description: Dient zur Erfassung der Follow-ups. Analog zum Verlauf im ADT/GEKID-Datensatz können weitere Parameter für die Entwicklung der Erkrankung (Rezidiverkrankung, Progress) erfasst werden. Dies gilt insbesondere für die TNMs und die Histologie.
package_name: de.dktk.oncology
derivation: constraint
name: Verlauf
type: ClinicalImpression
elements:
  status: {mustSupport: true, index: 0}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym']
    index: 1
  encounter:
    type: Reference
    mustSupport: true
    refers: ['http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall']
    index: 2
  effective:
    short: Untersuchungs-, Befunddatum im Verlauf
    mustSupport: true
    choices: [effectiveDateTime]
    index: 4
  effectiveDateTime: {short: 'Untersuchungs-, Befunddatum im Verlauf', type: dateTime, mustSupport: true, choiceOf: effective, index: 5}
  previous:
    type: Reference
    refers: ['http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ClinicalImpression-Verlauf']
    index: 6
  problem:
    type: Reference
    mustSupport: true
    refers: ['http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose']
    index: 7
    elements:
      reference: {mustSupport: true, index: 8}
    required: [reference]
  finding:
    mustSupport: true
    index: 9
    elements:
      itemReference:
        type: Reference
        mustSupport: true
        refers: ['http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GesamtbeurteilungTumorstatus', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-LokalerTumorstatus', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMp', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusFernmetastasen', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusLymphknoten', 'http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Vitalstatus', 'https://fhir.bbmri.de/StructureDefinition/Specimen']
        index: 10
        elements:
          reference: {mustSupport: true, index: 11}
        required: [reference]
    required: [itemReference]
package_version: 1.0.3
class: profile
kind: resource
url: http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ClinicalImpression-Verlauf
base: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
version: 0.9.0
required: [effectiveDateTime, finding, effective]