{
  "description": "TNM-Klassifikation: TNM m-Symbol. Kennzeichnet Vorhandensein multipler Primärtumoren in einem anatomischen Bezirk.",
  "_filename": "StructureDefinition-mii-pr-onko-tnm-m-symbol.json",
  "package_name": "rs/de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_TNM_m_Symbol",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie TNM m-Symbol",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "af4cdf6b-c94c-4a0b-be22-f0bb50f269b0",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-m-symbol",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Observation.meta.profile",
      "path": "Observation.meta.profile",
      "mustSupport": true
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "42030-7",
          "system": "http://loinc.org"
        } ]
      }
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.focus",
      "path": "Observation.focus",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "constraint": [ {
        "key": "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-m-symbol",
        "severity": "error",
        "expression": "$this.toString().length() >= 8"
      } ],
      "path": "Observation.effective[x]",
      "definition": "Datum der TNM-Klassifikation nach 8.1 oBDS 2021",
      "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"
          } ]
        } ]
      },
      "mapping": [ {
        "map": "8.1",
        "comment": "TNM Datum",
        "identity": "oBDS"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "TNM-Datum"
          } ]
        } ]
      },
      "id": "Observation.effective[x]"
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-m-symbol"
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding",
      "path": "Observation.value[x].coding",
      "short": "m-Symbol",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "TNM m-Symbol"
          } ]
        } ]
      },
      "comment": "(m) = multiple Tumoren ohne Angabe der Zahl; (Zahl) = Anzahl der multiplen Tumoren; (leer) = keine multiplen Tumoren",
      "definition": "Kennzeichnet Vorhandensein multipler Primärtumoren in einem anatomischen Bezirk.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "TNM multiple Tumore nach 8.10 oBDS 2021"
          } ]
        } ]
      }
    }, {
      "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",
      "mapping": [ {
        "map": "8.10",
        "comment": "TNM m-Symbol",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}