{
  "description": "Histologie-Kodierung nach ICD-0 für die Verwendung von Folgediagnostik. Bei der histologischen Beurteilung des Primärtumors sind die histologischen Informationen direkt über die Condition-Ressource abzubilden.",
  "_filename": "StructureDefinition-mii-pr-onko-histologie-icdo3.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_Histologie_ICDO3",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie Histologie ICD-O-3",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "36e926ad-b500-4b42-88f7-0ee39fd6a24b",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-histologie-icdo3",
  "version": "2025.0.0",
  "differential": {
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      "id": "Observation.meta.profile",
      "path": "Observation.meta.profile",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "short": "Histologische Bewertung nach ICD-0-3",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "mustSupport": true,
      "patternCoding": {
        "code": "59847-4",
        "system": "http://loinc.org"
      }
    }, {
      "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
    }, {
      "path": "Observation.effective[x]",
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      "short": "Tumor Histologiedatum",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Tumor Histologiedatum im Krankheitsverlauf"
          } ]
        } ]
      },
      "mapping": [ {
        "map": "6.1",
        "comment": "Tumor Histologiedatum",
        "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": "Tumor Histologiedatum"
          } ]
        } ]
      },
      "id": "Observation.effective[x]"
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://terminology.hl7.org/CodeSystem/icd-o-3"
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding",
      "max": "1",
      "path": "Observation.value[x].coding",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.version",
      "path": "Observation.value[x].coding.version",
      "short": "Morphologie-Kode-Version",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Morphologie-Kode-Version"
          } ]
        } ]
      },
      "mapping": [ {
        "map": "6.4",
        "comment": "Morphologie ICD-O/Blue Book Version",
        "identity": "oBDS"
      } ],
      "definition": "Version der ICD-O-3 bzw. Blue Book nach 6.4 oBDS 2021",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Version der ICD-O-3 bzw. Blue Book nach 6.4 oBDS 2021"
          } ]
        } ]
      }
    }, {
      "id": "Observation.value[x].coding.code",
      "path": "Observation.value[x].coding.code",
      "short": "Morphologie-Kode",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Morphologie-Kode"
          } ]
        } ]
      },
      "mapping": [ {
        "map": "6.3",
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        "identity": "oBDS"
      } ],
      "definition": "Morphologie als ICD-O-3 nach 6.3 oBDS 2021",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Morphologie als ICD-O-3 nach 6.3 oBDS 2021"
          } ]
        } ]
      }
    }, {
      "id": "Observation.value[x].text",
      "path": "Observation.value[x].text",
      "mapping": [ {
        "map": "6.5",
        "comment": "Morphologie Freitext",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.bodySite.coding",
      "path": "Observation.bodySite.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Observation.bodySite.coding",
      "min": 0,
      "definition": "Seitenlokalisation bei paarigen Organen",
      "short": "Seitenlokalisation",
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      },
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          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Seitenlokalisation"
          } ]
        } ]
      },
      "sliceName": "Seitenlokalisation",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-seitenlokalisation"
      },
      "max": "1",
      "id": "Observation.bodySite.coding:Seitenlokalisation",
      "patternCoding": {
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation"
      }
    }, {
      "id": "Observation.bodySite.coding:Seitenlokalisation.system",
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      "path": "Observation.bodySite.coding.system",
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    }, {
      "id": "Observation.bodySite.coding:Seitenlokalisation.code",
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      "path": "Observation.bodySite.coding.code",
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    }, {
      "path": "Observation.bodySite.coding",
      "min": 0,
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      "short": "ICD-O-3 Topographie",
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            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
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        } ]
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          }, {
            "url": "content",
            "valueString": "ICD-O-3 Topographie"
          } ]
        } ]
      },
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      "max": "1",
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        "system": "http://terminology.hl7.org/CodeSystem/icd-o-3"
      }
    }, {
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    }, {
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      "path": "Observation.specimen",
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        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-specimen" ]
      } ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}