description: Diagnose zum Primärtumor
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Diagnose_Primaertumor
type: Condition
elements:
  extension:
    type: Extension
    mustSupport: true
    url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status
    index: 0
    slicing:
      slices:
        LeitlinenbehandlungStatus:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status', index: 0}
          min: 0
          max: 1
  stage:
    mustSupport: true
    array: true
    min: 2
    index: 1
    slicing:
      rules: open
      ordered: false
      description: Slice für Stage/Grad
      discriminator:
      - {path: type.coding, type: value}
      min: 2
      slices:
        WHOGradZNS:
          match:
            type:
              coding: {code: '396920006', system: 'http://snomed.info/sct', display: WHO grade for central nervous system tumour}
          schema:
            short: WHO Grad Tumor ZNS
            mustSupport: true
            index: 2
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-who-grad-tumor-zns']
                index: 3
              type:
                mustSupport: true
                index: 4
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '396920006', system: 'http://snomed.info/sct', display: WHO grade for central nervous system tumour}
                    index: 5
                required: [coding]
            required: [type, assessment]
        ErstdiagnoseZeitpunkt:
          match:
            type:
              coding: {code: '473302008', system: 'http://snomed.info/sct', display: Aware of diagnosis}
          schema:
            short: Tumorausbreitung Erstdiagnose
            mustSupport: true
            _required: true
            index: 6
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung']
                index: 7
              type:
                mustSupport: true
                index: 8
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '473302008', system: 'http://snomed.info/sct', display: Aware of diagnosis}
                    index: 9
                required: [coding]
            required: [type, assessment]
        MolekularesTumorboardZeitpunkt:
          match:
            type:
              coding: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
          schema:
            short: Tumorausbreitung Molekulares Tumorboard
            mustSupport: true
            _required: true
            index: 10
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung']
                index: 11
              type:
                mustSupport: true
                index: 12
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
                    index: 13
                required: [coding]
            required: [type, assessment]
package_version: 2025.0.0-ballot-alpha.1
extensions:
  LeitlinenbehandlungStatus: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status', min: 0, max: 1, type: Extension, mustSupport: true, index: 0}
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor
base: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor
version: 2024.0.0-ballot