description: Aktueller Krankheitszustand und bisherige Behandlungsmaßnahmen package_name: de.medizininformatikinitiative.kerndatensatz.mtb derivation: constraint name: MII_PR_MTB_Behandlungsepisode type: ClinicalImpression elements: meta: mustSupport: true index: 0 elements: profile: {mustSupport: true, index: 1} investigation: index: 14 slicing: rules: open ordered: false description: Slice für relevante Ermittlungen discriminator: - {path: code.coding, type: value} min: null slices: KrankengeschichteFamilie: match: code: coding: {code: '416471007', system: 'http://snomed.info/sct', display: Family medical history} schema: mustSupport: true index: 15 elements: code: elements: coding: pattern: type: Coding value: {code: '416471007', system: 'http://snomed.info/sct', display: Family medical history} index: 16 required: [coding] item: short: Krankengeschichte Familie _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Verweis auf familiäre Krankengeschichte} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Reference to family medical history} refers: ['http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/familienanamnese'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Krankengeschichte Familie} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Family Medical History} index: 17 required: [item] ECOG: match: code: coding: {code: '424122007', system: 'http://snomed.info/sct', display: ECOG performance status finding} schema: mustSupport: true index: 18 elements: code: elements: coding: pattern: type: Coding value: {code: '424122007', system: 'http://snomed.info/sct', display: ECOG performance status finding} index: 19 required: [coding] item: short: ECOG _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: ECOG Performance Status} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: ECOG Performance Status} refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-allgemeiner-leistungszustand-ecog'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: ECOG} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: ECOG} index: 20 required: [item] NgsBericht: match: code: coding: {code: '106221001', system: 'http://snomed.info/sct', display: Genetic finding} schema: mustSupport: true array: true index: 21 elements: code: elements: coding: pattern: type: Coding value: {code: '106221001', system: 'http://snomed.info/sct', display: Genetic finding} index: 22 required: [coding] item: short: NGS Report _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Für Molekulares Tumorboard bereitgestellter Next Generation Sequencing Bericht} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Next Generation Sequencing report provided for the Molecular Tumor Board} refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-ngs-bericht'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: NGS Report} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: NGS Report} index: 23 required: [item] MolekularPathologieBefund: match: code: coding: {code: 60568-3, system: 'http://loinc.org', display: Pathology synoptic report} schema: mustSupport: true array: true index: 24 elements: code: elements: coding: pattern: type: Coding value: {code: 60568-3, system: 'http://loinc.org', display: Pathology synoptic report} index: 25 required: [coding] item: short: Molekular Pathologie Befund _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Für Molekulares Tumorboard bereitgestellter Molekular Pathologie Befund} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Molecular pathology report provided for the Molecular Tumor Board} refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-molecular-pathology-report'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Molekular Pathologie Befund} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Molecular Pathology Report} index: 26 required: [item] Einwilligung: match: code: coding: {code: 105511-0, system: 'http://loinc.org', display: Was consent given} schema: mustSupport: true index: 27 elements: code: elements: coding: pattern: type: Coding value: {code: 105511-0, system: 'http://loinc.org', display: Was consent given} index: 28 required: [coding] item: short: Einwilligung _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Einwilligung zum Molekularen Tumorboard} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Consent for the Molecular Tumor Board} refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-consent-given'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Einwilligung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Consent} index: 29 required: [item] supportingInfo: index: 30 slicing: rules: open ordered: false description: Slice für weitere Informationen discriminator: - {path: $this.resolve(), type: profile} min: null slices: Vorbefund: match: {} schema: short: Vorbefund _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Relevanter Vorbefund} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Relevant previous finding} refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/Observation'] type: Reference mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Vorbefund} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Previous Finding} array: true index: 31 min: 0 Vortherapie: match: {} schema: short: Vortherapie index: 32 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Relevante Leitlinien-basierte Vortherapie} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Relevant guideline-based prior therapy} refers: ['https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure', '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-operation', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-strahlentherapie'] type: Reference mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Vortherapie} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Prior Therapy} array: true elements: extension: short: Leitlinie Dokumentation _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Documentation for guideline-compliant implementation of the procedure} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Leitlinie Dokumentation} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Guideline Documentation} url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation index: 33 slicing: slices: LeitlinieDokumentation: match: {} schema: short: Leitlinie Dokumentation _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Documentation for guideline-compliant implementation of the procedure} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Leitlinie Dokumentation} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Guideline Documentation} url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation index: 33 min: 0 max: 1 extensions: LeitlinieDokumentation: min: 0 short: Leitlinie Dokumentation index: 33 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Documentation for guideline-compliant implementation of the procedure} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Leitlinie Dokumentation} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Guideline Documentation} max: 1 url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation Therapieplan: match: {} schema: short: Therapieplan _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Therapieplan gemäß Beschluss des Molekularen Tumorboards} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Therapy plan according to the Molecular Tumor Board decision} refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieplan'] type: Reference mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Therapieplan} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Therapy Plan} index: 34 min: 0 max: 1 problem: mustSupport: true index: 12 slicing: rules: open ordered: false description: Slice für Diagnose discriminator: - {path: $this, type: type} min: null slices: PrimaertumorDiagnose: match: {} schema: short: Primärtumor Diagnose _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Verweise auf Diagnose des Primärtumors} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Reference to primary tumor diagnosis} refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor'] type: Reference mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Primärtumor Diagnose} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Primary Tumor Diagnosis} index: 13 min: 0 max: 1 effective[x]: elements: start: short: Einschlussdatum _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Einschlussdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Inclusion Date} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Einschlussdatum Molekulares Tumorboard} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Inclusion date for Molecular Tumor Board} index: 10 end: short: Abschlussdatum _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Abschlussdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Completion Date} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Abschlussdatum Molekulares Tumorboard} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Completion date for Molecular Tumor Board} mustSupport: true index: 11 extension: index: 2 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: LeitlinienbehandlungStatus: match: {url: null} schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status', index: 3} min: 0 max: 1 effective: choices: [] index: 6 slicing: rules: open ordered: false discriminator: - {path: $this, type: type} min: 1 slices: effectivePeriod: match: {} schema: short: Zeitraum der Behandlungsepisode _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zeitraum von Einschluss bis Abschluss im Molekularen Tumorboard} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Period from inclusion to completion in the Molecular Tumor Board} mustSupport: true choices: [effectivePeriod] _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zeitraum der Behandlungsepisode} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Treatment Episode Period} _required: true index: 8 min: 1 max: 1 subject: type: Reference refers: ['https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient', 'https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert'] index: 4 effectivePeriod: short: Zeitraum der Behandlungsepisode index: 9 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zeitraum von Einschluss bis Abschluss im Molekularen Tumorboard} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Period from inclusion to completion in the Molecular Tumor Board} slicing: slices: effectivePeriod: match: {} schema: short: Zeitraum der Behandlungsepisode _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zeitraum von Einschluss bis Abschluss im Molekularen Tumorboard} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Period from inclusion to completion in the Molecular Tumor Board} type: Period mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zeitraum der Behandlungsepisode} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Treatment Episode Period} _required: true choiceOf: effective index: 9 min: 1 max: 1 type: Period mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zeitraum der Behandlungsepisode} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en} - {url: content, valueString: Treatment Episode Period} choiceOf: effective package_version: 2026.0.1 extensions: LeitlinienbehandlungStatus: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status', min: 0, max: 1, type: Extension, mustSupport: true, index: 3} class: profile kind: resource url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-behandlungsepisode base: http://hl7.org/fhir/StructureDefinition/ClinicalImpression version: 2026.0.1 required: [effectivePeriod, effective]