{
  "description": "Entspricht der Primärdiagnose. Dabei werden Parameter zur Klassifikation der Primärerkrankung erfasst. Diese umfassen ICD-10, ICD-O-3 (Topographie) und die Seitenlokalisation. Verknüpfungen mit der Histologie (Topographie) und die TNM-Klassifikationen (pathologisch/klinisch)",
  "_filename": "StructureDefinition-onco-core-Condition-Primaerdiagnose.json",
  "package_name": "de.dktk.oncology",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.0",
  "name": "Primaerdiagnose",
  "abstract": false,
  "type": "Condition",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.1.0",
  "status": "active",
  "id": "fa823705-224c-491d-8ed2-b594847f3e2e",
  "kind": "resource",
  "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose",
  "version": "0.9.0",
  "differential": {
    "element": [ {
      "id": "Condition.extension",
      "path": "Condition.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.extension:Fernmetastasen",
      "path": "Condition.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen" ]
      } ],
      "sliceName": "Fernmetastasen",
      "mustSupport": true
    }, {
      "id": "Condition.extension:specimen",
      "path": "Condition.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Specimen" ]
      } ],
      "alias": [ "Bioprobe" ],
      "sliceName": "specimen",
      "mustSupport": true
    }, {
      "id": "Condition.code",
      "min": 1,
      "path": "Condition.code",
      "short": "Code der Primärdiagnose",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding",
      "path": "Condition.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.code.coding:icd-10-gm",
      "max": "1",
      "path": "Condition.code.coding",
      "short": "Code defined by ICD- system",
      "sliceName": "icd-10-gm",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:icd-10-gm.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "short": "ICD-10-GM",
      "fixedUri": "http://fhir.de/CodeSystem/dimdi/icd-10-gm"
    }, {
      "id": "Condition.code.coding:icd-10-gm.version",
      "min": 1,
      "path": "Condition.code.coding.version",
      "short": "Version des ICD-10-Katalogs",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/ICDVersionVS",
        "description": "ICD-10-Katalog (Version)"
      },
      "mapping": [ {
        "map": "Diagnose:Primaertumor_ICD_Version",
        "comment": "Diagnose:Primaertumor_ICD_Version",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:3:2",
        "comment": "urn:dktk:dataelement:3:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Katalogversion der ICD",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:icd-10-gm.code",
      "min": 1,
      "path": "Condition.code.coding.code",
      "short": "Primärdiagnose",
      "mapping": [ {
        "map": "Diagnose:Primaertumor_ICD_Code",
        "comment": "Diagnose:Primaertumor_ICD_Code",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:29:2",
        "comment": "urn:dktk:dataelement:29:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Kodierung der Erkrankung (Diagnose) des Patienten anhand der aktuellen ICD-Klassifizierung",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:alpha-id",
      "max": "1",
      "path": "Condition.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/dimdi/alpha-id"
      },
      "sliceName": "alpha-id"
    }, {
      "id": "Condition.code.coding:alpha-id.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "fixedUri": "http://fhir.de/CodeSystem/dimdi/alpha-id",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:alpha-id.code",
      "min": 1,
      "path": "Condition.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:sct",
      "max": "1",
      "path": "Condition.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct"
      },
      "sliceName": "sct",
      "mustSupport": false
    }, {
      "id": "Condition.code.coding:sct.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "fixedUri": "http://snomed.info/sct",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:sct.code",
      "min": 1,
      "path": "Condition.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:orphanet",
      "max": "1",
      "path": "Condition.code.coding",
      "sliceName": "orphanet",
      "mustSupport": false
    }, {
      "id": "Condition.code.coding:orphanet.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "fixedUri": "http://www.orpha.net",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:orphanet.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.code.text",
      "path": "Condition.code.text",
      "mapping": [ {
        "map": "Diagnose:Primaertumor_Diagnosetext",
        "comment": "Diagnose:Primaertumor_Diagnosetext",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:adt:dataelement:28:1",
        "identity": "ISO-11179"
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.bodySite",
      "path": "Condition.bodySite",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding",
      "min": 1,
      "path": "Condition.bodySite.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ICD-O-3-T",
      "max": "1",
      "path": "Condition.bodySite.coding",
      "short": "ICD O-3 Topographie",
      "binding": {
        "strength": "required",
        "valueSet": "urn:oid:2.16.840.1.113883.6.43.1",
        "description": "ICD-O-3 Topographie"
      },
      "sliceName": "ICD-O-3-T",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ICD-O-3-T.system",
      "min": 1,
      "path": "Condition.bodySite.coding.system",
      "short": "ICD-O-3",
      "fixedUri": "urn:oid:2.16.840.1.113883.6.43.1"
    }, {
      "id": "Condition.bodySite.coding:ICD-O-3-T.version",
      "min": 1,
      "path": "Condition.bodySite.coding.version",
      "short": "ICD-O Katalog Topographie (Version)",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/ICDOVersionVS",
        "description": "ICD-O-3 Version"
      },
      "mapping": [ {
        "map": "Diagnose:Primaertumor_Topographie_ICD_O_Version",
        "comment": "Diagnose:Primaertumor_Topographie_ICD_O_Version",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:5:2",
        "comment": "urn:dktk:dataelement:5:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Katalogversion der ICD-O",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ICD-O-3-T.code",
      "min": 1,
      "path": "Condition.bodySite.coding.code",
      "short": "Lokalisation",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/MorphologieICDO3VS",
        "description": "ICD-O-3 Topographie"
      },
      "mapping": [ {
        "map": "Diagnose:Primaertumor_Topographie_ICD_O",
        "comment": "Diagnose:Primaertumor_Topographie_ICD_O",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:4:2",
        "comment": "urn:dktk:dataelement:4:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Bezeichnung der Topographie einer Erkrankung basierend auf der aktuellen ICD-O-3 Klassifizierung",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ADT-Seitenlokalisation",
      "max": "1",
      "path": "Condition.bodySite.coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/SeitenlokalisationVS"
      },
      "sliceName": "ADT-Seitenlokalisation",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ADT-Seitenlokalisation.system",
      "min": 1,
      "path": "Condition.bodySite.coding.system",
      "fixedUri": "http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS"
    }, {
      "id": "Condition.bodySite.coding:ADT-Seitenlokalisation.code",
      "min": 1,
      "path": "Condition.bodySite.coding.code",
      "short": "Seitenlokalisation nach ADT-GEKID",
      "mapping": [ {
        "map": "Diagnose:Seitenlokalisation",
        "comment": "Diagnose:Seitenlokalisation",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:6:2",
        "comment": "urn:dktk:dataelement:6:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Organspezifische Angabe der betroffenen Seite",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:snomed-ct",
      "max": "1",
      "min": 1,
      "path": "Condition.bodySite.coding",
      "sliceName": "snomed-ct",
      "mustSupport": false
    }, {
      "id": "Condition.bodySite.coding:snomed-ct.system",
      "min": 1,
      "path": "Condition.bodySite.coding.system",
      "fixedUri": "http://snomed.info/sct",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:snomed-ct.code",
      "min": 1,
      "path": "Condition.bodySite.coding.code"
    }, {
      "id": "Condition.subject",
      "path": "Condition.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym" ]
      } ],
      "short": "Patient who has the condition",
      "mustSupport": true
    }, {
      "id": "Condition.subject.reference",
      "min": 1,
      "path": "Condition.subject.reference",
      "mustSupport": true
    }, {
      "id": "Condition.encounter",
      "path": "Condition.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall" ]
      } ]
    }, {
      "id": "Condition.onset[x]",
      "path": "Condition.onset[x]",
      "slicing": {
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Condition.onset[x]:onsetDateTime",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Tumor Diagnosedatum",
      "mapping": [ {
        "map": "Diagnose:Diagnosedatum",
        "comment": "Diagnose:Diagnosedatum",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:83:3",
        "comment": "urn:dktk:dataelement:83:3",
        "identity": "ISO-11179"
      } ],
      "sliceName": "onsetDateTime",
      "definition": "Das Datum an dem die meldepflichtige Diagnose erstmals durch einen Arzt klinisch oder mikroskopisch diagnostiziert wurde",
      "mustSupport": true
    }, {
      "id": "Condition.stage",
      "path": "Condition.stage",
      "mustSupport": true
    }, {
      "id": "Condition.stage.assessment",
      "path": "Condition.stage.assessment",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMp", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.stage.assessment.reference",
      "min": 1,
      "path": "Condition.stage.assessment.reference"
    }, {
      "id": "Condition.evidence",
      "path": "Condition.evidence",
      "mustSupport": true
    }, {
      "id": "Condition.evidence.detail",
      "path": "Condition.evidence.detail",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GenetischeVariante" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.evidence.detail.reference",
      "min": 1,
      "path": "Condition.evidence.detail.reference"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}