description: Der DiagnosticReport ist zentraler Bestandteil aller genetischen Befundberichte und enthält Metadaten über den gesamten Bericht sowie alle relevanten Informationen, die im Rahmen der molekulargenetischen Analyse gefunden wurden.
package_name: de.medizininformatikinitiative.kerndatensatz.molgen
derivation: constraint
name: MII_PR_MolGen_MolekulargenetischerBefundbericht
type: DiagnosticReport
elements:
  conclusionCode: {mustSupport: true, index: 24}
  conclusion: {mustSupport: true, index: 23}
  encounter: {mustSupport: true, index: 8}
  specimen: {mustSupport: true, index: 12}
  extension:
    type: Extension
    mustSupport: true
    url: https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/empfohlene-massnahme
    index: 0
    slicing:
      slices:
        recommended-action:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/empfohlene-massnahme', index: 0}
        genomic-risk-assessment:
          match: {}
          schema: {mustSupport: true, index: 1}
        coded-note:
          match: {}
          schema: {mustSupport: true, index: 2}
        supporting-info:
          match: {}
          schema: {mustSupport: true, index: 3}
        genomic-study:
          match: {}
          schema: {mustSupport: true, index: 4}
        workflow-relatedArtifact:
          match: {}
          schema: {mustSupport: true, index: 5}
  resultsInterpreter: {mustSupport: true, index: 11}
  status: {mustSupport: true, index: 6}
  result:
    mustSupport: true
    index: 13
    slicing:
      slices:
        diagnostic-implication:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/diagnostische-implikation']
            index: 14
        therapeutic-implication:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/therapeutische-implikation']
            index: 15
        variant:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante']
            index: 16
        sequence-phase-relation:
          match: {}
          schema: {mustSupport: true, index: 17}
        genotype:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/genotyp']
            index: 18
        haplotype:
          match: {}
          schema: {mustSupport: true, index: 19}
        tumor-mutation-burden:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/mutationslast']
            array: true
            index: 20
          min: 0
        microsatellite-instability:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/mikrosatelliteninstabilitaet']
            array: true
            index: 21
          min: 0
  issued: {mustSupport: true, index: 9}
  media: {mustSupport: true, index: 22}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient']
    index: 7
  performer: {mustSupport: true, index: 10}
package_version: 2026.0.0-ballot
extensions:
  recommended-action: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/empfohlene-massnahme', type: Extension, mustSupport: true, index: 0}
  genomic-risk-assessment: {url: null, mustSupport: true, index: 1}
  coded-note: {url: null, mustSupport: true, index: 2}
  supporting-info: {url: null, mustSupport: true, index: 3}
  genomic-study: {url: null, mustSupport: true, index: 4}
  workflow-relatedArtifact: {url: null, mustSupport: true, index: 5}
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/molekulargenetischer-befundbericht
base: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report
version: 2026.0.0-ballot
required: [subject]