{
  "description": "OBDS Beschreibung von Fernmetastasen (Lokalisation und Datum)",
  "_filename": "StructureDefinition-mii-pr-onko-fernmetastasen.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_Fernmetastasen",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie Fernmetastasen",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "f9e7a59b-d9c3-4fb6-8b9f-2e59630df6ca",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fernmetastasen",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "mapping": [ {
        "map": "11",
        "comment": "Fernmetastasen",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Observation.meta.profile",
      "path": "Observation.meta.profile",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "short": "Lokalisation einer Fernmetastase laut oBDS",
      "definition": "SCTID: 385421009 | Site of distant metastasis",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "patternCoding": {
        "code": "385421009",
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.focus",
      "path": "Observation.focus",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "path": "Observation.effective[x]",
      "min": 1,
      "definition": "Gibt an, wann die Fernmetastase festgestellt wurde.",
      "short": "Datum der diagnostischen Sicherung von Fernmetastasen",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Gibt an wann die Fernmetastase festgestellt wurde."
          } ]
        } ]
      },
      "mapping": [ {
        "map": "11.2",
        "comment": "Datum der diagnostischen Sicherung von Fernmetastasen",
        "identity": "oBDS"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Datum der diagnostischen Sicherung von Fernmetastasen"
          } ]
        } ]
      },
      "id": "Observation.effective[x]"
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding",
      "path": "Observation.value[x].coding",
      "short": "Lokalisation der Fernmetastase laut oBDS/TNM-Kodierung",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Lokalisation der Fernmetastasen"
          } ]
        } ]
      },
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-fernmetastasen"
      },
      "definition": "weitere Lokalisationen sind als einzelne Ressourcen zu kodieren",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Lokalisation der Fernmetastasen laut 11.1 oBDS 2021 / TNM Kodierung"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.system",
      "path": "Observation.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.code",
      "path": "Observation.value[x].coding.code",
      "mapping": [ {
        "map": "11.1",
        "comment": "Lokalisation von Fernmetastase(n)",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}