description: Dieses Profil beschreibt den minimalen Sicherheitsabstand zum Primärtumor beim Malignen Melanom basierend oBDS Feld MM1. Abweichend
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Melanom_Sicherheitsabstand
type: Observation
elements:
  value[x]:
    elements:
      value: {mustSupport: true, index: 12}
      unit:
        mustSupport: true
        pattern: {type: String, value: mm}
        index: 13
      system:
        pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
        mustSupport: true
        index: 14
      code:
        mustSupport: true
        pattern: {type: Code, value: mm}
        index: 15
    required: [unit, system, code]
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 5}
  valueQuantity:
    short: Sicherheitsabstand in mm
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Minimaler Sicherheitsabstand zum Primärtumor in mm nach definitivem operativem Eingriff gemäß oBDS MM1. Wert 0 entspricht lokal R1 oder R2 bzw. marginal}
    type: Quantity
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Sicherheitsabstand in mm}
    choiceOf: value
    index: 11
  value:
    short: Sicherheitsabstand in mm
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Sicherheitsabstand in mm}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Minimaler Sicherheitsabstand zum Primärtumor in mm nach definitivem operativem Eingriff gemäß oBDS MM1. Wert 0 entspricht lokal R1 oder R2 bzw. marginal}
    mustSupport: true
    choices: [valueQuantity]
    index: 10
  effectiveDateTime:
    short: Datum der Messung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der Messung des Sicherheitsabstands}
    type: dateTime
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der Messung}
    choiceOf: effective
    index: 8
  effective:
    short: Datum der Messung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der Messung des Sicherheitsabstands}
    mustSupport: true
    choices: [effectiveDateTime]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der Messung}
    index: 7
  code:
    short: Sicherheitsabstand Primärtumor
    mustSupport: true
    index: 1
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '396511007', system: 'http://snomed.info/sct', display: Distance of in situ melanoma from closest lateral surgical margin in excised specimen of skin (observable entity)}
        index: 2
  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
  dataAbsentReason: {short: Grund für fehlende Messung, mustSupport: true, index: 16}
package_version: 2026.0.0-ballot
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-melanom-sicherheitsabstand
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.0-ballot
required: [subject]