{
  "resourceType": "StructureDefinition",
  "id": "onconnect-pr-tb-primary-diagnosis",
  "extension": [
    {
      "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/spdx-license",
            "code": "CC-BY-4.0",
            "display": "Creative Commons Attribution 4.0 International"
          }
        ]
      }
    }
  ],
  "url": "https://fhir.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-primary-diagnosis",
  "name": "ONCOnnect_PR_TB_PrimaryDiagnosis",
  "title": "Primary Diagnosis (Profile)",
  "status": "draft",
  "description": "Captures the primary diagnosis of a patient, including clinical status, verification status, associated codes and staging.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "min": 1
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "min": 1
      },
      {
        "id": "Condition.code.coding:icd10-gm",
        "path": "Condition.code.coding",
        "sliceName": "icd10-gm",
        "min": 1
      },
      {
        "id": "Condition.code.coding:oncotree",
        "path": "Condition.code.coding",
        "sliceName": "oncotree",
        "min": 0,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://oncotree.mskcc.org"
        }
      },
      {
        "id": "Condition.stage",
        "path": "Condition.stage",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Condition.stage.type",
        "path": "Condition.stage.type",
        "short": "Mirrors the Observation.code. This makes it easier to distinguish between different stages without having to look them up.",
        "min": 1
      },
      {
        "id": "Condition.stage:tnmStaging",
        "path": "Condition.stage",
        "sliceName": "tnmStaging",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Condition.stage:tnmStaging.assessment",
        "path": "Condition.stage.assessment",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-tnm-staging"
            ]
          }
        ]
      },
      {
        "id": "Condition.stage:tnmStaging.type",
        "path": "Condition.stage.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "399588009",
              "system": "http://snomed.info/sct",
              "display": "Pathologic TNM stage grouping"
            }
          ]
        }
      },
      {
        "id": "Condition.stage:therapyConcept",
        "path": "Condition.stage",
        "sliceName": "therapyConcept",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.stage:therapyConcept.assessment",
        "path": "Condition.stage.assessment",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-therapy-concept"
            ]
          }
        ]
      },
      {
        "id": "Condition.stage:therapyConcept.type",
        "path": "Condition.stage.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "104803-2",
              "system": "http://loinc.org",
              "display": "Therapeutic intent [Interpretation] Narrative"
            }
          ]
        }
      }
    ]
  }
}