description: Histologie-Kodierung nach ICD-0 für die Verwendung von Folgediagnostik. Bei der histologischen Beurteilung des Primärtumors sind die histologischen Informationen direkt über die Condition-Ressource abzubilden.
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Histologie_ICDO3
type: Observation
elements:
  value[x]:
    elements:
      coding:
        mustSupport: true
        index: 12
        elements:
          version:
            short: Morphologie-Kode-Version
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Morphologie-Kode-Version}
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Version der ICD-O-3 bzw. Blue Book nach 6.4 oBDS 2021}
            index: 13
          code:
            short: Morphologie-Kode
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Morphologie-Kode}
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Morphologie als ICD-O-3 nach 6.3 oBDS 2021}
            index: 14
      text: {mustSupport: true, index: 15}
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 5}
  specimen:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-specimen']
    index: 23
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 10
  effectiveDateTime:
    short: Tumor Histologiedatum
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Tumor Histologiedatum im Krankheitsverlauf}
    type: dateTime
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Tumor Histologiedatum}
    choiceOf: effective
    index: 8
  effective:
    short: Tumor Histologiedatum
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Tumor Histologiedatum im Krankheitsverlauf}
    mustSupport: true
    choices: [effectiveDateTime]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Tumor Histologiedatum}
    index: 7
  code:
    short: Histologische Bewertung nach ICD-0-3
    mustSupport: true
    index: 1
    elements:
      coding:
        mustSupport: true
        pattern:
          type: Coding
          value: {code: 59847-4, system: 'http://loinc.org'}
        index: 2
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 11}
  bodySite:
    elements:
      coding:
        mustSupport: true
        index: 16
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            Seitenlokalisation:
              match: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation'}
              schema:
                short: Seitenlokalisation
                index: 17
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Seitenlokalisation bei paarigen Organen}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Seitenlokalisation}
                elements:
                  system: {mustSupport: true, index: 18}
                  code: {mustSupport: true, index: 19}
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-seitenlokalisation'}
                required: [system, code]
                pattern:
                  type: Coding
                  value: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation'}
            icd-o-3:
              match: {system: 'http://terminology.hl7.org/CodeSystem/icd-o-3'}
              schema:
                short: ICD-O-3 Topographie
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: ICD-O-3 Topographie bei vom Primärtumor abweichender Lokalisation in der Verlaufsbeschreibung}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: ICD-O-3 Topographie}
                pattern:
                  type: Coding
                  value: {system: 'http://terminology.hl7.org/CodeSystem/icd-o-3'}
                index: 20
                elements:
                  system: {mustSupport: true, index: 21}
                  code: {mustSupport: true, index: 22}
                required: [system, code]
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 4
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 3
package_version: 2025.0.0-alpha1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-histologie-icdo3
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2025.0.0
required: [value, subject, specimen, valueCodeableConcept]