description: Evidenzgraduierung der (einzelnen) Empfehlung
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_EX_MTB_Empfehlung_Evidenzgraduierung
type: Extension
elements:
  extension: {index: 0}
  url:
    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung'}
    index: 1
  value:
    short: Evidenzgraduierung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Evidenzgraduierung für Biomarker-basierte Empfehlung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Evidence grading for biomarker-based recommendation}
    mustSupport: true
    choices: [valueCodeableConcept]
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Evidenzgraduierung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Evidence Grading}
    index: 3
  valueCodeableConcept:
    short: Evidenzgraduierung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Evidenzgraduierung für Biomarker-basierte Empfehlung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Evidence grading for biomarker-based recommendation}
    type: CodeableConcept
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Evidenzgraduierung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Evidence Grading}
    choiceOf: value
    index: 4
  value[x]:
    elements:
      coding:
        mustSupport: true
        index: 5
        slicing:
          rules: open
          ordered: false
          description: Slice für die Evidenzgraduierung anhand von `system`
          discriminator:
          - {path: system, type: value}
          min: 1
          slices:
            Evidenzgrad:
              match: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad'}
              schema:
                short: Evidenzgrad
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Evidenzgrad der Empfehlung}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Evidence level of the recommendation}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Evidenzgrad}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Evidence Level}
                _required: true
                index: 6
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad'}
                    index: 7
                  code: {mustSupport: true, index: 8}
                required: [system, code]
            Zusatzverweis:
              match: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad-zusatzverweis'}
              schema:
                short: Zusatzverweis
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Zusatzverweis zum Evidenzgrad}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Additional reference to the evidence level}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Zusatzverweis}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Additional Reference}
                array: true
                index: 9
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad-zusatzverweis'}
                    index: 10
                  code: {mustSupport: true, index: 11}
                required: [system, code]
    required: [coding]
package_version: 2026.0.1
extensions: {}
class: extension
kind: complex-type
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung
base: http://hl7.org/fhir/StructureDefinition/Extension
version: 2026.0.1
required: [value, valueCodeableConcept]