<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Profile-nNGM-Observation-Tumorstadium" />
  <url value="http://uk-koeln.de/fhir/StructureDefinition/Observation/nNGM/tumorstadium" />
  <version value="1.0.0" />
  <name value="Profile_nNGM_Observation_Tumorstadium" />
  <title value="Profile - nNGM - Observation - Tumorstadium" />
  <status value="active" />
  <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">
      <path value="Observation" />
      <constraint>
        <key value="obs-nngm-1" />
        <severity value="error" />
        <human value="Falls kein Messwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="value.exists().not() implies dataAbsentReason.exists()" />
      </constraint>
    </element>
    <element id="Observation.extension">
      <path value="Observation.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Observation.extension:kurativ-operabel">
      <path value="Observation.extension" />
      <sliceName value="kurativ-operabel" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-kurativ-operabel" />
      </type>
    </element>
    <element id="Observation.extension:kurativ-operabel.value[x]">
      <path value="Observation.extension.value[x]" />
      <label value="Kurativ-operabel" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:ErstDiagnose">
      <path value="Observation.extension" />
      <sliceName value="ErstDiagnose" />
      <label value="Erstdiagnose" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-erstdiagnose" />
      </type>
    </element>
    <element id="Observation.extension:ErstDiagnose.value[x]">
      <path value="Observation.extension.value[x]" />
      <label value="Erstdiagnose" />
      <short value="Ob es sich um die Erstdiagnose handelt" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:uicc-version">
      <path value="Observation.extension" />
      <sliceName value="uicc-version" />
      <label value="Uicc Version" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/uiccVersion" />
      </type>
    </element>
    <element id="Observation.extension:uicc-version.value[x]">
      <path value="Observation.extension.value[x]" />
      <label value="Uicc Version" />
      <short value="Welche Version UICC Kriterien verwendet werden soll" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <fixedCode value="final" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Observation.category:survey">
      <path value="Observation.category" />
      <sliceName value="survey" />
      <min value="1" />
      <max value="1" />
      <patternCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
          <code value="survey" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Observation.code.coding:sct">
      <path value="Observation.code.coding" />
      <sliceName value="sct" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="http://snomed.info/sct" />
        <code value="260879005" />
      </patternCoding>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Observation.effective[x]:effectiveDateTime">
      <path value="Observation.effective[x]" />
      <sliceName value="effectiveDateTime" />
      <label value="Datum" />
      <min value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="Observation.value[x]:valueCodeableConcept">
      <path value="Observation.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <label value="UICC-Stadium" />
      <short value="Klassifikation des Tumorstadiums nach UICC" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/uicc-stage" />
      </binding>
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="code" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:T">
      <path value="Observation.component" />
      <sliceName value="T" />
      <label value="Tumor (T)" />
      <max value="1" />
    </element>
    <element id="Observation.component:T.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Observation.component:T.extension:suffix">
      <path value="Observation.component.extension" />
      <sliceName value="suffix" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-suffix-t" />
      </type>
    </element>
    <element id="Observation.component:T.extension:suffix.value[x]">
      <path value="Observation.component.extension.value[x]" />
      <label value="T - Suffix" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="Suffix bezogen auf die 'T'-Angabe innerhalb des TNM" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:T.extension:praefix">
      <path value="Observation.component.extension" />
      <sliceName value="praefix" />
      <label value="T - Präfix" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-cpu-praefix" />
      </type>
    </element>
    <element id="Observation.component:T.extension:praefix.value[x]">
      <path value="Observation.component.extension.value[x]" />
      <label value="T - Präfix" />
      <short value="CPU-Präfix bezogen auf die 'T'-Angabe innerhalb des TNM" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:T.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="78873005" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.component:T.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Observation.component:T.code.coding:sct">
      <path value="Observation.component.code.coding" />
      <sliceName value="sct" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="http://snomed.info/sct" />
        <code value="78873005" />
      </patternCoding>
    </element>
    <element id="Observation.component:T.value[x]">
      <path value="Observation.component.value[x]" />
      <label value="Tumor (T)" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="Dokumentation der Größe und Ausdehnung des Tumors nach TNM-Klassifikation" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:T.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/tnm-t" />
      </binding>
    </element>
    <element id="Observation.component:T.referenceRange">
      <path value="Observation.component.referenceRange" />
      <contentReference value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange" />
    </element>
    <element id="Observation.component:N">
      <path value="Observation.component" />
      <sliceName value="N" />
      <label value="Lymphknoten (N)" />
      <max value="1" />
    </element>
    <element id="Observation.component:N.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Observation.component:N.extension:praefix">
      <path value="Observation.component.extension" />
      <sliceName value="praefix" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-cpu-praefix" />
      </type>
    </element>
    <element id="Observation.component:N.extension:praefix.value[x]">
      <path value="Observation.component.extension.value[x]" />
      <label value="N - Präfix" />
      <short value="CPU-Präfix bezogen auf die 'N'-Angabe innerhalb des TNM" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:N.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="277206009" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.component:N.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Observation.component:N.code.coding:sct">
      <path value="Observation.component.code.coding" />
      <sliceName value="sct" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="http://snomed.info/sct" />
        <code value="277206009" />
      </patternCoding>
    </element>
    <element id="Observation.component:N.value[x]">
      <path value="Observation.component.value[x]" />
      <label value="Lymphknoten (N)" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="Dokumentation der Zahl und Lage der befallenen Lymphknoten nach TNM-Klassifikation" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:N.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/tnm-n" />
      </binding>
    </element>
    <element id="Observation.component:N.referenceRange">
      <path value="Observation.component.referenceRange" />
      <contentReference value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange" />
    </element>
    <element id="Observation.component:M">
      <path value="Observation.component" />
      <sliceName value="M" />
      <label value="Metastasen (M)" />
      <max value="1" />
    </element>
    <element id="Observation.component:M.extension">
      <path value="Observation.component.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Observation.component:M.extension:praefix">
      <path value="Observation.component.extension" />
      <sliceName value="praefix" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-cpu-praefix" />
      </type>
    </element>
    <element id="Observation.component:M.extension:praefix.value[x]">
      <path value="Observation.component.extension.value[x]" />
      <label value="M - Präfix" />
      <short value="CPU-Präfix bezogen auf die 'M'-Angabe innerhalb des TNM" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:M.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="277208005" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.component:M.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Observation.component:M.code.coding:sct">
      <path value="Observation.component.code.coding" />
      <sliceName value="sct" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="http://snomed.info/sct" />
        <code value="277208005" />
      </patternCoding>
    </element>
    <element id="Observation.component:M.value[x]">
      <path value="Observation.component.value[x]" />
      <label value="Metastasen (M)" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="Dokumentation der Abwesenheit oder Vorhandensein von Metastasen nach TNM-Klassifikation" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:M.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/tnm-m" />
      </binding>
    </element>
    <element id="Observation.component:M.referenceRange">
      <path value="Observation.component.referenceRange" />
      <contentReference value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange" />
    </element>
    <element id="Observation.component:TNM-prefix">
      <path value="Observation.component" />
      <sliceName value="TNM-prefix" />
      <label value="TNM-Präfix" />
      <max value="1" />
    </element>
    <element id="Observation.component:TNM-prefix.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="399566009" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.component:TNM-prefix.value[x]">
      <path value="Observation.component.value[x]" />
      <label value="Präfix" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="TNM - Präfix y-Symbol und r-Symbol" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:TNM-prefix.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/tnm-ry-praefix" />
      </binding>
    </element>
    <element id="Observation.component:TNM-prefix.referenceRange">
      <path value="Observation.component.referenceRange" />
      <contentReference value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange" />
    </element>
  </differential>
</StructureDefinition>