description: Dieses Profil beschreibt die Verlaufskontrolle und verweist ggfs. auf andere verlaufsrelevante diagnostische Maßnahmen
package_name: rs/de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Verlauf
type: Observation
elements:
  hasMember:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation']
    index: 21
  value[x]:
    elements:
      coding:
        short: Gesamtbeurteilung im Verlauf
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Datum der Untersuchung im Verlauf}
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Gesamtbeurteilung im Verlauf}
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Datum der letzten Untersuchung in dieser Verlaufsbeurteilung gemäß 17.1 oBDS 2021.}
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Gesamtbeurteilung im Verlauf gemäß 17.2 oBDS 2021.}
        index: 18
        elements:
          system: {mustSupport: true, index: 19}
          code: {mustSupport: true, index: 20}
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  encounter: {mustSupport: true, index: 6}
  value:
    choices: [valueCodeableConcept]
    index: 16
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema:
            choices: [valueCodeableConcept]
            index: 16
          min: 0
          max: 1
  component:
    mustSupport: true
    index: 22
    slicing:
      rules: open
      description: Slice based on the component.code pattern
      discriminator:
      - {path: code.coding, type: pattern}
      min: 1
      slices:
        Tumor_Verlauf:
          match:
            code:
              coding: {code: '445200009', system: 'http://snomed.info/sct', display: Status of residual neoplasm (observable entity)}
          schema:
            mustSupport: true
            index: 23
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '445200009', system: 'http://snomed.info/sct', display: Status of residual neoplasm (observable entity)}
                    type: Coding
                    index: 24
                    elements:
                      code: {index: 25}
                required: [coding]
              value:
                choices: [valueCodeableConcept]
                index: 27
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 28}
              value[x]:
                elements:
                  coding:
                    short: Gesamtbeurteilung Primärtumor im Verlauf
                    _short:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Gesamtbeurteilung Primärtumor im Verlauf}
                    _definition:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Gesamtbeurteilung des Primärtumors im Verlauf gemäß 17.3 oBDS 2021.}
                    index: 29
                    elements:
                      system: {mustSupport: true, index: 30}
                      code: {mustSupport: true, index: 31}
        Lymphknoten_Verlauf:
          match:
            code:
              coding: {code: '399656008', system: 'http://snomed.info/sct', display: Presence of metastatic neoplasm in regional lymph node (observable entity)}
          schema:
            mustSupport: true
            index: 32
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '399656008', system: 'http://snomed.info/sct', display: Presence of metastatic neoplasm in regional lymph node (observable entity)}
                    type: Coding
                    index: 33
                    elements:
                      code: {index: 34}
                required: [coding]
              value:
                choices: [valueCodeableConcept]
                index: 36
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 37}
              value[x]:
                elements:
                  coding:
                    short: Gesamtbeurteilung Lymphknoten im Verlauf
                    _short:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Gesamtbeurteilung Lymphknoten im Verlauf}
                    _definition:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Gesamtbeurteilung der Lymphknoteninfiltration im Verlauf gemäß 17.4 oBDS 2021.}
                    index: 38
                    elements:
                      system: {mustSupport: true, index: 39}
                      code: {mustSupport: true, index: 40}
        Fernmetastasen_Verlauf:
          match:
            code:
              coding: {code: '399608002', system: 'http://snomed.info/sct', display: Status of distant metastasis (observable entity)}
          schema:
            mustSupport: true
            index: 41
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '399608002', system: 'http://snomed.info/sct', display: Status of distant metastasis (observable entity)}
                    type: Coding
                    index: 42
                    elements:
                      code: {index: 43}
                required: [coding]
              value:
                choices: [valueCodeableConcept]
                index: 45
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 46}
              value[x]:
                elements:
                  coding:
                    short: Gesamtbeurteilung Fernmetastasen im Verlauf
                    _short:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Gesamtbeurteilung Fernmetastasen im Verlauf}
                    _definition:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Gesamtbeurteilung von Fernmetastasen im Verlauf gemäß 17.5 oBDS 2021.}
                    index: 47
                    elements:
                      system: {mustSupport: true, index: 48}
                      code: {mustSupport: true, index: 49}
  effectiveDateTime:
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 11
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, mustSupport: true, choiceOf: effective, index: 11}
          min: 0
          max: 1
  effective:
    mustSupport: true
    choices: []
    index: 8
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        effectiveDateTime:
          match: {}
          schema:
            mustSupport: true
            choices: [effectiveDateTime]
            index: 10
          min: 0
          max: 1
  code:
    mustSupport: true
    index: 2
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '396432002', system: 'http://snomed.info/sct', display: Status of regression of tumor (observable entity)}
        type: Coding
        index: 3
  identifier: {mustSupport: true, index: 1}
  valueCodeableConcept:
    type: CodeableConcept
    choiceOf: value
    index: 17
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, choiceOf: value, index: 17}
          min: 0
          max: 1
  focus:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 5
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 4
package_version: 2025.1.0
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2025.1.0
required: [component, focus, subject]