description: Diagnose zum Primärtumor
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Diagnose_Primaertumor
type: Condition
elements:
  stage:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      description: Slice für Stage/Grad
      discriminator:
      - {path: type.coding, type: value}
      min: null
      slices:
        WHOGradZNS:
          match:
            type:
              coding: {code: '396920006', system: 'http://snomed.info/sct', display: WHO grade for central nervous system tumor}
          schema:
            short: WHO Grad Tumor ZNS
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Grad eines Tumors nach WHO-Klassifikation der Tumoren des zentralen Nervensystems}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Grade of a tumor according to the WHO classification of central nervous system tumors}
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: WHO Grad Tumor ZNS}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: WHO Grade CNS Tumor}
            index: 1
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-who-grad-tumor-zns']
                index: 2
              type:
                mustSupport: true
                index: 3
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '396920006', system: 'http://snomed.info/sct', display: WHO grade for central nervous system tumor}
                    index: 4
                required: [coding]
            required: [type, assessment]
        OncoTree:
          match:
            type:
              coding: {code: '371441004', system: 'http://snomed.info/sct', display: Histologic type of proliferative mass}
          schema:
            short: OncoTree Classification
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Klassifizierung eines Tumors nach OncoTree}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Classification of a tumor according to OncoTree}
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: OncoTree Klassifikation}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: OncoTree Classification}
            array: true
            index: 5
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-oncotree']
                index: 6
              type:
                mustSupport: true
                index: 7
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '371441004', system: 'http://snomed.info/sct', display: Histologic type of proliferative mass}
                    index: 8
                required: [coding]
            required: [type, assessment]
        ErstdiagnoseZeitpunkt:
          match:
            type:
              coding: {code: C19251, system: 'https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html', display: Stage at Diagnosis}
          schema:
            short: Tumorausbreitung Erstdiagnose
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Tumorausbreitung zum Zeitpunkt der Erstdiagnose}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Tumor spread at the time of initial diagnosis}
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Tumorausbreitung Erstdiagnose}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Tumor Spread at Initial Diagnosis}
            index: 9
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung']
                index: 10
              type:
                mustSupport: true
                index: 11
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: C19251, system: 'https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html', display: Stage at Diagnosis}
                    index: 12
                required: [coding]
            required: [type, assessment]
        MolekularesTumorboardZeitpunkt:
          match:
            type:
              coding: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
          schema:
            short: Tumorausbreitung Molekulares Tumorboard
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Tumorausbreitung zum Zeitpunkt des Molekularen Tumorboard}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Tumor spread at the time of the Molecular Tumor Board}
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Tumorausbreitung Molekulares Tumorboard}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Tumor Spread at Molecular Tumor Board}
            index: 13
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung']
                index: 14
              type:
                mustSupport: true
                index: 15
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
                    index: 16
                required: [coding]
            required: [type, assessment]
package_version: 2026.0.1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor
base: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor
version: 2026.0.1