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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="8cd46483-8eaa-433f-96a1-fd248b1a0be0" />
  <meta>
    <lastUpdated value="2020-05-27T14:22:24.354+00:00" />
  </meta>
  <url value="http://IQTIG.org/fhir/StructureDefinition/TNMKlassifikation" />
  <name value="TNM_Klassifikation" />
  <status value="draft" />
  <date value="2020-05-27T14:22:24.097999+00:00" />
  <publisher value="Institut für Qualitätssicherung und Transparenz im Gesundheitswesen (IQTIG)" />
  <contact>
    <name value="IQTIG" />
    <telecom>
      <system value="url" />
      <value value="http://iqtig.org" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="Staging von Tumorerkrankungen nach der TNM-Klassifikation." />
  <copyright value="Copyright © 2020, IQTIG, Katharina-Heinroth-Ufer 1, 10787 Berlin" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="sct-concept" />
    <uri value="http://snomed.info/conceptdomain" />
    <name value="SNOMED CT Concept Domain Binding" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="sct-attr" />
    <uri value="http://snomed.org/attributebinding" />
    <name value="SNOMED CT Attribute Binding" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.basedOn">
      <path value="Observation.basedOn" />
      <max value="0" />
    </element>
    <element id="Observation.partOf">
      <path value="Observation.partOf" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://iqtig.org/fhir/StructureDefinition/Stanze" />
        <targetProfile value="http://iqtig.org/fhir/StructureDefinition/Operation" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <max value="0" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationCode" />
        </extension>
        <strength value="required" />
        <description value="Pathologische oder klinische Einschätzung" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMArtVS" />
      </binding>
    </element>
    <element id="Observation.code.coding.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://iqtig.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://iqitg.org/fhir/StructureDefinition/PseudonymisierterPatient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.focus">
      <path value="Observation.focus" />
      <max value="0" />
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    <element id="Observation.encounter">
      <path value="Observation.encounter" />
      <max value="0" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <short value="Datum des Befund" />
      <definition value="Datum des TNM-Befund." />
      <min value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.issued">
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      <path value="Observation.performer" />
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    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <max value="0" />
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    <element id="Observation.dataAbsentReason">
      <path value="Observation.dataAbsentReason" />
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    </element>
    <element id="Observation.interpretation">
      <path value="Observation.interpretation" />
      <max value="0" />
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    <element id="Observation.note">
      <path value="Observation.note" />
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    <element id="Observation.bodySite">
      <path value="Observation.bodySite" />
      <max value="0" />
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    <element id="Observation.method">
      <path value="Observation.method" />
      <max value="0" />
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    <element id="Observation.specimen">
      <path value="Observation.specimen" />
      <max value="0" />
    </element>
    <element id="Observation.device">
      <path value="Observation.device" />
      <max value="0" />
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    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange" />
      <max value="0" />
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    <element id="Observation.hasMember">
      <path value="Observation.hasMember" />
      <max value="0" />
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    <element id="Observation.derivedFrom">
      <path value="Observation.derivedFrom" />
      <max value="0" />
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="code.coding.code" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:pTNM-T">
      <path value="Observation.component" />
      <sliceName value="pTNM-T" />
      <max value="1" />
      <mustSupport value="true" />
      <mapping>
        <identity value="ADT-GEKID" />
        <map value="TNM_TYP:TNM_T" />
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    <element id="Observation.component:pTNM-T.extension">
      <path value="Observation.component.extension" />
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        <discriminator>
          <type value="value" />
          <path value="url" />
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        <rules value="open" />
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    </element>
    <element id="Observation.component:pTNM-T.extension:cpu-Praefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Praefix" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:pTNM-T.extension:cpu-Praefix.url">
      <path value="Observation.component.extension.url" />
      <fixedUri value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
    </element>
    <element id="Observation.component:pTNM-T.extension:cpu-Praefix.value[x]">
      <path value="Observation.component.extension.value[x]" />
      <short value="c/p/u-Praefix" />
    </element>
    <element id="Observation.component:pTNM-T.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:pTNM-T.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
      <fixedCode value="21899-0" />
    </element>
    <element id="Observation.component:pTNM-T.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="pTMT-T" />
      <definition value="Gibt die Ausdehnung des Primärtumors nach pathologischer Beurteilung an" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="pTMT-T" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMT_VS" />
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    <element id="Observation.component:pTNM-T.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
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      <path value="Observation.component.interpretation" />
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      <path value="Observation.component.referenceRange" />
      <max value="0" />
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    <element id="Observation.component:pTNM-N">
      <path value="Observation.component" />
      <sliceName value="pTNM-N" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:pTNM-N.extension">
      <path value="Observation.component.extension" />
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        <discriminator>
          <type value="value" />
          <path value="url" />
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        <rules value="open" />
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    </element>
    <element id="Observation.component:pTNM-N.extension:cpu-Praefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Praefix" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:pTNM-N.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
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    <element id="Observation.component:pTNM-N.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
      <fixedCode value="21900-6" />
    </element>
    <element id="Observation.component:pTNM-N.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="pTNM-N" />
      <definition value="Pathologische Beurteilung ob Lymphknoten befallen sind" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="pTNM-N" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMN_VS" />
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    </element>
    <element id="Observation.component:pTNM-N.dataAbsentReason">
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      <max value="0" />
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      <path value="Observation.component.interpretation" />
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      <path value="Observation.component.referenceRange" />
      <max value="0" />
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    <element id="Observation.component:pTNM-M">
      <path value="Observation.component" />
      <sliceName value="pTNM-M" />
      <max value="1" />
      <mustSupport value="true" />
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    <element id="Observation.component:pTNM-M.extension">
      <path value="Observation.component.extension" />
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        <discriminator>
          <type value="value" />
          <path value="url" />
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        <rules value="open" />
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    <element id="Observation.component:pTNM-M.extension:cpu-Praefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Praefix" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:pTNM-M.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:pTNM-M.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="21901-4" />
    </element>
    <element id="Observation.component:pTNM-M.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="pTNM-M" />
      <definition value="Pathologische Beurteilung, ob Metastasen vorliegen" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="pTNM-M" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMM_VS" />
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      <path value="Observation.component.referenceRange" />
      <max value="0" />
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    <element id="Observation.component:TNM-L-Kategorie">
      <path value="Observation.component" />
      <sliceName value="TNM-L-Kategorie" />
      <max value="1" />
      <mustSupport value="true" />
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    <element id="Observation.component:TNM-L-Kategorie.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
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    <element id="Observation.component:TNM-L-Kategorie.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="33739-4" />
    </element>
    <element id="Observation.component:TNM-L-Kategorie.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="TNM L-Kategorie" />
      <definition value="Gibt die Lymphgefäßinvasion an" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="TNM-L-Kategorie" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNML_VS" />
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    <element id="Observation.component:TNM-V-Kategorie">
      <path value="Observation.component" />
      <sliceName value="TNM-V-Kategorie" />
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      <mustSupport value="true" />
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      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
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    <element id="Observation.component:TNM-V-Kategorie.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="33740-2" />
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    <element id="Observation.component:TNM-V-Kategorie.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="TNM-V-Kategorie" />
      <definition value="Gibt die Veneninvasion an" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="TNM-V-Kategorie" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMV_VS" />
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      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
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      <path value="Observation.component.interpretation" />
      <max value="0" />
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      <path value="Observation.component" />
      <sliceName value="TNM-Pn-Kategorie" />
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      <mustSupport value="true" />
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      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
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    <element id="Observation.component:TNM-Pn-Kategorie.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="92837-4" />
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    <element id="Observation.component:TNM-Pn-Kategorie.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="TNM-Pn-Kategorie" />
      <definition value="Gibt die Perineuralinvasion an" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="TNM-Pn-Kategorie" />
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      <max value="0" />
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      <max value="0" />
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      <path value="Observation.component" />
      <sliceName value="TNM-S-Kategorie" />
      <max value="1" />
      <mustSupport value="true" />
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    <element id="Observation.component:TNM-S-Kategorie.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="TNM-S-Kategorie" />
      <definition value="Gibt die Werte des Serumtumormakers an" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="TNM-S-Kategorie" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMS_VS" />
      </binding>
    </element>
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      <max value="0" />
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      <path value="Observation.component.interpretation" />
      <max value="0" />
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      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.component:TNM-y-Symbol">
      <path value="Observation.component" />
      <sliceName value="TNM-y-Symbol" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:TNM-y-Symbol.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:TNM-y-Symbol.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="59479-6" />
    </element>
    <element id="Observation.component:TNM-y-Symbol.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="TNM-y-Symbol" />
      <definition value="Gibt an, ob im Fall einer multimodalen Therapie die Klassifikation während oder nach der Therapie erfolgt ist." />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="TNM-y-Symbol" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMy_VS" />
      </binding>
    </element>
    <element id="Observation.component:TNM-y-Symbol.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
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      <path value="Observation.component.interpretation" />
      <max value="0" />
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      <path value="Observation.component.referenceRange" />
      <max value="0" />
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    <element id="Observation.component:TNM-r-Symbol">
      <path value="Observation.component" />
      <sliceName value="TNM-r-Symbol" />
      <max value="1" />
      <mustSupport value="true" />
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    <element id="Observation.component:TNM-r-Symbol.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:TNM-r-Symbol.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="21983-2" />
    </element>
    <element id="Observation.component:TNM-r-Symbol.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="TNM-r-Symbol" />
      <definition value="Gibt an, ob es sich bei dem beurteilten Tumor um ein Rezidiv handelt" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="TNM-r-Symbol" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMr_VS" />
      </binding>
    </element>
    <element id="Observation.component:TNM-r-Symbol.dataAbsentReason">
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      <max value="0" />
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      <max value="0" />
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      <path value="Observation.component.referenceRange" />
      <max value="0" />
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    <element id="Observation.component:TNM-a-Symbol">
      <path value="Observation.component" />
      <sliceName value="TNM-a-Symbol" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:TNM-a-Symbol.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="TNM-a-Symbol" />
      <definition value="Gibt an, ob die Klassifikation aus Anlass einer Autopsie erfolgte" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="TNM-a-Symbol" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMa_CS&quot;" />
      </binding>
    </element>
    <element id="Observation.component:TNM-a-Symbol.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.component:TNM-a-Symbol.interpretation">
      <path value="Observation.component.interpretation" />
      <max value="0" />
    </element>
    <element id="Observation.component:TNM-a-Symbol.referenceRange">
      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.component:TNM-m-Symbol">
      <path value="Observation.component" />
      <sliceName value="TNM-m-Symbol" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:TNM-m-Symbol.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:TNM-m-Symbol.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="42030-7" />
    </element>
    <element id="Observation.component:TNM-m-Symbol.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="TNM-m-Symbol" />
      <definition value="Gibt an, ob multiple Primärtumoren in einem Bereich vorligen" />
      <type>
        <code value="string" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:TNM-m-Symbol.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.component:TNM-m-Symbol.interpretation">
      <path value="Observation.component.interpretation" />
      <max value="0" />
    </element>
    <element id="Observation.component:TNM-m-Symbol.referenceRange">
      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-T">
      <path value="Observation.component" />
      <sliceName value="cTNM-T" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:cTNM-T.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:cTNM-T.extension:cpu-Praefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Praefix" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:cTNM-T.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:cTNM-T.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="21905-5" />
    </element>
    <element id="Observation.component:cTNM-T.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="cTNM-T" />
      <definition value="Gibt die Ausbreitung des Primärtumors nach einer klinischen Beurteilung an" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="cTM-T" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMT_VS" />
      </binding>
    </element>
    <element id="Observation.component:cTNM-T.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-T.interpretation">
      <path value="Observation.component.interpretation" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-T.referenceRange">
      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-N">
      <path value="Observation.component" />
      <sliceName value="cTNM-N" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:cTNM-N.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:cTNM-N.extension:cpu-Praefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Praefix" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:cTNM-N.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:cTNM-N.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="21906-3" />
    </element>
    <element id="Observation.component:cTNM-N.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="cTNM-N" />
      <definition value="Klinsiche Beurteilung, ob Lymphknoten befallen sind" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="cTNM-N" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMN_VS" />
      </binding>
    </element>
    <element id="Observation.component:cTNM-N.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-N.interpretation">
      <path value="Observation.component.interpretation" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-N.referenceRange">
      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-M">
      <path value="Observation.component" />
      <sliceName value="cTNM-M" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:cTNM-M.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:cTNM-M.extension:cpu-Paefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Paefix" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:cTNM-M.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:cTNM-M.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="21907-1" />
    </element>
    <element id="Observation.component:cTNM-M.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="cTNM-M" />
      <definition value="Klinische Beurteilung ob Metastasen vorhanden sind" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="cTNM-M" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMM_VS" />
      </binding>
    </element>
    <element id="Observation.component:cTNM-M.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-M.interpretation">
      <path value="Observation.component.interpretation" />
      <max value="0" />
    </element>
    <element id="Observation.component:cTNM-M.referenceRange">
      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-T">
      <path value="Observation.component" />
      <sliceName value="uTNM-T" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:uTNM-T.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:uTNM-T.extension:cpu-Praefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Praefix" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:uTNM-T.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:uTNM-T.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="21911-3" />
    </element>
    <element id="Observation.component:uTNM-T.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="uTNM-T" />
      <definition value="Feststellung der Tumorausdehnung erfolgte mittels Ultraschall" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="uTNM-T" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMT_VS" />
      </binding>
    </element>
    <element id="Observation.component:uTNM-T.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-T.interpretation">
      <path value="Observation.component.interpretation" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-T.referenceRange">
      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-N">
      <path value="Observation.component" />
      <sliceName value="uTNM-N" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:uTNM-N.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:uTNM-N.extension:cpu-Praefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Praefix" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:uTNM-N.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:uTNM-N.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="21912-1" />
    </element>
    <element id="Observation.component:uTNM-N.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="uTNM-N" />
      <definition value="Beurteilung über Befall der Lymphknoten erfolgte mittels Ultraschall" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="uTNM-N" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMN_VS&quot;" />
      </binding>
    </element>
    <element id="Observation.component:uTNM-N.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-N.interpretation">
      <path value="Observation.component.interpretation" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-N.referenceRange">
      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-M">
      <path value="Observation.component" />
      <sliceName value="uTNM-M" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:uTNM-M.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:uTNM-M.extension:cpu-Praefix">
      <path value="Observation.component.extension" />
      <sliceName value="cpu-Praefix" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://iqtig.org/fhir/StructureDefinition/c/p/u-Praefix" />
      </type>
    </element>
    <element id="Observation.component:uTNM-M.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.component:uTNM-M.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="21913-9" />
    </element>
    <element id="Observation.component:uTNM-M.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="uTNM-M" />
      <definition value="Beurteilung der Metastasen erfolgte durch Ultraschall" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="uTNM-M" />
        <valueSet value="http://iqtig.org/fhir/ValueSet/kkr/TNMM_VS" />
      </binding>
    </element>
    <element id="Observation.component:uTNM-M.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-M.interpretation">
      <path value="Observation.component.interpretation" />
      <max value="0" />
    </element>
    <element id="Observation.component:uTNM-M.referenceRange">
      <path value="Observation.component.referenceRange" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>

name : TNM_Klassifikation

{

}

<name value="TNM_Klassifikation" />