{
  "description": "Dieses Profil beschreibt den Abstand des Tumors zur mesorektalen Faszie bei MRT oder Dünnschicht-CT Untersuchung beim Kolorektalen Karzinom (oBDS KR5)",
  "_filename": "StructureDefinition-mii-pr-onko-krk-mrt-mesorektale-faszie.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_KRK_MRT_Mesorektale_Faszie",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie KRK MRT/CT Abstand Mesorektale Faszie",
  "package_version": "2026.0.0-rc.5",
  "status": "active",
  "id": "a4e7b6bb-b1c4-431a-a290-bc60ec64aaf6",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-mrt-mesorektale-faszie",
  "version": "2026.0.0-rc.5",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "mapping": [ {
        "map": "KR5",
        "comment": "Rektum: MRT oder Dünnschicht-CT durchgeführt mit Angabe Abstand mesorektale Faszie",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Observation.meta.profile",
      "path": "Observation.meta.profile",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "short": "MRT/CT Abstand mesorektale Faszie",
      "definition": "Abstand des Tumors zur mesorektalen Faszie bei MRT oder Dünnschicht-CT, gemäß oBDS 2021 KR5",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "patternCoding": {
        "code": "RDE96",
        "system": "http://radlex.org",
        "display": "Distance to MRF"
      }
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.focus",
      "path": "Observation.focus",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "path": "Observation.effective[x]",
      "definition": "Datum der MRT/CT Untersuchung",
      "short": "Datum MRT/CT",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Datum der MRT oder Dünnschicht-CT Untersuchung"
          } ]
        } ]
      },
      "mapping": [ {
        "map": "KR5",
        "comment": "Datum der MRT/CT Untersuchung",
        "identity": "oBDS"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Datum MRT/CT"
          } ]
        } ]
      },
      "id": "Observation.effective[x]"
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      }, {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Observation.value[x]",
      "min": 0,
      "definition": "Abstand des Tumors zur mesorektalen Faszie in mm bei MRT/CT gemäß oBDS 2021 KR5",
      "short": "Abstand mesorektale Faszie",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Abstand des Tumors zur mesorektalen Faszie in mm bei MRT/CT gemäß oBDS 2021 KR5"
          } ]
        } ]
      },
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Abstand mesorektale Faszie"
          } ]
        } ]
      },
      "sliceName": "valueQuantity",
      "max": "1",
      "id": "Observation.value[x]:valueQuantity"
    }, {
      "id": "Observation.value[x]:valueQuantity.value",
      "path": "Observation.value[x].value",
      "mapping": [ {
        "map": "KR5",
        "comment": "Abstand zur mesorektalen Faszie in mm (natürliche Zahl)",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.unit",
      "path": "Observation.value[x].unit",
      "mustSupport": true,
      "patternString": "mm"
    }, {
      "id": "Observation.value[x]:valueQuantity.system",
      "path": "Observation.value[x].system",
      "patternUri": "http://unitsofmeasure.org",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.code",
      "path": "Observation.value[x].code",
      "mustSupport": true,
      "patternCode": "mm"
    }, {
      "path": "Observation.value[x]",
      "min": 0,
      "definition": "Status der MRT/CT Untersuchung gemäß oBDS 2021 KR5",
      "short": "MRT/CT Status",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Status der MRT/CT Untersuchung gemäß oBDS 2021 KR5"
          } ]
        } ]
      },
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "MRT/CT Status"
          } ]
        } ]
      },
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-krk-mrt-mesorektale-faszie-status"
      },
      "max": "1",
      "id": "Observation.value[x]:valueCodeableConcept"
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding.code",
      "path": "Observation.value[x].coding.code",
      "mapping": [ {
        "map": "KR5",
        "comment": "D = durchgeführt, aber Abstand nicht angegeben; N = Nein (MRT/CT nicht durchgeführt); U = Unbekannt",
        "identity": "oBDS"
      } ]
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}