{
  "resourceType": "StructureDefinition",
  "id": "mii-pr-onko-tnm-n-kategorie",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie",
  "version": "2024.0.0-ballot",
  "name": "MII_PR_Onko_TNM_N_Kategorie",
  "title": "MII PR Onkologie TNM N-Kategorie",
  "status": "draft",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description": "TNM-Klassifikation: TNM N-Kategorie. Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "sct-concept",
      "uri": "http://snomed.info/conceptdomain",
      "name": "SNOMED CT Concept Domain Binding"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "sct-attr",
      "uri": "http://snomed.org/attributebinding",
      "name": "SNOMED CT Attribute Binding"
    },
    {
      "identity": "oBDS",
      "name": "Mapping FHIR zu oBDS"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-n-kategorie"
        }
      },
      {
        "id": "Observation.code.extension:cpPraefix",
        "path": "Observation.code.extension",
        "sliceName": "cpPraefix",
        "short": "TNM c/p-Präfix N",
        "definition": "Gibt an, ob die Klassifikation klinisch oder pathologisch erfolgte.",
        "comment": "c oder (leer) = Kategorie wurde durch klinische Angaben festgestellt, bzw. erfüllt die Kriterien für p nicht. p = Feststellung der Kategorie erfolgte durch eine pathohistologische Untersuchung, mit der auch der höchste Grad der jeweiligen Kategorie hätte festgestellt werden können. u (Feststellung mit Ultraschall) ist unter c zu übermitteln.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.code.extension:cpPraefix.value[x].coding.code",
        "path": "Observation.code.extension.value[x].coding.code",
        "mapping": [
          {
            "identity": "oBDS",
            "map": "8.7",
            "comment": "TNM c/p-Präfix N"
          }
        ]
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "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"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "tnm-datum",
            "severity": "error",
            "human": "TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.",
            "expression": "$this.toString().length() >= 8",
            "source": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "oBDS",
            "map": "8.1",
            "comment": "TNM Datum"
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "short": "TNM N-Kategorie",
        "definition": "Ausbreitung von regionären Lymphknotenmetastasen, erfolgt gemäß Tumorentität nach TNM.",
        "comment": "Entitätsspezifisch, siehe auch allgemeine Bemerkungen zu TNM.",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-n-kategorie-werte"
        }
      },
      {
        "id": "Observation.value[x].extension:itcSuffix",
        "path": "Observation.value[x].extension",
        "sliceName": "itcSuffix",
        "short": "isolierte Tumorzellen (ITC) Suffix",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].extension:snSuffix",
        "path": "Observation.value[x].extension",
        "sliceName": "snSuffix",
        "short": "Schildwächterlymphknoten (Sentinel Lymph Node) Suffix",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-sn-suffix"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].coding.system",
        "path": "Observation.value[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].coding.code",
        "path": "Observation.value[x].coding.code",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "oBDS",
            "map": "8.11",
            "comment": "TNM N-Kategorie"
          }
        ]
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "short": "TNM Version",
        "definition": "Gibt an, nach welcher Version des TNM klassifiziert wurde.",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-tnm-version"
        }
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-anzahl-befallene-lymphknoten",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-anzahl-untersuchte-lymphknoten",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-anzahl-befallene-sentinel-lymphknoten",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-anzahl-untersuchte-sentinel-lymphknoten"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.derivedFrom",
        "path": "Observation.derivedFrom",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-verlauf"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}