{
  "description": "Dient zur Erfassung der Follow-ups. Analog zum Verlauf im ADT/GEKID-Datensatz können weitere Parameter für die Entwicklung der Erkrankung (Rezidiverkrankung, Progress) erfasst werden. Dies gilt insbesondere für die TNMs und die Histologie.",
  "_filename": "StructureDefinition-onco-core-ClinicalImpression-Verlauf.json",
  "package_name": "de.dktk.oncology",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.0",
  "name": "Verlauf",
  "abstract": false,
  "type": "ClinicalImpression",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.0.0",
  "status": "active",
  "id": "cc82170c-f43c-4c6b-b625-ba2535123bf0",
  "kind": "resource",
  "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ClinicalImpression-Verlauf",
  "version": "0.9.0",
  "differential": {
    "element": [ {
      "id": "ClinicalImpression.status",
      "path": "ClinicalImpression.status",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.subject",
      "path": "ClinicalImpression.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.encounter",
      "path": "ClinicalImpression.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.effective[x]",
      "min": 1,
      "path": "ClinicalImpression.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Untersuchungs-, Befunddatum im Verlauf",
      "mapping": [ {
        "map": "Verlauf:Untersuchungsdatum_Verlauf",
        "comment": "Verlauf:Untersuchungsdatum_Verlauf",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:47:3, urn:dktk:dataelement:25:4, urn:dktk:dataelement:43:3, urn:dktk:dataelement:45:3",
        "identity": "ISO-11179"
      } ],
      "definition": "Entspricht dem Datum, an welchem dieser Verlauf dokumentiert wurde",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.previous",
      "path": "ClinicalImpression.previous",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ClinicalImpression-Verlauf" ]
      } ]
    }, {
      "id": "ClinicalImpression.problem",
      "path": "ClinicalImpression.problem",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.problem.reference",
      "min": 1,
      "path": "ClinicalImpression.problem.reference",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.finding",
      "min": 1,
      "path": "ClinicalImpression.finding",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.finding.itemReference",
      "min": 1,
      "path": "ClinicalImpression.finding.itemReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Vitalstatus", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusLymphknoten", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-LokalerTumorstatus", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusFernmetastasen", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GesamtbeurteilungTumorstatus", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie", "https://fhir.bbmri.de/StructureDefinition/Specimen", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMp", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.finding.itemReference.reference",
      "min": 1,
      "path": "ClinicalImpression.finding.itemReference.reference",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
}