{
  "description": "Angabe zur Tumorausbreitung",
  "_filename": "StructureDefinition-mii-pr-mtb-tumorausbreitung.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.mtb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_MTB_Tumorausbreitung",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR MTB Tumorausbreitung",
  "package_version": "2025.0.0-ballot-alpha.1",
  "status": "draft",
  "id": "ac9c493f-f3f6-4e40-8e7d-4244d4f1f3ee",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung",
  "version": "2024.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "Observation.meta",
      "path": "Observation.meta",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding",
      "min": 1,
      "path": "Observation.category.coding",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für Coding",
        "discriminator": [ {
          "path": "code",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:ErstdiagnoseZeitpunkt",
      "max": "1",
      "min": 0,
      "path": "Observation.category.coding",
      "sliceName": "ErstdiagnoseZeitpunkt",
      "mustSupport": true,
      "patternCoding": {
        "code": "473302008",
        "system": "http://snomed.info/sct",
        "display": "Aware of diagnosis"
      }
    }, {
      "id": "Observation.category.coding:MolekularesTumorboardZeitpunkt",
      "max": "1",
      "min": 0,
      "path": "Observation.category.coding",
      "sliceName": "MolekularesTumorboardZeitpunkt",
      "mustSupport": true,
      "patternCoding": {
        "code": "93771000119109",
        "system": "http://snomed.info/sct",
        "display": "Diagnosis deferred"
      }
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "min": 1,
      "path": "Observation.code.coding",
      "mustSupport": true,
      "patternCoding": {
        "code": "371508000",
        "system": "http://snomed.info/sct",
        "display": "Tumor stage"
      }
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient", "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt Tumorausbreitung",
      "definition": "Zeitpunkt der Feststellung der Tumorausbreitung",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding",
      "max": "1",
      "min": 1,
      "path": "Observation.value[x].coding",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für Tumorausbreitung",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.code",
      "min": 1,
      "path": "Observation.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:Tumorausbreitung",
      "max": "1",
      "min": 1,
      "path": "Observation.value[x].coding",
      "short": "Tumorausbreitung",
      "sliceName": "Tumorausbreitung",
      "definition": "Angabe zur Tumorausbreitung",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:Tumorausbreitung.system",
      "path": "Observation.value[x].coding.system",
      "patternUri": "http://snomed.info/sct"
    }, {
      "id": "Observation.value[x].coding:Tumorausbreitung.code",
      "path": "Observation.value[x].coding.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-tumorausbreitung"
      }
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}