description: OBDS Beschreibung des allgemeines Leistungszustandes nach ECOG
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Allgemeiner_Leistungszustand_ECOG
type: Observation
elements:
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  code:
    mustSupport: true
    index: 1
    elements:
      coding:
        mustSupport: true
        index: 2
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: 1
          slices:
            snomed:
              match: {code: '423740007', system: 'http://snomed.info/sct'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {code: '423740007', system: 'http://snomed.info/sct'}
                _required: true
                index: 3
                elements:
                  system: {mustSupport: true, index: 4}
                  code: {mustSupport: true, index: 5}
                required: [system, code]
            loinc:
              match: {code: 89262-0, system: 'http://loinc.org'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {code: 89262-0, system: 'http://loinc.org'}
                array: true
                index: 6
                elements:
                  system: {index: 7}
                  code: {index: 8}
                required: [system, code]
    required: [coding]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 9
  encounter: {mustSupport: true, index: 10}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 12
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 13}
  value[x]:
    elements:
      coding:
        short: Leistungszustand nach ECOG
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Leistungszustand nach ECOG Stufen 0-4 gemäß 12.1 oBDS 2021}
        mustSupport: true
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Leistungszustand nach ECOG}
        index: 14
        elements:
          code: {index: 15}
        slicing:
          rules: open
          discriminator:
          - {path: system, type: pattern}
          min: 1
          slices:
            obds:
              match: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-allgemeiner-leistungszustand-ecog'}
              schema:
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-allgemeiner-leistungszustand-ecog'}
                mustSupport: true
                _required: true
                index: 16
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-allgemeiner-leistungszustand-ecog'}
                    mustSupport: true
                    index: 17
                  code: {mustSupport: true, index: 18}
                required: [system, code]
            loinc:
              match: {system: 'http://loinc.org'}
              schema:
                mustSupport: true
                array: true
                index: 19
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://loinc.org'}
                    index: 20
                  code: {index: 21}
                required: [system, code]
    required: [coding]
package_version: 2026.0.0-rc.8
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-allgemeiner-leistungszustand-ecog
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.0-rc.8
required: [value, subject, valueCodeableConcept]