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{
  "resourceType": "StructureDefinition",
  "id": "mii-pr-onko-histologie-icdo3",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-histologie-icdo3",
  "version": "2025.1.0",
  "name": "MII_PR_Onko_Histologie_ICDO3",
  "title": "MII PR Onkologie Histologie ICD-O-3",
  "status": "active",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description": "Histologie-Kodierung nach ICD-0 für die Verwendung von Folgediagnostik. Bei der histologischen Beurteilung des Primärtumors sind die histologischen Informationen direkt über die Condition-Ressource abzubilden.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "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.code",
        "path": "Observation.code",
        "short": "Histologische Bewertung nach ICD-0-3",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "patternCoding": {
          "code": "59847-4",
          "system": "http://loinc.org"
        },
        "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-primaertumor"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "short": "Tumor Histologiedatum",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Tumor Histologiedatum"
                }
              ]
            }
          ]
        },
        "definition": "Tumor Histologiedatum im Krankheitsverlauf",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Tumor Histologiedatum im Krankheitsverlauf"
                }
              ]
            }
          ]
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "oBDS",
            "map": "6.1",
            "comment": "Tumor Histologiedatum"
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-icdo3-morphologie"
        }
      },
      {
        "id": "Observation.value[x].coding",
        "path": "Observation.value[x].coding",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].coding.version",
        "path": "Observation.value[x].coding.version",
        "short": "Morphologie-Kode-Version",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Morphologie-Kode-Version"
                }
              ]
            }
          ]
        },
        "definition": "Version der ICD-O-3 bzw. Blue Book nach 6.4 oBDS 2021",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Version der ICD-O-3 bzw. Blue Book nach 6.4 oBDS 2021"
                }
              ]
            }
          ]
        },
        "mapping": [
          {
            "identity": "oBDS",
            "map": "6.4",
            "comment": "Morphologie ICD-O/Blue Book Version"
          }
        ]
      },
      {
        "id": "Observation.value[x].coding.code",
        "path": "Observation.value[x].coding.code",
        "short": "Morphologie-Kode",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Morphologie-Kode"
                }
              ]
            }
          ]
        },
        "definition": "Morphologie als ICD-O-3 nach 6.3 oBDS 2021",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Morphologie als ICD-O-3 nach 6.3 oBDS 2021"
                }
              ]
            }
          ]
        },
        "mapping": [
          {
            "identity": "oBDS",
            "map": "6.3",
            "comment": "Morphologie-Code"
          }
        ]
      },
      {
        "id": "Observation.value[x].text",
        "path": "Observation.value[x].text",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "oBDS",
            "map": "6.5",
            "comment": "Morphologie Freitext"
          }
        ]
      },
      {
        "id": "Observation.bodySite.coding",
        "path": "Observation.bodySite.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding:Seitenlokalisation",
        "path": "Observation.bodySite.coding",
        "sliceName": "Seitenlokalisation",
        "short": "Seitenlokalisation",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Seitenlokalisation"
                }
              ]
            }
          ]
        },
        "definition": "Seitenlokalisation bei paarigen Organen",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Seitenlokalisation bei paarigen Organen"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "patternCoding": {
          "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-seitenlokalisation"
        },
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-seitenlokalisation"
        }
      },
      {
        "id": "Observation.bodySite.coding:Seitenlokalisation.system",
        "path": "Observation.bodySite.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding:Seitenlokalisation.code",
        "path": "Observation.bodySite.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding:icd-o-3",
        "path": "Observation.bodySite.coding",
        "sliceName": "icd-o-3",
        "short": "ICD-O-3 Topographie",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "ICD-O-3 Topographie"
                }
              ]
            }
          ]
        },
        "definition": "ICD-O-3 Topographie bei vom Primärtumor abweichender Lokalisation in der Verlaufsbeschreibung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "ICD-O-3 Topographie bei vom Primärtumor abweichender Lokalisation in der Verlaufsbeschreibung"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "patternCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/icd-o-3"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding:icd-o-3.system",
        "path": "Observation.bodySite.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding:icd-o-3.code",
        "path": "Observation.bodySite.coding.code",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-icdo3-topographie"
        }
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-specimen"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}

name : MII_PR_Onko_Histologie_ICDO3

{

}