{
  "description": "Aktueller Krankheitszustand und bisherige Behandlungsmaßnahmen",
  "_filename": "StructureDefinition-mii-pr-mtb-behandlungsepisode.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.mtb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_MTB_Behandlungsepisode",
  "abstract": false,
  "type": "ClinicalImpression",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR MTB Behandlungsepisode",
  "package_version": "2025.0.0-ballot",
  "status": "draft",
  "id": "06095296-80b9-4476-8396-3469833454c7",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-behandlungsepisode",
  "version": "2024.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "ClinicalImpression.meta",
      "path": "ClinicalImpression.meta",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.meta.profile",
      "path": "ClinicalImpression.meta.profile",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.extension:LeitlinenbehandlungStatus",
      "max": "1",
      "min": 0,
      "path": "ClinicalImpression.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status" ]
      } ],
      "sliceName": "LeitlinenbehandlungStatus",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.subject",
      "path": "ClinicalImpression.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient", "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert" ]
      } ]
    }, {
      "id": "ClinicalImpression.effective[x]",
      "min": 1,
      "path": "ClinicalImpression.effective[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "path": "ClinicalImpression.effective[x]",
      "min": 1,
      "definition": "Zeitraum von Einschluss bis Abschluss im Molekularen Tumorboard",
      "short": "Zeitraum der Behandlungsepisode",
      "type": [ {
        "code": "Period"
      } ],
      "mustSupport": true,
      "sliceName": "effectivePeriod",
      "max": "1",
      "id": "ClinicalImpression.effective[x]:effectivePeriod"
    }, {
      "id": "ClinicalImpression.effective[x]:effectivePeriod.start",
      "path": "ClinicalImpression.effective[x].start",
      "short": "Einschlussdatum",
      "definition": "Einschlussdatum Molekulares Tumorboard"
    }, {
      "id": "ClinicalImpression.effective[x]:effectivePeriod.end",
      "path": "ClinicalImpression.effective[x].end",
      "short": "Abschlussdatum",
      "definition": "Abschlussdatum Molekulares Tumorboard",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.problem",
      "path": "ClinicalImpression.problem",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für Diagnose",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "ClinicalImpression.problem",
      "min": 0,
      "definition": "Verweise auf Diagnose des Primärtumors",
      "short": "Primärtumor Diagnose",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor", "http://hl7.org/fhir/StructureDefinition/Condition" ]
      } ],
      "mustSupport": true,
      "sliceName": "PrimaertumorDiagnose",
      "max": "1",
      "id": "ClinicalImpression.problem:PrimaertumorDiagnose"
    }, {
      "id": "ClinicalImpression.investigation",
      "path": "ClinicalImpression.investigation",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für relevante Ermittlungen",
        "discriminator": [ {
          "path": "code.coding",
          "type": "value"
        } ]
      }
    }, {
      "id": "ClinicalImpression.investigation:KrankengeschichteFamilie",
      "max": "1",
      "min": 0,
      "path": "ClinicalImpression.investigation",
      "sliceName": "KrankengeschichteFamilie",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.investigation:KrankengeschichteFamilie.code.coding",
      "min": 1,
      "path": "ClinicalImpression.investigation.code.coding",
      "patternCoding": {
        "code": "416471007",
        "system": "http://snomed.info/sct",
        "display": "Family medical history"
      }
    }, {
      "id": "ClinicalImpression.investigation:KrankengeschichteFamilie.item",
      "max": "1",
      "min": 1,
      "path": "ClinicalImpression.investigation.item",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/familienanamnese", "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" ]
      } ],
      "short": "Krankengeschichte Familie",
      "definition": "Verweis auf familiäre Krankengeschichte"
    }, {
      "id": "ClinicalImpression.investigation:ECOG",
      "max": "1",
      "min": 0,
      "path": "ClinicalImpression.investigation",
      "sliceName": "ECOG",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.investigation:ECOG.code.coding",
      "min": 1,
      "path": "ClinicalImpression.investigation.code.coding",
      "patternCoding": {
        "code": "424122007",
        "system": "http://snomed.info/sct",
        "display": "ECOG performance status finding"
      }
    }, {
      "id": "ClinicalImpression.investigation:ECOG.item",
      "max": "1",
      "min": 1,
      "path": "ClinicalImpression.investigation.item",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-allgemeiner-leistungszustand-ecog", "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "short": "ECOG",
      "definition": "ECOG Performance Status"
    }, {
      "id": "ClinicalImpression.investigation:NgsBericht",
      "max": "*",
      "min": 0,
      "path": "ClinicalImpression.investigation",
      "sliceName": "NgsBericht",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.investigation:NgsBericht.code.coding",
      "min": 1,
      "path": "ClinicalImpression.investigation.code.coding",
      "patternCoding": {
        "code": "106221001",
        "system": "http://snomed.info/sct",
        "display": "Genetic finding"
      }
    }, {
      "id": "ClinicalImpression.investigation:NgsBericht.item",
      "max": "1",
      "min": 1,
      "path": "ClinicalImpression.investigation.item",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-ngs-bericht", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "short": "NGS Report",
      "definition": "Für Molekulares Tumorboard bereitgestellter Next Generation Sequencing Bericht"
    }, {
      "id": "ClinicalImpression.investigation:MolekularPathologieBefund",
      "max": "*",
      "min": 0,
      "path": "ClinicalImpression.investigation",
      "sliceName": "MolekularPathologieBefund",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.investigation:MolekularPathologieBefund.code.coding",
      "min": 1,
      "path": "ClinicalImpression.investigation.code.coding",
      "patternCoding": {
        "code": "721967005",
        "system": "http://snomed.info/sct",
        "display": "Tissue pathology biopsy report"
      }
    }, {
      "id": "ClinicalImpression.investigation:MolekularPathologieBefund.item",
      "max": "1",
      "min": 1,
      "path": "ClinicalImpression.investigation.item",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-molecular-pathology-report", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "short": "Molekular Pathologie Befund",
      "definition": "Für Molekulares Tumorboard bereitgestellter Molekular Pathologie Befund"
    }, {
      "id": "ClinicalImpression.supportingInfo",
      "path": "ClinicalImpression.supportingInfo",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für weitere Informationen",
        "discriminator": [ {
          "path": "$this.resolve()",
          "type": "profile"
        } ]
      }
    }, {
      "path": "ClinicalImpression.supportingInfo",
      "min": 0,
      "definition": "Einwilligung zum Molekularen Tumorboard",
      "short": "Einwilligung",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-consent-given" ]
      } ],
      "mustSupport": true,
      "sliceName": "Einwilligung",
      "max": "1",
      "id": "ClinicalImpression.supportingInfo:Einwilligung"
    }, {
      "path": "ClinicalImpression.supportingInfo",
      "min": 0,
      "definition": "Relevanter Vorbefund",
      "short": "Vorbefund",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "mustSupport": true,
      "sliceName": "Vorbefund",
      "max": "*",
      "id": "ClinicalImpression.supportingInfo:Vorbefund"
    }, {
      "path": "ClinicalImpression.supportingInfo",
      "min": 0,
      "definition": "Relevante Leitlinien-basierte Vortherapie",
      "short": "Vortherapie",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-vortherapie", "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-strahlentherapie", "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation", "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure" ]
      } ],
      "mustSupport": true,
      "sliceName": "Vortherapie",
      "max": "*",
      "id": "ClinicalImpression.supportingInfo:Vortherapie"
    }, {
      "path": "ClinicalImpression.supportingInfo.extension",
      "min": 0,
      "definition": "Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur",
      "short": "Leitlinie Dokumentation",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation" ]
      } ],
      "mustSupport": true,
      "sliceName": "LeitlinieDokumentation",
      "max": "1",
      "id": "ClinicalImpression.supportingInfo:Vortherapie.extension:LeitlinieDokumentation"
    }, {
      "path": "ClinicalImpression.supportingInfo",
      "min": 0,
      "definition": "Therapieplan gemäß Beschluss des Molekularen Tumorboards",
      "short": "Therapieplan",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieplan", "http://hl7.org/fhir/StructureDefinition/CarePlan" ]
      } ],
      "mustSupport": true,
      "sliceName": "Therapieplan",
      "max": "1",
      "id": "ClinicalImpression.supportingInfo:Therapieplan"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
}