description: 'TNM-Klassifikation: TNM M-Kategorie. Fehlen oder Vorhandensein von Fernmetastasen, gemäß Tumorentität nach TNM.'
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_TNM_M_Kategorie
type: Observation
elements:
  hasMember:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fernmetastasen']
    index: 24
  value[x]:
    extensions:
      itcSuffix: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix', min: 0, max: 1, type: Extension, short: isolierte Tumorzellen (ITC) Suffix, mustSupport: true, index: 18}
    elements:
      extension:
        type: Extension
        short: isolierte Tumorzellen (ITC) Suffix
        mustSupport: true
        url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix
        index: 18
        slicing:
          slices:
            itcSuffix:
              match: {}
              schema: {type: Extension, short: isolierte Tumorzellen (ITC) Suffix, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix', index: 18}
              min: 0
              max: 1
      coding:
        short: TNM M-Kategorie
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: TNM M-Kategorie}
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: TNM Fernmetastasierung nach 8.12 oBDS 2021}
        index: 19
        elements:
          system: {mustSupport: true, index: 20}
          code: {mustSupport: true, index: 21}
        required: [code, system]
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 11}
  method:
    mustSupport: true
    index: 22
    elements:
      coding:
        short: TNM Version
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: TNM Version}
        binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-version'}
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Version nach 8.2 oBDS 2021}
        mustSupport: true
        index: 23
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 16
  effectiveDateTime:
    constraint:
      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-kategorie', severity: error, expression: $this.toString().length() >= 8}
    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}
    type: dateTime
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: TNM-Datum}
    choiceOf: effective
    index: 14
  status: {mustSupport: true, index: 2}
  effective:
    constraint:
      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-kategorie', severity: error, expression: $this.toString().length() >= 8}
    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}
    mustSupport: true
    choices: [effectiveDateTime]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: TNM-Datum}
    index: 13
  code:
    binding: {strength: preferred, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-m-kategorie'}
    mustSupport: true
    index: 3
    extensions:
      cpPraefix:
        url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
        type: Extension
        mustSupport: true
        index: 4
        elements:
          value[x]:
            elements:
              coding:
                short: TNM c/p-Präfix M
                index: 5
                elements:
                  code: {index: 6}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
        index: 4
        slicing:
          slices:
            cpPraefix:
              match: {}
              schema:
                type: Extension
                mustSupport: true
                url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
                index: 4
                elements:
                  value[x]:
                    elements:
                      coding:
                        short: TNM c/p-Präfix M
                        index: 5
                        elements:
                          code: {index: 6}
      coding:
        elements:
          system: {mustSupport: true, index: 7}
          code: {mustSupport: true, index: 8}
        required: [code, system]
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 17}
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 10
  partOf:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Procedure']
    index: 1
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 9
package_version: 2025.1.0
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-m-kategorie
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2025.1.0
required: [subject]