description: Dieses Profil beschreibt die Ulzeration beim Malignen Melanom der Haut
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Melanom_Ulzeration
type: Observation
elements:
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 5}
  method:
    mustSupport: true
    index: 13
    elements:
      coding:
        mustSupport: true
        pattern:
          type: Coding
          value: {code: '117617002', system: 'http://snomed.info/sct', display: Immunohistochemistry procedure}
        index: 14
  value:
    short: Ulzeration
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Pathologisches Kriterium der Ulzeration - wird bei pT1b benötigt - therapierelevant; Ulzeration ist ein Merkmal für das biologische Verhalten}
    mustSupport: true
    choices: [valueCodeableConcept]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Ulzeration}
    index: 10
  effectiveDateTime:
    short: Datum der Untersuchung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der histopathologischen Untersuchung zur Bestimmung der Ulzeration}
    type: dateTime
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der Untersuchung}
    choiceOf: effective
    index: 8
  effective:
    short: Datum der Untersuchung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der histopathologischen Untersuchung zur Bestimmung der Ulzeration}
    mustSupport: true
    choices: [effectiveDateTime]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der Untersuchung}
    index: 7
  code:
    short: Ulzeration
    mustSupport: true
    index: 1
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '6270001000004106', system: 'http://snomed.info/sct', display: Presence of ulcer in primary malignant melanoma of skin (observable entity)}
        index: 2
  valueCodeableConcept:
    short: Ulzeration
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Pathologisches Kriterium der Ulzeration - wird bei pT1b benötigt - therapierelevant; Ulzeration ist ein Merkmal für das biologische Verhalten}
    type: CodeableConcept
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Ulzeration}
    choiceOf: value
    index: 11
  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 Angabe, mustSupport: true, index: 12}
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-ulzeration
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.0-ballot
required: [subject]