description: Follow-Up als Prozess des Einholens von Informationen über durchgeführte Therapien & Kostenuebernahmen
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Follow_Up_ClinicalImpression
type: ClinicalImpression
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
  investigation:
    short: Status Follow-Up
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status Follow-Up}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Follow-Up Status}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status des Therapieplans im Hinblick auf das Follow-Up}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Status of the therapy plan with regard to follow-up}
    mustSupport: true
    index: 14
    elements:
      code:
        elements:
          coding:
            elements:
              system:
                pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-follow-up-status'}
                index: 15
              code:
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-follow-up-status'}
                index: 16
  supportingInfo:
    mustSupport: true
    index: 17
    slicing:
      rules: open
      ordered: false
      description: Slice für die durch das Follow-Up gewonnenen Informationen
      discriminator:
      - {path: $this.resolve(), type: type}
      min: null
      slices:
        UmgesetzteTherapien:
          match: {}
          schema:
            short: Umgesetzte Therapien
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Umgesetzte Therapien mit oder auch ohne Bezug auf die MTB-Empfehlungen}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Implemented therapies with or without reference to MTB recommendations}
            refers: ['http://hl7.org/fhir/StructureDefinition/Procedure']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Umgesetzte Therapien}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Implemented Therapies}
            array: true
            index: 18
          min: 0
        AntraegeKostenuebernahme:
          match: {}
          schema:
            short: Anträge Kostenübernahme
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Antraege Kostenuebernahme fuer die empfohlenen Therapien}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Cost coverage applications for the recommended therapies}
            refers: ['http://hl7.org/fhir/StructureDefinition/Claim']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Antraege Kostenuebernahme}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Cost Coverage Applications}
            array: true
            index: 19
          min: 0
        AntwortenKostenuebernahme:
          match: {}
          schema:
            short: Antworten Kostenübernahme
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Antworten der Versicherungen auf die Antraege zur Kostenuebernahme}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Responses from insurance companies to cost coverage applications}
            refers: ['http://hl7.org/fhir/StructureDefinition/ClaimResponse']
            type: Reference
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Antworten Kostenuebernahme}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Cost Coverage Responses}
            array: true
            index: 20
          min: 0
  statusReason:
    short: Grund Nicht-Umsetzung
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Grund Nicht-Umsetzung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Reason for Non-Implementation}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Grund fuer die Nicht-Umsetzung des gesamten Therapieplans}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Reason for non-implementation of the entire therapy plan}
    mustSupport: true
    index: 3
    elements:
      coding:
        index: 4
        elements:
          system:
            pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-systemische-therapie-status-grund'}
            index: 5
          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
            index: 6
        required: [code]
    required: [coding]
  effectiveDateTime:
    short: Erfassungsdatum
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Erfassungsdatum Durchfuehrung Follow-Up}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Recording date of follow-up execution}
    type: dateTime
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Erfassungsdatum}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Recording Date}
    choiceOf: effective
    index: 12
  status: {mustSupport: true, index: 2}
  effective:
    short: Erfassungsdatum
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Erfassungsdatum}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Recording Date}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Erfassungsdatum Durchfuehrung Follow-Up}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Recording date of follow-up execution}
    mustSupport: true
    choices: [effectiveDateTime]
    index: 11
  previous:
    short: MTB-Behandlungsepisode
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: MTB-Behandlungsepisode auf die sich das Follow-Up bezieht}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: MTB treatment episode to which the follow-up refers}
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-behandlungsepisode']
    type: Reference
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: MTB-Behandlungsepisode}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: MTB Treatment Episode}
    index: 13
  code:
    short: Follow-Up
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Follow-Up}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Follow-Up}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Follow-Up als Prozess des Einholens von Informationen ueber durchgefuehrte Therapien & Kostenuebernahmen}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Follow-up as a process of gathering information about performed therapies and cost coverage}
    mustSupport: true
    index: 7
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '390906007', system: 'http://snomed.info/sct', display: Follow-up encounter (procedure)}
        index: 8
  subject: {mustSupport: true, index: 9}
package_version: 2026.0.1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-follow-up-clinicalimpression
base: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
version: 2026.0.1
required: [previous, code]