This profile describes the M category of the TNM classification. The M category codes the absence or presence of distant metastases and is coded entity-specifically.

UICC prefixes y/r/a (modifierExtension): The prefixes y (during/after multimodal therapy), r (recurrence) and a (autopsy) are represented at category level as a modifierExtension (mii-ex-onko-tnm-y-praefix, …-r-praefix, …-a-praefix), because they change the interpretation of the category value — ypT2 is not prognostically comparable with pT2. Processing systems must know these extensions. The c/p/u prefix remains a normal extension on code, because this information is redundantly contained in the observable code and in the SNOMED CT value. The symbol observations (y/r/a symbol) at the level of the TNM classification are retained for the oBDS mapping (8.3–8.5); mixed prefix situations (e.g. ypT2 cN0) are represented via the category prefixes.

Examples

mii-exa-onko-tnm-m-kategorie-cM1

mii-exa-onko-tnm-m-kategorie-M0

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, tnm-sct-uicc-konsistenz
meta	Σ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:yPraefix	?!S	0..1	(Complex)	TNM y-Präfix (während/nach multimodaler Therapie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: y
modifierExtension:rPraefix	?!S	0..1	(Complex)	TNM r-Präfix (Rezidiv) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: r
modifierExtension:aPraefix	?!S	0..1	(Complex)	TNM a-Präfix (Autopsie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: a
partOf	SΣ	0..*	Reference(Procedure)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: MII VS Onkologie TNM M Kategorie (preferred)
Slices for extension				Content/Rules for all slices
extension:cpPraefix	S	0..1	(Complex)	MII EX Onkologie TNM c/p Präfix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
value[x]		0..1	CodeableConcept	Value of extension Binding: MII VS Onkologie TNM c/p/u Praefix (required)
coding	Σ	0..*	Coding	TNM c/p-Präfix M
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
focus	SΣ	0..*	Reference(MII PR Onkologie Diagnose Primärtumor)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣC	0..1	dateTime	TNM-Datum Constraints: tnm-datum
value[x]	SΣC	0..1	CodeableConcept	Actual result
Slices for extension				Content/Rules for all slices
extension:itcSuffix	S	0..1	CodeableConcept	isolierte Tumorzellen (ITC) Suffix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix Binding: MII VS Onkologie TNM ITC Suffix (required)
Slices for coding	Σ	1..*	Coding	TNM M-Kategorie Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
code	Σ	0..1	code	Symbol in syntax defined by the system
coding:uicc	SΣ	1..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://www.uicc.org/resources/tnm
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:snomed-ct	SΣ	0..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte SNOMED CT (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	SΣ	1..1	code	Symbol in syntax defined by the system
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
coding	SΣ	0..*	Coding	TNM Version Binding: MII VS Onkologie TNM Version (required)
hasMember	SΣ	0..*	Reference(MII PR Onkologie Fernmetastasen)	Related resource that belongs to the Observation group
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.code	Base	preferred	MII VS Onkologie TNM M Kategorie	📦2027.0.0-ballot.1	This IG
Observation.code.extension:cpPraefix.​value[x]	Base	required	MII VS Onkologie TNM c/p/u Praefix	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:uicc	Base	required	MII VS Onkologie TNM M Kategorie Werte	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:snomed-ct	Base	required	MII VS Onkologie TNM M Kategorie Werte SNOMED CT	📦2027.0.0-ballot.1	This IG
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.method.coding	Base	required	MII VS Onkologie TNM Version	📦2027.0.0-ballot.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tnm-datum	error	Observation.effective[x]	TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.	$this.toString().length() >= 8
tnm-sct-uicc-konsistenz	error	Observation	Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3').	valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: tnm-sct-uicc-konsistenz
meta
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Slices for modifierExtension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:yPraefix	S	0..1	(Complex)	TNM y-Präfix (während/nach multimodaler Therapie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
value[x]
coding
code		0..1	code	Symbol in syntax defined by the system
modifierExtension:rPraefix	S	0..1	(Complex)	TNM r-Präfix (Rezidiv) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
value[x]
coding
code		0..1	code	Symbol in syntax defined by the system
modifierExtension:aPraefix	S	0..1	(Complex)	TNM a-Präfix (Autopsie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
value[x]
coding
code		0..1	code	Symbol in syntax defined by the system
partOf	S	0..*	Reference(Procedure)	Part of referenced event
status	S	1..1	code	registered | preliminary | final | amended +
code	S	1..1	CodeableConcept	Type of observation (code / type) Binding: MII VS Onkologie TNM M Kategorie (preferred)
Slices for extension				Content/Rules for all slices
extension:cpPraefix	S	0..1	(Complex)	MII EX Onkologie TNM c/p Präfix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
value[x]
coding		0..*	Coding	TNM c/p-Präfix M
code		0..1	code	Symbol in syntax defined by the system
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(Patient)	Who and/or what the observation is about
focus	S	0..*	Reference(MII PR Onkologie Diagnose Primärtumor)	What the observation is about, when it is not about the subject of record
encounter	S	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SC	0..1	dateTime	TNM-Datum Constraints: tnm-datum
value[x]	S	0..1	CodeableConcept	Actual result
Slices for extension				Content/Rules for all slices
extension:itcSuffix	S	0..1	CodeableConcept	isolierte Tumorzellen (ITC) Suffix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix Binding: MII VS Onkologie TNM ITC Suffix (required)
Slices for coding		1..*	Coding	TNM M-Kategorie Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
code		0..1	code	Symbol in syntax defined by the system
coding:uicc	S	1..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte (required)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://www.uicc.org/resources/tnm
code	S	1..1	code	Symbol in syntax defined by the system
coding:snomed-ct	S	0..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte SNOMED CT (required)
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	S	1..1	code	Symbol in syntax defined by the system
method	S	0..1	CodeableConcept	How it was done
coding	S	0..*	Coding	TNM Version Binding: MII VS Onkologie TNM Version (required)
hasMember	S	0..*	Reference(MII PR Onkologie Fernmetastasen)	Related resource that belongs to the Observation group
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	preferred	MII VS Onkologie TNM M Kategorie	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:uicc	Base	required	MII VS Onkologie TNM M Kategorie Werte	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:snomed-ct	Base	required	MII VS Onkologie TNM M Kategorie Werte SNOMED CT	📦2027.0.0-ballot.1	This IG
Observation.method.coding	Base	required	MII VS Onkologie TNM Version	📦2027.0.0-ballot.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
tnm-datum	error	Observation.effective[x]	TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.	$this.toString().length() >= 8
tnm-sct-uicc-konsistenz	error	Observation	Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3').	valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, tnm-sct-uicc-konsistenz
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:yPraefix	?!S	0..1	(Complex)	TNM y-Präfix (während/nach multimodaler Therapie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: y
display	Σ	0..1	string	Representation defined by the system Fixed Value: y
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension:rPraefix	?!S	0..1	(Complex)	TNM r-Präfix (Rezidiv) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: r
display	Σ	0..1	string	Representation defined by the system Fixed Value: r
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension:aPraefix	?!S	0..1	(Complex)	TNM a-Präfix (Autopsie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: a
display	Σ	0..1	string	Representation defined by the system Fixed Value: a
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	SΣ	0..*	Reference(Procedure)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: MII VS Onkologie TNM M Kategorie (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:cpPraefix	S	0..1	(Complex)	MII EX Onkologie TNM c/p Präfix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
value[x]		0..1	CodeableConcept	Value of extension Binding: MII VS Onkologie TNM c/p/u Praefix (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	TNM c/p-Präfix M
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
focus	SΣ	0..*	Reference(MII PR Onkologie Diagnose Primärtumor)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣC	0..1	dateTime	TNM-Datum Constraints: tnm-datum
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	0..1	CodeableConcept	Actual result
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:itcSuffix	S	0..1	CodeableConcept	isolierte Tumorzellen (ITC) Suffix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix Binding: MII VS Onkologie TNM ITC Suffix (required)
Slices for coding	Σ	1..*	Coding	TNM M-Kategorie Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:uicc	SΣ	1..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://www.uicc.org/resources/tnm
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed-ct	SΣ	0..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte SNOMED CT (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	TNM Version Binding: MII VS Onkologie TNM Version (required)
text	Σ	0..1	string	Plain text representation of the concept
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(MII PR Onkologie Fernmetastasen)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	preferred	MII VS Onkologie TNM M Kategorie	📦2027.0.0-ballot.1	This IG
Observation.code.extension:cpPraefix.​value[x]	Base	required	MII VS Onkologie TNM c/p/u Praefix	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:uicc	Base	required	MII VS Onkologie TNM M Kategorie Werte	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:snomed-ct	Base	required	MII VS Onkologie TNM M Kategorie Werte SNOMED CT	📦2027.0.0-ballot.1	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.method.coding	Base	required	MII VS Onkologie TNM Version	📦2027.0.0-ballot.1	This IG
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tnm-datum	error	Observation.effective[x]	TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.	$this.toString().length() >= 8
tnm-sct-uicc-konsistenz	error	Observation	Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3').	valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, tnm-sct-uicc-konsistenz
meta	Σ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:yPraefix	?!S	0..1	(Complex)	TNM y-Präfix (während/nach multimodaler Therapie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: y
modifierExtension:rPraefix	?!S	0..1	(Complex)	TNM r-Präfix (Rezidiv) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: r
modifierExtension:aPraefix	?!S	0..1	(Complex)	TNM a-Präfix (Autopsie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: a
partOf	SΣ	0..*	Reference(Procedure)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: MII VS Onkologie TNM M Kategorie (preferred)
Slices for extension				Content/Rules for all slices
extension:cpPraefix	S	0..1	(Complex)	MII EX Onkologie TNM c/p Präfix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
value[x]		0..1	CodeableConcept	Value of extension Binding: MII VS Onkologie TNM c/p/u Praefix (required)
coding	Σ	0..*	Coding	TNM c/p-Präfix M
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
focus	SΣ	0..*	Reference(MII PR Onkologie Diagnose Primärtumor)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣC	0..1	dateTime	TNM-Datum Constraints: tnm-datum
value[x]	SΣC	0..1	CodeableConcept	Actual result
Slices for extension				Content/Rules for all slices
extension:itcSuffix	S	0..1	CodeableConcept	isolierte Tumorzellen (ITC) Suffix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix Binding: MII VS Onkologie TNM ITC Suffix (required)
Slices for coding	Σ	1..*	Coding	TNM M-Kategorie Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
code	Σ	0..1	code	Symbol in syntax defined by the system
coding:uicc	SΣ	1..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://www.uicc.org/resources/tnm
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:snomed-ct	SΣ	0..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte SNOMED CT (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	SΣ	1..1	code	Symbol in syntax defined by the system
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
coding	SΣ	0..*	Coding	TNM Version Binding: MII VS Onkologie TNM Version (required)
hasMember	SΣ	0..*	Reference(MII PR Onkologie Fernmetastasen)	Related resource that belongs to the Observation group
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.code	Base	preferred	MII VS Onkologie TNM M Kategorie	📦2027.0.0-ballot.1	This IG
Observation.code.extension:cpPraefix.​value[x]	Base	required	MII VS Onkologie TNM c/p/u Praefix	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:uicc	Base	required	MII VS Onkologie TNM M Kategorie Werte	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:snomed-ct	Base	required	MII VS Onkologie TNM M Kategorie Werte SNOMED CT	📦2027.0.0-ballot.1	This IG
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.method.coding	Base	required	MII VS Onkologie TNM Version	📦2027.0.0-ballot.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tnm-datum	error	Observation.effective[x]	TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.	$this.toString().length() >= 8
tnm-sct-uicc-konsistenz	error	Observation	Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3').	valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: tnm-sct-uicc-konsistenz
meta
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Slices for modifierExtension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:yPraefix	S	0..1	(Complex)	TNM y-Präfix (während/nach multimodaler Therapie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
value[x]
coding
code		0..1	code	Symbol in syntax defined by the system
modifierExtension:rPraefix	S	0..1	(Complex)	TNM r-Präfix (Rezidiv) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
value[x]
coding
code		0..1	code	Symbol in syntax defined by the system
modifierExtension:aPraefix	S	0..1	(Complex)	TNM a-Präfix (Autopsie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
value[x]
coding
code		0..1	code	Symbol in syntax defined by the system
partOf	S	0..*	Reference(Procedure)	Part of referenced event
status	S	1..1	code	registered | preliminary | final | amended +
code	S	1..1	CodeableConcept	Type of observation (code / type) Binding: MII VS Onkologie TNM M Kategorie (preferred)
Slices for extension				Content/Rules for all slices
extension:cpPraefix	S	0..1	(Complex)	MII EX Onkologie TNM c/p Präfix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
value[x]
coding		0..*	Coding	TNM c/p-Präfix M
code		0..1	code	Symbol in syntax defined by the system
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(Patient)	Who and/or what the observation is about
focus	S	0..*	Reference(MII PR Onkologie Diagnose Primärtumor)	What the observation is about, when it is not about the subject of record
encounter	S	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SC	0..1	dateTime	TNM-Datum Constraints: tnm-datum
value[x]	S	0..1	CodeableConcept	Actual result
Slices for extension				Content/Rules for all slices
extension:itcSuffix	S	0..1	CodeableConcept	isolierte Tumorzellen (ITC) Suffix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix Binding: MII VS Onkologie TNM ITC Suffix (required)
Slices for coding		1..*	Coding	TNM M-Kategorie Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
code		0..1	code	Symbol in syntax defined by the system
coding:uicc	S	1..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte (required)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://www.uicc.org/resources/tnm
code	S	1..1	code	Symbol in syntax defined by the system
coding:snomed-ct	S	0..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte SNOMED CT (required)
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	S	1..1	code	Symbol in syntax defined by the system
method	S	0..1	CodeableConcept	How it was done
coding	S	0..*	Coding	TNM Version Binding: MII VS Onkologie TNM Version (required)
hasMember	S	0..*	Reference(MII PR Onkologie Fernmetastasen)	Related resource that belongs to the Observation group
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	preferred	MII VS Onkologie TNM M Kategorie	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:uicc	Base	required	MII VS Onkologie TNM M Kategorie Werte	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:snomed-ct	Base	required	MII VS Onkologie TNM M Kategorie Werte SNOMED CT	📦2027.0.0-ballot.1	This IG
Observation.method.coding	Base	required	MII VS Onkologie TNM Version	📦2027.0.0-ballot.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
tnm-datum	error	Observation.effective[x]	TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.	$this.toString().length() >= 8
tnm-sct-uicc-konsistenz	error	Observation	Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3').	valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, tnm-sct-uicc-konsistenz
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:yPraefix	?!S	0..1	(Complex)	TNM y-Präfix (während/nach multimodaler Therapie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: y
display	Σ	0..1	string	Representation defined by the system Fixed Value: y
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension:rPraefix	?!S	0..1	(Complex)	TNM r-Präfix (Rezidiv) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: r
display	Σ	0..1	string	Representation defined by the system Fixed Value: r
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension:aPraefix	?!S	0..1	(Complex)	TNM a-Präfix (Autopsie) URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix"
value[x]		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://www.uicc.org/resources/tnm
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: a
display	Σ	0..1	string	Representation defined by the system Fixed Value: a
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	SΣ	0..*	Reference(Procedure)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: MII VS Onkologie TNM M Kategorie (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:cpPraefix	S	0..1	(Complex)	MII EX Onkologie TNM c/p Präfix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix"
value[x]		0..1	CodeableConcept	Value of extension Binding: MII VS Onkologie TNM c/p/u Praefix (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	TNM c/p-Präfix M
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
focus	SΣ	0..*	Reference(MII PR Onkologie Diagnose Primärtumor)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣC	0..1	dateTime	TNM-Datum Constraints: tnm-datum
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	0..1	CodeableConcept	Actual result
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:itcSuffix	S	0..1	CodeableConcept	isolierte Tumorzellen (ITC) Suffix URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix Binding: MII VS Onkologie TNM ITC Suffix (required)
Slices for coding	Σ	1..*	Coding	TNM M-Kategorie Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:uicc	SΣ	1..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://www.uicc.org/resources/tnm
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed-ct	SΣ	0..1	Coding	Code defined by a terminology system Binding: MII VS Onkologie TNM M Kategorie Werte SNOMED CT (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	TNM Version Binding: MII VS Onkologie TNM Version (required)
text	Σ	0..1	string	Plain text representation of the concept
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(MII PR Onkologie Fernmetastasen)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	preferred	MII VS Onkologie TNM M Kategorie	📦2027.0.0-ballot.1	This IG
Observation.code.extension:cpPraefix.​value[x]	Base	required	MII VS Onkologie TNM c/p/u Praefix	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:uicc	Base	required	MII VS Onkologie TNM M Kategorie Werte	📦2027.0.0-ballot.1	This IG
Observation.value[x].​coding:snomed-ct	Base	required	MII VS Onkologie TNM M Kategorie Werte SNOMED CT	📦2027.0.0-ballot.1	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.method.coding	Base	required	MII VS Onkologie TNM Version	📦2027.0.0-ballot.1	This IG
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tnm-datum	error	Observation.effective[x]	TNM Datum: Ein exaktes (taggenaues) Datum ist anzugeben.	$this.toString().length() >= 8
tnm-sct-uicc-konsistenz	error	Observation	Wenn ein SNOMED CT Code auf valueCodeableConcept vorhanden ist, muss dessen Display den c/p-Präfix und den UICC-Code enthalten (z.B. 'cT3' bei Präfix 'c' und Code 'T3').	valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').empty() or valueCodeableConcept.coding.where(system = 'http://snomed.info/sct').display.contains(iif(code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').exists(), code.extension('https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix').value.coding.code.first(), '') + valueCodeableConcept.coding.where(system = 'https://www.uicc.org/resources/tnm').code.first() + ' ')

Summary

Mandatory: 1 element(8 nested mandatory elements)
Must-Support: 25 elements

Structures

This structure refers to these other structures:

• MII PR Onkologie Diagnose Primärtumor (https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor)
• MII PR Onkologie Fernmetastasen (https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-fernmetastasen)

Extensions

This structure refers to these extensions:

• https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-y-praefix (Modifier)
• https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-r-praefix (Modifier)
• https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-a-praefix (Modifier)
• https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
• https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-itc-suffix

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x].coding