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