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:
  hasMember:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation']
    index: 18
  value[x]:
    elements:
      coding:
        elements:
          system: {mustSupport: true, index: 16}
          code: {mustSupport: true, index: 17}
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 7}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 14
  component:
    mustSupport: true
    index: 19
    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: 20
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '277062004', system: 'http://snomed.info/sct', display: Status des Residualtumors}
                    type: Coding
                    index: 21
                    elements:
                      code: {index: 22}
              value:
                choices: [valueCodeableConcept]
                index: 24
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 25}
              value[x]:
                elements:
                  coding:
                    elements:
                      system: {mustSupport: true, index: 26}
                      code: {mustSupport: true, index: 27}
        Lymphknoten_Verlauf:
          match: {code: null}
          schema:
            mustSupport: true
            index: 28
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '399656008', system: 'http://snomed.info/sct', display: Status of tumor metastasis to regional lymph nodes (observable entity)}
                    type: Coding
                    index: 29
                    elements:
                      code: {index: 30}
              value:
                choices: [valueCodeableConcept]
                index: 32
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 33}
              value[x]:
                elements:
                  coding:
                    elements:
                      system: {mustSupport: true, index: 34}
                      code: {mustSupport: true, index: 35}
        Fernmetastasen_Verlauf:
          match: {code: null}
          schema:
            mustSupport: true
            index: 36
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '399608002', system: 'http://snomed.info/sct', display: Status of distant metastasis (observable entity)}
                    type: Coding
                    index: 37
                    elements:
                      code: {index: 38}
              value:
                choices: [valueCodeableConcept]
                index: 40
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 41}
              value[x]:
                elements:
                  coding:
                    elements:
                      system: {mustSupport: true, index: 42}
                      code: {mustSupport: true, index: 43}
  effectiveDateTime:
    type: dateTime
    choiceOf: effective
    index: 12
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, choiceOf: effective, index: 12}
          min: 0
          max: 1
  effective:
    choices: []
    index: 9
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        effectiveDateTime:
          match: {}
          schema:
            choices: [effectiveDateTime]
            index: 11
          min: 0
          max: 1
  code:
    mustSupport: true
    index: 2
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '396432002', system: 'http://snomed.info/sct', display: Status of regression of tumor (observable entity)}
        type: Coding
        index: 3
        elements:
          code: {index: 4}
  identifier: {mustSupport: true, index: 1}
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 15}
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 6
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 5
package_version: 2024.0.0-beta-2
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, focus, subject]