description: Das Profil **MII PR Patho Finding** der Ressource Observation bildet als `hasMember`- oder `derivedFrom`-Referenz für ein Profil vom Typ [MII PR Patho Section Grouper](StructureDefinition-mii-pr-patho-section-grouper.html) atomare kodierte Untersuchungsergebnisse ab. Dieses Profil kann verschachtelte Konstrukte bilden, um „Child Observations“ zu erfassen, die eine einzelne Observation weiter spezifizieren. PathoFindings können vom Pathologie-Informationssystem über Questionnaire- / QuestionnaireResponse-Resourcen (siehe [HL7-Implementation Guide Structured Data Capture](http://hl7.org/fhir/uv/sdc/STU3/)) bereitgestellt werden, bzw. werden QuestionnaireResponse Ressourcen referenziert. Jedes **MII PR Patho Finding** sollte die Probe referenzieren, an der die Beobachtung vorgenommen wurde.\n\n**Sonderfall:**\n\n- Im Falle eines **Befundupdates** dient ein **MII PR Patho Finding** mit dem LOINC-Code [90004-3 - Clinical significance of updated information](https://loinc.org/90004-3/) als Organizer für die Update-Informationen, die im [MII PR Patho Diagnostic Conclusion Grouper](StructureDefinition-mii-pr-patho-diagnostic-conclusion-grouper.html) abgebildet werden. Hierzu wird die focus-Referenz genutzt, um auf den betroffenen **MII PR Patho Grouper** (Beobachtungsabschnitt) hinzuweisen. Der `Observation.value` wird durch einen ValueSet \"ClinicalSignificance\" (z.B. LOINC LL4770-5) dargestellt.\n\nFür spezifische Observation-Konstrukte, speziell aus dem Bereich des onkologischen Basisdatensatzes oBDS (TNM, Histologischer Tumortyp, etc.), kann auch auf Observation-Profile des [MII Erweiterungsmoduls Onkologie](https://simplifier.net/medizininformatikinitiative-modulonkologie) zurückgegriffen werden. Für Beobachtungen an immunhistochemischen Färbungen, in-situ-Hybridisierungen, PCR-Tests, Methylierungs-Tests und NGS-Untersuchungen sollten Observation-Profile des [MII Erweiterungsmoduls Molekulares Tumorboard](https://simplifier.net/mii-erweiterungsmodul-molekulares-tumorboard) bzw. des [MII Erweiterungsmoduls Molekulargenetischer Befundbericht](https://simplifier.net/medizininformatikinitiative-modulomics) genutzt werden.
package_name: de.medizininformatikinitiative.kerndatensatz.patho
derivation: constraint
name: MII_PR_Patho_Finding
type: Observation
elements:
  category:
    short: Kategorie
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Kategorie}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Category}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Klassifikation der Art der Einzelbeobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Classification of type of observation}
    array: true
    min: 2
    index: 3
    slicing:
      slices:
        section-type:
          match: {}
          schema:
            short: Beobachtungsberichtsabschnitt
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Typ des Beobachtungsberichtsabschnitts}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Type of observation report section}
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Beobachtungsberichtsabschnitt}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Section type}
            _required: true
            binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-section-types-loinc'}
            index: 4
          min: 1
          max: 1
  hasMember:
    short: Zugehöhrige Einzelbeobachtung
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zugehöhrige Einzelbeobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Has member}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zum Untersuchungs-/Beobachtungspanel zugehörige Beobachtung / QuestionnaireResponse}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Observation / QuestionnaireResponse belonging to the examination/observation panel}
    index: 19
  derivedFrom:
    short: Abgeleitet von
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Abgeleitet von}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Derived from}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Referenz auf eine Messung / ein Bild / eine QuestionnaireResponse / ein Dokument von dem die Beobachtung abgeleitet wurde}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reference to a measurement / image / QuestionnaireResponse / document from which the observation was derived}
    index: 20
  method:
    short: Methode
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Methode}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Method}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Untersuchungs- oder Bearbeitungsmethode}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Examination method}
    index: 17
  specimen:
    short: Probe
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Probe}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Specimen}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Referenz zur untersuchten Probe}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reference to examined specimen}
    index: 18
  valueQuantity:
    short: Wert
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert der Beobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value of the observation}
    type: Quantity
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value}
    choiceOf: value
    index: 11
  value:
    short: Wert
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert der Beobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value of the observation}
    mustSupport: true
    choices: [valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio]
    index: 10
  valueString:
    short: Wert
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert der Beobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value of the observation}
    type: string
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value}
    choiceOf: value
    index: 13
  valueRatio:
    short: Wert
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert der Beobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value of the observation}
    type: Ratio
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value}
    choiceOf: value
    index: 15
  status:
    short: Status
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Status}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status der Einzelbeobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Status of the observation}
    index: 2
  effective:
    short: Befundzeit
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Befundzeit}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Effective time}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zeitpunkt der Einzelbeobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Time of observation}
    choices: []
    index: 8
  code:
    short: Code
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Code}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Code}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Art der durchgeführten Einzelbeobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Type of observation}
    index: 5
  identifier:
    short: Identifikator
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Identifikator}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Identifier}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Eindeutiger Identifikator}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Unique identifier}
    index: 0
  valueCodeableConcept:
    short: Wert
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert der Beobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value of the observation}
    type: CodeableConcept
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value}
    choiceOf: value
    index: 12
  bodySite:
    short: Körperstelle
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Körperstelle}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Body site}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Anatomische Stelle der Einzelbeobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Anatomical site of observation}
    index: 16
  basedOn:
    short: Untersuchungsauftrag
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Untersuchungsauftrag}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Request}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Verweis auf den Untersuchungsauftrag}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reference to the request}
    index: 1
  valueRange:
    short: Wert
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert der Beobachtung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value of the observation}
    type: Range
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wert}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Value}
    choiceOf: value
    index: 14
  subject:
    short: Patient
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Patient}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Subject}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Referenz auf zugehöhrigen Patient}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reference to associated patient}
    index: 6
package_version: 2027.0.0-ballot.rc1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
base: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-base-observation
version: 2027.0.0-ballot.rc1