description: Tumorgröße in mm. Gibt die Größe des Tumors in der größten Dimension an. Basierend auf dem oBDS-Modul Mamma.
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Tumorgroesse
type: Observation
elements:
  value[x]:
    elements:
      value: {mustSupport: true, index: 18}
      unit:
        mustSupport: true
        pattern: {type: String, value: mm}
        index: 19
      system:
        pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
        mustSupport: true
        index: 20
      code:
        mustSupport: true
        pattern: {type: Code, value: mm}
        index: 21
    required: [value, unit, system, code]
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 11}
  method: {mustSupport: true, index: 24}
  valueQuantity:
    short: Tumorgröße in mm
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Tumorgröße in größter Dimension in mm}
    type: Quantity
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Tumorgröße in mm}
    choiceOf: value
    index: 17
  value:
    short: Tumorgröße in mm
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Tumorgröße in mm}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Tumorgröße in größter Dimension in mm}
    mustSupport: true
    choices: [valueQuantity]
    index: 16
  effectiveDateTime: {type: dateTime, short: Datum der Messung, mustSupport: true, choiceOf: effective, index: 14}
  effective:
    short: Datum der Messung
    mustSupport: true
    choices: [effectiveDateTime]
    index: 13
  code:
    mustSupport: true
    index: 1
    elements:
      coding:
        mustSupport: true
        index: 2
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: 1
          slices:
            loinc:
              match: {code: 21889-1, system: 'http://loinc.org', display: Size Tumor}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {code: 21889-1, system: 'http://loinc.org', display: Size Tumor}
                array: true
                min: 1
                _required: true
                index: 3
                elements:
                  system: {mustSupport: true, index: 4}
                  code: {mustSupport: true, index: 5}
                required: [system, code]
            snomed:
              match: {code: '371479009', system: 'http://snomed.info/sct', display: 'Tumor size, largest dimension (observable entity)'}
              schema:
                pattern:
                  type: Coding
                  value: {code: '371479009', system: 'http://snomed.info/sct', display: 'Tumor size, largest dimension (observable entity)'}
                array: true
                index: 6
                elements:
                  system: {index: 7}
                  code: {index: 8}
                required: [system, code]
    required: [coding]
  bodySite:
    mustSupport: true
    index: 22
    elements:
      coding: {mustSupport: true, index: 23}
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 10
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 9
package_version: 2026.0.0-ballot
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorgroesse
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.0-ballot
required: [effectiveDateTime, subject, effective]