description: Auftrag zur (erneuten) Biopsie
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Biopsie_Auftrag
type: ServiceRequest
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
  status:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: draft | active | on-hold | revoked | completed | entered-in-error | unknown}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: draft | active | on-hold | revoked | completed | entered-in-error | unknown}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status der Umsetzung der Empfehlung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Status of the recommendation implementation}
    index: 2
  intent:
    pattern: {type: Code, value: proposal}
    index: 3
  code:
    short: Empfehlung zur (Re-)Biopsie
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Empfehlung zur Re-Biopsie}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Recommendation for re-biopsy}
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Empfehlung zur Re-Biopsie}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Recommendation for re-biopsy}
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '86273004', system: 'http://snomed.info/sct', display: Biopsy (procedure)}
    index: 4
  reasonReference:
    index: 5
    slicing:
      rules: open
      ordered: false
      description: Slice für referenzierten Histologiebefund oder bestimmten Tumorzellgehalt
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        Histologie:
          match: {}
          schema:
            short: Histologiebefund
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Verweis auf Histologiebefund der eine Rebiopsie begründet}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Reference to histology report that justifies a re-biopsy}
            refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-befund']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Histologiebefund}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Histology Report}
            index: 6
          min: 0
          max: 1
        Tumorzellgehalt:
          match: {}
          schema:
            short: Tumorzellgehalt
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Verweis auf bestimmten - häufig zu niedrigen - Tumorzellgehalt der eine Rebiopsie notwendig macht}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Reference to determined - often too low - tumor cell content that necessitates a re-biopsy}
            refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-tumorzellgehalt']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Tumorzellgehalt}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Tumor Cell Content}
            index: 7
          min: 0
          max: 1
  specimen:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Specimen', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-specimen', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen']
    index: 8
package_version: 2026.0.0
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-biopsie-auftrag
base: http://hl7.org/fhir/StructureDefinition/ServiceRequest
version: 2026.0.0
required: [code]