{
  "description": "Dieses Profil beschreibt die Verlaufskontrolle und verweist ggfs. auf andere verlaufsrelevante diagnostische Maßnahmen",
  "_filename": "StructureDefinition-mii-pr-onko-verlauf.json",
  "package_name": "rs/de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_Verlauf",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie Verlauf",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "443e2a41-45fc-434c-84d2-1a6634ae0db2",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Observation.meta.profile",
      "path": "Observation.meta.profile",
      "mustSupport": true
    }, {
      "id": "Observation.identifier",
      "path": "Observation.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "patternCoding": {
        "code": "396432002",
        "system": "http://snomed.info/sct",
        "display": "Status of regression of tumor (observable entity)"
      }
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.focus",
      "max": "1",
      "min": 1,
      "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
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Observation.effective[x]",
      "min": 0,
      "mapping": [ {
        "map": "17.1",
        "comment": "Datum, an dem die letzte Untersuchung durchgeführt wurde, die zur Einschätzung des Tumorstatus geführt hat.",
        "identity": "oBDS"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true,
      "sliceName": "effectiveDateTime",
      "max": "1",
      "id": "Observation.effective[x]:effectiveDateTime",
      "comment": "In der vorliegenden ersten Version des Moduls Onkologie ist das letzte (= späteste) Datum der verlinkten Observations anzugeben, entsprechend Punkt 17.1 des oBDS 2021. Langfristig ist zu überlegen, hier über eine effectivePeriod eine Datumsrange abzubilden. "
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-gesamtbeurteilung"
      },
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding",
      "path": "Observation.value[x].coding",
      "short": "Gesamtbeurteilung im Verlauf",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Datum der Untersuchung im Verlauf"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gesamtbeurteilung im Verlauf"
          } ]
        } ]
      },
      "definition": "Gesamtbeurteilung im Verlauf gemäß 17.2 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Datum der letzten Untersuchung in dieser Verlaufsbeurteilung gemäß 17.1 oBDS 2021."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gesamtbeurteilung im Verlauf gemäß 17.2 oBDS 2021."
          } ]
        } ]
      }
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding.system",
      "path": "Observation.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding.code",
      "path": "Observation.value[x].coding.code",
      "mapping": [ {
        "map": "17.2",
        "comment": "Gesamtbeurteilung des Tumorstatus",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.hasMember",
      "path": "Observation.hasMember",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.component",
      "min": 1,
      "path": "Observation.component",
      "slicing": {
        "rules": "open",
        "description": "Slice based on the component.code pattern",
        "discriminator": [ {
          "path": "code",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component:Tumor_Verlauf",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "Tumor_Verlauf",
      "mustSupport": true
    }, {
      "id": "Observation.component:Tumor_Verlauf.code.coding",
      "path": "Observation.component.code.coding",
      "patternCoding": {
        "code": "277062004",
        "system": "http://snomed.info/sct",
        "display": "Status des Residualtumors"
      }
    }, {
      "id": "Observation.component:Tumor_Verlauf.code.coding.code",
      "path": "Observation.component.code.coding.code",
      "mapping": [ {
        "map": "17.3",
        "comment": "Tumorstatus Primärtumor",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Observation.component:Tumor_Verlauf.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-primaertumor"
      }
    }, {
      "id": "Observation.component:Tumor_Verlauf.value[x].coding",
      "path": "Observation.component.value[x].coding",
      "short": "Gesamtbeurteilung Primärtumor im Verlauf",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gesamtbeurteilung Primärtumor im Verlauf"
          } ]
        } ]
      },
      "definition": "Gesamtbeurteilung des Primärtumors im Verlauf gemäß 17.3 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gesamtbeurteilung des Primärtumors im Verlauf gemäß 17.3 oBDS 2021."
          } ]
        } ]
      }
    }, {
      "id": "Observation.component:Tumor_Verlauf.value[x].coding.system",
      "path": "Observation.component.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:Tumor_Verlauf.value[x].coding.code",
      "path": "Observation.component.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:Lymphknoten_Verlauf",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "Lymphknoten_Verlauf",
      "mustSupport": true
    }, {
      "id": "Observation.component:Lymphknoten_Verlauf.code.coding",
      "path": "Observation.component.code.coding",
      "patternCoding": {
        "code": "399656008",
        "system": "http://snomed.info/sct",
        "display": "Status of tumor metastasis to regional lymph nodes (observable entity)"
      }
    }, {
      "id": "Observation.component:Lymphknoten_Verlauf.code.coding.code",
      "path": "Observation.component.code.coding.code",
      "mapping": [ {
        "map": "17.4",
        "comment": "Tumorstatus Lymphknoten",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Observation.component:Lymphknoten_Verlauf.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-lymphknoten"
      }
    }, {
      "id": "Observation.component:Lymphknoten_Verlauf.value[x].coding",
      "path": "Observation.component.value[x].coding",
      "short": "Gesamtbeurteilung Lymphknoten im Verlauf",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gesamtbeurteilung Lymphknoten im Verlauf"
          } ]
        } ]
      },
      "definition": "Gesamtbeurteilung der Lymphknoteninfiltration im Verlauf gemäß 17.4 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gesamtbeurteilung der Lymphknoteninfiltration im Verlauf gemäß 17.4 oBDS 2021."
          } ]
        } ]
      }
    }, {
      "id": "Observation.component:Lymphknoten_Verlauf.value[x].coding.system",
      "path": "Observation.component.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:Lymphknoten_Verlauf.value[x].coding.code",
      "path": "Observation.component.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:Fernmetastasen_Verlauf",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "Fernmetastasen_Verlauf",
      "mustSupport": true
    }, {
      "id": "Observation.component:Fernmetastasen_Verlauf.code.coding",
      "path": "Observation.component.code.coding",
      "patternCoding": {
        "code": "399608002",
        "system": "http://snomed.info/sct",
        "display": "Status of distant metastasis (observable entity)"
      }
    }, {
      "id": "Observation.component:Fernmetastasen_Verlauf.code.coding.code",
      "path": "Observation.component.code.coding.code",
      "mapping": [ {
        "map": "17.5",
        "comment": "Tumorstatus Fernmetastasen",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Observation.component:Fernmetastasen_Verlauf.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-verlauf-fernmetastasen"
      }
    }, {
      "id": "Observation.component:Fernmetastasen_Verlauf.value[x].coding",
      "path": "Observation.component.value[x].coding",
      "short": "Gesamtbeurteilung Fernmetastasen im Verlauf",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gesamtbeurteilung Fernmetastasen im Verlauf"
          } ]
        } ]
      },
      "definition": "Gesamtbeurteilung von Fernmetastasen im Verlauf gemäß 17.5 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gesamtbeurteilung von Fernmetastasen im Verlauf gemäß 17.5 oBDS 2021."
          } ]
        } ]
      }
    }, {
      "id": "Observation.component:Fernmetastasen_Verlauf.value[x].coding.system",
      "path": "Observation.component.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:Fernmetastasen_Verlauf.value[x].coding.code",
      "path": "Observation.component.value[x].coding.code",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}