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: 13
    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: 14
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '416471007', system: 'http://snomed.info/sct', display: Family medical history}
                    type: Coding
                    index: 15
                required: [coding]
              item:
                type: Reference
                short: Krankengeschichte Familie
                refers: ['http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/familienanamnese']
                index: 16
            required: [item]
        ECOG:
          match:
            code:
              coding: {code: '424122007', system: 'http://snomed.info/sct', display: ECOG performance status finding}
          schema:
            mustSupport: true
            index: 17
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '424122007', system: 'http://snomed.info/sct', display: ECOG performance status finding}
                    type: Coding
                    index: 18
                required: [coding]
              item:
                type: Reference
                short: ECOG
                refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-allgemeiner-leistungszustand-ecog']
                index: 19
            required: [item]
        NgsBericht:
          match:
            code:
              coding: {code: '106221001', system: 'http://snomed.info/sct', display: Genetic finding}
          schema:
            mustSupport: true
            array: true
            index: 20
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '106221001', system: 'http://snomed.info/sct', display: Genetic finding}
                    type: Coding
                    index: 21
                required: [coding]
              item:
                type: Reference
                short: NGS Report
                refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-ngs-bericht']
                index: 22
            required: [item]
        MolekularPathologieBefund:
          match:
            code:
              coding: {code: '721967005', system: 'http://snomed.info/sct', display: Tissue pathology biopsy report}
          schema:
            mustSupport: true
            array: true
            index: 23
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: '721967005', system: 'http://snomed.info/sct', display: Tissue pathology biopsy report}
                    type: Coding
                    index: 24
                required: [coding]
              item:
                type: Reference
                short: Molekular Pathologie Befund
                refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-molecular-pathology-report']
                index: 25
            required: [item]
  supportingInfo:
    index: 26
    slicing:
      rules: open
      ordered: false
      description: Slice für weitere Informationen
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        Einwilligung:
          match: {}
          schema:
            short: Einwilligung
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-consent-given']
            type: Reference
            mustSupport: true
            index: 27
          min: 0
          max: 1
        Vorbefund:
          match: {}
          schema:
            short: Vorbefund
            refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/Observation']
            type: Reference
            mustSupport: true
            array: true
            index: 28
          min: 0
        Vortherapie:
          match: {}
          schema:
            short: Vortherapie
            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
            array: true
            index: 29
            extensions:
              LeitlinieDokumentation: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation', min: 0, max: 1, short: Leitlinie Dokumentation, type: Extension, mustSupport: true, index: 30}
            elements:
              extension:
                short: Leitlinie Dokumentation
                type: Extension
                mustSupport: true
                url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation
                index: 30
                slicing:
                  slices:
                    LeitlinieDokumentation:
                      match: {}
                      schema: {short: Leitlinie Dokumentation, type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation', index: 30}
                      min: 0
                      max: 1
        Therapieplan:
          match: {}
          schema:
            short: Therapieplan
            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
            index: 31
          min: 0
          max: 1
  problem:
    mustSupport: true
    index: 11
    slicing:
      rules: open
      ordered: false
      description: Slice für Diagnose
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        PrimaertumorDiagnose:
          match: {}
          schema:
            short: Primärtumor Diagnose
            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
            index: 12
          min: 0
          max: 1
  effective[x]:
    elements:
      start: {short: Einschlussdatum, index: 9}
      end: {short: Abschlussdatum, mustSupport: true, index: 10}
  extension:
    type: Extension
    mustSupport: true
    url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status
    index: 2
    slicing:
      slices:
        LeitlinenbehandlungStatus:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status', index: 2}
          min: 0
          max: 1
  effective:
    choices: []
    index: 5
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: 1
      slices:
        effectivePeriod:
          match: {}
          schema:
            short: Zeitraum der Behandlungsepisode
            mustSupport: true
            choices: [effectivePeriod]
            _required: true
            index: 7
          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: 3
  effectivePeriod:
    short: Zeitraum der Behandlungsepisode
    type: Period
    mustSupport: true
    choiceOf: effective
    index: 8
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema: {short: Zeitraum der Behandlungsepisode, type: Period, mustSupport: true, _required: true, choiceOf: effective, index: 8}
          min: 1
          max: 1
package_version: 2025.0.0-ballot
extensions:
  LeitlinenbehandlungStatus: {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: 2}
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: 2024.0.0-ballot
required: [effective, effectivePeriod]