FHIR IG Statistics: StructureDefinition/StructureDefinition-onco-core-Observation-TNMp
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{
"resourceType": "StructureDefinition",
"url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMp",
"version": "0.9.0",
"name": "TNMp",
"status": "active",
"description": "Staging von Tumorerkrankungen nach der TNM-Klassifikation (pathologisch) gemäß der aktuellen Ausgabe AJCC",
"fhirVersion": "4.0.0",
"kind": "resource",
"abstract": false,
"type": "Observation",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Observation.status",
"path": "Observation.status",
"mustSupport": true
},
{
"id": "Observation.category.coding.system",
"path": "Observation.category.coding.system",
"min": 1,
"fixedUri": "http://hl7.org/fhir/observation-category"
},
{
"id": "Observation.category.coding.code",
"path": "Observation.category.coding.code",
"min": 1,
"fixedCode": "laboratory"
},
{
"id": "Observation.code",
"path": "Observation.code",
"mustSupport": true
},
{
"id": "Observation.code.coding.system",
"path": "Observation.code.coding.system",
"min": 1,
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.code.coding.code",
"path": "Observation.code.coding.code",
"min": 1,
"fixedCode": "21902-2"
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient",
"http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym"
]
}
],
"mustSupport": true
},
{
"id": "Observation.focus",
"path": "Observation.focus",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource",
"http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose"
]
}
],
"mustSupport": true
},
{
"id": "Observation.encounter",
"path": "Observation.encounter",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall"
]
}
]
},
{
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"short": "Datum der TNM-Dokumentation/Datum Befund",
"definition": "Es handelt sich sinngemäß um das Datum, an welchem der Datensatz zum TNM angelegt wurde und welches auch als auswertungsrelevant anzusehen ist. Es ist i.d.R. mit dem Diagnosedatum identisch bzw. liegt nah zu diesem Datum.",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM_Datum",
"comment": "TNM:TNM_Datum"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:2:3",
"comment": "urn:dktk:dataelement:2:3"
}
]
},
{
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"binding": {
"strength": "required",
"description": "Gibt das Stadium des Tumors (nach \"Union internationale contre le cancer\") an",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/UiccstadiumVS"
}
},
{
"id": "Observation.value[x].coding.version",
"path": "Observation.value[x].coding.version",
"short": "TNM-Version",
"definition": "Katalogversion des TNM",
"min": 1,
"binding": {
"strength": "extensible",
"description": "Katalogversion des TNM",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMVersionVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM_Version",
"comment": "TNM:TNM_Version"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:18:2",
"comment": "urn:dktk:dataelement:18:2"
}
]
},
{
"id": "Observation.value[x].coding.code",
"path": "Observation.value[x].coding.code",
"short": "UICC Stadium",
"definition": "Gibt das Stadium des Tumors (nach \"Union internationale contre le cancer\") an",
"min": 1,
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM.TNM_T, TNM.TNM_N, TNM.TNM_M",
"comment": "Berechnet aus 3 TNM Elementen"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:89:1",
"comment": "urn:dktk:dataelement:89:1"
}
]
},
{
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"id": "394",
"discriminator": [
{
"type": "value",
"path": "code.coding.code"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Observation.component:TNM-T",
"path": "Observation.component",
"sliceName": "TNM-T",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-T.extension",
"path": "Observation.component.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Observation.component:TNM-T.extension:TNM-cpu-Praefix",
"path": "Observation.component.extension",
"sliceName": "TNM-cpu-Praefix",
"type": [
{
"code": "Extension",
"profile": [
"http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix"
]
}
]
},
{
"id": "Observation.component:TNM-T.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-T.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1,
"fixedCode": "21899-0"
},
{
"id": "Observation.component:TNM-T.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-T",
"definition": "Gibt die Ausdehnung (Ort und Größe) des Primärtumors an",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"binding": {
"strength": "required",
"description": "TNM-T",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMTVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM_T",
"comment": "TNM:TNM_T"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:100:1",
"comment": "urn:dktk:dataelement:100:1"
}
]
},
{
"id": "Observation.component:TNM-N",
"path": "Observation.component",
"sliceName": "TNM-N",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-N.extension",
"path": "Observation.component.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Observation.component:TNM-N.extension:TNM-cpu-Praefix",
"path": "Observation.component.extension",
"sliceName": "TNM-cpu-Praefix",
"type": [
{
"code": "Extension",
"profile": [
"http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix"
]
}
]
},
{
"id": "Observation.component:TNM-N.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-N.code.coding.code",
"path": "Observation.component.code.coding.code",
"fixedCode": "21900-6"
},
{
"id": "Observation.component:TNM-N.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-N",
"definition": "Gibt an, ob Lymphknoten befallen sind",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"binding": {
"strength": "required",
"description": "TNM-N",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMNVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM_N",
"comment": "TNM:TNM_N"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:101:1",
"comment": "urn:dktk:dataelement:101:1"
}
]
},
{
"id": "Observation.component:TNM-M",
"path": "Observation.component",
"sliceName": "TNM-M",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-M.extension",
"path": "Observation.component.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Observation.component:TNM-M.extension:TNM-cpu-Praefix",
"path": "Observation.component.extension",
"sliceName": "TNM-cpu-Praefix",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-TNMcpuPraefix"
]
}
],
"mustSupport": true
},
{
"id": "Observation.component:TNM-M.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-M.code.coding.code",
"path": "Observation.component.code.coding.code",
"fixedCode": "21901-4"
},
{
"id": "Observation.component:TNM-M.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-M",
"definition": "Gibt an, ob Metastasen vorliegen",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"binding": {
"strength": "required",
"description": "TNM-M",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMMVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM_M",
"comment": "TNM:TNM_M"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:99:1",
"comment": "urn:dktk:dataelement:99:1"
}
]
},
{
"id": "Observation.component:TNM-y-Symbol",
"path": "Observation.component",
"sliceName": "TNM-y-Symbol",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-y-Symbol.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-y-Symbol.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1,
"fixedCode": "59479-6"
},
{
"id": "Observation.component:TNM-y-Symbol.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-y-Symbol",
"definition": "Gibt an, wann im Fall multimodaler Therapien mit vielfältigen Behandlungsansätzen die Klassifikation während oder nach diesen Therapien erfolgte",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "TNM y-Symbol",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMySymbolVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM_y_Symbol",
"comment": "TNM:TNM_y_Symbol"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:82:1"
}
]
},
{
"id": "Observation.component:TNM-y-Symbol.value[x].coding.code",
"path": "Observation.component.value[x].coding.code",
"min": 1
},
{
"id": "Observation.component:TNM-r-Symbol",
"path": "Observation.component",
"sliceName": "TNM-r-Symbol",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-r-Symbol.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-r-Symbol.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1,
"fixedCode": "21983-2"
},
{
"id": "Observation.component:TNM-r-Symbol.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-r-Symbol",
"definition": "Gibt an, ob es sich bei dem Tumor um ein beurteiltes Rezidiv handelt",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "TNM r-Symbol",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMrSymbolVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM_r_Symbol",
"comment": "TNM:TNM_r_Symbol"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:81:1"
}
]
},
{
"id": "Observation.component:TNM-r-Symbol.value[x].coding.code",
"path": "Observation.component.value[x].coding.code",
"min": 1
},
{
"id": "Observation.component:TNM-m-Symbol",
"path": "Observation.component",
"sliceName": "TNM-m-Symbol",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-m-Symbol.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-m-Symbol.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1,
"fixedCode": "42030-7"
},
{
"id": "Observation.component:TNM-m-Symbol.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-m-Symbol",
"definition": "Gibt an, ob multiple Primärtumoren in einem Bezirk vorliegen",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "TNM m-Symbol",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMmSymbolVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM_m_Symbol",
"comment": "TNM:TNM_m_Symbol"
},
{
"identity": "ISO-11179",
"map": "urn:dktk:dataelement:10:2"
}
]
},
{
"id": "Observation.component:TNM-m-Symbol.value[x].coding.code",
"path": "Observation.component.value[x].coding.code",
"min": 1
},
{
"id": "Observation.component:TNM-L-Kategorie",
"path": "Observation.component",
"sliceName": "TNM-L-Kategorie",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-L-Kategorie.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-L-Kategorie.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1,
"fixedCode": "33739-4"
},
{
"id": "Observation.component:TNM-L-Kategorie.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-L-Kategorie",
"definition": "Lymphgefäßinvasion",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "TNM-L-Kategorie",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMLKategorieVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM-L-Kategorie",
"comment": "TNM:TNM-L-Kategorie"
}
]
},
{
"id": "Observation.component:TNM-L-Kategorie.value[x].coding.code",
"path": "Observation.component.value[x].coding.code",
"min": 1
},
{
"id": "Observation.component:TNM-V-Kategorie",
"path": "Observation.component",
"sliceName": "TNM-V-Kategorie",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-V-Kategorie.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-V-Kategorie.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1,
"fixedCode": "33740-2"
},
{
"id": "Observation.component:TNM-V-Kategorie.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-V-Kategorie",
"definition": "Veneninvasion",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "TNM-V-Kategorie",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMVKategorieVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM-V-Kategorie",
"comment": "TNM:TNM-V-Kategorie"
}
]
},
{
"id": "Observation.component:TNM-V-Kategorie.value[x].coding.code",
"path": "Observation.component.value[x].coding.code",
"min": 1
},
{
"id": "Observation.component:TNM-Pn-Kategorie",
"path": "Observation.component",
"sliceName": "TNM-Pn-Kategorie",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-Pn-Kategorie.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-Pn-Kategorie.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1,
"fixedCode": "92837-4"
},
{
"id": "Observation.component:TNM-Pn-Kategorie.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-Pn-Kategorie",
"definition": "Perineuralinvasion",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "TNM-Pn-Kategorie",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMPnKategorieVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM-Pn-Kategorie",
"comment": "TNM:TNM-Pn-Kategorie"
}
]
},
{
"id": "Observation.component:TNM-Pn-Kategorie.value[x].coding.code",
"path": "Observation.component.value[x].coding.code",
"min": 1
},
{
"id": "Observation.component:TNM-S-Kategorie",
"path": "Observation.component",
"sliceName": "TNM-S-Kategorie",
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:TNM-S-Kategorie.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component:TNM-S-Kategorie.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1,
"fixedCode": "21924-6"
},
{
"id": "Observation.component:TNM-S-Kategorie.value[x]",
"path": "Observation.component.value[x]",
"short": "TNM-S-Kategorie",
"definition": "Serumtumormarker",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "TNM-S-Kategorie",
"valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/TNMSKategorieVS"
},
"mapping": [
{
"identity": "ADT-GEKID",
"map": "TNM:TNM-S-Kategorie",
"comment": "TNM:TNM-S-Kategorie"
}
]
},
{
"id": "Observation.component:TNM-S-Kategorie.value[x].coding.code",
"path": "Observation.component.value[x].coding.code",
"min": 1
}
]
}
}