description: Diagnose zum Primärtumor
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Diagnose_Primaertumor
type: Condition
elements:
  stage:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      description: Slice für Stage/Grad
      discriminator:
      - {path: type.coding, type: value}
      min: null
      slices:
        WHOGradZNS:
          match:
            type:
              coding: {code: '396920006', system: 'http://snomed.info/sct', display: WHO grade for central nervous system tumor}
          schema:
            short: WHO Grad Tumor ZNS
            mustSupport: true
            index: 1
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-who-grad-tumor-zns']
                index: 2
              type:
                mustSupport: true
                index: 3
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '396920006', system: 'http://snomed.info/sct', display: WHO grade for central nervous system tumor}
                    type: Coding
                    index: 4
                required: [coding]
            required: [assessment, type]
        OncoTree:
          match:
            type: {coding: null}
          schema:
            short: OncoTree Classification
            mustSupport: true
            index: 5
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-oncotree']
                index: 6
            required: [assessment]
        ErstdiagnoseZeitpunkt:
          match:
            type:
              coding: {code: C19251, system: 'https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html', display: Stage at Diagnosis}
          schema:
            short: Tumorausbreitung Erstdiagnose
            mustSupport: true
            index: 7
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung']
                index: 8
              type:
                mustSupport: true
                index: 9
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: C19251, system: 'https://nih-ncpi.github.io/ncpi-fhir-ig/CodeSystem-ncit.html', display: Stage at Diagnosis}
                    type: Coding
                    index: 10
                required: [coding]
            required: [assessment, type]
        MolekularesTumorboardZeitpunkt:
          match:
            type:
              coding: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
          schema:
            short: Tumorausbreitung Molekulares Tumorboard
            mustSupport: true
            index: 11
            elements:
              assessment:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorausbreitung']
                index: 12
              type:
                mustSupport: true
                index: 13
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '93771000119109', system: 'http://snomed.info/sct', display: Diagnosis deferred}
                    type: Coding
                    index: 14
                required: [coding]
            required: [assessment, type]
package_version: 2025.0.0-ballot
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor
base: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor
version: 2024.0.0-ballot