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<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose" />
  <version value="0.9.0" />
  <name value="Primaerdiagnose" />
  <status value="active" />
  <description value="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)" />
  <fhirVersion value="4.0.0" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Condition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
  <derivation value="constraint" />
  <differential>
    <element id="Condition.extension:ReferenzPrimaerdiagnose">
      <path value="Condition.extension" />
      <sliceName value="ReferenzPrimaerdiagnose" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/condition-related" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.extension:Fernmetastasen">
      <path value="Condition.extension" />
      <sliceName value="Fernmetastasen" />
      <type>
        <code value="Extension" />
        <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Fernmetastasen" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.extension:specimen">
      <path value="Condition.extension" />
      <sliceName value="specimen" />
      <alias value="Bioprobe" />
      <type>
        <code value="Extension" />
        <profile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-Specimen" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.code">
      <path value="Condition.code" />
      <short value="Code der Primärdiagnose" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding">
      <path value="Condition.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Condition.code.coding:icd10-gm">
      <path value="Condition.code.coding" />
      <sliceName value="icd10-gm" />
      <short value="Code defined by ICD- system" />
      <max value="1" />
      <type>
        <code value="Coding" />
        <profile value="http://fhir.de/StructureDefinition/CodingICD10GM" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://fhir.de/ValueSet/bfarm/icd-10-gm" />
      </binding>
    </element>
    <element id="Condition.code.coding:icd10-gm.system">
      <path value="Condition.code.coding.system" />
      <short value="ICD-10-GM" />
      <min value="1" />
      <fixedUri value="http://fhir.de/CodeSystem/bfarm/icd-10-gm" />
    </element>
    <element id="Condition.code.coding:icd10-gm.version">
      <path value="Condition.code.coding.version" />
      <short value="Version des ICD-10-Katalogs" />
      <definition value="Katalogversion der ICD" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="ICD-10-Katalog (Version)" />
        <valueSet value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/ICDVersionVS" />
      </binding>
      <mapping>
        <identity value="ADT-GEKID" />
        <map value="Diagnose:Primaertumor_ICD_Version" />
        <comment value="Diagnose:Primaertumor_ICD_Version" />
      </mapping>
      <mapping>
        <identity value="ISO-11179" />
        <map value="urn:dktk:dataelement:3:2" />
        <comment value="urn:dktk:dataelement:3:2" />
      </mapping>
    </element>
    <element id="Condition.code.coding:icd10-gm.code">
      <path value="Condition.code.coding.code" />
      <short value="Primärdiagnose" />
      <definition value="Kodierung der Erkrankung (Diagnose) des Patienten anhand der aktuellen ICD-Klassifizierung" />
      <min value="1" />
      <mustSupport value="true" />
      <mapping>
        <identity value="ADT-GEKID" />
        <map value="Diagnose:Primaertumor_ICD_Code" />
        <comment value="Diagnose:Primaertumor_ICD_Code" />
      </mapping>
      <mapping>
        <identity value="ISO-11179" />
        <map value="urn:dktk:dataelement:29:2" />
        <comment value="urn:dktk:dataelement:29:2" />
      </mapping>
    </element>
    <element id="Condition.code.coding:alpha-id">
      <path value="Condition.code.coding" />
      <sliceName value="alpha-id" />
      <max value="1" />
      <type>
        <code value="Coding" />
        <profile value="http://fhir.de/StructureDefinition/CodingAlphaID" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://fhir.de/ValueSet/bfarm/alpha-id" />
      </binding>
    </element>
    <element id="Condition.code.coding:alpha-id.system">
      <path value="Condition.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://fhir.de/CodeSystem/bfarm/alpha-id" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:alpha-id.code">
      <path value="Condition.code.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:sct">
      <path value="Condition.code.coding" />
      <sliceName value="sct" />
      <max value="1" />
      <mustSupport value="false" />
      <binding>
        <strength value="required" />
        <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct" />
      </binding>
    </element>
    <element id="Condition.code.coding:sct.system">
      <path value="Condition.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:sct.code">
      <path value="Condition.code.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:orphanet">
      <path value="Condition.code.coding" />
      <sliceName value="orphanet" />
      <max value="1" />
      <mustSupport value="false" />
    </element>
    <element id="Condition.code.coding:orphanet.system">
      <path value="Condition.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://www.orpha.net" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:orphanet.code">
      <path value="Condition.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Condition.code.text">
      <path value="Condition.code.text" />
      <short value="Primaertumor Diagnosetext" />
      <definition value="Bezeichnung einer Erkrankung als Freitext" />
      <mustSupport value="true" />
      <mapping>
        <identity value="ADT-GEKID" />
        <map value="Diagnose:Primaertumor_Diagnosetext" />
        <comment value="Diagnose:Primaertumor_Diagnosetext" />
      </mapping>
      <mapping>
        <identity value="ISO-11179" />
        <map value="urn:adt:dataelement:28:1" />
      </mapping>
    </element>
    <element id="Condition.bodySite">
      <path value="Condition.bodySite" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.bodySite.coding">
      <path value="Condition.bodySite.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.bodySite.coding:ICD-O-3-T">
      <path value="Condition.bodySite.coding" />
      <sliceName value="ICD-O-3-T" />
      <short value="ICD O-3 Topographie" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.bodySite.coding:ICD-O-3-T.system">
      <path value="Condition.bodySite.coding.system" />
      <short value="ICD-O-3" />
      <min value="1" />
      <fixedUri value="urn:oid:2.16.840.1.113883.6.43.1" />
    </element>
    <element id="Condition.bodySite.coding:ICD-O-3-T.version">
      <path value="Condition.bodySite.coding.version" />
      <short value="ICD-O Katalog Topographie (Version)" />
      <definition value="Katalogversion der ICD-O" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="ICD-O-3 Version" />
        <valueSet value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/ICDOVersionVS" />
      </binding>
      <mapping>
        <identity value="ADT-GEKID" />
        <map value="Diagnose:Primaertumor_Topographie_ICD_O_Version" />
        <comment value="Diagnose:Primaertumor_Topographie_ICD_O_Version" />
      </mapping>
      <mapping>
        <identity value="ISO-11179" />
        <map value="urn:dktk:dataelement:5:2" />
        <comment value="urn:dktk:dataelement:5:2" />
      </mapping>
    </element>
    <element id="Condition.bodySite.coding:ICD-O-3-T.code">
      <path value="Condition.bodySite.coding.code" />
      <short value="Lokalisation" />
      <definition value="Bezeichnung der Topographie einer Erkrankung basierend auf der aktuellen ICD-O-3 Klassifizierung" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="ICD-O-3 Topographie" />
        <valueSet value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/TopographieICDO3VS" />
      </binding>
      <mapping>
        <identity value="ADT-GEKID" />
        <map value="Diagnose:Primaertumor_Topographie_ICD_O" />
        <comment value="Diagnose:Primaertumor_Topographie_ICD_O" />
      </mapping>
      <mapping>
        <identity value="ISO-11179" />
        <map value="urn:dktk:dataelement:4:2" />
        <comment value="urn:dktk:dataelement:4:2" />
      </mapping>
    </element>
    <element id="Condition.bodySite.coding:ADT-Seitenlokalisation">
      <path value="Condition.bodySite.coding" />
      <sliceName value="ADT-Seitenlokalisation" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/SeitenlokalisationVS" />
      </binding>
    </element>
    <element id="Condition.bodySite.coding:ADT-Seitenlokalisation.system">
      <path value="Condition.bodySite.coding.system" />
      <min value="1" />
      <fixedUri value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/SeitenlokalisationCS" />
    </element>
    <element id="Condition.bodySite.coding:ADT-Seitenlokalisation.code">
      <path value="Condition.bodySite.coding.code" />
      <short value="Seitenlokalisation nach ADT-GEKID" />
      <definition value="Organspezifische Angabe der betroffenen Seite" />
      <min value="1" />
      <mustSupport value="true" />
      <mapping>
        <identity value="ADT-GEKID" />
        <map value="Diagnose:Seitenlokalisation" />
        <comment value="Diagnose:Seitenlokalisation" />
      </mapping>
      <mapping>
        <identity value="ISO-11179" />
        <map value="urn:dktk:dataelement:6:2" />
        <comment value="urn:dktk:dataelement:6:2" />
      </mapping>
    </element>
    <element id="Condition.bodySite.coding:snomed-ct">
      <path value="Condition.bodySite.coding" />
      <sliceName value="snomed-ct" />
      <max value="1" />
      <mustSupport value="false" />
    </element>
    <element id="Condition.bodySite.coding:snomed-ct.system">
      <path value="Condition.bodySite.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.bodySite.coding:snomed-ct.code">
      <path value="Condition.bodySite.coding.code" />
      <min value="1" />
    </element>
    <element id="Condition.subject">
      <path value="Condition.subject" />
      <short value="Patient who has the condition" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient" />
        <targetProfile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.subject.reference">
      <path value="Condition.subject.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.encounter">
      <path value="Condition.encounter" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall" />
      </type>
    </element>
    <element id="Condition.onset[x]">
      <path value="Condition.onset[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Condition.onset[x]:onsetDateTime">
      <path value="Condition.onset[x]" />
      <sliceName value="onsetDateTime" />
      <short value="Tumor Diagnosedatum" />
      <definition value="Das Datum an dem die meldepflichtige Diagnose erstmals durch einen Arzt klinisch oder mikroskopisch diagnostiziert wurde" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
      <mapping>
        <identity value="ADT-GEKID" />
        <map value="Diagnose:Diagnosedatum" />
        <comment value="Diagnose:Diagnosedatum" />
      </mapping>
      <mapping>
        <identity value="ISO-11179" />
        <map value="urn:dktk:dataelement:83:3" />
        <comment value="urn:dktk:dataelement:83:3" />
      </mapping>
    </element>
    <element id="Condition.stage">
      <path value="Condition.stage" />
      <mustSupport value="false" />
    </element>
    <element id="Condition.stage.assessment">
      <path value="Condition.stage.assessment" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMp" />
        <targetProfile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.stage.assessment.reference">
      <path value="Condition.stage.assessment.reference" />
      <min value="1" />
    </element>
    <element id="Condition.evidence">
      <path value="Condition.evidence" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.evidence.code">
      <path value="Condition.evidence.code" />
      <short value="Diagnosesicherung" />
      <definition value="Höchste erreichte Diagnosesicherheit zum Diagnosedatum" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="Diagnosesicherung" />
        <valueSet value="http://dktk.dkfz.de/fhir/onco/core/ValueSet/DiagnosesicherungVS" />
      </binding>
    </element>
    <element id="Condition.evidence.code.coding.system">
      <path value="Condition.evidence.code.coding.system" />
      <fixedUri value="http://dktk.dkfz.de/fhir/onco/core/CodeSystem/DiagnosesicherungCS" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.evidence.code.coding.code">
      <path value="Condition.evidence.code.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.evidence.detail">
      <path value="Condition.evidence.detail" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie" />
        <targetProfile value="http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GenetischeVariante" />
      </type>
      <mustSupport value="false" />
    </element>
    <element id="Condition.evidence.detail.reference">
      <path value="Condition.evidence.detail.reference" />
      <min value="1" />
    </element>
  </differential>
</StructureDefinition>

name : Primaerdiagnose

{

}

<name value="Primaerdiagnose" />