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
      }
    ]
  }
}