{
  "description": "Follow-Up als Prozess des Einholens von Informationen über durchgeführte Therapien & Kostenuebernahmen",
  "_filename": "StructureDefinition-mii-pr-mtb-follow-up-clinicalimpression.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.mtb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_MTB_Follow_Up_ClinicalImpression",
  "abstract": false,
  "type": "ClinicalImpression",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR MTB Clinical Impresssion",
  "package_version": "2025.0.0-ballot",
  "status": "draft",
  "id": "5238b1ff-07af-430a-a7bf-b2d62674e6c7",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-follow-up-clinicalimpression",
  "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.status",
      "path": "ClinicalImpression.status",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.statusReason",
      "path": "ClinicalImpression.statusReason",
      "short": "Grund Nicht-Umsetzung",
      "definition": "Grund für die Nicht-Umsetzung des gesamten Therapieplans",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.statusReason.coding",
      "max": "1",
      "min": 1,
      "path": "ClinicalImpression.statusReason.coding"
    }, {
      "id": "ClinicalImpression.statusReason.coding.system",
      "path": "ClinicalImpression.statusReason.coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-systemische-therapie-status-grund"
    }, {
      "id": "ClinicalImpression.statusReason.coding.code",
      "min": 1,
      "path": "ClinicalImpression.statusReason.coding.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-follow-up-grund-nicht-umsetzung"
      },
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.code",
      "min": 1,
      "path": "ClinicalImpression.code",
      "short": "Follow-Up",
      "definition": "Follow-Up als Prozess des Einholens von Informationen über durchgeführte Therapien & Kostenuebernahmen",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.code.coding",
      "path": "ClinicalImpression.code.coding",
      "patternCoding": {
        "code": "390906007",
        "system": "http://snomed.info/sct",
        "display": "Follow-up encounter (procedure)"
      }
    }, {
      "id": "ClinicalImpression.subject",
      "path": "ClinicalImpression.subject",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.effective[x]",
      "path": "ClinicalImpression.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Erfassungsdatum",
      "definition": "Erfassungsdatum Durchführung Follow-Up",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.previous",
      "min": 1,
      "path": "ClinicalImpression.previous",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-behandlungsepisode" ]
      } ],
      "short": "MTB-Behandlungsepisode",
      "definition": "MTB-Behandlungsepisode, auf die sich das Follow-Up bezieht",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.investigation",
      "path": "ClinicalImpression.investigation",
      "short": "Status Follow-Up",
      "definition": "Status des Therapieplans im Hinblick auf das Follow-Up",
      "mustSupport": true
    }, {
      "id": "ClinicalImpression.investigation.code.coding.system",
      "path": "ClinicalImpression.investigation.code.coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-follow-up-status"
    }, {
      "id": "ClinicalImpression.investigation.code.coding.code",
      "path": "ClinicalImpression.investigation.code.coding.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-follow-up-status"
      }
    }, {
      "id": "ClinicalImpression.supportingInfo",
      "path": "ClinicalImpression.supportingInfo",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für die durch das Follow-Up gewonnenen Informationen",
        "discriminator": [ {
          "path": "$this.resolve()",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "ClinicalImpression.supportingInfo",
      "min": 0,
      "definition": "Umgesetzte Therapien mit oder auch ohne Bezug auf die MTB-Empfehlungen",
      "short": "Umgesetzte Therapien",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ]
      } ],
      "mustSupport": true,
      "sliceName": "UmgesetzteTherapien",
      "max": "*",
      "id": "ClinicalImpression.supportingInfo:UmgesetzteTherapien"
    }, {
      "path": "ClinicalImpression.supportingInfo",
      "min": 0,
      "definition": "Anträge Kostenübernahme für die empfohlenen Therapien",
      "short": "Anträge Kostenübernahme",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Claim" ]
      } ],
      "mustSupport": true,
      "sliceName": "AntraegeKostenuebernahme",
      "max": "*",
      "id": "ClinicalImpression.supportingInfo:AntraegeKostenuebernahme"
    }, {
      "id": "ClinicalImpression.supportingInfo:AntwortenKostenuebernahme",
      "max": "*",
      "min": 0,
      "path": "ClinicalImpression.supportingInfo",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClaimResponse" ]
      } ],
      "short": "Antworten Kostenübernahme",
      "sliceName": "AntwortenKostenuebernahme",
      "definition": "Antworten der Versicherungen auf die Anträge zur Kostenübernahme"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
}