description: Dieses Profil beschreibt die Diagnose des Primärtumors (bzw. der primären hämatologisch-myeloneoplastischen Erkrankung) und basiert auf dem MII KDS Modul Diagnose.
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Diagnose_Primaertumor
type: Condition
elements:
  extension:
    mustSupport: true
    index: 0
    slicing:
      slices:
        Feststellungsdatum:
          match: {}
          schema: {_required: true, index: 1}
          min: 1
        morphology-behavior-icdo3:
          match: {}
          schema:
            short: ICD-O-Morphologie
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Morphologie des Primärtumors nach ICD-O-3 nach 6.3 oBDS}
            type: Extension
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: ICD-O-Morphologie}
            url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
            index: 2
            elements:
              value[x]:
                elements:
                  coding:
                    elements:
                      version: {index: 3}
                      code: {index: 4}
                  text: {index: 5}
        occurredFollowing:
          match: {}
          schema:
            short: Frühere Tumorerkrankungen
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
            index: 6
            elements:
              value:
                choices: []
                index: 8
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this, type: type}
                  min: null
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        choices: [valueReference]
                        index: 10
                      min: 0
                      max: 1
              valueReference:
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fruehere-tumorerkrankung']
                type: Reference
                choiceOf: value
                index: 11
                slicing:
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fruehere-tumorerkrankung']
                        type: Reference
                        choiceOf: value
                        index: 11
                      min: 0
                      max: 1
  verificationStatus:
    elements:
      coding:
        index: 12
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            condition-ver-status:
              match: {system: 'http://terminology.hl7.org/CodeSystem/condition-ver-status'}
              schema:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/condition-ver-status'}
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://terminology.hl7.org/CodeSystem/condition-ver-status'}
                index: 13
              min: 0
              max: 1
            primaertumorDiagnosesicherung:
              match: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung'}
              schema:
                short: Diagnosesicherung gemäß oBDS
                index: 14
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Art der Diagnosesicherung nach 5.7 oBDS 2021}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Diagnosesicherung gemäß oBDS}
                elements:
                  system: {mustSupport: true, index: 15}
                  code: {mustSupport: true, index: 16}
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-primaertumor-diagnosesicherung'}
                required: [system, code]
                pattern:
                  type: Coding
                  value: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung'}
  code:
    elements:
      coding:
        index: 17
        slicing:
          slices:
            icd10-gm:
              match: {}
              schema:
                index: 17
                elements:
                  version: {index: 18}
                  code: {index: 19}
      text: {index: 20}
  bodySite:
    elements:
      coding:
        short: Seitenlokalisation des Primärtumors gemäß oBDS
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Seitenlokalisation des Primärtumors nach 5.8 oBDS 2021}
        mustSupport: true
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Seitenlokalisation des Primärtumors gemäß oBDS}
        binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-seitenlokalisation'}
        index: 21
        slicing:
          slices:
            primaertumorSeitenlokalisation:
              match: {}
              schema:
                short: Seitenlokalisation des Primärtumors gemäß oBDS
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Seitenlokalisation des Primärtumors nach 5.8 oBDS 2021}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Seitenlokalisation des Primärtumors gemäß oBDS}
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-seitenlokalisation'}
                index: 21
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation'}
                    mustSupport: true
                    index: 22
                  code: {mustSupport: true, index: 23}
                required: [system, code]
            icd-o-3:
              match: {}
              schema:
                short: ICD-O-Topographie
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Topographie des Primärtumors nach ICD-O-3 nach 5.4 oBDS 2021}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: ICD-O-Topographie}
                index: 24
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/icd-o-3'}
                    mustSupport: true
                    index: 25
                  version: {index: 26}
                  code:
                    binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-icdo3-topographie'}
                    mustSupport: true
                    index: 27
                required: [system, code]
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 28
  evidence:
    mustSupport: true
    index: 29
    elements:
      detail:
        short: Evidenz für Erstdiagnose
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Liste aller für die Erstdiagnose ausschlaggebenden Beobachtungen}
        refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-liste-evidenz-erstdiagnose']
        type: Reference
        mustSupport: true
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Evidenz für Erstdiagnose}
        index: 30
package_version: 2026.0.0
extensions:
  Feststellungsdatum: {url: null, min: 1, _required: true, index: 1}
  morphology-behavior-icdo3:
    url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-histology-morphology-behavior-icdo3
    short: ICD-O-Morphologie
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Morphologie des Primärtumors nach ICD-O-3 nach 6.3 oBDS}
    type: Extension
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: ICD-O-Morphologie}
    index: 2
    elements:
      value[x]:
        elements:
          coding:
            elements:
              version: {index: 3}
              code: {index: 4}
          text: {index: 5}
  occurredFollowing:
    url: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
    short: Frühere Tumorerkrankungen
    type: Extension
    mustSupport: true
    index: 6
    elements:
      value:
        choices: []
        index: 8
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            valueReference:
              match: {}
              schema:
                choices: [valueReference]
                index: 10
              min: 0
              max: 1
      valueReference:
        refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fruehere-tumorerkrankung']
        type: Reference
        choiceOf: value
        index: 11
        slicing:
          slices:
            valueReference:
              match: {}
              schema:
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fruehere-tumorerkrankung']
                type: Reference
                choiceOf: value
                index: 11
              min: 0
              max: 1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor
base: https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose
version: 2026.0.0
required: [extension]