{
  "description": "Todesursache (kompatibel zu [MII PR Onkologie Tod](https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tod) )",
  "_filename": "StructureDefinition-StfTodesursache.json",
  "package_name": "de.gematik.sterbefall",
  "date": "2025-09-05",
  "derivation": "constraint",
  "publisher": "ELFA Maßnahme Interoperabilität",
  "fhirVersion": "4.0.1",
  "name": "StfTodesursache",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "STF Todesursache",
  "package_version": "1.0.0-beta.3",
  "status": "active",
  "id": "f5ad83ee-c47b-4ead-8f1f-da05141c9fba",
  "kind": "resource",
  "url": "http://gematik.de/fhir/oegd/stf/StructureDefinition/StfTodesursache",
  "version": "1.0.0-beta.3",
  "differential": {
    "element": [ {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "patternCoding": {
        "code": "184305005",
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ]
    }, {
      "id": "Observation.effective[x]:effectiveDateTime",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "comment": "Beginn der Krankheit",
      "sliceName": "effectiveDateTime"
    }, {
      "id": "Observation.performer",
      "path": "Observation.performer",
      "comment": "Referenz auf den oder die ausstellende Arztin",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ]
    }, {
      "id": "Observation.value[x].coding.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "patternUri": "http://hl7.org/fhir/sid/icd-10",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.version",
      "min": 1,
      "path": "Observation.value[x].coding.version",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.code",
      "min": 1,
      "path": "Observation.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.display",
      "path": "Observation.value[x].coding.display",
      "comment": "Im Display sind nur die offiziell in ICD-10 gelisteten Bezeichnungen zu verwenden. Freitexte sind im Text-Element zu hinterlegen.",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].text",
      "path": "Observation.value[x].text",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
      "comment": "Todesart ungeklärt\nWenn Todesart = ungeklärt ODER\n= schwebende Ermittlung\ndann j\nsonst n",
      "mustSupport": true
    }, {
      "id": "Observation.note",
      "path": "Observation.note",
      "comment": "Nähere Angaben zur Todesursache und zu Begleiterkrankung (Epikrise)"
    }, {
      "id": "Observation.hasMember",
      "path": "Observation.hasMember",
      "comment": "Verknüpfung von nachgelagerten Todesursachen. Alle weiteren Todesursachen, die zur Haupttodesursache geführt haben, werden über hasMember referenziert. Jede dieser Todesursachen enthält eine Extension, die den Typ der Todesursache (z.B. Todesursache 2, Todesursache 3 etc.) angibt. Die weiteren Todesursachen selber dürfen keine hasMember Referenzen enthalten."
    }, {
      "id": "Observation.hasMember.extension",
      "min": 1,
      "path": "Observation.hasMember.extension"
    }, {
      "id": "Observation.hasMember.extension:TodesursacheTyp",
      "max": "1",
      "min": 1,
      "path": "Observation.hasMember.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://gematik.de/fhir/oegd/stf/StructureDefinition/StfTodesursacheTypExtension" ]
      } ],
      "sliceName": "TodesursacheTyp",
      "mustSupport": true
    }, {
      "id": "Observation.hasMember.reference",
      "path": "Observation.hasMember.reference",
      "mustSupport": true
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.code",
      "path": "Observation.component.code",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes"
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.value[x]",
      "path": "Observation.component.value[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.value[x]:valueCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Observation.component:NichtNatuerlicherTod",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "comment": "Anhaltspunkte für einen nicht-natürlichen Tod\n\nWenn Todesart = natürlich, \ndann n\n\nWenn Todesart =  nicht natürlich ODER \n= Tötung ODER \n= Selbsttötung ODER \n= Unfall ODER\n= Komplikationen medizinischer Behandlungen ODER\n= Ereignis, dessen nähere Umstände unbestimmt dann j \n\nWenn Todesart = leer, \ndann ka;",
      "sliceName": "NichtNatuerlicherTod",
      "mustSupport": true
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "nichtNatuerlicherTod",
          "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS"
        } ]
      }
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ]
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.coding",
      "path": "Observation.component.value[x].coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfJaNeinUnbekanntVS"
      }
    }, {
      "id": "Observation.component:Details",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "comment": "Weitere Angaben zur Klassifikation der Todesursache, z.B. bei Unfall, Vergiftung,  Gewalteinwirkung, Selbsttötung sowie bei Komplikationen medizinischer Behandlung Äußere Ursache der Schädigung (Angaben über den Hergang); bei Vergiftungen zusätzlich Angabe des Mittels",
      "sliceName": "Details",
      "mustSupport": true
    }, {
      "id": "Observation.component:Details.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "todesursacheKlassifikation",
          "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS"
        } ]
      }
    }, {
      "id": "Observation.component:Details.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ]
    }, {
      "id": "Observation.component:Details.value[x]:valueCodeableConcept",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.component:Details.value[x]:valueCodeableConcept.coding.system",
      "min": 1,
      "path": "Observation.component.value[x].coding.system",
      "patternUri": "http://hl7.org/fhir/sid/icd-10",
      "mustSupport": true
    }, {
      "id": "Observation.component:Details.value[x]:valueCodeableConcept.coding.version",
      "min": 1,
      "path": "Observation.component.value[x].coding.version",
      "mustSupport": true
    }, {
      "id": "Observation.component:Details.value[x]:valueCodeableConcept.coding.code",
      "min": 1,
      "path": "Observation.component.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:Details.value[x]:valueCodeableConcept.coding.display",
      "path": "Observation.component.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:Details.value[x]:valueCodeableConcept.text",
      "path": "Observation.component.value[x].text",
      "mustSupport": true
    }, {
      "id": "Observation.component:ZeitdauerBeginnBisTod",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "comment": "Angabe der Zeitdauer von Beginn der Krankheit bis zum Tod in beliebiger Angabe",
      "sliceName": "ZeitdauerBeginnBisTod",
      "mustSupport": true
    }, {
      "id": "Observation.component:ZeitdauerBeginnBisTod.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "zeitdauerBeginnBisTod",
          "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS"
        } ]
      }
    }, {
      "id": "Observation.component:ZeitdauerBeginnBisTod.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "string"
      } ]
    }, {
      "id": "Observation.component:ZeitdauerBeginnBisTod.value[x]:valueString",
      "max": "1",
      "min": 0,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Observation.component:Quelle",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "comment": "Quellangabe der Information. Z.B. ob die Todesursache aus dem Leichenschauschein oder dem Obduktionsschein stammt.",
      "sliceName": "Quelle",
      "mustSupport": true
    }, {
      "id": "Observation.component:Quelle.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "quelle",
          "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS"
        } ]
      }
    }, {
      "id": "Observation.component:Quelle.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ]
    }, {
      "id": "Observation.component:Quelle.value[x]:valueCodeableConcept",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfDateiTypVS"
      },
      "sliceName": "valueCodeableConcept"
    } ]
  },
  "baseDefinition": "http://gematik.de/fhir/oegd/stf/StructureDefinition/StfBasisObservation"
}