description: 'TNM-Klassifikation: TNM a-Symbol. Gibt an, ob die Klassifikation aus Anlass einer Autopsie erfolgte.'
package_name: rs/de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_TNM_a_Symbol
type: Observation
elements:
  value[x]:
    elements:
      coding:
        short: a-Symbol
        index: 14
        elements:
          system: {mustSupport: true, index: 15}
          code: {mustSupport: true, index: 16}
        required: [code, system]
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 7}
  value:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: TNM a-Symbol}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: TNM-a Autopsie nach  8.5 oBDS 2021}
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '421426001', system: 'http://snomed.info/sct'}
    choices: [valueCodeableConcept]
    type: CodeableConcept
    index: 12
  effectiveDateTime:
    constraint:
      tnm-datum: {human: 'TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.', source: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-a-symbol', severity: error, expression: $this.toString().length() >= 8}
    short: TNM-Datum
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der TNM-Klassifikation nach 8.1 oBDS 2021}
    type: dateTime
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: TNM-Datum}
    choiceOf: effective
    index: 10
  status: {mustSupport: true, index: 1}
  effective:
    constraint:
      tnm-datum: {human: 'TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.', source: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-a-symbol', severity: error, expression: $this.toString().length() >= 8}
    short: TNM-Datum
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der TNM-Klassifikation nach 8.1 oBDS 2021}
    mustSupport: true
    choices: [effectiveDateTime]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: TNM-Datum}
    index: 9
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 101660-9, system: 'http://loinc.org'}
    type: CodeableConcept
    index: 2
    elements:
      coding:
        elements:
          system: {mustSupport: true, index: 3}
          code: {mustSupport: true, index: 4}
        required: [code, system]
  valueCodeableConcept:
    type: CodeableConcept
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: TNM a-Symbol}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: TNM-a Autopsie nach  8.5 oBDS 2021}
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '421426001', system: 'http://snomed.info/sct'}
    choiceOf: value
    index: 13
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 6
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 5
package_version: 2025.0.2
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-a-symbol
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2025.0.0
required: [subject]