description: Angabe zur Tumorausbreitung
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Tumorausbreitung
type: Observation
elements:
  category:
    mustSupport: true
    index: 1
    elements:
      coding:
        mustSupport: true
        index: 2
        slicing:
          rules: open
          ordered: false
          description: Slice für Coding
          discriminator:
          - {path: code, type: pattern}
          min: 1
          slices:
            ErstdiagnoseZeitpunkt:
              match: {code: null}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {code: '473302008', system: 'http://snomed.info/sct', display: Aware of diagnosis}
                index: 3
              min: 0
              max: 1
            MolekularesTumorboardZeitpunkt:
              match: {code: null}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
                index: 4
              min: 0
              max: 1
    required: [coding]
  value[x]:
    elements:
      coding:
        mustSupport: true
        index: 15
        elements:
          system: {mustSupport: true, index: 16}
          code: {mustSupport: true, index: 17}
        required: [system, code]
        slicing:
          rules: open
          ordered: false
          description: Slice für Tumorausbreitung
          discriminator:
          - {path: system, type: value}
          min: 1
          max: 1
          slices:
            Tumorausbreitung:
              match: {system: 'http://snomed.info/sct'}
              schema:
                short: Tumorausbreitung
                mustSupport: true
                _required: true
                index: 18
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 19
                  code:
                    binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-tumorausbreitung'}
                    index: 20
    required: [coding]
  meta: {mustSupport: true, index: 0}
  encounter:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung']
    index: 8
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 13
  effectiveDateTime: {type: dateTime, short: Zeitpunkt Tumorausbreitung, mustSupport: true, choiceOf: effective, index: 11}
  effective:
    short: Zeitpunkt Tumorausbreitung
    mustSupport: true
    choices: [effectiveDateTime]
    index: 10
  code:
    mustSupport: true
    index: 5
    elements:
      coding:
        mustSupport: true
        pattern:
          type: Coding
          value: {code: '371508000', system: 'http://snomed.info/sct', display: Tumor stage}
        index: 6
    required: [coding]
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 14}
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient', 'https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert']
    index: 7
package_version: 2025.0.0-ballot-alpha.1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2024.0.0-ballot
required: [effectiveDateTime, value, subject, valueCodeableConcept, category, effective]