{
  "resourceType": "StructureDefinition",
  "id": "Observation",
  "url": "https://fhir.centraxx.de/StructureDefinition/CouncilPatient",
  "version": "2025.4.0",
  "name": "CouncilPatient",
  "status": "active",
  "publisher": "Kairos an IQVIA business",
  "description": "Represents a CentraXX CouncilPatient.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.centraxx.de/StructureDefinition/CouncilPatient",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.tag",
        "path": "Observation.meta.tag",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.tag.system",
        "path": "Observation.meta.tag.system",
        "min": 1,
        "max": "1",
        "fixedString": "https://fhir.centraxx.de/system/cxxEntity",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.tag.code",
        "path": "Observation.meta.tag.code",
        "min": 1,
        "max": "1",
        "fixedString": "CouncilPatient",
        "mustSupport": true
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
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            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.extension:updateWithOverwrite",
        "path": "Observation.extension",
        "sliceName": "updateWithOverwrite",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/updateWithOverwrite"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "closed"
        },
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:councilPatientId",
        "path": "Observation.identifier",
        "sliceName": "councilPatientId",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:councilPatientId.system",
        "path": "Observation.identifier.system",
        "min": 1,
        "max": "1",
        "fixedString": "https://fhir.centraxx.de/system/councilPatient/councilPatientId",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:councilPatientId.value",
        "path": "Observation.identifier.value",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "fixedCode": "final",
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "371480007",
              "display": "Anatomic location of neoplasm (observable entity)"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.centraxx.de/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.focus",
        "path": "Observation.focus",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.centraxx.de/StructureDefinition/Tumor"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "comment": "CXX creation date",
        "mustSupport": true
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "rules": "closed"
        },
        "min": 0,
        "max": "8",
        "mustSupport": true
      },
      {
        "id": "Observation.component:location",
        "path": "Observation.component",
        "sliceName": "location",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:location.code",
        "path": "Observation.component.code",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "https://fhir.centraxx.de/system/councilPatient",
              "code": "location"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:location.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.component:comments",
        "path": "Observation.component",
        "sliceName": "comments",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:comments.code",
        "path": "Observation.component.code",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "https://fhir.centraxx.de/system/councilPatient",
              "code": "comments"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:comments.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.component:question",
        "path": "Observation.component",
        "sliceName": "question",
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        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:question.code",
        "path": "Observation.component.code",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "https://fhir.centraxx.de/system/councilPatient",
              "code": "question"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:question.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.component:anamnesis",
        "path": "Observation.component",
        "sliceName": "anamnesis",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:anamnesis.code",
        "path": "Observation.component.code",
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        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "https://fhir.centraxx.de/system/councilPatient",
              "code": "anamnesis"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:anamnesis.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.component:recommendation",
        "path": "Observation.component",
        "sliceName": "recommendation",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:recommendation.code",
        "path": "Observation.component.code",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "https://fhir.centraxx.de/system/councilPatient",
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            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:recommendation.value[x]",
        "path": "Observation.component.value[x]",
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        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
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        "id": "Observation.component:councilTypeDict",
        "path": "Observation.component",
        "sliceName": "councilTypeDict",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:councilTypeDict.code",
        "path": "Observation.component.code",
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        "patternCodeableConcept": {
          "coding": [
            {
              "system": "https://fhir.centraxx.de/system/councilPatient",
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            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:councilTypeDict.value[x]",
        "path": "Observation.component.value[x]",
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        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.centraxx.de/valueSet/gtds/councilTypeDictionary"
        }
      },
      {
        "id": "Observation.component:councilTypeDict.value[x].coding",
        "path": "Observation.component.value[x].coding",
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        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:councilTypeDict.value[x].coding.system",
        "path": "Observation.component.value[x].coding.system",
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        "max": "1",
        "fixedString": "https://fhir.centraxx.de/system/gtds/councilTypeDictionary",
        "mustSupport": true
      },
      {
        "id": "Observation.component:councilTypeDict.value[x].coding.version",
        "path": "Observation.component.value[x].coding.version",
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      },
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        "id": "Observation.component:councilTypeDict.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
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      },
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        "path": "Observation.component.code",
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              "system": "https://fhir.centraxx.de/system/councilPatient",
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            }
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        "mustSupport": true
      },
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        "id": "Observation.component:statusDict.value[x]",
        "path": "Observation.component.value[x]",
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        }
      },
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      },
      {
        "id": "Observation.component:statusDict.value[x].coding.system",
        "path": "Observation.component.value[x].coding.system",
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      },
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        "id": "Observation.component:statusDict.value[x].coding.version",
        "path": "Observation.component.value[x].coding.version",
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      },
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        "id": "Observation.component:statusDict.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
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        "max": "1",
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      },
      {
        "id": "Observation.component:councilDate",
        "path": "Observation.component",
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        "mustSupport": true
      },
      {
        "id": "Observation.component:councilDate.code",
        "path": "Observation.component.code",
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        "max": "1",
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            {
              "system": "https://fhir.centraxx.de/system/councilPatient",
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            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:councilDate.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      }
    ]
  }
}