{ "description": "Immunhistorchemistry report", "_filename": "StructureDefinition-mii-pr-mtb-immunohistochemistry-pdl1.json", "package_name": "de.medizininformatikinitiative.kerndatensatz.mtb", "date": null, "derivation": "constraint", "publisher": "Medizininformatik Initiative", "fhirVersion": "4.0.1", "name": "MII_PR_MTB_Immunohistochemistry_PDL1", "abstract": false, "type": "Observation", "experimental": null, "resourceType": "StructureDefinition", "title": "MII PR MTB Immunohistochemistry", "package_version": "2025.0.0-ballot", "status": "draft", "id": "d00b8929-f8f7-4392-aa7a-18faf1069fa2", "kind": "resource", "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-immunohistochemistry-pdl1", "version": "2024.0.0-ballot", "differential": { "element": [ { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "Observation.specimen", "path": "Observation.specimen", "short": "Probe", "definition": "Probe" }, { "id": "Observation.component", "path": "Observation.component", "slicing": { "rules": "open", "ordered": false, "description": "Immunohistochemische Ergebnisse", "discriminator": [ { "path": "code", "type": "value" } ] } }, { "id": "Observation.component:tps-score", "max": "1", "min": 0, "path": "Observation.component", "short": "TPS-Score", "sliceName": "tps-score", "definition": "Tumor Proportion Score (TPS) - Score für PD-L1-Expression in Tumorzellen. Der TPS ist der Anteil der PD-L1-positiven Tumorzellen im Verhältnis zu den Gesamtzellen. Der TPS wird in Prozent angegeben. Ein TPS von 1% oder mehr gilt als positiv.", "mustSupport": true }, { "id": "Observation.component:tps-score.code", "path": "Observation.component.code", "mustSupport": true, "patternCodeableConcept": { "coding": [ { "code": "C184941", "system": "https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html", "display": "PD-L1 Tumor Proportion Score" } ] } }, { "id": "Observation.component:tps-score.value[x]", "path": "Observation.component.value[x]", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Observation.component:tps-score.value[x]:valueQuantity", "max": "1", "min": 0, "path": "Observation.component.value[x]", "type": [ { "code": "Quantity" } ], "sliceName": "valueQuantity", "mustSupport": true }, { "id": "Observation.component:tps-score.interpretation", "path": "Observation.component.interpretation", "mustSupport": true }, { "id": "Observation.component:cps-score", "max": "1", "min": 0, "path": "Observation.component", "short": "CPS-Score", "sliceName": "cps-score", "definition": "Combined Positive Score (CPS) - Score für PD-L1-Expression in Tumorzellen und Immunzellen. Der CPS ist der Anteil der PD-L1-positiven Tumorzellen und Immunzellen im Verhältnis zu den Gesamtzellen. Der CPS wird in Prozent angegeben. Ein CPS von 1% oder mehr gilt als positiv.", "mustSupport": true }, { "id": "Observation.component:cps-score.code", "path": "Observation.component.code", "mustSupport": true, "patternCodeableConcept": { "coding": [ { "code": "C176582", "system": "https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html", "display": "PD-L1 Combined Positive Score" } ] } }, { "id": "Observation.component:cps-score.value[x]", "path": "Observation.component.value[x]", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Observation.component:cps-score.value[x]:valueQuantity", "max": "1", "min": 0, "path": "Observation.component.value[x]", "type": [ { "code": "Quantity" } ], "sliceName": "valueQuantity", "mustSupport": true }, { "id": "Observation.component:cps-score.interpretation", "path": "Observation.component.interpretation", "mustSupport": true }, { "id": "Observation.component:ics-score", "max": "1", "min": 0, "path": "Observation.component", "short": "ICS-Score", "sliceName": "ics-score", "definition": "Immune Cell Score (ICS) - Score für PD-L1-Expression in Immunzellen. Der ICS ist der Anteil der PD-L1-positiven Immunzellen im Verhältnis zu den Gesamtzellen. Der ICS wird in Prozent angegeben. Ein ICS von 1% oder mehr gilt als positiv.", "mustSupport": true }, { "id": "Observation.component:ics-score.code", "path": "Observation.component.code", "mustSupport": true, "patternCodeableConcept": { "coding": [ { "code": "C199175", "system": "https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html", "display": "Cells.programmed cell death ligand 1/Viable tumor cells in Tissue by Immune stain" } ] } }, { "id": "Observation.component:ics-score.value[x]", "path": "Observation.component.value[x]", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Observation.component:ics-score.value[x]:valueQuantity", "max": "1", "min": 0, "path": "Observation.component.value[x]", "type": [ { "code": "Quantity" } ], "sliceName": "valueQuantity", "mustSupport": true }, { "id": "Observation.component:ics-score.interpretation", "path": "Observation.component.interpretation", "mustSupport": true }, { "id": "Observation.component:tc-score", "max": "1", "min": 0, "path": "Observation.component", "short": "TC-Score / TPS-Score", "sliceName": "tc-score", "definition": "Tumor Cell Score (TC-Score) - Score für PD-L1-Expression in Tumorzellen. Der TC-Score ist der Anteil der PD-L1-positiven Tumorzellen im Verhältnis zu den Gesamtzellen. Der TC-Score wird in Prozent angegeben. Ein TC-Score von 1% oder mehr gilt als positiv.", "mustSupport": true }, { "id": "Observation.component:tc-score.code", "path": "Observation.component.code", "mustSupport": true, "patternCodeableConcept": { "coding": [ { "code": "83053-9", "system": "http://loinc.org", "display": "Cells.programmed cell death ligand 1/Viable tumor cells in Tissue by Immune stain" } ] } }, { "id": "Observation.component:tc-score.value[x]", "path": "Observation.component.value[x]", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Observation.component:tc-score.value[x]:valueQuantity", "max": "1", "min": 0, "path": "Observation.component.value[x]", "type": [ { "code": "Quantity" } ], "sliceName": "valueQuantity", "mustSupport": true }, { "id": "Observation.component:tc-score.interpretation", "path": "Observation.component.interpretation", "mustSupport": true } ] }, "contact": [ { "telecom": [ { "value": "https://www.medizininformatik-initiative.de", "system": "url" } ] } ], "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-immunohistochemistry" }