FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagede.medizininformatikinitiative.kerndatensatz.onkologie
Resource TypeStructureDefinition
IdStructureDefinition-mii-lm-onko-organspezifische-zusatzmodule.json
FHIR VersionR4
Sourcehttps://medizininformatik-initiative.github.io/kerndatensatzmodul-onkologie/2027.0.0-ballot.1/StructureDefinition-mii-lm-onko-organspezifische-zusatzmodule.html
URLhttps://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-lm-onko-organspezifische-zusatzmodule
Version2027.0.0-ballot.1
Statusactive
Date2026-09-15T06:26:59+00:00
NameMII_LM_Onko_Organspezifische_Zusatzmodule
TitleMII LM Onkologie Organspezifische Zusatzmodule
Realmde
DescriptionLogisches Modell für die organspezifischen Zusatzmodule des oBDS. Feldnummern und Struktur folgen dem amtlichen oBDS-XML-Schema (oBDS v3.0.5, Modul_Mamma/Darm/Prostata/Malignes_Melanom/Allgemein) sowie dem Feldkatalog auf basisdatensatz.de.
Typehttps://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-lm-onko-organspezifische-zusatzmodule
Kindlogical

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source


English


Generated Narrative: StructureDefinition mii-lm-onko-organspezifische-zusatzmodule

NameFlagsCard.TypeDescription & Constraintsdoco
.. mii-lm-onko-organspezifische-zusatzmodule 0..*ElementMII LM Onkologie Organspezifische Zusatzmodule

Elements defined in Ancestors:@id, extension
... Mamma 0..*BackboneElementMamma
.... Menopausenstatus 0..1CodeableConceptMenopausenstatus
.... RezeptorstatusEstrogen 0..1BackboneElementRezeptorstatus Estrogen
..... Status 0..1CodeableConceptEstrogen-Rezeptorstatus
..... AnteilPositiveZellen 0..1QuantityAnteil positive Zellen
..... Faerbeintensitaet 0..1CodeableConceptFärbeintensität
.... RezeptorstatusProgesteron 0..1BackboneElementRezeptorstatus Progesteron
..... Status 0..1CodeableConceptProgesteron-Rezeptorstatus
..... AnteilPositiveZellen 0..1QuantityAnteil positive Zellen
..... Faerbeintensitaet 0..1CodeableConceptFärbeintensität
.... StatusHer2neu 0..1CodeableConceptHer2neu-Status
.... PraeoperativeMarkierung 0..*BackboneElementPräoperative Markierung
..... Modalitaet 0..1CodeableConceptMarkierungsmodalität
.... MammaOperation 0..*BackboneElementMamma-Operation
..... Operationstyp 0..1CodeableConceptOperationstyp
..... IntraoperativesImaging 0..*CodeableConceptIntraoperatives Präparatröntgen/Sonografie
.... TumorgroesseInvasiv 0..1QuantityTumorgröße invasives Karzinom
.... TumorgroesseDCIS 0..1QuantityTumorgröße DCIS
... KolorektalesKarzinom 0..*BackboneElementKolorektales Karzinom
.... TumorLokalisation 0..1BackboneElementTumor Lokalisation
..... AbstandAnokutanlinie 0..1QuantityAbstand Anokutanlinie
.... BildgebendeVerfahren 0..1BackboneElementBildgebende Verfahren
..... MRTMesorektale 0..1BackboneElementMRT/CT Mesorektale Faszie
...... AbstandMesorektale 0..1QuantityAbstand Mesorektale Faszie
...... AbstandNichtVerfuegbarGrund 0..1CodeableConceptGrund für fehlende Abstandsmessung
.... Operation 0..1BackboneElementKRK Operation
..... Operationstyp 0..1CodeableConceptArt des Eingriffs
..... ASAKlassifikation 0..1CodeableConceptASA-Klassifikation
..... StomaMarkierung 0..1BackboneElementStoma Markierung
...... Status 0..1CodeableConceptMarkierungsstatus
...... StatusGrund 0..1CodeableConceptStatus Grund
.... PathologischeBewertung 0..1BackboneElementPathologische Bewertung
..... ResektionsraenderAboral 0..1QuantityResektionsrand aboral
..... ResektionsraenderCircumferell 0..1QuantityResektionsrand circumferell
..... TMEQualitaet 0..1CodeableConceptTME Qualität
..... RASMutation 0..1CodeableConceptRAS-Mutation
.... PostoperativeKomplikationen 0..1BackboneElementPostoperative Komplikationen
..... Anastomoseninsuffizienz 0..1CodeableConceptAnastomoseninsuffizienz
... Prostata 0..*BackboneElementProstata
.... GleasonScore 0..1BackboneElementGleason Score
..... Score 0..1CodeableConceptGleason Score
..... GradeGroup 0..1CodeableConceptGrade Group
.... GleasonPattern 0..*BackboneElementGleason Pattern
..... PatternTyp 0..1CodeableConceptPattern Typ
..... PatternWert 0..1CodeableConceptPattern Wert
.... AnlassGleasonScore 0..1CodeableConceptAnlass Gleason-Score
.... BiopsieErgebnisse 0..1BackboneElementBiopsie Ergebnisse
..... DatumStanzen 0..1dateTimeDatum der Stanzen
..... AnzahlStanzen 0..1QuantityAnzahl Stanzen
..... AnzahlPositiverStanzen 0..1QuantityAnzahl positive Stanzen
..... KarzinomBefallStanze 0..1QuantityKarzinom-Befall je Stanze
.... PSAWert 0..1QuantityPSA-Wert
.... DatumPSA 0..1dateTimeDatum PSA-Wert
.... ChirurgischeKomplikationen 0..1BackboneElementChirurgische Komplikationen
..... ClavienDindoGrad 0..1CodeableConceptClavien-Dindo Grad
..... KomplikationsArt 0..1CodeableConceptKomplikationsart
... MalignesMelanom 0..*BackboneElementMalignes Melanom
.... Sicherheitsabstand 0..1QuantitySicherheitsabstand Primärtumor
.... BreslowTiefe 0..1QuantityTumordicke (Breslow)
.... LDH 0..1BackboneElementLaktatdehydrogenase
..... Wert 0..1QuantityLDH-Wert
..... Bewertung 0..1CodeableConceptLDH-Bewertung
.... Ulzeration 0..1CodeableConceptUlzeration
... ModulAllgemein 0..*BackboneElementModul Allgemein
.... Sozialdienstkontakt 0..1dateTimeDatum des Sozialdienstkontaktes
.... Psychoonkologiekontakt 0..1dateTimeDatum des Psychoonkologiekontaktes
.... Studienteilnahme 0..1dateTimeDatum der Studienrekrutierung

doco Documentation for this format

German


Generated Narrative: StructureDefinition mii-lm-onko-organspezifische-zusatzmodule

NameFlagsCard.TypeDescription & Constraintsdoco
.. mii-lm-onko-organspezifische-zusatzmodule 0..*ElementMII LM Onkologie Organspezifische Zusatzmodule

Elements defined in Ancestors:@id, extension
... Mamma 0..*BackboneElementMamma
.... Menopausenstatus 0..1CodeableConceptMenopausenstatus
.... RezeptorstatusEstrogen 0..1BackboneElementRezeptorstatus Estrogen
..... Status 0..1CodeableConceptEstrogen-Rezeptorstatus
..... AnteilPositiveZellen 0..1QuantityAnteil positive Zellen
..... Faerbeintensitaet 0..1CodeableConceptFärbeintensität
.... RezeptorstatusProgesteron 0..1BackboneElementRezeptorstatus Progesteron
..... Status 0..1CodeableConceptProgesteron-Rezeptorstatus
..... AnteilPositiveZellen 0..1QuantityAnteil positive Zellen
..... Faerbeintensitaet 0..1CodeableConceptFärbeintensität
.... StatusHer2neu 0..1CodeableConceptHer2neu-Status
.... PraeoperativeMarkierung 0..*BackboneElementPräoperative Markierung
..... Modalitaet 0..1CodeableConceptMarkierungsmodalität
.... MammaOperation 0..*BackboneElementMamma-Operation
..... Operationstyp 0..1CodeableConceptOperationstyp
..... IntraoperativesImaging 0..*CodeableConceptIntraoperatives Präparatröntgen/Sonografie
.... TumorgroesseInvasiv 0..1QuantityTumorgröße invasives Karzinom
.... TumorgroesseDCIS 0..1QuantityTumorgröße DCIS
... KolorektalesKarzinom 0..*BackboneElementKolorektales Karzinom
.... TumorLokalisation 0..1BackboneElementTumor Lokalisation
..... AbstandAnokutanlinie 0..1QuantityAbstand Anokutanlinie
.... BildgebendeVerfahren 0..1BackboneElementBildgebende Verfahren
..... MRTMesorektale 0..1BackboneElementMRT/CT Mesorektale Faszie
...... AbstandMesorektale 0..1QuantityAbstand Mesorektale Faszie
...... AbstandNichtVerfuegbarGrund 0..1CodeableConceptGrund für fehlende Abstandsmessung
.... Operation 0..1BackboneElementKRK Operation
..... Operationstyp 0..1CodeableConceptArt des Eingriffs
..... ASAKlassifikation 0..1CodeableConceptASA-Klassifikation
..... StomaMarkierung 0..1BackboneElementStoma Markierung
...... Status 0..1CodeableConceptMarkierungsstatus
...... StatusGrund 0..1CodeableConceptStatus Grund
.... PathologischeBewertung 0..1BackboneElementPathologische Bewertung
..... ResektionsraenderAboral 0..1QuantityResektionsrand aboral
..... ResektionsraenderCircumferell 0..1QuantityResektionsrand circumferell
..... TMEQualitaet 0..1CodeableConceptTME Qualität
..... RASMutation 0..1CodeableConceptRAS-Mutation
.... PostoperativeKomplikationen 0..1BackboneElementPostoperative Komplikationen
..... Anastomoseninsuffizienz 0..1CodeableConceptAnastomoseninsuffizienz
... Prostata 0..*BackboneElementProstata
.... GleasonScore 0..1BackboneElementGleason Score
..... Score 0..1CodeableConceptGleason Score
..... GradeGroup 0..1CodeableConceptGrade Group
.... GleasonPattern 0..*BackboneElementGleason Pattern
..... PatternTyp 0..1CodeableConceptPattern Typ
..... PatternWert 0..1CodeableConceptPattern Wert
.... AnlassGleasonScore 0..1CodeableConceptAnlass Gleason-Score
.... BiopsieErgebnisse 0..1BackboneElementBiopsie Ergebnisse
..... DatumStanzen 0..1dateTimeDatum der Stanzen
..... AnzahlStanzen 0..1QuantityAnzahl Stanzen
..... AnzahlPositiverStanzen 0..1QuantityAnzahl positive Stanzen
..... KarzinomBefallStanze 0..1QuantityKarzinom-Befall je Stanze
.... PSAWert 0..1QuantityPSA-Wert
.... DatumPSA 0..1dateTimeDatum PSA-Wert
.... ChirurgischeKomplikationen 0..1BackboneElementChirurgische Komplikationen
..... ClavienDindoGrad 0..1CodeableConceptClavien-Dindo Grad
..... KomplikationsArt 0..1CodeableConceptKomplikationsart
... MalignesMelanom 0..*BackboneElementMalignes Melanom
.... Sicherheitsabstand 0..1QuantitySicherheitsabstand Primärtumor
.... BreslowTiefe 0..1QuantityTumordicke (Breslow)
.... LDH 0..1BackboneElementLaktatdehydrogenase
..... Wert 0..1QuantityLDH-Wert
..... Bewertung 0..1CodeableConceptLDH-Bewertung
.... Ulzeration 0..1CodeableConceptUlzeration
... ModulAllgemein 0..*BackboneElementModul Allgemein
.... Sozialdienstkontakt 0..1dateTimeDatum des Sozialdienstkontaktes
.... Psychoonkologiekontakt 0..1dateTimeDatum des Psychoonkologiekontaktes
.... Studienteilnahme 0..1dateTimeDatum der Studienrekrutierung

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "mii-lm-onko-organspezifische-zusatzmodule",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
        "valueCode": "CC-BY-4.0"
      },
      {
        "extension": [
          {
            "url": "packageId",
            "valueId": "de.medizininformatikinitiative.kerndatensatz.onkologie"
          },
          {
            "url": "version",
            "valueString": "2027.0.0-ballot.1"
          },
          {
            "url": "uri",
            "valueUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/package-source"
      }
    ],
    "profile": [
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "shareable"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "publishable"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-usage",
      "valueMarkdown": "Use this logical model as the module-specific information model for the Medical Informatics Initiative core dataset. The model describes clinically or administratively relevant information in a domain-oriented form and provides a bridge between the conceptual content specification and the corresponding technical FHIR profiles. It is a pattern for describing the intended content model and is not intended to be exchanged as a concrete FHIR resource instance. Implementers should use it to understand the scope, semantics, and structure of the module before applying the related FHIR profiles and mappings."
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
            "code": "package",
            "display": "Package"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
      "valueDate": "2026-09-15"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-topic",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
            "code": "C3262"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-author",
      "valueContactDetail": {
        "telecom": [
          {
            "system": "email",
            "value": "thomas.debertshaeuser@charite.de"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-editor",
      "valueContactDetail": {
        "name": "Taskforce Core Data Set"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
      "valueCoding": {
        "system": "http://hl7.org/fhir/version-algorithm",
        "code": "semver",
        "display": "SemVer"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2027"
      }
    }
  ],
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-lm-onko-organspezifische-zusatzmodule",
  "version": "2027.0.0-ballot.1",
  "name": "MII_LM_Onko_Organspezifische_Zusatzmodule",
  "title": "MII LM Onkologie Organspezifische Zusatzmodule",
  "status": "active",
  "experimental": false,
  "date": "2026-09-15T06:26:59+00:00",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "name": "Medizininformatik Initiative",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de/"
        }
      ]
    }
  ],
  "description": "Logisches Modell für die organspezifischen Zusatzmodule des oBDS. Feldnummern und Struktur folgen dem amtlichen oBDS-XML-Schema (oBDS v3.0.5, Modul_Mamma/Darm/Prostata/Malignes_Melanom/Allgemein) sowie dem Feldkatalog auf basisdatensatz.de.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "DE",
          "display": "Germany"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "FHIR",
      "name": "Organspezifische Zusatzmodule LogicalModel FHIR Mapping"
    },
    {
      "identity": "oBDS",
      "name": "Organspezifische Zusatzmodule LogicalModel oBDS Mapping"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-lm-onko-organspezifische-zusatzmodule",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule",
        "path": "mii-lm-onko-organspezifische-zusatzmodule",
        "short": "MII LM Onkologie Organspezifische Zusatzmodule",
        "definition": "Logisches Modell für die organspezifischen Zusatzmodule des oBDS. Feldnummern und Struktur folgen dem amtlichen oBDS-XML-Schema (oBDS v3.0.5, Modul_Mamma/Darm/Prostata/Malignes_Melanom/Allgemein) sowie dem Feldkatalog auf basisdatensatz.de.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma",
        "short": "Mamma",
        "definition": "Organspezifisches Modul Mammakarzinom, oBDS M1–M8 (XSD Modul_Mamma_Typ)",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Brustspezifische Datenpunkte"
          },
          {
            "identity": "oBDS",
            "map": "Modul Mamma (M1–M8)",
            "comment": "Amtlicher Feldkatalog: https://basisdatensatz.de/module/5/mammakarzinom; XSD Modul_Mamma_Typ (oBDS v3.0.5)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.Menopausenstatus",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.Menopausenstatus",
        "short": "Menopausenstatus",
        "definition": "Prätherapeutischer Menopausenstatus einer Patientin mit Mamma-Karzinom. oBDS M1",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.Menopausenstatus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='161712005').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M1",
            "comment": "Prätherapeutischer Menopausenstatus - oBDS 2021: perimenopausal wird unter prämenopausal subsumiert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen",
        "short": "Rezeptorstatus Estrogen",
        "definition": "Hormonrezeptorstatus Östrogen. oBDS M2 (XSD: HormonrezeptorStatus_Oestrogen)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='40556-3')"
          },
          {
            "identity": "oBDS",
            "map": "M2",
            "comment": "HormonrezeptorStatus: Östrogen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
        "short": "Estrogen-Rezeptorstatus",
        "definition": "Kategoriale Bewertung des Estrogen-Rezeptorstatus: positiv/negativ. oBDS M2",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M2",
            "comment": "Kategoriale Bewertung des Estrogen-Rezeptorstatus"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
        "short": "Anteil positive Zellen",
        "definition": "Quantitative Bestimmung in Prozent. Komponente zu oBDS M2 (keine eigene Feldnummer, S3-Leitlinie).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234804006').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "M2 (Komponente)",
            "comment": "Quantitative Estrogen-Bestimmung in Prozent; keine eigene oBDS-Feldnummer (S3-Leitlinie)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
        "short": "Färbeintensität",
        "definition": "Qualitative Bewertung der Färbeintensität. Komponente zu oBDS M2 (keine eigene Feldnummer, S3-Leitlinie).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1236874005').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M2 (Komponente)",
            "comment": "Estrogen-Färbeintensität; keine eigene oBDS-Feldnummer (S3-Leitlinie)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron",
        "short": "Rezeptorstatus Progesteron",
        "definition": "Hormonrezeptorstatus Progesteron. oBDS M3 (XSD: HormonrezeptorStatus_Progesteron)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='85339-0')"
          },
          {
            "identity": "oBDS",
            "map": "M3",
            "comment": "HormonrezeptorStatus: Progesteron"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
        "short": "Progesteron-Rezeptorstatus",
        "definition": "Kategoriale Bewertung des Progesteron-Rezeptorstatus: positiv/negativ. oBDS M3",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M3",
            "comment": "Kategoriale Bewertung des Progesteron-Rezeptorstatus"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
        "short": "Anteil positive Zellen",
        "definition": "Quantitative Bestimmung in Prozent. Komponente zu oBDS M3 (keine eigene Feldnummer, S3-Leitlinie).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234803000').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "M3 (Komponente)",
            "comment": "Quantitative Progesteron-Bestimmung in Prozent; keine eigene oBDS-Feldnummer (S3-Leitlinie)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
        "short": "Färbeintensität",
        "definition": "Qualitative Bewertung der Färbeintensität. Komponente zu oBDS M3 (keine eigene Feldnummer, S3-Leitlinie).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1237278006').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M3 (Komponente)",
            "comment": "Progesteron-Färbeintensität; keine eigene oBDS-Feldnummer (S3-Leitlinie)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.StatusHer2neu",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.StatusHer2neu",
        "short": "Her2neu-Status",
        "definition": "Her2neu-Status des Tumorgewebes. oBDS M4 (XSD: Her2neuStatus)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.StatusHer2neu",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='48676-1').valueCodeableConcept (Profil mii-pr-onko-mamma-status-her2neu)"
          },
          {
            "identity": "oBDS",
            "map": "M4",
            "comment": "Her2neu Status"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung",
        "short": "Präoperative Markierung",
        "definition": "Präoperative Drahtmarkierung durch Bildgebung gesteuert. oBDS M5 (XSD: PraeopDrahtmarkierung)",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-praeoperative-markierung'))"
          },
          {
            "identity": "oBDS",
            "map": "M5",
            "comment": "Präoperative Drahtmarkierung durch Bildgebung gesteuert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
        "short": "Markierungsmodalität",
        "definition": "Art/Steuerung der präoperativen Markierung. Komponente zu oBDS M5.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.usedCode.coding.where(memberOf('mii-vs-onko-mamma-praeoperative-markierung-modalitaet'))"
          },
          {
            "identity": "oBDS",
            "map": "M5 (Komponente)",
            "comment": "Modalität der präoperativen Markierung"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation",
        "short": "Mamma-Operation",
        "definition": "Operative Therapie; kein eigenes oBDS-Modulfeld (Abbildung über oBDS Kapitel 13/OPS).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-operation'))"
          },
          {
            "identity": "oBDS",
            "map": "kein oBDS-Modulfeld",
            "comment": "Operative Therapie über oBDS Kapitel 13 (OP) und OPS"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.Operationstyp",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.Operationstyp",
        "short": "Operationstyp",
        "definition": "Art der Mamma-Operation. Kein oBDS-Modulfeld (OPS, oBDS Kapitel 13).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.Operationstyp",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code"
          },
          {
            "identity": "oBDS",
            "map": "kein oBDS-Modulfeld",
            "comment": "Art der Mamma-Operation (BET, Mastektomie, Lymphknotenoperation, Rekonstruktion) nach OPS"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
        "short": "Intraoperatives Präparatröntgen/Sonografie",
        "definition": "Intraoperative Präparatkontrolle mittels Röntgen/Sonografie. oBDS M6 (XSD: IntraopPraeparatkontrolle)",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.usedCode"
          },
          {
            "identity": "oBDS",
            "map": "M6",
            "comment": "Intraoperatives Präparatröntgen/Sonografie"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseInvasiv",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseInvasiv",
        "short": "Tumorgröße invasives Karzinom",
        "definition": "Größte Ausdehnung des invasiven Karzinoms in mm. oBDS M7 (XSD: TumorgroesseInvasiv)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseInvasiv",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueQuantity (kein dediziertes Profil in v2027)"
          },
          {
            "identity": "oBDS",
            "map": "M7",
            "comment": "Tumorgröße Invasives Karzinom"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseDCIS",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseDCIS",
        "short": "Tumorgröße DCIS",
        "definition": "Größte Ausdehnung des duktalen Carcinoma in situ in mm. oBDS M8 (XSD: TumorgroesseDCIS)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseDCIS",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueQuantity (kein dediziertes Profil in v2027)"
          },
          {
            "identity": "oBDS",
            "map": "M8",
            "comment": "Tumorgröße DCIS"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom",
        "short": "Kolorektales Karzinom",
        "definition": "Organspezifisches Modul Kolorektales Karzinom, oBDS KR1–KR10 (XSD Modul_Darm_Typ)",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Bundle/Collection von KRK-spezifischen Ressourcen"
          },
          {
            "identity": "oBDS",
            "map": "Modul Kolorektales Karzinom (KR1–KR10)",
            "comment": "Amtlicher Feldkatalog: https://basisdatensatz.de/module/6/kolorektales-karzinom; XSD Modul_Darm_Typ (oBDS v3.0.5)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation",
        "short": "Tumor Lokalisation",
        "definition": "Tumor Lokalisation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "KRK-spezifische Tumorlokalisation"
          },
          {
            "identity": "oBDS",
            "map": "KR1",
            "comment": "Tumorlokalisation und anatomische Bezugspunkte"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
        "short": "Abstand Anokutanlinie",
        "definition": "Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm. oBDS KR1 (XSD: RektumAbstandAnokutanlinie)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33748-5').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "KR1",
            "comment": "Rektum: Abstand des Tumorunterrandes zur Anokutanlinie"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
        "short": "Bildgebende Verfahren",
        "definition": "Bildgebende Verfahren",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "KRK-spezifische bildgebende Verfahren"
          },
          {
            "identity": "oBDS",
            "map": "KR5",
            "comment": "Bildgebende Verfahren zur präoperativen Beurteilung"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
        "short": "MRT/CT Mesorektale Faszie",
        "definition": "MRT oder Dünnschicht-CT mit Angabe Abstand mesorektale Faszie. oBDS KR5 (XSD: RektumMRTDuennschichtAngabemesorektaleFaszie)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='https://radelement.org' and code.coding.code='RDE96')"
          },
          {
            "identity": "oBDS",
            "map": "KR5",
            "comment": "Rektum: MRT oder Dünnschicht-CT durchgeführt mit Angabe Abstand mesorektale Faszie"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
        "short": "Abstand Mesorektale Faszie",
        "definition": "Abstand des Tumors zur mesorektalen Faszie in mm bei MRT/CT. oBDS KR5",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "KR5",
            "comment": "Abstand zur mesorektalen Faszie in mm"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
        "short": "Grund für fehlende Abstandsmessung",
        "definition": "Grund, warum der Abstand zur mesorektalen Faszie nicht verfügbar ist (nicht durchgeführt/nicht angegeben/unbekannt). Statusangabe zu oBDS KR5.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "KR5 (Statusangabe)",
            "comment": "Status: D/N/U (durchgeführt aber nicht angegeben/nicht durchgeführt/unbekannt)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation",
        "short": "KRK Operation",
        "definition": "KRK Operation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-operation'))"
          },
          {
            "identity": "oBDS",
            "map": "KR6, KR7, KR9",
            "comment": "KRK-spezifische operative Verfahren"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
        "short": "Art des Eingriffs",
        "definition": "Art des Eingriffs beim kolorektalen Karzinom. oBDS KR6 (XSD: ArtEingriff)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code"
          },
          {
            "identity": "oBDS",
            "map": "KR6",
            "comment": "Art des Eingriffs"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
        "short": "ASA-Klassifikation",
        "definition": "American Society of Anesthesiologists Physical Status Classification System. oBDS KR9 (XSD: ASA)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='97816-3').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "KR9",
            "comment": "ASA-Klassifikation"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
        "short": "Stoma Markierung",
        "definition": "Präoperative Anzeichnung der Stomaposition. oBDS KR7 (XSD: RektumAnzeichnungStomaposition)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung'))"
          },
          {
            "identity": "oBDS",
            "map": "KR7",
            "comment": "Rektum: Präoperative Anzeichnung der Stomaposition"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
        "short": "Markierungsstatus",
        "definition": "Status der präoperativen Stoma-Markierung. oBDS KR7",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.status"
          },
          {
            "identity": "oBDS",
            "map": "KR7",
            "comment": "Status der präoperativen Stoma-Markierung"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
        "short": "Status Grund",
        "definition": "Grund für Markierungsstatus (geplant/nicht geplant/abgelehnt). Komponente zu oBDS KR7.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.statusReason"
          },
          {
            "identity": "oBDS",
            "map": "KR7 (Komponente)",
            "comment": "Grund für Markierungsstatus"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
        "short": "Pathologische Bewertung",
        "definition": "Pathologische Bewertung",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "KRK-spezifische pathologische Bewertung"
          },
          {
            "identity": "oBDS",
            "map": "KR2–KR4, KR10",
            "comment": "Pathologische Bewertung"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
        "short": "Resektionsrand aboral",
        "definition": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm. oBDS KR2 (XSD: RektumAbstandAboralerResektionsrand)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81175-2').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "KR2",
            "comment": "Rektum: Minimaler Abstand vom aboralen Resektionsrand"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
        "short": "Resektionsrand circumferell",
        "definition": "Minimaler Abstand des Tumors zur circumferentiellen Resektionsebene in mm. oBDS KR3 (XSD: RektumAbstandCircResektionsebene)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81176-0').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "KR3",
            "comment": "Rektum: Abstand zur circumferentiellen Resektionsebene"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
        "short": "TME Qualität",
        "definition": "Qualität des TME-Präparats (Grad 1-3). oBDS KR4 (XSD: RektumQualitaetTME)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Specimen.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen')).extension"
          },
          {
            "identity": "oBDS",
            "map": "KR4",
            "comment": "Rektum: Qualität des TME-Präparats"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.RASMutation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.RASMutation",
        "short": "RAS-Mutation",
        "definition": "Mutation des K-ras-Onkogens. oBDS KR10 (XSD: RASMutation)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.RASMutation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation (kein dediziertes Profil in v2027; Abbildung über KDS-Modul Molekulares Tumorboard/MolGen)"
          },
          {
            "identity": "oBDS",
            "map": "KR10",
            "comment": "Mutation K-ras-Onkogen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
        "short": "Postoperative Komplikationen",
        "definition": "Postoperative Komplikationen",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "KRK-spezifische postoperative Komplikationen"
          },
          {
            "identity": "oBDS",
            "map": "KR8",
            "comment": "Postoperative Komplikationen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
        "short": "Anastomoseninsuffizienz",
        "definition": "Grad der Anastomoseninsuffizienz beim Rektumkarzinom (Grad A/B/C). oBDS KR8 (XSD: GradRektumAnastomoseninsuffizienz)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='361317002').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "KR8",
            "comment": "Rektumkarzinom: Anastomoseninsuffizienz"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata",
        "short": "Prostata",
        "definition": "Organspezifisches Modul Prostatakarzinom, oBDS P1–P9 (XSD Modul_Prostata_Typ)",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Bundle/Collection von Prostata-spezifischen Ressourcen"
          },
          {
            "identity": "oBDS",
            "map": "Modul Prostata (P1–P9)",
            "comment": "Amtlicher Feldkatalog: https://basisdatensatz.de/module/4/prostatakarzinom; XSD Modul_Prostata_Typ (oBDS v3.0.5)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore",
        "short": "Gleason Score",
        "definition": "Gleason-Score. oBDS P1 (XSD: GleasonScore)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='372278000') (Profil mii-pr-onko-prostata-gleason-score-gesamt; LOINC-Zweitkodierung 35266-6)"
          },
          {
            "identity": "oBDS",
            "map": "P1",
            "comment": "Gleason-Score"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.Score",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.Score",
        "short": "Gleason Score",
        "definition": "Summe aus primärem und sekundärem Pattern. oBDS P1",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.Score",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "P1",
            "comment": "Gleason Score Gesamtwert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.GradeGroup",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.GradeGroup",
        "short": "Grade Group",
        "definition": "Internationale Standard Grade Group (1-5). Keine eigene oBDS-Feldnummer (ISUP-Ableitung aus P1).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.GradeGroup",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1812491000004107').valueCodeableConcept (Profil mii-pr-onko-prostate-gleason-grade-group; LOINC-Zweitkodierung 94734-1)"
          },
          {
            "identity": "oBDS",
            "map": "P1 (abgeleitet)",
            "comment": "Internationale Standard Grade Group (1-5); keine eigene oBDS-Feldnummer (ISUP-Ableitung)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern",
        "short": "Gleason Pattern",
        "definition": "Gleason Patterns (primär/sekundär/tertiär). Komponenten zu oBDS P1 (keine eigene Feldnummer).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.memberOf('mii-vs-onko-prostata-gleason-primary-secondary-tertiary'))"
          },
          {
            "identity": "oBDS",
            "map": "P1 (Komponente)",
            "comment": "Gleason Patterns (primär/sekundär/tertiär); keine eigene oBDS-Feldnummer"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternTyp",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternTyp",
        "short": "Pattern Typ",
        "definition": "Primäres, sekundäres oder tertiäres Gleason Pattern.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternTyp",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code"
          },
          {
            "identity": "oBDS",
            "map": "P1 (Komponente)",
            "comment": "Art des Gleason Patterns (primär/sekundär/tertiär)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternWert",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternWert",
        "short": "Pattern Wert",
        "definition": "Gleason Pattern Wert (1-5, ab 3 als maligne).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternWert",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "P1 (Komponente)",
            "comment": "Gleason Pattern Wert (1-5, ab 3 maligne)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.AnlassGleasonScore",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.AnlassGleasonScore",
        "short": "Anlass Gleason-Score",
        "definition": "Anlass der Gleason-Score-Bestimmung (Stanze/OP). oBDS P2 (XSD: AnlassGleasonScore)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.AnlassGleasonScore",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation (Anlass als Komponente/Methode der Gleason-Score-Observation; kein dediziertes Profil in v2027)"
          },
          {
            "identity": "oBDS",
            "map": "P2",
            "comment": "Anlass Gleason (Stanze/OP)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse",
        "short": "Biopsie Ergebnisse",
        "definition": "Prostatastanzbiopsie-Ergebnisse. oBDS P3–P6",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation Collection"
          },
          {
            "identity": "oBDS",
            "map": "P3–P6",
            "comment": "Prostatabiopsie-Ergebnisse"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.DatumStanzen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.DatumStanzen",
        "short": "Datum der Stanzen",
        "definition": "Datum der Entnahme der Stanzen. oBDS P3 (XSD: DatumStanzen)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.DatumStanzen",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Specimen.collection.collectedDateTime bzw. Observation.effectiveDateTime der Stanzen-Observations"
          },
          {
            "identity": "oBDS",
            "map": "P3",
            "comment": "Datum der Stanzen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
        "short": "Anzahl Stanzen",
        "definition": "Gesamtanzahl der entnommenen Biopsie-Stanzen. oBDS P4 (XSD: AnzahlStanzen)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33747-0').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "P4",
            "comment": "Anzahl der Stanzen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
        "short": "Anzahl positive Stanzen",
        "definition": "Anzahl der tumorpositiven Stanzen. oBDS P5 (XSD: AnzahlPosStanzen)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33746-2').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "P5",
            "comment": "Anzahl der positiven Stanzen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
        "short": "Karzinom-Befall je Stanze",
        "definition": "Prozentuale Ausdehnung des Karzinoms in der am stärksten befallenen Stanze. oBDS P6 (XSD: CaBefallStanze)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44637-7').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "P6",
            "comment": "Ca-Befall Stanze (prozentualer Befall der am stärksten befallenen Stanze)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.PSAWert",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.PSAWert",
        "short": "PSA-Wert",
        "definition": "Prostataspezifisches Antigen in ng/ml für Diagnostik und Verlaufskontrolle. oBDS P7 (XSD: PSA)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.PSAWert",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='2857-1').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "P7",
            "comment": "PSA-Wert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.DatumPSA",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.DatumPSA",
        "short": "Datum PSA-Wert",
        "definition": "Datum der Blutentnahme zur PSA-Bestimmung. oBDS P8 (XSD: DatumPSA)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.DatumPSA",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='2857-1').effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "P8",
            "comment": "Datum PSA-Wert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen",
        "short": "Chirurgische Komplikationen",
        "definition": "Postoperative Komplikation Clavien-Dindo Grad III/IV innerhalb der ersten 6 Monate. oBDS P9 (XSD: KomplPostOP_ClavienDindo)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(method.coding.system='http://snomed.info/sct' and method.coding.code='789278003')"
          },
          {
            "identity": "oBDS",
            "map": "P9",
            "comment": "Postoperative Komplikation (Clavien-Dindo Grad III/IV innerhalb 6 Monate)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
        "short": "Clavien-Dindo Grad",
        "definition": "Graduierung postoperativer Komplikationen nach Clavien-Dindo. oBDS P9",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "P9",
            "comment": "Clavien-Dindo Klassifikation postoperativer Komplikationen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
        "short": "Komplikationsart",
        "definition": "Spezifische Art der postoperativen Komplikation. Komponente zu oBDS P9 (keine eigene Feldnummer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='LA462-5').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "P9 (Komponente)",
            "comment": "Spezifische Art der postoperativen Komplikation; keine eigene oBDS-Feldnummer"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom",
        "short": "Malignes Melanom",
        "definition": "Organspezifisches Modul Malignes Melanom, oBDS MM1–MM4 (XSD Modul_Malignes_Melanom_Typ)",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Bundle/Collection von Melanom-spezifischen Ressourcen"
          },
          {
            "identity": "oBDS",
            "map": "Modul Malignes Melanom (MM1–MM4)",
            "comment": "Amtlicher Feldkatalog: https://basisdatensatz.de/module/3/malignes-melanom; XSD Modul_Malignes_Melanom_Typ (oBDS v3.0.5)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Sicherheitsabstand",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Sicherheitsabstand",
        "short": "Sicherheitsabstand Primärtumor",
        "definition": "Minimaler Sicherheitsabstand zum Primärtumor in mm. oBDS MM1 (XSD: Sicherheitsabstand_Primaertumor)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Sicherheitsabstand",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='396511007').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "MM1",
            "comment": "Sicherheitsabstand Primärtumor in mm nach definitivem operativem Eingriff"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.BreslowTiefe",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.BreslowTiefe",
        "short": "Tumordicke (Breslow)",
        "definition": "Breslow-Tumordicke in mm beim Malignen Melanom der Haut. oBDS MM2 (XSD: Tumordicke)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.BreslowTiefe",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='106243009').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "MM2",
            "comment": "Tumordicke (Breslow) in mm - vertikale Tumordicke von der Granularschicht der Epidermis bis zur tiefsten Tumorinvasion"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH",
        "short": "Laktatdehydrogenase",
        "definition": "Laktatdehydrogenase als prognostischer Marker. oBDS MM3 (XSD: LDH)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.memberOf('mii-vs-onko-melanom-ldh'))"
          },
          {
            "identity": "oBDS",
            "map": "MM3",
            "comment": "LDH als prognostischer Marker beim metastasierten Melanom"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Wert",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Wert",
        "short": "LDH-Wert",
        "definition": "Laktatdehydrogenase Aktivität in U/L als prognostischer Marker. oBDS MM3",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Wert",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "MM3",
            "comment": "LDH-Wert in U/L"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Bewertung",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Bewertung",
        "short": "LDH-Bewertung",
        "definition": "Klinische Bewertung des LDH-Werts (normal/erhöht). Komponente zu oBDS MM3.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Bewertung",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.interpretation"
          },
          {
            "identity": "oBDS",
            "map": "MM3 (Komponente)",
            "comment": "Bewertung des LDH-Werts (normal/erhöht)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Ulzeration",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Ulzeration",
        "short": "Ulzeration",
        "definition": "Pathologisches Kriterium der Ulzeration beim Malignen Melanom der Haut. oBDS MM4 (XSD: Ulzeration)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Ulzeration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='6270001000004106').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "MM4",
            "comment": "Ulzeration der Epidermis über dem Melanom (J = Ja, N = Nein, U = Unbekannt)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein",
        "short": "Modul Allgemein",
        "definition": "Organübergreifende Zusatzitems (XSD Modul_Allgemein_Typ). Im Feldkatalog auf basisdatensatz.de noch organbezogen geführt (M9/M10 bzw. KR11/KR12), im oBDS-XML-Schema zentralisiert.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Organübergreifende Ressourcen"
          },
          {
            "identity": "oBDS",
            "map": "Modul Allgemein",
            "comment": "XSD Modul_Allgemein_Typ (oBDS v3.0.5); im Web-Feldkatalog organbezogen als M9/M10 bzw. KR11/KR12 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.id",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.extension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.modifierExtension",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Sozialdienstkontakt",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Sozialdienstkontakt",
        "short": "Datum des Sozialdienstkontaktes",
        "definition": "Datum des Sozialdienstkontaktes. Web-Feldkatalog: M9 (Mamma) / KR11 (Kolorektal); XSD: Modul_Allgemein.Sozialdienstkontakt",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Sozialdienstkontakt",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(code.coding.system='http://snomed.info/sct' and code.coding.code='306238000').performedDateTime (Profil mii-pr-onko-mamma-sozialdienst)"
          },
          {
            "identity": "oBDS",
            "map": "M9 / KR11",
            "comment": "Datum des Sozialdienstkontaktes"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Psychoonkologiekontakt",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Psychoonkologiekontakt",
        "short": "Datum des Psychoonkologiekontaktes",
        "definition": "Datum des Psychoonkologiekontaktes. XSD: Modul_Allgemein.Psychoonkologiekontakt (kein Feld im Web-Feldkatalog der Organmodule)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Psychoonkologiekontakt",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure (kein dediziertes Profil in v2027)"
          },
          {
            "identity": "oBDS",
            "map": "Modul_Allgemein",
            "comment": "Datum des Psychoonkologiekontaktes (nur XSD, kein Web-Feldkatalog-Eintrag der Organmodule)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Studienteilnahme",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Studienteilnahme",
        "short": "Datum der Studienrekrutierung",
        "definition": "Datum der Studienrekrutierung. Web-Feldkatalog: M10 (Mamma) / KR12 (Kolorektal); XSD: Modul_Allgemein.Studienteilnahme",
        "min": 0,
        "max": "1",
        "base": {
          "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Studienteilnahme",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "ResearchSubject.period.start (Profil mii-pr-onko-studienteilnahme, oBDS Kapitel 24)"
          },
          {
            "identity": "oBDS",
            "map": "M10 / KR12",
            "comment": "Datum der Studienrekrutierung"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule",
        "path": "mii-lm-onko-organspezifische-zusatzmodule",
        "short": "MII LM Onkologie Organspezifische Zusatzmodule",
        "definition": "Logisches Modell für die organspezifischen Zusatzmodule des oBDS. Feldnummern und Struktur folgen dem amtlichen oBDS-XML-Schema (oBDS v3.0.5, Modul_Mamma/Darm/Prostata/Malignes_Melanom/Allgemein) sowie dem Feldkatalog auf basisdatensatz.de."
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma",
        "short": "Mamma",
        "definition": "Organspezifisches Modul Mammakarzinom, oBDS M1–M8 (XSD Modul_Mamma_Typ)",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Brustspezifische Datenpunkte"
          },
          {
            "identity": "oBDS",
            "map": "Modul Mamma (M1–M8)",
            "comment": "Amtlicher Feldkatalog: https://basisdatensatz.de/module/5/mammakarzinom; XSD Modul_Mamma_Typ (oBDS v3.0.5)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.Menopausenstatus",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.Menopausenstatus",
        "short": "Menopausenstatus",
        "definition": "Prätherapeutischer Menopausenstatus einer Patientin mit Mamma-Karzinom. oBDS M1",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='161712005').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M1",
            "comment": "Prätherapeutischer Menopausenstatus - oBDS 2021: perimenopausal wird unter prämenopausal subsumiert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen",
        "short": "Rezeptorstatus Estrogen",
        "definition": "Hormonrezeptorstatus Östrogen. oBDS M2 (XSD: HormonrezeptorStatus_Oestrogen)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='40556-3')"
          },
          {
            "identity": "oBDS",
            "map": "M2",
            "comment": "HormonrezeptorStatus: Östrogen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Status",
        "short": "Estrogen-Rezeptorstatus",
        "definition": "Kategoriale Bewertung des Estrogen-Rezeptorstatus: positiv/negativ. oBDS M2",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M2",
            "comment": "Kategoriale Bewertung des Estrogen-Rezeptorstatus"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.AnteilPositiveZellen",
        "short": "Anteil positive Zellen",
        "definition": "Quantitative Bestimmung in Prozent. Komponente zu oBDS M2 (keine eigene Feldnummer, S3-Leitlinie).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234804006').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "M2 (Komponente)",
            "comment": "Quantitative Estrogen-Bestimmung in Prozent; keine eigene oBDS-Feldnummer (S3-Leitlinie)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusEstrogen.Faerbeintensitaet",
        "short": "Färbeintensität",
        "definition": "Qualitative Bewertung der Färbeintensität. Komponente zu oBDS M2 (keine eigene Feldnummer, S3-Leitlinie).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1236874005').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M2 (Komponente)",
            "comment": "Estrogen-Färbeintensität; keine eigene oBDS-Feldnummer (S3-Leitlinie)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron",
        "short": "Rezeptorstatus Progesteron",
        "definition": "Hormonrezeptorstatus Progesteron. oBDS M3 (XSD: HormonrezeptorStatus_Progesteron)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='85339-0')"
          },
          {
            "identity": "oBDS",
            "map": "M3",
            "comment": "HormonrezeptorStatus: Progesteron"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Status",
        "short": "Progesteron-Rezeptorstatus",
        "definition": "Kategoriale Bewertung des Progesteron-Rezeptorstatus: positiv/negativ. oBDS M3",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M3",
            "comment": "Kategoriale Bewertung des Progesteron-Rezeptorstatus"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.AnteilPositiveZellen",
        "short": "Anteil positive Zellen",
        "definition": "Quantitative Bestimmung in Prozent. Komponente zu oBDS M3 (keine eigene Feldnummer, S3-Leitlinie).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1234803000').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "M3 (Komponente)",
            "comment": "Quantitative Progesteron-Bestimmung in Prozent; keine eigene oBDS-Feldnummer (S3-Leitlinie)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.RezeptorstatusProgesteron.Faerbeintensitaet",
        "short": "Färbeintensität",
        "definition": "Qualitative Bewertung der Färbeintensität. Komponente zu oBDS M3 (keine eigene Feldnummer, S3-Leitlinie).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1237278006').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "M3 (Komponente)",
            "comment": "Progesteron-Färbeintensität; keine eigene oBDS-Feldnummer (S3-Leitlinie)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.StatusHer2neu",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.StatusHer2neu",
        "short": "Her2neu-Status",
        "definition": "Her2neu-Status des Tumorgewebes. oBDS M4 (XSD: Her2neuStatus)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='48676-1').valueCodeableConcept (Profil mii-pr-onko-mamma-status-her2neu)"
          },
          {
            "identity": "oBDS",
            "map": "M4",
            "comment": "Her2neu Status"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung",
        "short": "Präoperative Markierung",
        "definition": "Präoperative Drahtmarkierung durch Bildgebung gesteuert. oBDS M5 (XSD: PraeopDrahtmarkierung)",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-praeoperative-markierung'))"
          },
          {
            "identity": "oBDS",
            "map": "M5",
            "comment": "Präoperative Drahtmarkierung durch Bildgebung gesteuert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.PraeoperativeMarkierung.Modalitaet",
        "short": "Markierungsmodalität",
        "definition": "Art/Steuerung der präoperativen Markierung. Komponente zu oBDS M5.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.usedCode.coding.where(memberOf('mii-vs-onko-mamma-praeoperative-markierung-modalitaet'))"
          },
          {
            "identity": "oBDS",
            "map": "M5 (Komponente)",
            "comment": "Modalität der präoperativen Markierung"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation",
        "short": "Mamma-Operation",
        "definition": "Operative Therapie; kein eigenes oBDS-Modulfeld (Abbildung über oBDS Kapitel 13/OPS).",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-operation'))"
          },
          {
            "identity": "oBDS",
            "map": "kein oBDS-Modulfeld",
            "comment": "Operative Therapie über oBDS Kapitel 13 (OP) und OPS"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.Operationstyp",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.Operationstyp",
        "short": "Operationstyp",
        "definition": "Art der Mamma-Operation. Kein oBDS-Modulfeld (OPS, oBDS Kapitel 13).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code"
          },
          {
            "identity": "oBDS",
            "map": "kein oBDS-Modulfeld",
            "comment": "Art der Mamma-Operation (BET, Mastektomie, Lymphknotenoperation, Rekonstruktion) nach OPS"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.MammaOperation.IntraoperativesImaging",
        "short": "Intraoperatives Präparatröntgen/Sonografie",
        "definition": "Intraoperative Präparatkontrolle mittels Röntgen/Sonografie. oBDS M6 (XSD: IntraopPraeparatkontrolle)",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.usedCode"
          },
          {
            "identity": "oBDS",
            "map": "M6",
            "comment": "Intraoperatives Präparatröntgen/Sonografie"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseInvasiv",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseInvasiv",
        "short": "Tumorgröße invasives Karzinom",
        "definition": "Größte Ausdehnung des invasiven Karzinoms in mm. oBDS M7 (XSD: TumorgroesseInvasiv)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueQuantity (kein dediziertes Profil in v2027)"
          },
          {
            "identity": "oBDS",
            "map": "M7",
            "comment": "Tumorgröße Invasives Karzinom"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseDCIS",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Mamma.TumorgroesseDCIS",
        "short": "Tumorgröße DCIS",
        "definition": "Größte Ausdehnung des duktalen Carcinoma in situ in mm. oBDS M8 (XSD: TumorgroesseDCIS)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueQuantity (kein dediziertes Profil in v2027)"
          },
          {
            "identity": "oBDS",
            "map": "M8",
            "comment": "Tumorgröße DCIS"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom",
        "short": "Kolorektales Karzinom",
        "definition": "Organspezifisches Modul Kolorektales Karzinom, oBDS KR1–KR10 (XSD Modul_Darm_Typ)",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Bundle/Collection von KRK-spezifischen Ressourcen"
          },
          {
            "identity": "oBDS",
            "map": "Modul Kolorektales Karzinom (KR1–KR10)",
            "comment": "Amtlicher Feldkatalog: https://basisdatensatz.de/module/6/kolorektales-karzinom; XSD Modul_Darm_Typ (oBDS v3.0.5)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation",
        "short": "Tumor Lokalisation",
        "definition": "Tumor Lokalisation",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "KRK-spezifische Tumorlokalisation"
          },
          {
            "identity": "oBDS",
            "map": "KR1",
            "comment": "Tumorlokalisation und anatomische Bezugspunkte"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.TumorLokalisation.AbstandAnokutanlinie",
        "short": "Abstand Anokutanlinie",
        "definition": "Höhe des Sitzes des Rektumkarzinoms ab Anokutanlinie in cm. oBDS KR1 (XSD: RektumAbstandAnokutanlinie)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33748-5').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "KR1",
            "comment": "Rektum: Abstand des Tumorunterrandes zur Anokutanlinie"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren",
        "short": "Bildgebende Verfahren",
        "definition": "Bildgebende Verfahren",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "KRK-spezifische bildgebende Verfahren"
          },
          {
            "identity": "oBDS",
            "map": "KR5",
            "comment": "Bildgebende Verfahren zur präoperativen Beurteilung"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale",
        "short": "MRT/CT Mesorektale Faszie",
        "definition": "MRT oder Dünnschicht-CT mit Angabe Abstand mesorektale Faszie. oBDS KR5 (XSD: RektumMRTDuennschichtAngabemesorektaleFaszie)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='https://radelement.org' and code.coding.code='RDE96')"
          },
          {
            "identity": "oBDS",
            "map": "KR5",
            "comment": "Rektum: MRT oder Dünnschicht-CT durchgeführt mit Angabe Abstand mesorektale Faszie"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandMesorektale",
        "short": "Abstand Mesorektale Faszie",
        "definition": "Abstand des Tumors zur mesorektalen Faszie in mm bei MRT/CT. oBDS KR5",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "KR5",
            "comment": "Abstand zur mesorektalen Faszie in mm"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.BildgebendeVerfahren.MRTMesorektale.AbstandNichtVerfuegbarGrund",
        "short": "Grund für fehlende Abstandsmessung",
        "definition": "Grund, warum der Abstand zur mesorektalen Faszie nicht verfügbar ist (nicht durchgeführt/nicht angegeben/unbekannt). Statusangabe zu oBDS KR5.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "KR5 (Statusangabe)",
            "comment": "Status: D/N/U (durchgeführt aber nicht angegeben/nicht durchgeführt/unbekannt)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation",
        "short": "KRK Operation",
        "definition": "KRK Operation",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-operation'))"
          },
          {
            "identity": "oBDS",
            "map": "KR6, KR7, KR9",
            "comment": "KRK-spezifische operative Verfahren"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.Operationstyp",
        "short": "Art des Eingriffs",
        "definition": "Art des Eingriffs beim kolorektalen Karzinom. oBDS KR6 (XSD: ArtEingriff)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.code"
          },
          {
            "identity": "oBDS",
            "map": "KR6",
            "comment": "Art des Eingriffs"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.ASAKlassifikation",
        "short": "ASA-Klassifikation",
        "definition": "American Society of Anesthesiologists Physical Status Classification System. oBDS KR9 (XSD: ASA)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='97816-3').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "KR9",
            "comment": "ASA-Klassifikation"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung",
        "short": "Stoma Markierung",
        "definition": "Präoperative Anzeichnung der Stomaposition. oBDS KR7 (XSD: RektumAnzeichnungStomaposition)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung'))"
          },
          {
            "identity": "oBDS",
            "map": "KR7",
            "comment": "Rektum: Präoperative Anzeichnung der Stomaposition"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.Status",
        "short": "Markierungsstatus",
        "definition": "Status der präoperativen Stoma-Markierung. oBDS KR7",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.status"
          },
          {
            "identity": "oBDS",
            "map": "KR7",
            "comment": "Status der präoperativen Stoma-Markierung"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.Operation.StomaMarkierung.StatusGrund",
        "short": "Status Grund",
        "definition": "Grund für Markierungsstatus (geplant/nicht geplant/abgelehnt). Komponente zu oBDS KR7.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.statusReason"
          },
          {
            "identity": "oBDS",
            "map": "KR7 (Komponente)",
            "comment": "Grund für Markierungsstatus"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung",
        "short": "Pathologische Bewertung",
        "definition": "Pathologische Bewertung",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "KRK-spezifische pathologische Bewertung"
          },
          {
            "identity": "oBDS",
            "map": "KR2–KR4, KR10",
            "comment": "Pathologische Bewertung"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderAboral",
        "short": "Resektionsrand aboral",
        "definition": "Minimaler Abstand des aboralen Tumorrandes zum aboralen Resektionsrand in mm. oBDS KR2 (XSD: RektumAbstandAboralerResektionsrand)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81175-2').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "KR2",
            "comment": "Rektum: Minimaler Abstand vom aboralen Resektionsrand"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.ResektionsraenderCircumferell",
        "short": "Resektionsrand circumferell",
        "definition": "Minimaler Abstand des Tumors zur circumferentiellen Resektionsebene in mm. oBDS KR3 (XSD: RektumAbstandCircResektionsebene)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='81176-0').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "KR3",
            "comment": "Rektum: Abstand zur circumferentiellen Resektionsebene"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.TMEQualitaet",
        "short": "TME Qualität",
        "definition": "Qualität des TME-Präparats (Grad 1-3). oBDS KR4 (XSD: RektumQualitaetTME)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Specimen.where(meta.profile.contains('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen')).extension"
          },
          {
            "identity": "oBDS",
            "map": "KR4",
            "comment": "Rektum: Qualität des TME-Präparats"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.RASMutation",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PathologischeBewertung.RASMutation",
        "short": "RAS-Mutation",
        "definition": "Mutation des K-ras-Onkogens. oBDS KR10 (XSD: RASMutation)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation (kein dediziertes Profil in v2027; Abbildung über KDS-Modul Molekulares Tumorboard/MolGen)"
          },
          {
            "identity": "oBDS",
            "map": "KR10",
            "comment": "Mutation K-ras-Onkogen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen",
        "short": "Postoperative Komplikationen",
        "definition": "Postoperative Komplikationen",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "KRK-spezifische postoperative Komplikationen"
          },
          {
            "identity": "oBDS",
            "map": "KR8",
            "comment": "Postoperative Komplikationen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.KolorektalesKarzinom.PostoperativeKomplikationen.Anastomoseninsuffizienz",
        "short": "Anastomoseninsuffizienz",
        "definition": "Grad der Anastomoseninsuffizienz beim Rektumkarzinom (Grad A/B/C). oBDS KR8 (XSD: GradRektumAnastomoseninsuffizienz)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='361317002').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "KR8",
            "comment": "Rektumkarzinom: Anastomoseninsuffizienz"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata",
        "short": "Prostata",
        "definition": "Organspezifisches Modul Prostatakarzinom, oBDS P1–P9 (XSD Modul_Prostata_Typ)",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Bundle/Collection von Prostata-spezifischen Ressourcen"
          },
          {
            "identity": "oBDS",
            "map": "Modul Prostata (P1–P9)",
            "comment": "Amtlicher Feldkatalog: https://basisdatensatz.de/module/4/prostatakarzinom; XSD Modul_Prostata_Typ (oBDS v3.0.5)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore",
        "short": "Gleason Score",
        "definition": "Gleason-Score. oBDS P1 (XSD: GleasonScore)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='372278000') (Profil mii-pr-onko-prostata-gleason-score-gesamt; LOINC-Zweitkodierung 35266-6)"
          },
          {
            "identity": "oBDS",
            "map": "P1",
            "comment": "Gleason-Score"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.Score",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.Score",
        "short": "Gleason Score",
        "definition": "Summe aus primärem und sekundärem Pattern. oBDS P1",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "P1",
            "comment": "Gleason Score Gesamtwert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.GradeGroup",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonScore.GradeGroup",
        "short": "Grade Group",
        "definition": "Internationale Standard Grade Group (1-5). Keine eigene oBDS-Feldnummer (ISUP-Ableitung aus P1).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='1812491000004107').valueCodeableConcept (Profil mii-pr-onko-prostate-gleason-grade-group; LOINC-Zweitkodierung 94734-1)"
          },
          {
            "identity": "oBDS",
            "map": "P1 (abgeleitet)",
            "comment": "Internationale Standard Grade Group (1-5); keine eigene oBDS-Feldnummer (ISUP-Ableitung)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern",
        "short": "Gleason Pattern",
        "definition": "Gleason Patterns (primär/sekundär/tertiär). Komponenten zu oBDS P1 (keine eigene Feldnummer).",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.memberOf('mii-vs-onko-prostata-gleason-primary-secondary-tertiary'))"
          },
          {
            "identity": "oBDS",
            "map": "P1 (Komponente)",
            "comment": "Gleason Patterns (primär/sekundär/tertiär); keine eigene oBDS-Feldnummer"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternTyp",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternTyp",
        "short": "Pattern Typ",
        "definition": "Primäres, sekundäres oder tertiäres Gleason Pattern.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.code"
          },
          {
            "identity": "oBDS",
            "map": "P1 (Komponente)",
            "comment": "Art des Gleason Patterns (primär/sekundär/tertiär)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternWert",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.GleasonPattern.PatternWert",
        "short": "Pattern Wert",
        "definition": "Gleason Pattern Wert (1-5, ab 3 als maligne).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "P1 (Komponente)",
            "comment": "Gleason Pattern Wert (1-5, ab 3 maligne)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.AnlassGleasonScore",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.AnlassGleasonScore",
        "short": "Anlass Gleason-Score",
        "definition": "Anlass der Gleason-Score-Bestimmung (Stanze/OP). oBDS P2 (XSD: AnlassGleasonScore)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation (Anlass als Komponente/Methode der Gleason-Score-Observation; kein dediziertes Profil in v2027)"
          },
          {
            "identity": "oBDS",
            "map": "P2",
            "comment": "Anlass Gleason (Stanze/OP)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse",
        "short": "Biopsie Ergebnisse",
        "definition": "Prostatastanzbiopsie-Ergebnisse. oBDS P3–P6",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation Collection"
          },
          {
            "identity": "oBDS",
            "map": "P3–P6",
            "comment": "Prostatabiopsie-Ergebnisse"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.DatumStanzen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.DatumStanzen",
        "short": "Datum der Stanzen",
        "definition": "Datum der Entnahme der Stanzen. oBDS P3 (XSD: DatumStanzen)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Specimen.collection.collectedDateTime bzw. Observation.effectiveDateTime der Stanzen-Observations"
          },
          {
            "identity": "oBDS",
            "map": "P3",
            "comment": "Datum der Stanzen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlStanzen",
        "short": "Anzahl Stanzen",
        "definition": "Gesamtanzahl der entnommenen Biopsie-Stanzen. oBDS P4 (XSD: AnzahlStanzen)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33747-0').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "P4",
            "comment": "Anzahl der Stanzen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.AnzahlPositiverStanzen",
        "short": "Anzahl positive Stanzen",
        "definition": "Anzahl der tumorpositiven Stanzen. oBDS P5 (XSD: AnzahlPosStanzen)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='33746-2').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "P5",
            "comment": "Anzahl der positiven Stanzen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.BiopsieErgebnisse.KarzinomBefallStanze",
        "short": "Karzinom-Befall je Stanze",
        "definition": "Prozentuale Ausdehnung des Karzinoms in der am stärksten befallenen Stanze. oBDS P6 (XSD: CaBefallStanze)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='44637-7').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "P6",
            "comment": "Ca-Befall Stanze (prozentualer Befall der am stärksten befallenen Stanze)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.PSAWert",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.PSAWert",
        "short": "PSA-Wert",
        "definition": "Prostataspezifisches Antigen in ng/ml für Diagnostik und Verlaufskontrolle. oBDS P7 (XSD: PSA)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='2857-1').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "P7",
            "comment": "PSA-Wert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.DatumPSA",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.DatumPSA",
        "short": "Datum PSA-Wert",
        "definition": "Datum der Blutentnahme zur PSA-Bestimmung. oBDS P8 (XSD: DatumPSA)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://loinc.org' and code.coding.code='2857-1').effectiveDateTime"
          },
          {
            "identity": "oBDS",
            "map": "P8",
            "comment": "Datum PSA-Wert"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen",
        "short": "Chirurgische Komplikationen",
        "definition": "Postoperative Komplikation Clavien-Dindo Grad III/IV innerhalb der ersten 6 Monate. oBDS P9 (XSD: KomplPostOP_ClavienDindo)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(method.coding.system='http://snomed.info/sct' and method.coding.code='789278003')"
          },
          {
            "identity": "oBDS",
            "map": "P9",
            "comment": "Postoperative Komplikation (Clavien-Dindo Grad III/IV innerhalb 6 Monate)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.ClavienDindoGrad",
        "short": "Clavien-Dindo Grad",
        "definition": "Graduierung postoperativer Komplikationen nach Clavien-Dindo. oBDS P9",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "P9",
            "comment": "Clavien-Dindo Klassifikation postoperativer Komplikationen"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.Prostata.ChirurgischeKomplikationen.KomplikationsArt",
        "short": "Komplikationsart",
        "definition": "Spezifische Art der postoperativen Komplikation. Komponente zu oBDS P9 (keine eigene Feldnummer).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.component.where(code.coding.system='http://loinc.org' and code.coding.code='LA462-5').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "P9 (Komponente)",
            "comment": "Spezifische Art der postoperativen Komplikation; keine eigene oBDS-Feldnummer"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom",
        "short": "Malignes Melanom",
        "definition": "Organspezifisches Modul Malignes Melanom, oBDS MM1–MM4 (XSD Modul_Malignes_Melanom_Typ)",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Bundle/Collection von Melanom-spezifischen Ressourcen"
          },
          {
            "identity": "oBDS",
            "map": "Modul Malignes Melanom (MM1–MM4)",
            "comment": "Amtlicher Feldkatalog: https://basisdatensatz.de/module/3/malignes-melanom; XSD Modul_Malignes_Melanom_Typ (oBDS v3.0.5)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Sicherheitsabstand",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Sicherheitsabstand",
        "short": "Sicherheitsabstand Primärtumor",
        "definition": "Minimaler Sicherheitsabstand zum Primärtumor in mm. oBDS MM1 (XSD: Sicherheitsabstand_Primaertumor)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='396511007').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "MM1",
            "comment": "Sicherheitsabstand Primärtumor in mm nach definitivem operativem Eingriff"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.BreslowTiefe",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.BreslowTiefe",
        "short": "Tumordicke (Breslow)",
        "definition": "Breslow-Tumordicke in mm beim Malignen Melanom der Haut. oBDS MM2 (XSD: Tumordicke)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='106243009').valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "MM2",
            "comment": "Tumordicke (Breslow) in mm - vertikale Tumordicke von der Granularschicht der Epidermis bis zur tiefsten Tumorinvasion"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH",
        "short": "Laktatdehydrogenase",
        "definition": "Laktatdehydrogenase als prognostischer Marker. oBDS MM3 (XSD: LDH)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.memberOf('mii-vs-onko-melanom-ldh'))"
          },
          {
            "identity": "oBDS",
            "map": "MM3",
            "comment": "LDH als prognostischer Marker beim metastasierten Melanom"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Wert",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Wert",
        "short": "LDH-Wert",
        "definition": "Laktatdehydrogenase Aktivität in U/L als prognostischer Marker. oBDS MM3",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.valueQuantity"
          },
          {
            "identity": "oBDS",
            "map": "MM3",
            "comment": "LDH-Wert in U/L"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Bewertung",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.LDH.Bewertung",
        "short": "LDH-Bewertung",
        "definition": "Klinische Bewertung des LDH-Werts (normal/erhöht). Komponente zu oBDS MM3.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.interpretation"
          },
          {
            "identity": "oBDS",
            "map": "MM3 (Komponente)",
            "comment": "Bewertung des LDH-Werts (normal/erhöht)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Ulzeration",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.MalignesMelanom.Ulzeration",
        "short": "Ulzeration",
        "definition": "Pathologisches Kriterium der Ulzeration beim Malignen Melanom der Haut. oBDS MM4 (XSD: Ulzeration)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Observation.where(code.coding.system='http://snomed.info/sct' and code.coding.code='6270001000004106').valueCodeableConcept"
          },
          {
            "identity": "oBDS",
            "map": "MM4",
            "comment": "Ulzeration der Epidermis über dem Melanom (J = Ja, N = Nein, U = Unbekannt)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein",
        "short": "Modul Allgemein",
        "definition": "Organübergreifende Zusatzitems (XSD Modul_Allgemein_Typ). Im Feldkatalog auf basisdatensatz.de noch organbezogen geführt (M9/M10 bzw. KR11/KR12), im oBDS-XML-Schema zentralisiert.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Organübergreifende Ressourcen"
          },
          {
            "identity": "oBDS",
            "map": "Modul Allgemein",
            "comment": "XSD Modul_Allgemein_Typ (oBDS v3.0.5); im Web-Feldkatalog organbezogen als M9/M10 bzw. KR11/KR12 geführt"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Sozialdienstkontakt",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Sozialdienstkontakt",
        "short": "Datum des Sozialdienstkontaktes",
        "definition": "Datum des Sozialdienstkontaktes. Web-Feldkatalog: M9 (Mamma) / KR11 (Kolorektal); XSD: Modul_Allgemein.Sozialdienstkontakt",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure.where(code.coding.system='http://snomed.info/sct' and code.coding.code='306238000').performedDateTime (Profil mii-pr-onko-mamma-sozialdienst)"
          },
          {
            "identity": "oBDS",
            "map": "M9 / KR11",
            "comment": "Datum des Sozialdienstkontaktes"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Psychoonkologiekontakt",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Psychoonkologiekontakt",
        "short": "Datum des Psychoonkologiekontaktes",
        "definition": "Datum des Psychoonkologiekontaktes. XSD: Modul_Allgemein.Psychoonkologiekontakt (kein Feld im Web-Feldkatalog der Organmodule)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "Procedure (kein dediziertes Profil in v2027)"
          },
          {
            "identity": "oBDS",
            "map": "Modul_Allgemein",
            "comment": "Datum des Psychoonkologiekontaktes (nur XSD, kein Web-Feldkatalog-Eintrag der Organmodule)"
          }
        ]
      },
      {
        "id": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Studienteilnahme",
        "path": "mii-lm-onko-organspezifische-zusatzmodule.ModulAllgemein.Studienteilnahme",
        "short": "Datum der Studienrekrutierung",
        "definition": "Datum der Studienrekrutierung. Web-Feldkatalog: M10 (Mamma) / KR12 (Kolorektal); XSD: Modul_Allgemein.Studienteilnahme",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "FHIR",
            "map": "ResearchSubject.period.start (Profil mii-pr-onko-studienteilnahme, oBDS Kapitel 24)"
          },
          {
            "identity": "oBDS",
            "map": "M10 / KR12",
            "comment": "Datum der Studienrekrutierung"
          }
        ]
      }
    ]
  }
}