{
  "description": "Auftrag zur (erneuten) Biopsie",
  "_filename": "StructureDefinition-mii-pr-mtb-biopsie-auftrag.json",
  "package_name": "rs/de.medizininformatikinitiative.kerndatensatz.mtb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_MTB_Biopsie_Auftrag",
  "abstract": false,
  "type": "ServiceRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR MTB Biopsie Auftrag",
  "package_version": "2025.0.0-ballot",
  "status": "draft",
  "id": "dceba50e-250f-4de3-9a43-dd6116976e96",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-biopsie-auftrag",
  "version": "2024.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "ServiceRequest.meta",
      "path": "ServiceRequest.meta",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.meta.profile",
      "path": "ServiceRequest.meta.profile",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.status",
      "path": "ServiceRequest.status",
      "comment": "\n    draft: Geplant, nicht angefragt, \n    active: Biopsie, \n    completed: Abgeschlossen",
      "definition": "Status der Umsetzung der Empfehlung"
    }, {
      "id": "ServiceRequest.code",
      "min": 1,
      "path": "ServiceRequest.code",
      "short": "Empfehlung zur (Re-)Biopsie",
      "definition": "Empfehlung zur (Re-)Biopsie",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding",
      "path": "ServiceRequest.code.coding",
      "patternCoding": {
        "code": "86273004",
        "system": "http://snomed.info/sct",
        "display": "Biopsy (procedure)"
      }
    }, {
      "id": "ServiceRequest.reasonReference",
      "path": "ServiceRequest.reasonReference",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für referenzierten Histologiebefund oder bestimmten Tumorzellgehalt",
        "discriminator": [ {
          "path": "$this.resolve()",
          "type": "profile"
        } ]
      }
    }, {
      "path": "ServiceRequest.reasonReference",
      "min": 0,
      "definition": "Verweis auf Histologiebefund, der eine Rebiopsie begründet",
      "short": "Histologiebefund",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-befund", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "mustSupport": true,
      "sliceName": "Histologie",
      "max": "1",
      "id": "ServiceRequest.reasonReference:Histologie"
    }, {
      "path": "ServiceRequest.reasonReference",
      "min": 0,
      "definition": "Verweis auf bestimmten, häufig zu niedrigen Tumorzellgehalt, der eine Rebiopsie notwendig macht",
      "short": "Tumorzellgehalt",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorzellgehalt", "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "mustSupport": true,
      "sliceName": "Tumorzellgehalt",
      "max": "1",
      "id": "ServiceRequest.reasonReference:Tumorzellgehalt"
    }, {
      "id": "ServiceRequest.specimen",
      "path": "ServiceRequest.specimen",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-specimen", "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen", "https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Specimen", "http://hl7.org/fhir/StructureDefinition/Specimen" ]
      } ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
}