description: Dieses Profil beschreibt die Verlaufskontrolle und verweist ggfs. auf andere verlaufsrelevante diagnostische Maßnahmen
package_name: rs/de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Verlauf
type: Observation
elements:
  value[x]:
    elements:
      coding:
        elements:
          system: {mustSupport: true, index: 15}
          code: {mustSupport: true, index: 16}
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 6}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 13
  component:
    mustSupport: true
    index: 17
    slicing:
      rules: open
      description: Slice based on the component.code pattern
      discriminator:
      - {path: code, type: pattern}
      min: 1
      slices:
        Tumor_Verlauf:
          match: {code: null}
          schema:
            mustSupport: true
            index: 18
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '277062004', system: 'http://snomed.info/sct', display: Status des Residualtumors}
                    type: Coding
                    index: 19
                    elements:
                      code: {index: 20}
              value:
                choices: [valueCodeableConcept]
                index: 22
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 23}
              value[x]:
                elements:
                  coding:
                    elements:
                      system: {mustSupport: true, index: 24}
                      code: {mustSupport: true, index: 25}
        Lymphknoten_Verlauf:
          match: {code: null}
          schema:
            mustSupport: true
            index: 26
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '277060007', system: 'http://snomed.info/sct', display: Status der lymphatischen Tumorinvasion}
                    type: Coding
                    index: 27
                    elements:
                      code: {index: 28}
              value:
                choices: [valueCodeableConcept]
                index: 30
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 31}
              value[x]:
                elements:
                  coding:
                    elements:
                      system: {mustSupport: true, index: 32}
                      code: {mustSupport: true, index: 33}
        Fernmetastasen_Verlauf:
          match: {code: null}
          schema:
            mustSupport: true
            index: 34
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '260874000', system: 'http://snomed.info/sct', display: Status der Metastasen}
                    type: Coding
                    index: 35
                    elements:
                      code: {index: 36}
              value:
                choices: [valueCodeableConcept]
                index: 38
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 39}
              value[x]:
                elements:
                  coding:
                    elements:
                      system: {mustSupport: true, index: 40}
                      code: {mustSupport: true, index: 41}
  effectiveDateTime:
    type: dateTime
    choiceOf: effective
    index: 11
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, choiceOf: effective, index: 11}
          min: 0
          max: 1
  effective:
    choices: []
    index: 8
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        effectiveDateTime:
          match: {}
          schema:
            choices: [effectiveDateTime]
            index: 10
          min: 0
          max: 1
  code:
    mustSupport: true
    index: 2
    elements:
      coding:
        elements:
          code: {index: 3}
  identifier: {mustSupport: true, index: 1}
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 14}
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose']
    index: 5
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 4
package_version: 2024.0.0-ballot
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2024.0.0-ballot
required: [component, subject]