description: OBDS Beschreibung von Fernmetastasen (Lokalisation und Datum)
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Fernmetastasen
type: Observation
elements:
  value[x]:
    elements:
      coding:
        short: Lokalisation der Fernmetastase laut oBDS/TNM-Kodierung
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Lokalisation der Fernmetastasen}
        binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-fernmetastasen'}
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Lokalisation der Fernmetastasen laut 11.1 oBDS 2021 / TNM Kodierung}
        mustSupport: true
        index: 12
        elements:
          system: {mustSupport: true, index: 13}
          code: {mustSupport: true, index: 14}
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 5}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 10
  effectiveDateTime:
    short: Datum der diagnostischen Sicherung von Fernmetastasen
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Gibt an wann die Fernmetastase festgestellt wurde.}
    type: dateTime
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der diagnostischen Sicherung von Fernmetastasen}
    choiceOf: effective
    index: 8
  effective:
    short: Datum der diagnostischen Sicherung von Fernmetastasen
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Gibt an wann die Fernmetastase festgestellt wurde.}
    mustSupport: true
    choices: [effectiveDateTime]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der diagnostischen Sicherung von Fernmetastasen}
    index: 7
  code:
    short: Lokalisation einer Fernmetastase laut oBDS
    mustSupport: true
    index: 1
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '385421009', system: 'http://snomed.info/sct'}
        index: 2
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 11}
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 4
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 3
package_version: 2025.0.2
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fernmetastasen
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2025.0.0
required: [effectiveDateTime, value, subject, valueCodeableConcept, effective]