,
      "path": "Observation.component",
      "comment": "Weitere Angaben zur Klassifikation der Todesursache, z.B. bei Unfall, Vergiftung,  Gewalteinwirkung, Selbsttötung sowie bei Komplikationen medizinischer Behandlung Äußere Ursache der Schädigung (Angaben über den Hergang); bei Vergiftungen zusätzlich Angabe des Mittels",
      "sliceName": "WeitereAngaben",
      "mustSupport": true
    }, {
      "id": "Observation.component:WeitereAngaben.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "todesursacheKlassifikation",
          "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS"
        } ]
      }
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      }, {
        "code": "string"
      } ]
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding",
      "path": "Observation.component.value[x].coding",
      "mustSupport": true
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.system",
      "min": 1,
      "path": "Observation.component.value[x].coding.system",
      "patternUri": "http://hl7.org/fhir/sid/icd-10",
      "mustSupport": true
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.version",
      "min": 1,
      "path": "Observation.component.value[x].coding.version",
      "mustSupport": true
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.display",
      "path": "Observation.component.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.text",
      "path": "Observation.component.value[x].text",
      "mustSupport": true
    }, {
      "id": "Observation.component:WeitereAngaben.value[x]:valueString",
      "max": "1",
      "min": 0,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Observation.component:ZeitdauerBeginnBisTod",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "comment": "Angabe der Zeitdauer von Beginn der Krankheit bis zum Tod in beliebiger Angabe",
      "sliceName": "ZeitdauerBeginnBisTod",
      "mustSupport": true
    }, {
      "id": "Observation.component:ZeitdauerBeginnBisTod.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "zeitdauerBeginnBisTod",
          "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS"
        } ]
      }
    }, {
      "id": "Observation.component:ZeitdauerBeginnBisTod.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "string"
      } ]
    }, {
      "id": "Observation.component:ZeitdauerBeginnBisTod.value[x]:valueString",
      "max": "1",
      "min": 0,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://gematik.de/fhir/oegd/stf/StructureDefinition/StfBasisObservation"
}