description: Therapieempfehlung für eine medikamentöse Systemische Therapie
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Therapieempfehlung
type: MedicationRequest
elements:
  extension:
    type: Extension
    mustSupport: true
    url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
    index: 0
    slicing:
      slices:
        Prioritaet:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet', index: 0}
          min: 0
          max: 1
        Evidenzgraduierung:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung', index: 1}
          min: 0
          max: 1
        Publikation:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation', index: 2}
          min: 0
  status:
    short: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status der Umsetzung der Therapieempfehlung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Status of therapy recommendation implementation}
    index: 3
  intent:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: proposal | option}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: proposal | option}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Da das MTB nur Empfehlungen abgibt wird hier typischerweise proposal stehen. Es sei denn diese Therapieempfehlung ist Teil einer RequestGroup - z.B. Kombinationstherapie. In dem Fall muss hier option stehen.}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Since the MTB only provides recommendations this will typically be proposal. Unless this therapy recommendation is part of a RequestGroup - e.g. combination therapy. In that case option must be used.}
    index: 4
  reasonReference:
    index: 5
    slicing:
      rules: open
      ordered: false
      description: Slice für stützende Angaben zur Systemischen Therapie auf Basis des referenzierten Ressourcentyps
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        StuetzendeMolekulareAlteration:
          match: {}
          schema:
            short: Stützende molekulare Alteration(en)
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Verweis auf entsprechendes Feld in NGS Bericht und/oder IHC - Verweis auf KDS Molekular-Pathologischer Befundbericht}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Reference to corresponding field in NGS report and/or IHC - reference to KDS Molecular Pathology Report}
            refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-genetische-variante', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Stützende molekulare Alterationen}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Supporting Molecular Alterations}
            array: true
            index: 6
          min: 0
package_version: 2026.0.0
extensions:
  Prioritaet: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet', min: 0, max: 1, type: Extension, mustSupport: true, index: 0}
  Evidenzgraduierung: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung', min: 0, max: 1, type: Extension, mustSupport: true, index: 1}
  Publikation: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation', min: 0, type: Extension, mustSupport: true, index: 2}
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung
base: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation
version: 2026.0.0